www.abao ms.org.uk

President’s Report

Special points of interest:

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Inside this issue:

President’s Message 1 School News 3

Association of British Academic Oral and Maxillofacial Surgeons

Autumn 2013 www.abaoms.org.uk

It’s hard to believe that it’s been a year since our last meeting in London for which we thank Judith Jones and her team . I’m sure this year’s meeting will be equally successful and the ABAOMS c/t would like to thank Jules et Jim et Kate for all their efforts on our behalf.

AIMS

As President of our Association, my main aim has been to raise the profile of our group, improve membership, encourage clinical academic careers, influence policy and healthcare in the UK and im-prove our support for academic trainees (NHS trainees being well catered for within BAOMS & BAOS)

RAISING OUR PROFILE

By the time you read this newsletter, I will have attended the Senate of Dental Specialities at the Royal College of Surgeons, England. The Senate bring together all specialities and their main repre-sentative bodies. (Verbal report at AGM)

Another way of raising our profile is through na-tional awareness and I am pleased to report that following our previous Presidents’ (Dave Thomas) hard work, the ABAOMS poster prize within the national BSODR meeting was held for the first time in September 2013 in Bath. I am very grateful to the members who acted as assessors for this award and would encourage you all to raise interest in this for next years meeting (Croatia – PEF Europe, IADR). We are always looking for volunteers and if you would like to be an assessor and will be go-ing to this meeting, please let our honorary secre-tary, Kurt (kurt.busuttilnaudi@glasgow.ac.uk) know.

I believe much can be gained by creating an ABAOMS dental undergraduate prize within each dental school, to encourage research and also ca-

reers in clinical academic oral surgery and oral & maxillofacial surgery. I hope to bring more infor-mation to our AGM after the ABAOMS committee have met to discuss this further.

I should inform you that I have taken Chairs action so that ABAOMS have sponsored a prize of the best research poster at the forthcoming TC White symposium on oral cancer to be held on 29th No-vember 2013 at the RCPSGlasgow. http://www.rcpsg.ac.uk/~/media/Files/Events/Oral%20Cancer%20Symposium/oral%20cancer%20flyer.pdf In terms of national healthcare initiatives, I have contributed and given ABAOMS support to the joint Statement on Mouth Cancer, issued by vari-ous groups with a vested interest in this important condition. It is also supported by BSOM, CRUK, BSOMP, The Royal College, and the Chief Dental Officers and was released to the media in the run up to Mouth Cancer Action Month in November. This can also be found on our website.

EARLY CAREER REPRESENTATION ON ABAOMS

Those in the early years of their clinical academic careers need to feel they are represented. This hasn’t really been addressed before. The ABAOMS committee will discuss whether this should be someone on a recognised training path-way or at lecturer grade or a representative from both. Another issue that will come to the ABAOMS is that of student membership. If this idea gets support, then it will be important to iden-tify what benefits accrue from this and how we can best support them. There may be opportunities to link into the INSPIRE programme, coordinated by the Academy of Medical Sciences and supported by the Wellcome Trust, whose aim is to nurture the next generation of medical / dental researchers.

The Cutting Edge

One important aspect of this is to encourage under-graduates to get involved in research.

NATIONAL AUDIT

On another matter, we all need to be involved in audit and our organisation gives us the opportunity to under-take a national audit. Soundings have been taken and we await developments. Links with other organisations such as BAOS and BAOMS are being explored.

OUR WEBSITE

When did you last visit our website (www.ABAOMS.org.uk)? Have you completed the survey yet? Please take a look at our website if you haven’t re-cently. Chris Lloyd at Cardiff University is responsible for developing it and not being an oral surgeon has asked for feedback and suggestions. (LloydCD@cardiff.ac.uk) We have put up key documents, but are always looking for additional material. We are considering a members only area and would welcome your thoughts on this. Keeping the web updated is hard work and requires input from everyone. Please forward to our secretary (kurt.busuttilnaudi@glasgow.ac.uk)any news (e.g. promo-tions) courses, documents etc that you think are of inter-est.

EXAMINATION UPDATE

The speciality and its examinations are still evolving. The SAC is entering its third period of gestation now under the chairmanship of Dr Colette Balmer, who replaced Mr James Parker last month (October 2013). We wish Colette well in her new role as guardian of the specialty and its curriculum.

When we wrote the curriculum for a 3 year core training we didn’t envisage this being sufficient for a consultant post in oral surgery, certainly not as an honorary consult-ant in the university. However, the ISFE exit exam. is cur-rently a desirable rather than an essential criterion for such an appointment. Problems in both delivering the additional training (and obtaining funding from postgradu-ate deans) have contributed to this situation.

During my time as Chairman of the SAC in Oral Surgery we established an independent SAC, wrote the oral sur-gery curriculum accepted by the GDC, obtained approval from JCSTD for post CCST training that would allow such individuals to sit the ISFE (then an essential criterion for appointment at consultant level) and lobbied for the crea-tion of an exit exam for the 3 year training programme (the Membership in Oral Surgery).These structures were not achieved easily. There were certain bodies/individuals that didn’t want to see such independence. My reason for writing this is to remind those who were not so involved that these pathways should not be taken for granted. There remains much hard work, not least in maintaining standards and ensuring the examinations are fit for pur-pose. All of these activities are invariably undertaken

outside of ‘office’ hours by those who already have many de-mands on their time i.e. they are not paid to do this. Although it’s not my brief, I would like to thank all those who are giving their time to write and examine for the Membership in Oral Surgery and the ISFE(in particular the Chairs for these exams , Prof Loescher and Dr Meechan, respectively ) and encourage colleagues to continue their efforts, otherwise we will all be the poorer. By ‘we’ I mean our patients, our students (for those who will teach in dental hospitals) and the careers of those who come after us i.e. our trainees. Whilst there are many demands on those working within the NHS, the life of the clinical academic in particular, requires drive, stamina, inspi-ration, ability (stupidity?) and a big slice of luck!

HOW LONG SHOULD THE TRAINING BE?

