K George Varghese
Vice Principal Professor and Head Dept. of Oral and Maxillofacial Surgery
Govt. Dental College,
Kottayam, Kerala
Published by
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Jaypee Brothers Medical Publishers (P) Ltd
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A Practical Guide to Hospital Dentistry
© 2008, K George Varghese
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2008
9788184482430
Typeset at JPBMP typesetting unit
Printed at Gopsons Paper Ltd. A-14, Sector 60, Noida
4Dedicated to
the loving memory of my beloved parents
Prof. KV Varghese and Mrs. Rosakutty Varghese
5Contributors
- K George Varghese mds, dss (Vienna)
- Professor and Head
- Department of Oral and Maxillofacial Surgery
- Govt. Dental College, Kottayam, Kerala
- Chapters 1, 2, 3, 4, 6,10,11, 14,16,17
- George Philip mds, fdsrcs, ffdrcs
- Senior Lecturer
- Department of Oral and Maxillofacial Surgery
- Govt. Dental College, Kottayam, Kerala
- Chapter 5
- TR Sreedevi msc
- Associate Professor
- College of Nursing
- Kottayam, Kerala
- Chapter 6
- Sajeesh Kuriakose mds, ffdrcs
- Head
- Division of Oral and Maxillofacial Surgery
- PVS Hospital, Kochi
- Chapter 7
- R Sajith Kumar md
- Chief
- Infectious Diseases
- Govt. Medical College, Kottayam, Kerala
- Chapter 8
- Selliamma Kuruvilla msc
- Associate Professor
- College of Nursing, Kottayam
- Chapter 9
- Susamma Andrews md
- Professor and Head
- Department of Anaesthesia
- Govt. Medical College
- Kottayam, Kerala
- Chapter 12
- R Dayananda Babu ms, mnams
- Former Professor and Head
- Department of Surgery, Govt. Medical College, Thrissur,
- Kottayam and Co-operative Medical College
- Pariyaram, Kerala
- Chapters 13, 15
- Tomy Mappalakayil md
- Assistant Professor
- Department of Forensic Medicine, Govt. Medical College,
- Kottayam, Kerala
- Chapter 17
- George F Moolayil, dch, pgdmle
- National Law School of India, Bangalore
- Pediatrician and Consultant in Medical Law
- Chapters 18, 19
Dentistry in general and maxillofacial surgery in particular has seen an unprecedented advancement by leaps and bounds during the past decade. Dental and maxillofacial surgery has become an inevitable part of the Trauma, Head and Neck and Aesthetic Surgery teams. Dentistry is keeping pace with the fast track progress technology is making. Dental surgeons who work in a hospital set up need to update their knowledge on in-patient management.
Dr. George Varghese, a renowned maxillofacial surgeon and a teacher with repute for the past two decades and more, working in close quarters with Plastic, ENT, Neuro and general surgeons is the apt person to pen this book, ‘A Practical Guide to Hospital Dentistry’.
I am sure this book will be helpful for house-surgeons, post-graduate students and general dental surgeons who work in hospitals. This is a reference book not only to dental surgeons but to other specialists as well. One of the first of its kind, I am sure, this will be a hotly sought after practical guide.
Varghese Mani
Oral and Maxillofacial Surgeon
Principal
Mar Baselios Dental College
Kothamangalam, Kerala, India
7Preface
During the past two decades the hospital environment, needs and expectations of the society as well as the medical profession have made a quantum leap. In the past, with minimal personnel and material support the hospital dentist cared for patients in primitive ambulatory care facilities and operating rooms. Their work was mainly restricted to management of acute infections and dentoalveolar trauma. The advances made in modern diagnostic and therapeutic dentistry as well as in maxillofacial surgery has widened the scope of hospital dental practice. And at the same time it has increased the duties and responsibilities of the dentists working in hospitals.
This book is intended mainly for postgraduate students, fresh graduates and students who are about to start or continue their training in the hospital environment and also for the general dentists who are members of the hospital dental department or serve as part time consultants in hospitals. This book also will be a guide to the administrators to establish and direct the dental department in an efficient manner consistent with the needs of the hospital, the profession and the society.
Even though certain books are available on hospital dental practice, they are published from western countries which are written to suit to their existing needs and requirements.
K George Varghese
8Acknowledgements
At the outset we thank the God Almighty, who has made our dream of writing this book a reality. Nothing is possible without his blessings.
I acknowledge with great respect my post graduate teacher Dr. PI John, Former Professor and Head of the Department of Oral and Maxillofacial Surgery, Government Dental College, Thiruvananthapuram for teaching the basics of maxillofacial surgery and who inducted me into the speciality.
I am indebted to Dr. VK Kuriakose (late) whom I consider as my mentor. Under his guidance I started my career as a maxillofacial surgeon.
My sincere thanks to Dr. Varghese Mani, Principal, Mar Baselios Dental College, Kothamangalam who blessed me with a befitting foreword for this book.
I would like to express my deep appreciation to all contributors, whose untiring efforts have made this possible.
I am grateful to Dr. B Ekbal, former Vice-Chancellor, University of Kerala and former Professor of Neuro Surgery, Medical College, Kottayam for necessary guidance in writing the section on “Management of Head Injury”.
I would like to thank Dr. George Paul, Oral and Maxillofacial Surgeon, for permitting me to adapt the section “Dental / Oral and Maxillofacial Surgeon as Expert Witness”.
My special thanks to my wife Alice for her constant support and encouragement to accomplish this endeavor.
I am also grateful to Jaypee Brothers Medical Publishers (P) Ltd. Delhi, who encouraged me to write this book and for publishing it.