International Association Of Oral And Maxillofacial Surgeons Research Articles

Сovid-2019 Pandemic: Growing Wave of Cancelled Meetings in Oral and Maxillofacial Surgery and Its Impact on Specialty

The official cause of the coronavirus disease 2019 (Covid-19) 2 became a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 3 which was officially identified on January 9, 2020. 4 Generally described four transmission routes for the Covid-19: 1) aerosol transmission, 2) contact transmission, 3) droplets transmission, and even through 4) digestive system. 3 The most commonly reported symptoms in patients are cough, fever, myalgia/fatigue, pneumonia, and complicated dyspnea. 3,5 According to Li et al cases resulting in death were primarily in elderly and middle-aged patients with pre-existing co-morbidities. 6 The statistically proved number of death worldwide continues permanently to increase. On March 26 that number of death reached 21,297 people, 7 on April 1 – 42,341 people, 8 on April 7 – 74,820 people, 9 on May 29 – 362,091 10 , and on August 11 – 739,342 11. Among many governments` measures became: closed borders, quarantine, and “stay at home” order (excluding medicine and urgent dentistry workers). A 1,000-bed United States Navy hospital ship docked in New York, 12 huge government`s emergency field hospitals open in the exhibition convention centers 13,14 around the globe. And the list of measures in different countries continues to an extent with one goal – to save more lives. Elective surgeries, except emergency and cancer cases surgeries, were also forbidden. From the moment of closed borders, the wave of canceled scientific meetings starts to grow continually affecting the meetings industry, specialties, and continuing medical education. Among them, two very important spring oral and maxillofacial surgery (OMS) events were canceled: A 77th Annual Meeting of the American Cleft Palate-Craniofacial Association (ACPA) in Portland (scheduled from March 31 to April 4, 2020) 15 and the 1st International Symposium on Orthognathic Surgery of the International Association of Oral and Maxillofacial Surgeons (IAOMS) in Vienna (scheduled from April 30 to May 2, 2020) 16 .

The “Next Generation” of Oral and Maxillofacial Surgeons and the “Next Generation” of Clinical Researchers

The young generation of oral and maxillofacial surgeons through the International Association of Oral and Maxillofacial Surgeons (IAOMS) NextGen (i.e., next generation) community is extremely active and enthusiastic. Among the numerous activities, a very successful full-day program was constructed to meet the top 24th International Conference of Oral and Maxillofacial Surgeons (ICOMS) level, held this year in the magnificent city of Rio de Janeiro, in Brazil between 21 and 25 of May. The Next Level Forum “Pearls in the Career of NextGen,” at ICOMS 2019 had a broad spectrum of educational sessions, ranging from expert-led superior training presentations to inspirational stories of young surgeons, and clearly showed – the future of oral and maxillofacial surgery is brilliant.

Learners’ acceptance of a webinar for continuing medical education

The aim of this study was to evaluate learners’ acceptance of a webinar for continuing medical education that was instigated by the International Association of Oral and Maxillofacial Surgeons (IAOMS). A live, interactive webinar on orthognathic surgery was broadcast via the Internet. The learners’ acceptance of the webinar was evaluated using a standardized, validated questionnaire (Student Evaluation of Educational Quality, SEEQ). One hundred and fifty-three participants attended the webinar; 55 participants (46 male, nine female) completed the questionnaire. The mean age of the respondents was 41.6±10.0years. The age of male and female respondents did not differ significantly. The respondents were spread over five continents, with the highest number from Brazil. The SEEQ showed a high level of acceptance for almost all subscales. There was no statistically significant difference between male and female respondents concerning acceptance of the webinar (P=0.614). The wide distribution of participants shows the potential for webinars as facilitators of barrier-free distribution of knowledge. The webinar was well accepted by the attendees independent of sex, specialty, and work experience. However, the sex ratio reflects the underrepresentation of women in oral and maxillofacial surgery.

A Prospective Study On Response To Treatment Of Patients With Temporomandibular Disorder: A Clinical Study

Introduction: Temporomandibular joint dysfunction (TMD) is regarded as multifactorial in origin and this may influence the diagnosis and treatment plan. Early detection of TMD with suitable management may provide good response. This study was to relate demographic factors, signs and symptoms, diagnosis, stage of detection and treatment modalities on review outcome. Materials and Methods: 71 TMD patients were selected from Oral Medicine and Oral Pathology clinics. Patients’ details were recorded. Staging of patients was done based on guidelines by American Society of Temporomandibular Joint Surgeons (ASTMJS). Treatment modalities including selftherapy, occlusal splint and medication proposed to patients were based on their signs and symptoms. Prosthetic rehabilitation was indicated for free-end extension ridge. Treatment outcomes measure recommended by International Association of Oral and Maxillofacial Surgeons (IAOMS) was used during review visit. Results: Female showed higher incidence of TMD compared to male, with ratio of 2.5:1. 46(64.79%) patients were detected at early stage. Patients in their twenties [54(76.06%)] had the highest occurrence of TMD. Treatment modalities were correlated with signs and symptoms (p= 0.046), stage of detection (p= 0.030), and diagnosis (p= 0.023). Multiple regression displayed significant association on improvement of patients’ condition after treatment, mediated by stage of detection (r = - 0.216). 30(42.25%) patients detected at early stage had improvement of (on) signs and symptoms. Conclusion(s): Demographic factors contributed to incidence of TMD. Treatment plans were related to patients' condition, diagnosis and stage of detection. Early detection of TMD with proper management/s influenced patients’ condition.