Most oral surgery training posts are currently 3 years long, with difficulties in obtaining 4 or 5 year programmes. However, is the 3 year core training sufficient to be appointed at consult-ant level? In particular for a clinical academic who may teach or undertake research. Is the scope too narrow? It can preclude them from teaching and undertaking research in such areas as Orthognathic surgery, TMJ surgery, trauma, etc. which may be stimulated by such exposure. Surely such additional training is necessary (together with leadership and management skills)? Very few dental schools are staffed by those with both a medi-cal and dental degree ie FDS, FRCS and a PhD. Thus as pre-dicted almost 30 years ago,( Training pathways for oral sur-geons BDJ 1986 )oral surgeons with an FDS and PhD are still the ones responsible for running such departments in most dental schools. We welcome those who have been able to do all that is required for both an NHS career in OMFS and un-dertake a PhD but often we lose them along the very long career pathway . It is particularly frustrating that the AACOMS pathway has been lost, when it formed the model that is now used by the clinical scientist and Walport schemes (and is mirrored to some extent in the training pathways now available in oral medicine). But we can’t turn the clock back and must work with what we have.

Academic careers can advance more slowly than our NHS counterparts, which can have a negative effect on morale, You are a small group of highly dedicated individuals who may not get much thanks from the Universities that employ you, as you seek to balance your teaching, examining, research, clinical practice and all the administration that goes with these duties.. As such, we must have attractive career pathways, to continue to draw the best people. To that end, having established our independence, we must now work closely with our colleagues in BAOS and BAOMS for the good of the speciality, our teach-ing and our research.

I look forward to meeting as many members as possible at the ABAOMS conference in York on 13th November and discussing some of the issues raised above.

Professor G.R. Ogden

President’s Report (cont…)

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Highlights of the year include the award of the 2013 FDS Research Training Fellowship to IAT trainee Zairah Roked, an oral surgery SHO; a hugely deserved personal chair for Simon Moore, the group's psychologist; and Jon Shepherd's ap-pointment to the Home Office Science Council. VS has been appointed the Training Programme Director for Oral Surgery and continues to main-tain and develop the National Violence Surveil-lance Network. Important discoveries about the effectiveness of brief alcohol interventions, city centre alcohol treatment centres (drunk tanks) and the cost benefit ratios for violence prevention have been published, all attracting media attention. The group's second knowledge transfer partner-ship with Welsh Government has resulted in the pioneering "Have a Word" brand to motivate health and other professionals to advise patients about their alcohol consumption. The Wales health minister, Lesley Griffiths AM, launched this campaign in January and more than 3,000 profes-sionals have so far been trained by a dedicated team of trainers to deliver structured alcohol advice. The group's KTP associate Dr Paul Jordan has been instrumental in this work. Jon Shepherd's 2008 proposal for a national professional body for the police service similar to a medical Royal Col-lege has been acted upon by the Home Office: the new College of Policing, underpinned by primary legislation, was launched by the police minister early in 2013. This will also be the home of the new What Works Centre for crime prevention, one of five new what works centres akin to NICE in the NHS which the UK government has estab-lished to increase reliance on evidence across public services.

Prof David Thomas and his team have been one of the Co-investigators on a £4.5M from the Norwegian Research Council (>£1M to the Welsh group) for their work in developing the "second generation" of the alginate nanomedi-cines for the treatment of lung disease and MDR infections. They have also received £1.01M for their development of nanostruc-tures coated with these agents. Phase IIa hu-man clinical studies have been completed in EU and Ireland and Phase IIb are planned for early 2014. DWT was invited to give a talk on the group's work at ICAAC 2013 in Denver, at one of the world's largest scientific conferences; this work was the subject of the recent King James IV lecture at Edinburgh. Charlotte Emanuel completed her PhD studies and has commenced her Oral Surgery Training. Selected related publications this year 1. The effect of alginate oligosaccharides on the mechanical properties of Gram-negative biofilms Biofouling (10.1080/08927014.2013.777954) 2. Nanoscale characterisation of OligoG interactions at the microbial cell surface: mechanisms for inhibition of cell motility, anti-biotic potentiation and biofilm disruption Am J Resp Cell & Molecular Biology (in press) 3. The enhanced permeability retention effect: a new paradigm for drug targeting in infection. Journal of Antimicrobial Chemother-apy 68(2) 257-274.

Other joint projects include the neuroscience

and inter-professional skills pain teaching pro-

grammes. Nadine is also working with KCL’s

ITEL team to ensure all undergraduate material

is available on-line. Two of our oral surgery

teaching staff have recently represented us in

the 8th annual Mouth Cancer Foundation’s walk,

raising an impressive £750 for the cause.

Publications:

Hodkinson, D. J. et al. Quantifying the test–

retest reliability of cerebral blood

flow measurements in a clinical model

of on-going post-surgical pain: A study

using pseudo-continuous arterial spin

Kings Health Partners

(KCL KCHFT and GSTFT)

Teaching

Nadine Khawaja has started as Teaching Lead

for the undergraduate oral surgery teaching pro-

gramme. Nadine continues to review the teaching

material and following development of the BDS

undergraduate curriculum, is driving oral surgery

to work closely with other dental departments to

provide an integrated, up to date training pro-

gramme. We started the term with a successful

new joint introduction to intravenous sedation

course with the Sedation and Special care team.

School News

Kings College London Dental Institute www.kcl.ac.uk/dentistry/

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Cardiff www.cardiff.ac.uk/dentl/index.html

labelling. NeuroImage: Clinical 3, 301-310, 2013)

Khawaja N, Yilmaz Z, Renton T. Case studies

illustrating the management of trigeminal

neuropathic pain using topical 5% lidocaine

plasters. British Journal of Pain. 2013 May;7

(2):107-13.

Morgan N, Khawaja N, Obisesan O. Flapless

sectioning. British Dental Journal. 2013 May

24;214(10):485.

Training

We currently train 3 OS SPRs at KCH and 3 at

GSTT, including 2 IATs (KCH). 3 previous OS SPRs

have recently been appointed to consultant posts.

