Beruflich Dokumente
Kultur Dokumente
Hashem Hassouna
Oral surgery specialty did not exist of hundred years ago. Dentistry was a young profession not highly considered by medical profession which they were responsible of surgical procedures of jaws and related structure. Baltimore college of dental surgery 1840 began the modern practice of oral surgery with well trained dentist, stimulate dentist toward mal formation of jaws and associated structure.
10/11/2009
Edwin Smith papyrus in New York described that a ancient Egyptian (1700-1600B.C) 27 head injuries including fracture and dislocation of jaws injuries of lip and chin with diagnosis, treatment,prognosis. Hippocrates in Greece 416B.C has used forceps for extractions of decayed teeth.
10/11/2009
Highly developed Roman Empire was concerned with treatment of oral region jaw fractures. The Fall of the empire plunged the Christian world into a scientific void from whom they recovered in the 16th and 17th century .
10/11/2009
10/11/2009
Ambroise Pare (1510-1590) French oral surgeon employed as an army surgeon , he preferred measures less drastic than those of other surgeons , he introduced the implantation of Gold, Silver teeth. After Renaissance little advancement occurred until 19th century when scene dramatically switched to America and focused upon great pioneers.
10/11/2009
Was a dental surgeon born in Florida. He described treatment of maxillary sinus infection, cleft palate ,lip treatment fracture mandible. He also developed numerous dental instruments
10/11/2009
10/11/2009
Earliest American pioneer in oral surgery and great researcher on facial bones, developed surgical engine operation, electrical surgical instruments which enhanced greatly the oral surgery field.
10/11/2009
Is known to founder of US army dental corps Professor of dental pathology and oral surgery. Had many publishes on injury and surgical diseases of face, mouth and jaws.
10/11/2009
10
In the last quarter of the 19th century there was a question that oral surgery should be recognized as a specialty separated from general surgery. In 1881 meeting of American medical association was stated that medical degree is important to practice oral surgery. With passing of this era in history of oral surgery a change had gradually took place and due to the work of some pioneers that have certain talents for treatment facial fractures and pathological conditions affecting the mouth and jaws such doctors are Chalmer Lyons Kurt Thoma Harry Archer John Laskin
Dr. Hashem Hassouna 10/11/2009
11
Lyons in 1934 made the following observation the great advancement of local anesthesia ,x-ray and experiments gained in major and minor oral surgery.
10/11/2009
12
1st role of dentist in 19th century in American Civil war was treatment of casualties, jaws fractures through reduction and fixation. Thus lead to establishment , discover and improve of techniques in management of facial injuries. Dr.Gunnings was a pioneer in treatment of fractured mandible and he had invented intraoral splint which was passing screws into natural teeth for 4 months.
10/11/2009
13
Also James Bean another dentist had also shown a great prominence for construction of splints for treatment of jaw fracture. Effort of Both Gunning and Bean had resulted in better patient management and achieved recognition the role of dentist. In world war I more than 5000 dentists were on duty and their role didnt stop to dental care treatment but it had exceeded to include
10/11/2009
14
Facial injuries ,closure and debridement of wounds . Statistics mentioned that: 2000 fractured jaw bone 1123 gunshot fractures of the mandible 125 needed bone grafting While in war world II as a result of heavy casualties and progress of missiles leading to perform establishment of maxillofacial surgical teams
10/11/2009
15
Consisting of : Plastic surgeon Oral surgeon Surgical nurse Anesthetic Supporting early care for tracheostomy
10/11/2009
16
While in Korean-Vietnam war evacuation of casualties through helicopters transportation to specialized field hospitals where a specialized surgical team get care and thus leading to reduce death and thus proof that oral surgeons had assumed the major role in treatment of these case.
10/11/2009
17