New publication shows uncertainty over the best way to treat wisdom tooth infection

Breaking news: A survey of 289 UK surgeons, led by Mr Geoff Chiu and conducted by Saving Faces and British Association of Oral and Maxillofacial Surgeons (BAOMS)  through their partnership in the National Facial Oral and Oculoplastic Centre (NFORC), illustrates the uncertainty over the best way to treat wisdom tooth infection and recommends further research. The results are now published in the British Journal of Oral and Maxillofacial Surgery.

When there is no room in the jaw for a wisdom tooth to grow normally, it usually emerges at an angle or gets stuck.  These impacted wisdom teeth often become infected, damage adjacent teeth or cause other dental problems. As many of you probably know, these wisdom tooth problems are often very painful for the patient. Sometimes X-rays and scans show that the root of the infected tooth is very close to a nerve and needs to be treated with extra care, as there is a risk of permanent lip numbness if the nerve is damaged during the procedure. These are high-risk cases.

At least two vastly different methods can be recommended for the same patient depending on the surgeon they see.

The surgeon could take out the entire tooth including its roots. This is known as complete surgical removal. An alternative operation called coronectomy is available for the 1 in 5 patients who are at risk of nerve damage. This involves removing the visible part of the tooth while leaving the roots in the gum.

The publication concludes that coronectomy may prevent permanent nerve damage in high-risk cases, however there is a gap in evidence and knowledge to support coronectomy. This shows uncertainty over the best way to treat high-risk cases. As a result, further studies are needed to determine the effectiveness and safety of coronectomy.

Fortunately, NFORC is on the case. In partnership with Mr Geoff Chiu, Consultant Oral and Maxillofacial Surgeon and Professor Paul Coulthard, Dean for Dentistry and Director at the Barts and The London School of Medicine & Dentistry, we will be carrying out further research on 4,000 patients to find out which procedure (complete surgical removal or coronectomy) benefits patients more and which have more complications.

We would like to thank Ahmed Omran, who first proposed the research, Geoff Chiu, Amrita Bose, Roberta Maroni (our very helpful statistician), Jagtar Dhanda, Douglas Hammond, Clare Moynihan, Antonio Ciniglio and the reviewers who have dedicated their time and efforts for the successful publication of this paper.

The current perspectives of the surgical management of mandibular third molars: the need for further research” is now published in the British Journal of Oral and Maxillofacial Surgery, which you can read here.

Mark Gilbert: Portraits in Health Care Exhibition in Chicago – June 2021

We’re delighted to announce that the Saving Faces Art Project collection by Mark Gilbert is going international this year where it will exhibit in Chicago at the International Museum of Surgical Science opening June 4th. Visit https://imss.org/mark-gilbert-portraits-in-health-care/ for more information on how to RSVP to this free event open to the public.

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Christmas Carols 2019

Thank you to all our supporters and friends – old and new – who attended this year’s Christmas Carols on Wednesday 18th December 2019, making it one of our most attended event.

We hope everyone enjoyed the festive evening and the beautiful music provided by the Chelsea Opera Group and their Director, Lindsay Bramley.

We are very grateful to the choir and the staff at the Priory Church of St Bartholomew the Great for hosting the carols at their stunning church.

2020 is an important milestone, as it will be Saving Faces’ 20th anniversary. We will be holding an event to celebrate this and we are looking forward to seeing you again there! Please stay tuned!

From Professor Iain Hutchison and the entire Saving Faces team, we would like to wish everyone a very Merry Christmas and a wonderful new year. Continue reading

BAOMS Chair Patrick Magennis comments on the SEND publication in The OTJ Journal November 2019 issue

“This open access paper funded by charity Saving Faces and Cancer Research UK (CRUK) is ground-breaking. OMFS cancer surgeons from all over the UK were involved in the study, and British Association of Oral and Maxillofacial Surgeons (BAOMS) is proud that this research was completed and published.

The study was possible because of a unique collaboration between 68 UK-based surgeons treating 614 patients at 27 UK hospitals. The research compared leaving or taking out neck glands that did not have obvious secondary cancers at the same time as removing the patient’s small mouth cancer. OMFS know that between 20 and 30 in every 100 patients with small mouth cancers have tiny microscopic cancer deposits in their neck glands that can’t be picked up by any scanners. Now OMFS have the evidence about the risks and benefits of removing the neck glands in early mouth cancer. This information will help patients participate in decisions about their treatment.

To mis-quote John F Kennedy in this the 50th anniversary year of the moon landings, OMFS surgeons want to do randomised surgical trials ‘not because they are easy, but because they are hard; because that goal will serve to organise and measure the best of our energies and skills, because that challenge is one that we are willing to accept, one we are unwilling to postpone’.

This paper is a credit to all involved.”

– Patrick Magennis, British Association of Oral and Maxillofacial Surgeons (BAOMS) Chair and Saving Faces Deputy Chair of Trustees

Click here to read more about the SEND paper.

Click here to read the full November 2019 issue of The Operating Theatre Journal.

Operating-Theatre-Journal-November-2019

Thank you to our Royal Parks Half Marathon runners!

A huge thank you to our supporters who ran the Royal Parks Half Marathon on 13th October 2019 to support Saving Faces!

Drew

Drew’s father-in-law, Henry de Lotbinière, was operated on by Saving Faces Chief Executive Professor Hutchison 13 times in 15 years.

Drew completed the half marathon in the incredible time of 1 hour and 40 minutes!

Maxine

The Royal Parks Half Marathon was Maxine’s first half marathon.

She completed it in the amazing time of 1 hour 50 minutes!

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Thank you to all our runners who took part and raised the wonderful amount of nearly £2000 for Saving Faces!

Related articles:

The Vitality Big Half

Kat Huggins is running the Edinburgh Marathon for Saving Faces!

 

Saving Faces 400k Coffee Morning Challenge

If everybody gives a little, we achieve a lot.

Many of us now start the day with at least one coffee drunk on the hoof on the way into work. Some of us even need several coffees a day to keep going! These coffees usually cost £2.50.

You are one of 7,000 very special people who support Saving Faces. You have probably raised money or donated to us in the past. We are now asking you to convert the cost of one cup of coffee or tea a week into an annual standing order to Saving Faces of £130 (£2.50 x 52); a few of you might feel so generous that you’ll forgo one coffee for more than one day (£5 up to £12.50 a week). This regular income will ensure that even in these difficult times we can complete our current research projects that will all change lives for the better; and have the confidence to start the many new exciting projects proposed by UK surgeons.

We know that some of you are hard-pressed for money, or donate generously to other worthy causes so may not be able to take up this challenge. But please try so we can continue our valuable work, which has now been running for over 19 years. Our current outgoings are £700,000 per year to fund our researchers and house our organisation. If everybody gives a little, we achieve a lot.

To get involved in the Saving Faces 400k Coffee Challenge, please download our standing order mandate form stand below.

Standing Order Form
Single Donation Form

Saving Faces SEND Study Publication Interview with Prof Iain Hutchison – BBC Radio 4 Today Programme, 24 October 2019

Listen to Prof Iain Hutchison on BBC Radio 4 The Today Programme with Sarah Smith discussing the ground breaking results of the SEND study, funded by Cancer Research UK, Elliott Bernerd and Saving Faces.

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