Louis McArdle leads the KCL development of a PG

Diploma in Dento-alveolar Surgery in 2014. this pro-

gramme will be a year-long programme aimed at

dentists who wish to become competent in dento-

alveolar surgery. It will be targeted at those who

wish to become level II practitioners (DES Dentists

with enhanced skills). Individuals completing the pro-

gramme will be deemed competent at that level. An

MSc in Oral Surgery will be linked to this programme

as a potential top up for those individuals and for

those StRs wanting to undertake a Master's degree

as part of their StR training. The MSc in itself will not

have equivalence in respect to specialist training/

accreditation etc.

Publications:

McArdle LW, Renton T. Distal cervical caries in

the mandibular second molar: an indication for the prophylactic removal of the third molar? BJOMS 2005; 44: 42-45.

McArdle LW. Oral Surgery: An Assured Future. Bulletin of The Royal College of Surgeons of England, Volume 91, Number 5, May 2009 , pp. 175-175(1)

McArdle LW, Renton T. The effects of NICE guidelines on the management of third molar teeth. Br Dent J. 2012 Sep 7;213(5):E8. doi: 10.1038/sj.bdj.2012.780.

Renton T, McArdle LW. Postgraduate training and educational opportunities for oral sur-gery in the UK. FDJ 2013: Vol 4, issue 2: 49-57.

Doi 10.1308/204268513X13626856629104 McArdle LW. NICE and the third molar debate.

FDJ 2013: Vol 4, issue 4: 166-171. Doi 10.1308/204268513X13776914744718

Research

Tara Renton continues to lead a successful re-

search programme in nerve injuries and pain; including

Post traumatic neuropathy, post-surgical pain, BMS,

TACs and PIFP.

Launch of a dedicated Website Trigeminalnerve.org.uk

is nearing 249K site visits with no advertising and has

proved to be an invaluable tool in advising both pa-

tients and clinicians. Our work was rated highest den-

tal Impact Case for REF. This work is supported by

Post Docs Zehra Yilmaz, Obi Ebugniwe, PhD students

Norazah Bakar, Nadine Khawaja and Kiran Beneng and

colleagues Jared Smith Health Psychologist, Sarah

Barker Psychologist and Liaison Psychiatry Dr Annabel

Price.

Publications:

Renton T, Bagg J, Robinson PG, Steele J.Want to do clinical research? Changes in the NHS mean there's never been a better time.Br Dent J. 2012 Aug 10;213(3):105-9. doi: 10.1038/sj.bdj.2012.665.

What Has Been the United Kingdom's Experience With Retention of Third Molars? Renton T, Al-Haboubi M, Pau A, Shepherd J, Gallagher JE. J Oral Maxillofac Surg. 2012 Sep;70(9 Suppl 1):S48-57. Epub 2012 Jul 3.

In-vitro regulation of odontogenic gene expression in human embryonic tooth cells and SHED cells. Leone A, Volponi AA, Renton T, Sharpe PT. Cell Tissue Res. 2012 Jun;348(3):465-73. Epub 2012 Mar 17.

Managing iatrogenic trigeminal nerve injury: a case series and review of the literature. Renton T, Yilmaz Z. Int J Oral Maxillofac Surg. 2012 May;41(5):629-37. Epub 2012 Feb 10.

Renton T Challenges of exodontia in the aging population FDJ July 2011 Vol 2 Issue 3 pages 110-117

Nadine Khawaja, Zehra Yilmaz, Tara Renton. Case studies illustrating the management of trigeminal neuropathic pain using topical 5% lidocaine plasters. British Journal of Pain April 11, 20132049463713483459

Renton T Minimising and managing trigeminal nerve injuries in relation to dental surgery FDJ Sept 2011 Vol3 Issue 3 pages ??

T Renton Treatment of Oral Pain through the ages Lillian Lindsay Memorial Lecture 2011 Dental Historian (2012) Jan Number 55 4-13

Coulthard P, Esposito M, Renton T, Worthington HV. Surgical techniques for the removal of mandibular wisdom teeth (protocol). Coch-rane Database of Systematic Reviews 2003, Issue 3. Art. No: CD004345. www.cochrane.org final review in press 2013

Tara Renton MEDICO-LEGAL ISSUES: A FOCUS ON PREVENTABLE NERVE INJURIES Dental Nursing 9(7): 398 - 406 June 2013

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Tara Renton UNDERSTANDING THE IMPOR-TANCE OF PATIENTS' MEDICAL HISTO-RIES (350KB) Dental Nursing 9(2): 76 - 79 (Feb 2013)

Renton T. A systematic review of haematologi-cal screening for BMS. accepted Quintes-sence Elsevier in press

Renton T A systematic review of histological evaluation for BMS. ac-cepted Quintessence Elsevier in press

Mehdi I Yilmaz Z, Renton T, Page L The treat-ment goals of patients attending an orofacial pain clinic. Comparsion of psychological morbidity of headaches and chronic orofa-cial pain. Accepted J Oral Surgery 2012.

Kristina Krause1,2, Anbarasu Lourdusa-my3§, Matthew Howard1, Sylvane De-sirivieres3,Fernando Zelaya1, Geoffrey I. Johnston4, Natalie Massat4, John P. Huggins4, Bill Vennart4, Marco Catani1,Nadine Khawa-ja5, Michael A. Thacker6, Tara F. Ren-ton5, Steven C. Williams1, Herta Flor7, Gunter Schumann3: Molecular characteriza-tion of the blood-based response to surgical trauma reveals brain-region-specific gene expression patterns. Nature genetics letter in press

Jonathan O’Muircheartaigh1#, Andre Marquand1, Kristina Krause1, Nadine Khawaja1,2, Tara Renton2, John P Huggins3, William Ven-nart3, Steven CR Williams1 and Matthew A Howard. Molecular characterization of the blood-based response to surgical trauma reveals brain-region-specific gene expres-sion patterns Automated, individualised classification of ongoing post-surgical pain using quantitative perfusion MRI and Gaus-sian process classification. NeuroImage: Clinical Elsevier, Inc in press

