Pdf Book Name: Oxford Handbook of Oral and Maxillofacial Surgery 2nd Edition
Author: Luke Cascarini, Clare Schilling, Ben Gurney, and Peter Brennan
Publisher: Oxford University Press
ISBN-10, 13: 9780198767817,0198767811
Pages: 320 pages
File size: 20 MB
File format: PDF,EPUB
Oxford Handbook of Oral and Maxillofacial Surgery 2nd Edition Pdf Book Description:
If you have either GMC or GDC registration, you can work as a junior trainee in OMFS. To progress into higher surgical training in OMFS, dual qualification, core surgical training, and success in the Membership of the Royal Colleges of Surgeons of Great Britain and Ireland (MRCS) examination is required. The specialty is ultimately regulated by the GMC. Although the specialty is now recognized as a medical one, much of the clinical day-to-day workload in OMFS relates to the surgical aspects of dentistry, and procedures that involve the teeth. For example, the extraction, manipulation, or implantation of teeth could all be seen to fall within ‘the practice of dentistry’. A tooth is made up of a crown, a neck, and root(s). Each tooth has an individual nerve supply, arterial supply, and venous drainage, all of which make up the pulp of the tooth which lies within the root canals and central pulpal cavity.
Surrounding the pulp is organic dentine, which is tubular and porous in its structure. The crown of the tooth has an outer coating of enamel, which is 2 mm thick. This is a very hard inorganic layer with the purpose of biting through or chewing food. The roots have a thinner coating of cementum, and are ‘suspended’ in the supporting alveolar bone by the periodontal ligament (PDL). The PDL has its own blood supply, and provides the proprioceptive sensory feedback to the brain, localizing the position of each individual tooth when the supporting jaw bites on something or if the tooth is percussed. The gums provide a soft tissue seal around the teeth. They consist of thicker attached keratinized gingivae, which include the embrasure spaces between the teeth as interdental papillae. The attached gingivae become nonattached (and non-keratinized) at the mucogingival junction, often clearly seen as a darker red line. This is the bony anterior portion of the palate, formed by the palatine processes of the maxillae and the horizontal processes of the palatine bones. The nasopalatine nerve and sphenopalatine artery exit anteriorly through the incisive canal, and the greater palatine vessels and nerve exit posteriorly through the greater palatine foramina before running anteriorly beneath the palatal mucosa.
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