Anesthetic Pump Techniques Versus the Intermittent Bolus: What the Oral Surgeon Needs to Know.

The most popular agents in use for office-based anesthesia are propofol, ketamine, and remifentanil, which have the desirable properties of rapid onset and short duration of action. A useful parameter in assessing these agents is the context-sensitive half-time. These anesthetic agents demonstrate relatively low, flat plots compared with older agents.

Oral Surgery Patient Safety Concepts in Anesthesia.

An effective office emergency preparedness plan for the oral and maxillofacial surgery office can be developed through the use of well-designed checklists, cognitive aids, and regularly scheduled in situ simulations with debriefings. In order to achieve this goal, the hierarchal culture of medicine and dentistry must be overcome, and an inclusive team concept embraced by all members of the staff. Technologic advancements in office automation now make it possible to create interactive cognitive aids.

Frequency of trigeminal nerve injuries following third molar removal.

Purpose: To estimate oral and maxillofacial surgery reporting of the frequency of temporary and permanent inferior alveolar and lingual nerve damage from lower third molar extraction and injury etiology, and to identify factors associated with injury rates.

Materials And Methods: A postal survey was sent to all members of the California Association of Oral and Maxillofacial Surgeons requesting information on known instances of inferior alveolar and lingual nerve damage that had occurred in their practices over a 12-month period and known instances of permanent damage over their entire careers.

Results: Replies were obtained from 535 California Oral and Maxillofacial Surgeons (OMFS) representing 86% of all OMFS in California.