Renton T. Update on Coronectomy. A Safer Way to Remove High Risk Mandibular Third Molars. Dental Update June 2013

Renton T, Janjua H, Gallagher JE, Dalgleish M, Yilmaz Z. UK dentists' experience of iatro-genic trigeminal nerve injuries in relation to routine dental procedures: why, when and how often? Br Dent J. 2013 Jun 21;214(12):633-42. doi: 10.1038/sj.bdj.2013.58

Egbuniwe O, Grant AD, Renton T, Silvio LD. Phenotype-Independent Effects of Retroviral Transduction in Human Dental Pulp Stem Cells. Macromol Biosci. 2013 Jun 14. doi: 10.1002/mabi.201300020. [Epub ahead of print

Renton T. Summary of: retrospective examina-tion of the healthcare 'journey' of chronic orofacial pain patients referred to oral and maxillofacial surgery. Br Dent J. 2013 Mar;214(5):236-7. doi: 10.1038/sj.bdj.2013.246

Renton T, Yilmaz Z, Gaballah K. Evaluation of trigeminal nerve injuries in relation to third molar surgery in a prospective patient co-hort. Recommendations for prevention. Int J Oral Maxillofac Surg. 2012 Dec;41(12):1509-

18. doi: 10.1016/j.ijom.2012.06.025. Epub 2012 Sep 25

Smith J, Morgan L, Yilmaz Z, Van der Vild R, Ren-ton T. The Psychosocial and Affective Bur-den of Posttraumatic Neuropathy Following Injuries to the Inferior Alveolar Nerve and Lingual Nerve. Journal of Orofacial Pain in press

Tara Renton, Maria Devine. Diagnosis and acute and chronic Management of Inferior Alveolar Nerve Damage Associated with Dental Im-plant Surgery. International Team for Implantology-Forum Implantologicum: Vol-ume 9, Issue 2.

Morgan L, Smith J, Yilmaz Z, Van der Vild R, Ren-ton T. PainDETECT: A suitable screening tool of neuropathic pain in patients with pain-ful post traumatic trigeminal nerve inju-ries? International Journal of Oral & Maxillofa-cial Surgery in press Manuscript number: IJOMS-D-12-00562R2 accepted

Djemal S, Bishop K Renton T. NHS Implant Guidelines T BDJ in press

J Durham et al T Renton (Final author) TMD management Guidelines BDJ in press

O. Egbuniwe1*, S. Grover2*, A. Mavroudis2, M. Yazdi3, T. Renton3, L. Di Silvio1 and A. D. Grant2,4 TRPA1 and TRPV4 activation in human odontoblasts stimulates ATP release Short title: TRPA1 and TRPV4 in odontoblasts cause ATP release. British Journal of Pharmacology. Accepted

O. Egbuniwe1*, S. Grover2*, T. Renton3, L. Di Silvio1 and A. D. Grant2,4 Phenotype-independent effects of retroviral transduction in human dental pulp stem cells. MACROMOLECULAR BIOSCIENCE. Accepted

Invited consultation papers

Editor RCS Eng FDJ Supplement on the Oral Surgery debate (10 papers addressing issues in PG dental training and specific oral surgery challenges. Association Dental Implantologists consulta-tion paper- prevention and management of Implant related nerve injuries (ADI Website) ADI paper (1) On Risk Management and Prevention of Inferior Alveolar Nerve Injury (IANI) Associated with Dental Implant Surgery. Author of original con-sultation paper: Professor Tara Renton, Kings College, London. Edited by the ADI Guidelines Subcommittee: Ucer, C; ; Wright, S; Scher, E; Slade, K. Association of Anaesthetists 2012 Online advice /Poster for all NHS departments on prevention and management of avulsed teeth during intubation. Dje-mal S, Donaldson N, Paolinelis G, Renton T

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Dundee has recently initiated what we believe to be, the first Masters degree in Oral Cancer (MRes Oral Cancer) in the UK (http://dentistry.dundee.ac.uk/mres-oral-cancer) and inducted the first cohort of students. Semester one consists of lectures, tutorials, journal club, and MDT and combined clinic atten-dances. Successful completion leads into second semester consisting primarily of a laboratory based project. The course covers fundamental and applied cancer biology including training in laboratory meth-odology. It is hoped that this will prepare suitable candidates to go on to undertake a PhD.

Graham Ogden has, following reorganisation of the Dental School, become Head of the new Division of Oral & Maxillofacial Clinical Sciences, replacing the former Unit of Oral Surgery & Medicine at the Uni-versity of Dundee. When not in Dundee, he is busy planning various educational events for the Glasgow College, in his role on the Dental Education & Pro-fessional Development Board, Royal College of Phy-sicians & Surgeons, Glasgow. The TC White Sympo-sium on Oral cancer (29th November 2013) will see several key speakers in the field gather to offer an update on the aetiology, early detection, investiga-tion, management of oral cancer alongside clinical trials research. The Ben Walton Trust will sponsor the best clinical poster, whilst ABAOMS will sponsor the best research poster. (http://www.rcpsg.ac.uk/~/media/Files/Events/Oral%20Cancer%20Symposium/oral%20cancer%20flyer.pdf) In addition Graham has been busy planning the Tri-ennial conference for the RCPS Glasgow, which will feature key speakers from our Association. Put the date in your diary (19th/20th June 2014)! Graham was recently elected one of two Vice Dean’s for the Dental Faculty RCPS Glasgow He continues to invest much time and effort in de-veloping and refining the Membership in Oral Sur-gery (MOralSurg) exam, the exit exam for the 3 year Oral Surgery training programme, under the expert leadership of Prof Tilly Loescher. We are pleased to report that our local Oral & Maxillofacial Surgeon, Mr Phil McLoughlin has recently become an exam-iner for the MOralSurg.