Effects of four treatment strategies for temporomandibular joint closed lock

A previous randomized controlled trial (RCT) by Schiffman et al. (2007)15 compared four treatments strategies for temporomandibular joint (TMJ) disc displacement without reduction with limited mouth opening (closed lock). In this parallel group RCT, 106 patients with magnetic resonance imaging (MRI)-confirmed TMJ closed lock were randomized between medical management, non-surgical rehabilitation, arthroscopic surgery, and arthroplasty. Surgical groups also received rehabilitation post-surgically. The current paper reassesses the effectiveness of these four treatment strategies using outcome measures recommended by the International Association of Oral and Maxillofacial Surgeons (IAOMS). Clinical assessments at baseline and at follow-up (3, 6, 12, 18, 24, and 60 months) included intensity and frequency of TMJ pain, mandibular range of motion, TMJ sounds, and impairment of chewing. TMJ MRIs were performed at baseline and 24 months, and TMJ tomograms at baseline, 24 and 60 months. Most IAOMS recommended outcome measures improved significantly over time (P≤0.0003). There was no difference between treatment strategies relative to any treatment outcome at any follow-up (P≥0.16). Patient self-assessment of treatment success correlated with their ability to eat, with pain-free opening ≥35mm, and with reduced pain intensity. Given no difference between treatment strategies, non-surgical treatment should be employed for TMJ closed lock before considering surgery.

Oral and Maxillofacial Surgery: It’s Future as a Specialty

The specialty of Oral & Maxillofacial Surgery (OMFS) as we know it now is bound to change drastically in our lifetime. The driving forces for this change are varied and multifactorial, some of which are the cost and length of training combined with the prevailing dichotomy in scope of practice between traditional and expanded areas of practice. The formation of sub-specialties within the specialty—oncologic and reconstructive surgery, facial aesthetics, hospital based practitioners and office based practitioners, dental and medically qualified practitioners complicate the issue further. At an international level there is a continuous debate about the need to level the playing fields of training in OMFS in different parts of the world and measures implemented towards it. In addition there is an acute need to accept emergence of new technology in practice and training and consider the competition from allied medical and dental specialties. Internationally the specialty has always been on a pendulous path remaining undecided on the idea of whether it wants to stay a dental specialty or whether it wants to incorporate the medical degree. In the USA where this trend initially started, the specialty is protected by the national, regional and local organizations as a dental specialty without any practical differences in the scope of practice between single or double degree practitioners. In the UK and many parts of Europe, the specialty has taken leaps and bounds towards the medical path of training and it could very well be only a matter of time before the Specialty remains only remotely associated with Dentistry. The primary challenge was a lack of understanding which centered around the debate of whether a medical as well as a dental qualification was required prior to surgical training. The International Association of Oral and Maxillofacial Surgeons (IAOMS) has debated this vexatious issue ever since its inception 50 years ago. Unfortunately, it took most of the first forty years sparring on this issue within the Association. In 2001, it was finally decided through acceptance of the International Guidelines for Training and Education in Oral and Maxillofacial Surgery, that regional differences in training existed and were acceptable. This document stated that the actual surgical training in the oral and maxillofacial region was what qualified one to become an oral and maxillofacial surgeon in the country or region, regardless of whether one had dental and/or medical qualification. The issue was very succinctly presented by Laskin [1] where he makes a case for some basic issues to be addressed to resolve the situation. Primarily among these is K. Nayak (&) International Association of Oral and Maxillofacial Surgeons (IAOMS) 2012-13, Bangalore, India e-mail: kishorenayak@gmail.com

Oral and Maxillofacial Surgery: Why the double degree?

The International Association of oral and maxillofacial Surgeons (IAOMS) is committed to quality patient care. The education of oral and maxillofacial surgeons has, however, been in constant evolution ever since the inception of this speciality; and this state of flux reflects the dynamic expansion of its scope. Oral surgery has a unique relationship with medicine and dentistry as it straddles both professions. To understand this dynamic expansion, it is pertinent to review the present scope of oral and maxillofacial surgery. Today an oral and maxillofacial surgeon’s training includes management of trauma, surgical reconstruction of acquired and developmental deformities, temporomandibular joint surgery, dentoalveolar surgery, preprosthetic surgery including implants, management of odontogenic infections, management of oral pathology, and administration of general anaesthesia and sedation. The oral and maxillofacial surgeon routinely treats patients with systemic diseases such as acute and chronic alcoholism, diabetes mellitus, hypertension, cardiovascular and pulmonary disease, neurological problems, as well as drug abusers. The new requirement for oral and maxillofacial surgery training programmes is 48 months with rotations in anaesthesia, medicine and surgery, and a minimum of 30 months in the oral and maxillofacial surgery service. Eighteen months of off-service rotations, most or all of which are taken at an intern or resident level instead of medical student or clerk level, give oral and maxillofacial surgery (OMFS) residents high quality medical education. Their rotation in general surgery and surgical sub-specialties result in a broad exposure to the concepts and principles of surgery beyond that provided by the oral and maxillofacial surgery rotation. It is the dental education that differentiates oral and maxillofacial surgeons from other surgical specialties; therefore, formal dental education culminating in a D.D.S or D.M.D. degree is strongly encouraged. It is most desirable that this formal dental education be complemented by formal medical education culminating in a medical degree. [Jnl College of Medicine Vol.7(1) 2002: 27-29]

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)

International news. Important forthcoming meetings of the International Association of Oral and Maxillofacial Surgeons (IAOMS)