Intro -- Title Page -- Table of Contents -- List of Contributors -- Preface -- Part 1: Basic Principles -- Chapter 1: Patient Evaluation -- Obtaining a patient history -- Physical examination -- Comorbidities/systemic diseases -- Cardiovascular system -- Pulmonary system -- Endocrine system -- Obesity -- Other organ systems -- Imaging -- Laboratory studies -- Arriving at a diagnosis -- Assessing anesthetic/surgical risk -- Summary -- References -- Chapter 2: Radiographic Imaging in Oral and Maxillofacial Surgery -- Introduction -- Computed tomography (CT) -- Cone-beam computed tomography (cone-beam CT) -- Magnetic resonance imaging (MRI) -- Impacted teeth -- Pathological conditions - inflammatory lesions, cysts, benign and malignant tumors -- Inflammatory lesions -- Cysts and benign tumors -- Malignant tumors -- Temporomandibular joint (TMJ) -- Implant treatment -- References -- Chapter 3: Medical Aspects - High-risk Patients -- Cardiovascular system -- Ischemic heart disease -- Valvular heart disease -- Congestive heart failure -- Respiratory system -- Asthma -- Chronic obstructive pulmonarydisease -- Renal system -- Renal failure -- Endocrine system -- Diabetes mellitus -- Gastrointestinal system -- Liver failure -- Hematologic system -- Disorders of hemostasis -- Immunologic system -- HIV/AIDS -- Neurologic system -- Seizure disorders -- Musculoskeletal system -- Bisphosphonate-relatedosteonecrosis of the jaws (BRONJ) -- References -- Chapter 4: Medical Emergency Care -- Syncope -- Management -- Chest pain -- Pathogenesis -- Diagnosis and history -- Management -- Cardiac arrest -- The automated external defibrillator -- General approach to the collapsed patient -- Considerations in transfer of the patient -- Asthma -- Pathophysiology -- Prevention -- Clinical presentation -- Management -- Hypoglycemia.

Normal physiological response to hypoglycemia -- Signs and symptoms of hypoglycemia -- Management -- Anaphylaxis -- Presentation -- Differential diagnosis -- Management -- Seizures -- Management -- Status epilepticus -- References -- Chapter 5: Local Anesthesia -- Introduction -- Mode of action of local anesthetics -- Techniques of local anesthesia for oral and maxillofacial surgery -- Topical anesthesia -- Infiltration anesthesia -- Regional block anesthesia -- Supplementary intraoral techniques of local anesthesia -- Local anesthetic drugs -- Lidocaine -- Mepivacaine -- Prilocaine -- Articaine -- Etidocaine -- Bupivacaine -- Levobupivacaine -- Ropivacaine -- Complications of local anesthesia in the orofacial region -- Localized complications -- Systemic complications -- References -- Chapter 6a: Sedation and General Anesthesia in Oral and Maxillofacial Surgery: A UK Perspective -- History -- The role and scope of sedation -- Inhalational sedation -- Oral sedation -- Intravenous sedation -- General anesthesia -- Conclusion -- References -- Chapter 6b: Sedation and General Anesthesia in Oral and Maxillofacial Surgery: A US Perspective -- Historical perspective -- The 19th century after Wells and Morton -- The 20th century -- The 21st century -- Training, professional organizations, and standards -- Goals and objectives in the administration of anesthesia -- The initial intuitively derived concepts -- The initial approach -- Requisites for the ideal anesthetic in the modern era -- The essential role of the basic sciences in the advancement of anesthesia -- Areas of the brain affected by anesthetic agents -- The critical realization that on a molecular basis all anesthetic drugs share a common mechanism of action -- Multiple sites of action and receptors in the CNS dictate a balanced approach.