Christine Hanson has extended the highly successful program offered in previous years for undergraduate students to experience exodontia on Thiel Cadavers late in their preclinical period. Dundee is one of the few centres using this ‘soft-fix’ method, which pre-serves soft tissue qualities and flexibility post mortem. This has proven very popular with students and con-stitutes part of Christine’s continuing research into undergraduate dental education. Her initiative sup-ports one of the few anatomy Departments in the UK to have the Thiel cadavers towards it’s goal of wide inclusion, complete utilization of the resource and to provide students with a unique undergraduate anat-omy experience. Christine continues to be greatly involved in research-ing and developing the undergraduate teaching re-sources, student clinical manuals, and allied assess-ment. One aspect of her research towards her PhD. is to validate the current exodontia OSCE station checklist and to modify it to produce a ‘universal’ document. She has produced 6 vignettes of students demonstrating extractions. They are marked simplisti-cally to each schools criteria - can do 4/ can’t do 8/can’t tell 0. https://dropbox.dundee.ac.uk/pickup.php?claimID=9CqkwNm2FF69Dnz5&claimPasscode=CwfgPCVV8VggbkjZ&emailAddr=c.j.hanson%40dundee.ac.uk

Mike MacLuskey continues her research into dysplasia alongside administering the NHS Tayside Oral Dyspla-sia clinic. Her research into HPV in oropharyngeal cancer is moving forward with her current PhD stu-dent in collaboration with the School of Nursing while she expects her third PhD student to join us in 2014. In addition the students undertaking the MRes Oral Cancer attend her dysplasia clinics to gain clinical ex-posure which compliments well her substantial teach-ing input to the course. Mike continues to contribute heavily to outreach un-dergraduate oral surgery training in Perth and also provides all of the clinical teaching and treatment of complex implant cases. Mike is currently leading the ABAOMS education committee. The group met in Sheffield in March then hosted by Christine Freeman.

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www.abaoms.org.uk Grants

Funding Body Research Topic Date/ amount

GSK Imannova PET evaluation of glial cell activation in the brain stem in relation to painful and non-painful post traumatic neuropathies in man

2013 240K

MRC DPFS Developing a pain biomarker:imaging trigeminal pain in man 2012 468K

Pfizer funded post doc Assessment of specific pain receptors in V pain 2013 56K

UKCRN FS funding PI Portfolio study -Genetics toothache 2011 40K

BAOS Greg Gerard /TR Development of Video training library 2013 20K

Dundee www.dundee.ac.uk/dentalschool

The committee is working on a number of areas and Mike will provide an update at the conference in York. Mike is now also solidly involved with training Namita Nayyer who, recently, has been welcomed to the Dundee Oral Surgery training program. Namita splits her time between Dundee and Glas-gow. She has a keen interest in education and clinical research and is currently undertaking clinical audit of efficacy of analgesia following implant surgery. Simon Shepherd continues with his research into the role general dental practitioners may have in the delivery of alcohol advice. This is chiefly related to dentist awareness of alcohol as a risk factor for oral cancer and to developing avenues to more readily relay that risk to patients. Recent small grant funding has allowed a feasibility study to be completed aimed at determining patient and dentist acceptability of processes for delivering alcohol advice in primary care. The results will be reported shortly. Simon has also been involved with Thiel cadavers to allow students to familiarise with local anaesthetic techniques in their preclinical years.

Papers Hanson CJ, Teaching extraction is no longer a pain. Scottish Dentist 2012 pp 69-72 http://www.sdmag.co.uk/index.php/articles/pm_article/teaching_extractions/ Liu JLY, Walsh T, Kerr AR, Lingen M, Brockle-hurst P, Ogden G, Warnakulasuriya S, Scully C. Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically evident lesions (Protocol). Cochrane Database of Systematic Reviews 2012, Issue 12. Art. No.: CD010276. DOI: 10.1002/14651858.CD010276. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010276/pdf Walsh T, Liu JLY, Brocklehurst P, Lingen M, Kerr AR, Ogden G, Warnakulasuriya S, Scully C. Clini-cal assessment to screen for the detection of oral cavity cancer and potentially malignant disorders in apparently healthy adults (Protocol). Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No.: CD010173. DOI: 10.1002/14651858.CD010173.

Education The Department continues to develop its elec-tronic assessment experience for our students in oral surgery and human disease. The feedback from external examiners and students has been positive and analysis of results has proved the assessments to be robust tests of student knowl-edge. Staff in the Oral Surgery clinic are trialling a trig-ger assessment aiming to identify why certain students are failing to progress at the expected rate. The tool will highlight areas of weakness, promote student reflection and identify areas for focused attention to help students progress. We will soon be piloting a new feedback system. This will see a move away from on-line student feedback where response rates have been poor. Our new system will involve structured feedback sessions with an external member of staff.

Presentations The department has been well represented at conferences and meetings over the past 12 months.

In April, staff and students presented a wide range of posters and oral presentations at the annual British Association of Head and Neck Oncologists meeting in London. Topics for posters included experience of patients and partners of a new diag-nosis of oral cancer; a study of lichen planus

Research The Head and Neck 5000 cohort study continues to make great progress. Recruitment of sites and pa-tients has surged ahead in 2013 with 3000 patients now enrolled. More information on this study can be found at: www.headandneck5000.org.uk. This study will generate crucial data on survival and psychosocial factors associated with head and neck cancer.

Prof Thomas and other members of the department are commencing work piloting an enhanced recovery programme for patients undergoing major head and neck surgery. This complements Prof Thomas’s work on peri-operative nutrition which is linked to the NIHR-funded nutrition Biomedical Research Unit based at the University.

PhDs Barry Main, an OMFS academic trainee, has started a PhD as part of an NIHR-funded doctoral research fellowship. The project is looking at developing an evidence-based information set for people consenting to head and neck cancer surgery. This project links in with other projects that are being developed in the theme of information in oral cancer and will involve collaborations with a team at Dartmouth College in the USA.

Holly Cole-Hawkins, an OS trainee, is also undertak-ing an NIHR-funded PhD and she is studying the ex-periences of people and their partners over the first year following a diagnosis of oral cancer.

