Welcome to MaxillofacialSurgery.Wales

This site has been designed to support the specialty of Maxillofacial Surgery in Wales. If you are involved in the specialty please register in order to view the site content or add your own. The site uses the content management software to allow you to contribute. We hope that this will allow it to grow to fulfil your expectations and provide support as you work in the specialty.

It's easy to get started contributing to this website. Knowing some of ...

 

MaxillofacialSurgery.Wales is proud to host and provide booking and abstract workflow services to the Welsh Hospitals Dental Specialty Group. You can find the current abstract submission links as well as links to the Abstract Books since 2018 by following the Welsh Hospital menu.

 


 

 

Newport Maxillofacial DCT:

Dear SHOs

I am working as a SHO DCT (on-call post) in Newport Maxillofacial surgery. 

Its been a fantastic experience working here. I came into this job after a 1 year experience in maxfax. Job started with an induction where the department helped us acclimatise to the department and the hospital, which I found extremely helpful. There have been regular teaching from the staff grades and seniors with regards to dental and medical scenarios we face everyday at ...

The Royal Gwent Hospital in Newport is providing an exciting new service that will allow patients to take advantage of innovative technology and avoid major surgery and hospital admission. The new service is for patients who are experiencing problems with their saliva glands and offers them the option of outpatient treatment. The department is currently the only place in Wales who are using the technology to diagnose and treat salivary grand problems such as stones within the gland. In 2007 ...

 

Wales Trainee John Wells has scooped one of the five winning spots in a Wales-wide event, with his proposal to improve patient outcomes and experience.

John and the Maxillofacial team at Prince Charles Hospital in Merthyr Tydfil are celebrating victory in the latest Welsh Health Hack, an opportunity for health and social care workers to share the challenges facing them at work and then pitch and develop a solution.

Now in its fourth year, the Welsh Health Hack 2020 saw 24 teams – ...

Morriston Maxillofacial Dental Core Trainees:
What it's really like at Morriston Hospital as an OMFS junior doctor/dentist?

Dear future SHO's / Dental Core Trainee's (DCT2/3).

Welcome to this page. We, the 2018-19 cohort of Dental Core trainees (DCT2s and DCT3s) wanted to write a short bit of information for you for what the job actually entails and to give you a flavour of what to expect if you decide to apply for a job here in Swansea.

If you wish to contact one us personally, feel free ...

463 - The diagnostic value of orthopantomograms in detecting resorption of lateral incisors associated with ectopic canines

C Hershaw N Mhani A Brown
Presented by: Catherine Hershaw
Royal Gwent Hospital

Introduction Orthopantomograms (OPGs) have traditionally been used as a diagnostic tool for root resorption in cases involving impacted canines. However, the introduction of cone-beam computed tomography (CBCT) represented a paradigm shift in dental & maxillofacial imaging. CBCT imaging is capable of providing accurate, submillimetre-resolution images that enable three-dimensional visualisation of the anatomy. Studies have shown OPG radiographs to have limitations when evaluating root fractures, periapical pathology & orthodontic root shortening. In our units, 40% of patients referred to secondary care present with ectopic canines. CBCT is undertaken in 54% of these cases. We evaluate the diagnostic value of OPG radiographs in diagnosing resorption, measured against CBCT as a gold standard, confirmatory tool. Method Forty consecutive patients with impacted canines between January 2018 & December 2019 were selected. A consultant orthodontist examined the OPG in isolation to detect the presence & extent of resorption of lateral incisors. The CBCT report was used to confirm the presence & extent of pathology. Results Nineteen maxillary right canines, eighteen maxillary left canines, one mandibular right canine & two mandibular left canines were assessed. Impactions were more prevalent in the maxilla (92.5%) with higher predilection towards females (65%). OPGs were found to have a sensitivity of 77.3% & a specificity of 11.1% & an accuracy value of 47.5%. Positive & negative predictive values were found to be 51.5% & 28.6% respectively. The extent of root resorption was correctly estimated from the OPG in only 16% of cases, with overestimation & underestimation occurring in equal proportion (42%). Conclusion This study demonstrates limitations of plain film radiographs & the merits of using CBCT in the accurate diagnosis of resorption of incisors. It also establishes the basis for future, larger scale studies where outcomes can be generalisable at a population level.
Consent Statement: There are no details on individual patients reported within the abstract.

Poster
Poster The diagnostic value of orthopantomograms in detecting resorption of lateral incisors associated with ectopic canines