This weekend I was on call and so I discuss three cases that I came across. The first case had a history of a dental extractions approximately 3 weeks ago that did not resolve and was admitted with gas in the pterygomandibular and the buccal space. The second case was a trauma case of someone that was assaulted with fists and had oss of consciousness and a small subdural bleed. This patient was taken to the main operating room and had open reduction internal fixation of a lefort 1, lefort two and right side zygoma fracture. The third case that I discuss is a young man that tripped and fell on a cable and broke his jaw in two places and was taken to the operating room where he was wired closed and then fixated with plates and screws. Please go to the interesting cases section at wwwdentistbraincandy.com to see pictures of these cases.

In this episode, I discuss the pathogenesis of Osteoradionecrosis (ORN) and the staging of ORN and the treatment modalities available including surgery, hyperbaric oxygen therapy, pentoxifylline and tocopherol as well as dental management with these cases.  21 days should pass from the time of the last dental surgery before radiation is started, 14 days at a bare minimum.

This week’s podcast is dedicated to the Pleomorphic Adenoma I was introduced to and treated over the last 3-4 weeks.  I go over the history of this lesion, the initial treatment and definitive treatment and if you go to www.dentistbraincandy.com episode 120 Interesting Cases Section you will find some killer photos of the lesion.