Bristol www.bristol.ac.uk/fmd/ The Cutting Edge

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transformation rates into malignancy; enhanced recovery; dental care for people with head and neck cancers; medical and dental student knowl-edge of oral cancer risk factors; lymphoprolifera-tive disorders; and a review of the quality of information on websites for people with oral cancer. Noah Howes gave a well-received oral presentation of a systematic review of peri-operative immunonutrition. Two recent graduates have presented, and won first prize for, a project on dental and medical student knowledge of oral cancer at the BAOMS Junior Trainee Conference in September. Barry Main and Margaret Coyle presented a study looking at sentinel lymph node biopsy for head and neck melanomas at the BAOMS confer-ence in Dublin in the summer. This paper is now in press with the BJOMS. Carla Felming and Eithne Fyfe have presented work at the BAOS conference including an audit on referral letter quality and its impact on triag-ing work for undergraduates; and the develop-ment of a model for using the WHO surgical safety checklist in oral surgery out patients. Chris Bell has delivered keynote presentations at recent meetings of the British Society for Dental and Maxillofacial Radiology and British Society for Community Dentistry. Prof Thomas delivered a keynote lecture at the

head and neck interface symposium at the Royal College of Surgeons in Edinburgh.

Recent publications include Lidder, P, Thomas, S, Fleming, S, Hosie, K, Shaw, S

& Lewis, S 2013, ‘A randomized placebo controlled trial of preoperative carbohy-drate drinks and early postoperative nu-tritional supplement drinks in colorectal surgery’. Colorectal Disease, vol 15., pp. 737-746

Sisson, R, Davies, RJ, Pring, M, Hughes, C & Tho-mas, SJ 2013, ‘Cervical dirofilarisis: Ultra-sound features’. Face Mouth & Jaw Surgery, vol 3., pp. 22-24

Goudie, R, Hollingworth, W, Ness, AR, Blazeby, JM, Thomas, SJ, Main, BGJ & Ke, KM 2012, ‘Centralisation of surgery for upper gas-trointestinal, breast and head and neck cancers: assessing the impact of service reorganisation on patient travel burden’.

Felstead A, Main BG, Thomas SJ, Hughes CW. Re-current Langerhans cell histiocytosis of the mandible BJOMS 2012; 51: 264-5

Other News

Tom Walker is joining the department as a lecturer in OMFS at the beginning of November.

with the National Facial and Oral Research Centre. Clinical Lecturer Mohsin Ali was heavily involved with dental charities in the Middle East supporting the aid work of Dental Education and Networking: Project Darfur and Muslims Without Borders. Fi-nally and as in previous years many staff from the unit continue to act as academic leads and examin-ers with renowned external examining bodies such as the Royal College of Surgeons of England for their LDS and MJDF qualifications and the GDC’s ORE examination.

Staffing We are incredibly fortunate that Fleur Quinn, after completing her oral surgery specialty registrar train-ing, joins the department to reinforce our under-graduate and postgraduate teaching faculty. We also warmly welcome Sirisha Duggineni into an innova-tive new role as a specialty doctor and clinical lec-turer to further strengthen our undergraduate teaching team especially as we wish Mr Andrew Ezias a very happy retirement after years of sup-porting teaching for the BDS students. Last but not least we are delighted that Louise Ormondroyd has joined the department as a StR in Oral Surgery and Anand Lalli will shortly start a NIHR funded ACL post.

At QMUL we are looking forward to our immi-nent move into a fantastic new purpose built Dental Institute at the Royal London Hospital which will bring a host of amazing teaching and research opportunities in 2014 and beyond.

Events and Awards A challenging but extremely successful year for the Oral Surgery unit included Clinical Lecturer Sirisha Duggineni, in collaboration with Mangala Patel and Bana Abdulmohsen of the Dental Physi-cal Sciences unit, winning a prestigious Barts Health Innovation prize for their work on a novel chlorhexidine releasing dental material. Clinical Lecturer Anand Lalli completed his PhD entitled “Oral cancer screening targeting ‘high-risk’ South Asian populations in the UK” and as part of the undergraduate teaching team was voted Best Clinical Teacher by the students of Barts DentSoc. We are delighted that Zoe Killick suc-cessfully completed her specialty registrar train-ing after returning from maternity leave and Vanita Bakshi completed her MClinDent degree, the data from which she is currently finalising for publication. First year MClinDent students Werner Slabbert and Alsheima Osman both presented their research at the recent BAOS Annual Scientific conference. Associate Specialist Emma Quartey along with Professor Iain Hutchi-son have developed a pioneering national multi-centre study of wisdom tooth surgery patient reported outcome measures in collaboration

Queen Mary, University of London www.smd.qmul.ac.uk/

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Simon Atkins is our new Senior Clinical Lecturer/ Honorary Consultant in Oral Surgery and contin-ues to make significant impact with his interests in lingual nerve injury, both in a clinical setting and in the research environment. Despite his busy sched-ule, he has also found time to undertake the 43 mile, 11,000 ft ascent High Peak marathon along-side Martin Payne and Pete Clayton. A number of other members of the department also dusted off their trainers with 54 members of the Trusts head and Neck Team being the largest entry in the Western Park Hospital “Run in the Park” in July.

New endeavours are a novel course for GDPs wishing to gain further experience in surgical den-tistry, an area which has historically been difficult for dentists to access hands-on postgraduate train-ing.

Alasdair McKechnie a new OMFS colleague has transferred the ‘Lincoln style Dentist on the Ward Course to Sheffield the popular “SIFT” introduction to foundation training course, providing aspiring junior Oral Surgery and Maxillofacial trainees with core training prior to starting their first hospital post.

2013 was a productive year on the research front, with successes throughout the I-Bio and Bioengi-neering groups. Biomaterials continues to excel in attracting grant funding, with a team including Pro-fessors Brook & Hatton and Mrs Freeman securing a £7 million joint EPSRC/First Sheffield/ RC grant to establish a centre for Innovative Manufacturing in Medical Devices. Large grants seem to have been a

theme over the past year, with David Andrew and Dan Lambert securing a £1.1 million MRC grant to investigate Saracatinib in the modula-tion of bone pain. Martin Thornhill’s major Sheffield/ USA collaborative “Lab on Chip” study has recently achieved its ambitious tar-get of enrolling 1,000 patients, with Sheffield providing the single largest contribution from any centre involved in the research. We now look forward to seeing the results of what promises to be a hallmark study in the analysis of potentially malignant lesions.

