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re: Maxillofacial surgeons recommendation?

Posted on 2/26/16 at 4:41 pm to
Posted by Jim Rockford
Member since May 2011
104359 posts
Posted on 2/26/16 at 4:41 pm to
Rivers Wall used to be good but I think he died a while back.
Posted by Broke
AKA Buttercup
Member since Sep 2006
65358 posts
Posted on 2/26/16 at 5:00 pm to
quote:

Rivers Wall used to be good but I think he died a while back.


Thanks! I'll check into using the dead guy
Posted by KarlMalonesFlipPhone
Member since Sep 2015
3848 posts
Posted on 2/26/16 at 5:26 pm to
St Hilaire is really good. He did dental school & med school (obviously), an omfs residency, a plastics residency, and a craniofacial fellowship. That's like 15+ years of training. Insane.
This post was edited on 2/26/16 at 5:30 pm
Posted by ruzil
Baton Rouge
Member since Feb 2012
18161 posts
Posted on 2/26/16 at 5:33 pm to
Casadaban is my go to for referrals and is a very good surgeon and a great guy. If he is on your list consider yourself lucky.
This post was edited on 2/26/16 at 5:33 pm
Posted by magicman534
The dirty dell
Member since May 2011
1798 posts
Posted on 2/26/16 at 6:41 pm to
quote:

St Hilaire is really good. He did dental school & med school (obviously), an omfs residency, a plastics residency, and a craniofacial fellowship. That's like 15+ years of training. Insane.


While he is a good surgeon, he is a pompous arse
Posted by Jake88
Member since Apr 2005
78096 posts
Posted on 2/26/16 at 6:45 pm to
quote:


Having my wisdom teeth out over spring break and he did an xray, head ct, etc and traced where my nerves were on the CT


Why would he expose you to that much radiation to merely pull your wisdom teeth, even if they hadn't erupted?
Posted by ruzil
Baton Rouge
Member since Feb 2012
18161 posts
Posted on 2/26/16 at 6:55 pm to
quote:

Why would he expose you to that much radiation to merely pull your wisdom teeth, even if they hadn't erupted?



Glorified panoramic xray. It's certainly helpful to know where the "danger zones" are, don't you think?

Who wants a paresthesia if you can avoid it.
Posted by Carson123987
Middle Court at the Rec
Member since Jul 2011
67797 posts
Posted on 2/26/16 at 6:57 pm to
David Bulot. Best in BR
Posted by Jake88
Member since Apr 2005
78096 posts
Posted on 2/26/16 at 6:59 pm to
He said head CT.
Posted by ruzil
Baton Rouge
Member since Feb 2012
18161 posts
Posted on 2/26/16 at 7:12 pm to
He did. I wouldn't have a problem with a cone beam scan as part of the process of planning third molar extractions. Conebeam radiation exposes the patient to only 10% of the background radiation they would normally be exposed to in a single year of background radiation.

Seems a reasonable risks to me if it helps to avoid some of the most common complications of 3rd molar extraction.
This post was edited on 2/26/16 at 7:16 pm
Posted by CrimsonTideMD
Member since Dec 2010
7112 posts
Posted on 2/26/16 at 7:30 pm to
quote:

quote:


Is that a doctor or a dentist? An MD or a dds?
Both.


Not necessarily. Varies from state to state.
Posted by cwil177
Baton Rouge
Member since Jun 2011
29561 posts
Posted on 2/26/16 at 8:02 pm to
quote:

Having my wisdom teeth out over spring break and he did an xray, head ct, etc and traced where my nerves were on the CT


Why the hell would a doctor do a head CT for wisdom teeth removal? 1/500 CTs results in a cancer (which is why we are careful, sometimes, about ordering them in the ER).
Posted by biglego
San Francisco
Member since Nov 2007
83153 posts
Posted on 2/26/16 at 8:05 pm to
quote:

Doctor Richard Akin.

That's who I used years ago. He was in Algiers. Not sure where he is now.

Of course, this is another recommendations request where OP doesn't tell us where on the planet he wants.
Posted by Parallax
Member since Feb 2016
1458 posts
Posted on 2/26/16 at 8:15 pm to
quote:

1/500 CTs results in a cancer

Source?

quote:

(which is why we are careful, sometimes, about ordering them in the ER)
Posted by ParkerTiger7
BR
Member since Jun 2015
70 posts
Posted on 2/26/16 at 8:18 pm to
Well after looking at the X-ray he was worried one of my wisdom teeth that hadn't erupted was close to one of my nerves on the bottom. After doing it he highlighted both of my nerves and said one of my bottom 3rd molars was touching a nerve.

I'd much rather have a head CT done and have a 1/2000 extra chance of cancer if it means a surgeon knows where a nerve is and how to avoid the chance of paralyzing one side of my face.

I don't think it's something that is too commonplace, however.
Posted by ParkerTiger7
BR
Member since Jun 2015
70 posts
Posted on 2/26/16 at 8:20 pm to
I actually looked at the odds of getting cancer from x-rays, CTs, etc while I was getting my consult because I was curious about all the dental hygienists and nurses being around that everyday.

I saw somewhere it was adding a 1/2000 chance to the already 1/5 chance of cancer. No source though.
Posted by Parallax
Member since Feb 2016
1458 posts
Posted on 2/26/16 at 8:22 pm to
I don't think your CT was inappropriate based on what you said.

But what do I know?
Posted by ParkerTiger7
BR
Member since Jun 2015
70 posts
Posted on 2/26/16 at 8:23 pm to
I'd definitely take the radiation associated with a CT scan to decrease the chance part of my face goes numb.

I'm sure other people may differ, though.
Posted by ruzil
Baton Rouge
Member since Feb 2012
18161 posts
Posted on 2/26/16 at 9:02 pm to
quote:

I don't think your CT was inappropriate based on what you said.


What if his 3rd molar was not near the mandibular nerve? Would the scan have been inappropriate then?
Posted by Parallax
Member since Feb 2016
1458 posts
Posted on 2/26/16 at 9:15 pm to
I don't think a pre-operative CT is standard, so I imagine there's a reason it was done. What do you think? Not a dentist, just a talented googler.
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