The current status of office anesthesia in the oral and maxillofacial surgery practice -- Primary anesthetic agents -- Ancillary agents -- Balanced anesthetic approaches currently used in oral and maxillofacial surgery practices -- Method of delivery -- Total intravenous anesthesia (TIVA) -- The author's office-based anesthesia technique -- Intravenous sedation -- Local anesthesia -- Perioperative management -- Preoperative preparation -- Delivery system -- Airway management -- Monitoring -- Awareness during anesthesia -- Intraoperative fluid management -- Recovery and discharge -- Special patient populations -- Future trends and advancements - on the horizon -- Conclusion -- References -- Chapter 7: Dentofacial Infection -- Introduction -- Dentoalveolar abscess -- Radiographic appearance -- Site and spread of infection -- Microbiology of dental infections -- Management of patients with orofacial infection -- Ludwig's angina -- Osteomyelitis -- Chronic sclerosing non-suppurative osteomyelitis (Garré's osteomyelitis) -- Diffuse sclerosing osteomyelitis of the mandible -- Osteoradionecrosis -- Osteonecrosis secondary to bisphosphonate therapy -- Cavernous sinus thrombosis -- Necrotizing fasciitis -- Actinomycosis -- infection of the oral mucosa and jawbones -- Syphilis -- References -- Chapter 8: Armamentarium for Basic Procedures -- Basic instrumentation for soft tissue procedures -- Basic hard tissue instrumentation -- Drills -- Dental elevators -- Dental forceps -- Ancillary instrumentation -- Sterilization of instruments -- Suture materials and needles -- Resorbable and non-resorbable -- Braided and solid -- Naturally occurring materials or synthetic -- Uses for the various suture materials -- Suture needles -- New innovations in surgical instrumentation -- References -- Chapter 9: Basic Surgical Principles -- Aseptic technique.

Principles of surgical incisions -- Types of intraoral incisions -- Principles of soft tissue biopsy -- Biopsy of the mucosal surface of the lip -- Principles of suturing -- Types of sutures -- Types of needles -- Suturing techniques -- References -- Chapter 10: Complications Associated with Dentoalveolar Surgery -- Side-effects of dentoalveolar procedures -- Bleeding -- Pain -- Swelling -- Postoperative complications -- Surgical site infection -- Alveolar osteitis -- Fractures -- Root fracture -- Root or tooth displacement -- Oroantral communication -- References -- Chapter 11a: Normal Wound Healing -- Physiology -- Inflammatory phase -- Proliferation phase -- Maturation/remodeling phase -- Specialized healing -- Skin and oral mucosa (including grafts) -- Bone/extraction wounds -- Implant healing -- Wound healing adjuncts -- Growth factors -- Hyperbaric oxygen therapy -- Skin substitutes -- References -- Chapter 11b: Compromised Wound Healing -- Introduction -- Compromised wounds -- Microbiology of compromised wounds -- Proteolytic enzymes -- Growth factors and extracellular matrix -- Treatment possibilities -- Prevention of infections -- Oxygen tension of tissues -- Debridement (removal of necrotic tissue) -- Regulation of proteolytic activity -- Topical antimicrobial agents -- Dressings -- Specific compromised wounds -- Non-healing wounds in irradiated tissue -- Osteoradionecrosis -- Osseointegration in irradiated tissues -- Compromised skin grafts and flaps -- Old age - osteoporosis -- Diabetes mellitus -- Drugs - bisphosphonates -- References -- Part 2: Dentoalveolar Surgery -- Chapter 12: Extraction of Teeth -- Medical evaluation -- Indications for extraction -- Caries -- Periodontal disease -- Pulp disease -- Pathologic lesions surrounding teeth -- Before radiation therapy -- Crown and root fractures -- Teeth in bone fracture lines.

Malposition of teeth -- Impacted teeth -- Supernumerary teeth -- Orthodontic indications -- Before prosthetic extractions -- Before surgical extractions -- Other reasons for extraction -- Contraindications for extraction -- Systemic contraindications -- Local contraindications -- Clinical evaluation of teeth before extraction -- Preoperative radiographic assessment -- Control of anxiety and pain -- Sedation -- Local anesthesia -- Preparation for extraction -- Surgeon's position for extraction with forceps -- Principles of simple (closed) extraction -- Surgical (open) extraction of teeth or roots -- Technique for surgical extraction -- Postextraction care and instructions -- References -- Chapter 13: Current Concepts and Strategies for Third Molar Removal -- Introduction -- Definitions, prevalence, and public health aspects -- Prevalence -- Public health aspects -- Natural history of third molar impaction -- Eruption -- Pathology related to third molars -- General aspects on clinical decision making -- Judgement analysis -- Decision analysis -- Patient preferences -- Indications for third molar removal -- Therapeutic indications -- Prophylactic third molar removal -- Complications associated with third molar surgery -- Contraindications for third molar removal -- References -- Chapter 14: Surgical Management of Third Molars -- Introduction -- Definitions and terminology -- Presurgical assessment of third molars -- Clinical assessment -- Radiological assessment -- Risk assessment -- Grade of difficulty -- Presurgical management -- Referral -- Consent -- Patient information -- The medically compromised patient -- Medications commonly used in oral surgery -- Anxiety and pain relief -- Antibiotics -- Analgesia -- Steroids -- Chlorhexidine -- Surgical procedure -- Principles of exodontia of third molars without using a flap.

Surgical extraction of third molars.

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Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2025. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.

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