A number of other substantial grants have been awarded to researchers in the depart-ment. Professors Brook and Hatton received a further EPSRC grant for their Regener8 Poc/ Altair C project. Fiona Boissonade and Simon Atkins secured a prestigious MRC Confidence in Concept Grant to investigate the effects of Etanercept in peripheral nerve injuries. Craig Murdoch and Vanessa Hearnden have also secured World Cancer Research Funding in collaboration with Prof. Hilary Powers to investigate the role of Methyl donor status in HPV-related oropharyngeal cancer, which promises to be an expanding area of cancer research within the School. We hope that the unit’s research acumen continues to see us thrive well into 2014!

By Dr Robert Bolt and Ian Brook

Sheffield www.shef.ac.uk/dentalschool/

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Life has been so busy in Newcastle that we even omitted to send something in for last year’s Cut-ting Edge and for that we apologise. The last two years have been both frenetic and very successful for the department. The highlights include:

John Meechan’s National Medical innovations award for a new design of LA cartridge

Undrell Moore’s National Teaching fellowship Justin Durham’s NIHR Clinician Scientist

award (£0.8M for DEEP Study htttp://research.ncl.ac.uk/deepstudy)

Michaela Goodson’s invited presentation at RCS on her PhD work on oral premalig-nancy

John Meechan’s Tomes lecture to the RCS Other invited lectures have included: IADR

Neuroscience/RDC-TMD, IADR Anaes-thetics group, European Society of En-dodontology, British Dental Association,

and the European Academy of Cra-niomandibular disorders.

There have also been promotions galore: Ian Corbett to NHS Consultant and Hon Senior Lecturer; Justin Durham to Senior Lecturer in Oral Surgery and Orofacial pain/Hon Consult-ant; Rachel Green to Lecturer/Hon StR after successfully defending her PhD. We have also appointed our first NHS StR in Oral Surgery, Lee Mercer, and two new Clinical Fellows, Luke Hutchinson and Will Story. Alongside our peer-reviewed journal publica-tions we have also had several new books pub-lished including: Peter Thomson’s new text on Premalignancy; Undrell Moore’s latest edition of Principles of Oral and Maxillofacial Surgery; Mark Greenwood and Ian Corbett’s new Den-tal Emergencies book.

Newcastle http://www.ncl.ac.uk/dental/

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Paul Coulthard was appointed Dean of the School of Dentistry at Manchester in August 2013. Paul continues with his day-case and in-patient operat-ing and clinics but wonders how he will hold it all together! He has given up his Training Programme Director role at least. Paul has worked with Commissioners and Dental Public Health consultants to develop consultant lead ‘Triaging’ of Oral Surgery referrals to Man-chester Hospitals to deflect appropriate ones to primary care services. This has developed into an Online Referral Management and Triage System for all dental referrals in Greater Manchester. A significant SDO grant has been awarded for the evaluation (impact on cost and quality of service) of this system for use for England. Paul was a Member of the ‘NHS Commissioning Board Dental Commissioning Framework Task Group’ 2012/13 and Lead the ‘Coproduction Group for Oral Surgery’ developing an operating model for England aligned to the NHSCB with a consistent specification for delivery of each level of care. He is Editor with the ‘Cochrane Collaboration

Oral Health Group’, Editor-in-Chief of ‘Oral Surgery’, Member of the Editorial Board of ‘International Journal of Surgery’ and ‘International Journal of Surgery Case Reports’, and Senior Editor ‘Chinese Journal for Clini-cians (International)’ Journal of the Chinese Medical Association. Paul is Visiting Professor, Dubai School of Den-tal Medicine, Dubai Health Care City, UAE, Member of the Dubai Health Care City Licens-ing Board, UAE, and Visiting Professor, Faculty of Dentistry, Universitat Internacional de Cata-luña, Barcelona, Spain. The third edition of his textbook was published in 2013. Coulthard P, Horner K, Sloan P and Theaker E. Master Dentistry, Oral and Maxillo-facial Surgery, Radiology, Pathology and Oral Medicine. Third Edition. Churchill Livingstone, Edinburgh, 2013.

Manchester has four Oral Surgery trainees, Edd Bailey, Neil Patel, Verena Toedtling and Pippa Cullingham.

Manchester http://www.dentistry.manchester.ac.uk/dental/

Glasgow www.gla.ac.uk/schools/dental/

The research profile continues to progress from strength to strength; with the focus being research on 3D imaging, and bone bioengineering for maxil-lofacial reconstruction.

In collaboration with the research unit of Biomate-rials & Biomimetics at King’s College, London, the department of bio-engineering at Strathclyde Uni-versity, and the University of Sheffield, Dr Naudi is continuing his research on the application of Stem cell, injectable scaffolding and BMP for reconstruc-tion of mandibular defects.

Publications

Peng MJ, Ju X, Khambay BS, Ayoub AF, Chen CT, Bai B. clinical significance of creative 3D-image fusion across multimodalities (PET + CT + MR) based on characteristics coregistration. Eu J Radiology 2012;81:406-413

