It is common for practitioners to misdiagnose the cause of facial cutaneous sinus tracts, failing to recognise that many have an odontogenic cause. Chronic infection around the apex of a dental root can drain to the mouth or less commonly to the skin via a sinus tract. Dental symptoms are not always present and this confuses the clinical picture further. Failure to identify an odontogenic cause may result in unnecessary and ineffective treatment. Elimination of dental infection via tooth extraction or root canal treatment leads to resolution of the cutaneous sinus. We present a series of cutaneous draining sinuses of dental origin that resolved rapidly following dental treatment and hope to highlight the importance of including odontogenic infection in the differential diagnosis of such a lesion in the head and neck.
Quality of life is an important consideration in the management of BRONJ patients. Optimal surgical resection and reconstruction may be an ideal treatment plan, but in medically compromised patients, this may not be possible. Consideration should be given to modified strategies with a potentially lower morbidity, yet still aiming to improve patients' quality of life.
Significantly more general anaesthetics are being prescribed for mandibular third molar surgery at SJH than the EDI. This finding is not related to difficulty of the cases presenting at each site but may be related to the nature of a maxillofacial clinic compared to a dedicated oral surgery centre. The difference in socioeconomic deprivation may have had an impact on patient decisions.
At the request of the National Executive of the APS College of Educational and Developmental Psychologists (CEDP), a survey was carried out with the aim of profiling its membership in order to better describe the nature of college membership when information is sought from its parent body, the APS, and to provide better services for its members. Of the 327 CEDP members contacted by email, 119 completed an online questionnaire providing demographic information and data concerning their professional practice, skills, involvement with the APS and professional development needs and preferences. The data obtained indicates that the CEDP contains an aging, predominantly female, city-based membership. Respondents consider they share many skills and competencies with other psychologists but do have a specialised knowledge base. They collaborate with colleagues from other Colleges but would welcome the opportunity to do this more. While they value the work of the APS they would like increased support by the APS in raising the profile of educational and developmental psychology. While the majority of members could find and access professional development (PD) relevant to their practice, a sizeable minority considered the costs involved excessive. The implications of these data for CEDP policies, especially with regard to recruitment and service provision, are discussed.
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