Publications by authors named "Tim Silegy"

Whether minor or major, traumatic injuries to the maxillofacial area have far-reaching physical and emotional effects. Because the dentition dictates facial form and function, the oral and maxillofacial surgeon, a dental specialist with a minimum of four years of hospital-based surgical training, is uniquely qualified to manage these injuries. At times, the expertise of the general dentist and other dental specialists may be needed to provide definitive care.

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Corrective jaw (orthognathic) surgery is indicated for patients with a malocclusion caused by a skeletal deformity. This paper will discuss current concepts in patient evaluation and review contemporary surgical treatment.

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As the young indigent population of this state grows, access to dental care continues to be a problem. Studies show that children from poor families suffer from a higher caries rate than those from a higher socioeconomic class. The management of pain and anxiety with intravenous sedation or general anesthesia in the young, precooperative patient, can be a significant adjunct to the delivery of dentistry.

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This paper reviews the principal pharmacologic interventions for the management of pain and anxiety in the apprehensive dental patient, including oral sedation, intravenous sedation, and general anesthesia.

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