K. Millar, A.Bell, A. Bowman, D. Brown, R. Lo, P.Siebert, D. Simmons, A. Ayoub. Psychological status as a function of objectively-defined resid-

ual scarring and facial asymmetry after surgery to repair cleft lip and palate. Cleft & Craniofacial Journal doi: http://dx.doi.org/10.1597/10-222 Ubaya T, Sherriff A, Ayoub A, Khambay B. Soft tissue morphology of the naso-maxillary complex following surgical correction of maxillary hypoplasia. Int J Oral Maxillofac Surg 2012;41:727-732. Henseler H, Smith J, Bowman A, Khambay B, Ju X, Ayoub A and Ray A. Objective evaluation of the latis-simus dorsi flap for breast reconstruction using three-dimensional imaging. Journal of Plastic, Reconstruc-tive and Aesthetic Surgery . . J Plast Reconstr Surg 2012;65;1209-1215 Henseler H, Smith J, Bowman A, Khambay B, Ju X, Ayoub A and Ray A. Invesitigation into variation and errors of a three-dimesnional breast imaging system using multiple stereo cameras. J Plast Reconstr Surg 2012;65:332-337 Al Anzie T, Ju x, Khambay B, Ayoub A. A new method for recording and automatically tracking facial landmarks in 3D motion captured images. Interna-tional Journal of Oral & Maxillofacial Surgery 2013;42:9-18 K Naudi, R Benramdan, , L Brocklebank, B Khambay, A Ayoub The Virtual Human Face - Superimposing the simultaneously captured 3D photorealistic skin surface of the face on the untextured skin image of the CBCT Scan . International Journal of Oral & Max-illofacial Surgery 2013;42:393-400 A Bell, D Simmons, A Bowman, D Brown, R Lo, Y

Xiao, P Siebert D Millett , A Ayoub Three-Dimensional Assessment of facial appearance fol-lowing surgical repair of unilateral cleft lip & pal-ate. Cleft & Craniofacial Journal (In press) Shafi M, Ayoub A, Ju X, Khambay B. The accuracy of 3D prediction planning for the surgical correc-tion of facial deformities using Maxilim. Int J Oral Maxillofac Surg 2013;42:801-816 Neil Nairn, X,. Ju, J. Barbenel, K Naudi, A. Ayoub, B. Khambay. Digital replacement of the distorted dentition acquired by Cone Beam Tomography (CBCT): A pilot study. Int J Oral Maxillofac Surg (in press) ISBN: 0901-5027 Henseler H, Smith J, Bowman A, Khambay B, Ju X, Ayoub A and Ray A. Subjective versus objective assessment of breast reconstruction. J Plast Re-contr Surg 2013;66:634-639)

Busuttil Naudi K, Ayoub A, McMahon J, Di Silvio L, Lappin D, Hunter KD, Barbenel J. Mandibular reconstruction in the rabbit using β-Tricalcium Phosphate (β-TCP) scaffolding and recombinant Bone Morphogenetic Protein 7 (rhBMP-7) - Histo-logical, Radiographic and Mechanical evaluations. Journal of Cranio-Maxillo-Facial Surgery, 2012 Apr 14. DOI information: 10.1016/j.jcms.2012.03.005

Alfotawi R, Busuttil Naudi K, Lappin DF, Barbenel J, Di Silvio L, Ayoub A, McMahon J. The use of Tri-Calcium Phosphate (TCP) and stem cells for the regeneration of osteoperiosteal critical-size man-dibular bony defects in rabbits. (accepted - Journal of Cranio-Maxillo-Facial Surgery)

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UCL—Eastman Dental Institute http://www.ucl.ac.uk/eastman

We welcomed two new members of staff to the department in September 2013, Nikki Tanner a new StR in Oral Surgery, who joined us from Guys and St Thomas NHS Trust and Ambareen Naqvi as a Staff Grade. At the same time we said farewell to Jashme Patel as she starts her new post as a StR in Oral Sur-gery at Guys and St Thomas NHS Trust. Hannah Nettleton and Sonita Koshal continue with us at the Eastman Dental Hospital.

Sajeda Meghji, a Reader in Microbiology, retired this September, after 33 years at the Eastman. We would like to thank her for her contribution to the Oral Surgery postgraduate teaching over many years, par-ticularly with regards to IT and bone biology, super-vising projects and helping with the oral presenta-tions. We wish her a long and happy retirement.

Helen Petersen our NIHR Clinical Lecturer in Oral Surgery was awarded £29,900 from the Academy of Medical Sciences/Wellcome Trust as part of their

start up scheme for Clinical Lecturers. This will fund her work looking at the role of the innate immune system in orofacial granulomatosis and Crohn’s disease. Helen also hosted the first ever national peer mentoring event for aspiring dental academics here at UCL Eastman on 4th October 2013. The day was sponsored by NIHR and sup-ported by the Academy of Medical Sciences and brought together academic trainees from across the country. Talks included ‘How to make it in academia’ and ‘fellowship applications; dos and don’ts.’ The main thrust of the day was setting up the peer mentoring scheme for young dental aca-demics, including workshops on peer mentoring and even a ‘speed mentoring event!’ The day was well received and it is envisaged this will become a yearly meeting. It is hoped this will help create support and good working relationships between trainees across the country throughout academic dentistry.

Association of British Academic Oral and

Maxillofacial Surgeons

A BAOMS. ORG. UK

Six MClinDent postgraduates in Oral Surgery and three MSc postgraduates in Maxillofacial and Oral Surgery successfully completed their studies this October 2013. Three postgraduates progress to the third year of advanced training, whilst six first year MClinDents successfully passed their modular ex-aminations to enter the second year. A further seven postgraduates were enrolled this October, one MSc in Oral and Maxillofacial Surgery and six MClinDent in Oral Surgery. We are most grateful for the continued support of our External Examiner Prof Mark Greenwood and look forward to working with him again next year. Rachel Leeson continued in her roles as the Programme Director for the MSc and MClinDent Oral and Maxillofacial Surgery pro-grammes and as the External Examiner for the MSc in Oral and Maxillofacial Surgery in Manchester. This year Rachel also became the Deputy Graduate Tu-tor for PhD studies at UCL EDI and an Associate Editor for the Oral Surgery Journal. Colin Hopper

continues with his work on Photodynamic therapy and has been involved in a number of national and international conferences this year.

We were delighted that Eleni Bessi, a final year MSc postgraduate, recently won a poster prize at BAOS in Cardiff 25th-27th September for her MSc research topic “Adverse effects of drugs used in patients with Cranial Neuralgias”. Aastha Sobti, a first year MClin-Dent postgraduate, also recently presented her work “Genotypic Analysis of Cytokine and Toll like recep-tor genes in Chronic Periodontitis patients of North Indian population" on the 25th October at the Royal College of Surgeons of England for the British Society of Periodontology.

Kurt Busuttil Naudi—2013