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Objective: In recent years, the need for dental treatment and dental hygiene management within the perioperative period and supportive advanced medical treatment has been increasing. However, perioperative intervention in diseases requiring oral surgical treatment is not well understood at present. Here we report our investigation of diseases requiring oral surgical treatment in which Department of Oral and Maxillofacial Surgery (Biopathology) at Okayama University Hospital conducted medicaldental cooperation via Division of Hospital Dentistry. Methods: In the five years from April 2011 to March 2016, we have identified 310 cases that reached the Okayama University Hospital Department of Oral and Maxillofacial Surgery (Biopathology) via the Division of Hospital Dentistry. Results: The patients were treated in 22 clinical departments, the most prevalent treatment was chemotherapy, followed by surgery and then transplantation. The surgical diseases for which our department was consulted were most commonly diseases of the teeth and periodontal disease (269 cases), followed by inflammatory conditions such as implantitis and osteomyelitis, and mucosal diseases such as lichen planus and leukoplakia. The surgical procedure performed was most often tooth extraction (243 cases); there are few cases of cystectomy and sequestrum. In the majority of cases, the surgical treatment was performed on the initial examination day; in about 84% of cases, surgery was performed within 2 weeks. Conclusion: Further investigation is necessary into the practice of preventing adverse events non-dental medical departments by increasing the frequency of oral surgical intervention in appropriate cases during the perioperative period.

international journal of surgery and surgical procedures

Examination of Diseases Requiring Oral Surgery Treated via Medical- Dental Cooperation in the Department of Oral and Maxillofacial Surgery (Biopathology), Okayama University Hospital