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Oral and Maxillofacial Surgery Oral and

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									Oral and Maxillofacial
       Surgery




       Steven I. Kaltman, DMD, MD
      Chairman, Department of Oral
        and Maxillofacial Surgery
         Nova Southeastern
            University
Welcome to the Specialty of Oral
  and Maxillofacial Surgery!!!
Our Department
Operating Room
Oral and Maxillofacial Surgery
  “A SPECIALTY WITH A
       DIFFERENCE”
 ADA Definition of the Specialty
Oral and Maxillofacial Surgery is the surgical
 arm of dentistry. It is defined by the
 American Dental Association as the
 specialty which includes the diagnosis,
 surgical and adjunctive treatment of
 diseases, injuries and defects involving
 both the functional and aesthetic aspects
 of the hard and soft tissues of the oral and
 maxillofacial region
                     HISTORY
• The roots of OMS can be traced back to civil war
• William A. Carrington, the medical Director for the
  confederacy commented that dentists “plugged, cleaned,
  and extracted teeth” in addition to “adjusting fractures of
  the jaw and operating on the mouth”
• Dentists such as Thomas Gunning and J.B. Bean made
  revolutionary advancements in the treatment of facial
  fractures for the Union and Confederacy respectively
• The first American textbook devoted to oral surgery, A
  System of Oral Surgery, was published in the late 19th
  century.
              HISTORY( Cont.)
                20th Century
• Early 1900s – Surgeons pioneered cleft palate
         and facial reconstructive surgeries
• 1920s – Innovations in cosmetic surgery
        Society of Exodontists established
• 1944 – The Society changed its name to
         the American Society of Oral
         Surgeons
• 1978 – ADA House approves specialty as oral
        and maxillofacial surgery
• 1979 – The society became the American
        Association of Oral and
        Maxillofacial Surgeons
           HISTORY( Cont.)
             20th Century
• As 20th century progressed, many current
  trauma techniques were developed by
  OMSs in combat hospitals in W.W. II,
  Korea, Viet Nam, the Gulf War and in
  other international conflicts
• So valued are the contributions of the
  specialty that the American College of
  Surgeon’s guidelines for optimal care
  require level I trauma centers, those that
  treat the most serious and complex facial
  trauma patients, to have OMSs on call for
  Maxillofacial injuries
         Dawn of 21st Century
• Oral and Maxillofacial Surgeons are respected
  and valued members of the healthcare team
• Oral and Maxillofacial Surgeons maintain active
  staff privileges with local and regional hospitals
  in their community and practice in a variety of
  settings including private clinical practice,
  ambulatory surgical centers and hospitals
• Other opportunities are available in academia,
  military service, or in research and industry
        SCOPE OF PRACTICE
•   Anesthesia
•   Dental Implants
•   Dentoalveolar Surgery
•   Dentofacial Deformities and Craniofacial
    Congenital Defects
•   Maxillofacial Trauma
•   Maxillofacial Pathology
•   Reconstructive and Cosmetic Facial
    Surgery
•   TMJ and Orthognathic Surgery
          Residency Training
• Complete a hospital based surgical residency of
  at least four years (six) which includes a
  minimum of 30 months dedicated to OMS
• Rotations on general surgery, internal medicine,
  anesthesia
• OMS residents earn medical degrees as an
  integrated component or option
• Regardless of whether a resident decides to
  complete residency with or without a medical
  degree the OMS training is similar in accordance
  with standards
         Residency Training
• The OMS resident in a hospital based
  residency program accrues limited or no
  additional education related debt, as
  residents are paid a stipend to enable
  them to support their training and living
  costs
• 102 OMS residency programs with 171
  open positions annually
Anesthesia

								
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