Factors Associated with the Mental Health and Satisfaction of Oral and Maxillofacial Surgery Residents in the United States: A Cross-Sectional Study and Analysis Residents in training report high levels of stress and anxiety and are at higher risk of mental health problems than the general population. Mental health problems among residents correlate with decreased professional effectiveness, increased medical errors, emotional exhaustion and depersonalization, and they may have a significant negative impact on future practitioners. The purpose of this study was to identify factors that may be associated with the mental health and satisfaction of oral and maxillofacial surgery (OMS) residents and determine associations between these factors and OMS resident satisfaction as a surrogate of resident well-being.

Harnessing Placebo Analgesia: Another Avenue to Opioid Reduction in Oral Surgery While encouraging early signs suggest the United States opioid epidemic may have peaked, our eyes have been opened to the tremendous risks of subsequent abuse and addiction for the young patient exposed to opioids. This makes avoiding opioids especially important for the typical high school or college third molar patient. The 2017 AAOMS White Paper on opioid prescribing and pain management encouraged a multimodal approach to pain management; recommending NSAIDs for first-line analgesic therapy. In early 2019, the Journal of Oral and Maxillofacial Surgery describes numerous adjuncts for treating postoperative third molar pain with the goal of reducing the need for opioids: a homeopathic recovery kit, intra-socket bupivacaine, preemptive intravenous ibuprofen or acetaminophen, oral bromelain, submucosal tramadol.

Five-Year Comparative Analysis of Medicare Opioid Prescription Volume Among Oral & Maxillofacial Surgeons. To examine the volume and variation in opioid prescribing practices among Oral and Maxillofacial Surgeons (OMS) serving Medicare beneficiaries from 2013 to 2017 and identify practice-level features correlated to opioid prescription volume.

Acute intraarticular soft tissue injury as seen on magnetic resonance imaging and its association with condylar fracture dislocation in children An intraarticular injury in growing patients should be well understood as it may interfere with normal temporomandibular joint (TMJ) function and even mandibular growth. The study was to evaluate the TMJ soft tissue injury following acute non-dislocated and dislocated intracapsular condylar fracture (ICF) in children.

Local ketamine improves the postoperative analgesia after third molar surgery There exists evidence to support the peripheral analgesic effect of local administration of ketamine (LAK) in third molar surgery. The aim of this systematic review and meta-analysis was to determine the efficacy of LAK in the control of pain, swelling and trismus in third molar surgery.

Safe Removal of Teeth in Liver Transplant Patients Without Antibiotics The retrospective study by Cocero et al1 on the safe removal of teeth in liver transplant patients without antibiotics in the recent issue of the Journal was very interesting. In their study, they retrospectively reviewed the data from 346 liver transplant candidates who had undergone 662 routine extraction sessions involving 1329 teeth without antibiotic prophylaxis. The 7-day dental follow-up examination detected no signs of postoperative wound infection, and minor complications (i.e, mild bleeding, slow healing, inflamed socket) occurred in only 50 patients at 3 days after extraction.

In Reply We thank Dr Jundt for his comments regarding our article, the main thrust of which was the development of a construct for faculty development in oral and maxillofacial surgery. Faculty development is a poorly understood and highly underestimated concept in academic medicine and surgery. Although we accept Dr Jundt's preference for the terminology teleiagogy, we emphasize that faculty development is deeper than etymology. Strictly speaking, andragogy refers to the education of adult males. In developing our article, we considered the term pedagogy, yet abandoned this term owing to its definition of the education of children.

Response to a Foundational Framework for Andragogy in Oral and Maxillofacial Surgery I: General Considerations General considerations in a foundational framework for andragogy in oral and maxillofacial surgery recognizes changes in technology, collaboration, and generational tendencies.1 This introduction might benefit by defining the problem, with evidence, as well as the intended results effected by changes in teleiagogy. The term teleiagogy was recommended in 1989 owing to the etymologically inaccurate andragogy as a potentially sexist term.2

How often do OMSs lose malpractice cases and why? While oral maxillofacial surgeons (OMS) carry high legal risk in malpractice lawsuits, data elucidating the reason behind those claims and their outcomes are scarce. The purpose of this study is to characterize trends, analyze payouts and to determine the etiology of malpractice cases against OMS.

Drug delivery surfaces for oral implant applications: Current view and perspectives Implantable metallic biomaterials are widely used in the most diverse areas of Dentistry; more precisely, implants and prosthetic components in the area of implantology, bone fixation plates and screws in the area of maxillofacial surgery, and mini-implants in orthodontics are some examples of devices used.