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ORAL AND
MAXILLOFACIAL
SURGERY

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ORAL AND
MAXILLOFACIAL
SURGERY
THIRD EDITION
A. OMAR ABUBAKER, DMD, PhD
Professor and S. Elmer Bear Chair
Department of Oral and Maxillofacial Surgery
VCU School of Dentistry and VCU Medical Center
Virginia Commonwealth University
Richmond, Virginia
DIN LAM, DMD, MD
Private Practice
Charlotte, North Carolina
KENNETH J. BENSON, DDS
Private Practice - Central Carolina Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery
Apex, North Carolina

3251 Riverport Lane
https://t.me/medicina_free
St. Louis, Missouri 63043
ORAL AND MAXILLOFACIAL SURGERY SECRETS, THIRD EDITION ISBN: 978-0-323-29430-0
Copyright © 2016, Elsevier Inc. All Rights Reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treatment
may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such
information or methods they should be mindful of their own safety and the safety of others, including
parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each product
to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and
knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each
individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas
contained in the material herein.
Previous editions copyrighted 2007, 2001.
ISBN: 978-0-323-29430-0
Executive Content Strategist: Kathy Falk
Professional Content Development Manager: Jolynn Gower
Senior Content Development Specialist: Courtney Sprehe
Publishing Services Manager: Hemamalini Rajendrababu
Senior Project Manager: Divya KrishnaKumar
Design Direction: Ryan Cooke
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1

To all my teachers, especially those in the early years of my education,
https://t.me/medicina_free
for planting the seeds of scientific curiosity and thirst for knowledge.
To my mentors, who recognized and nourished the potential in me to
learn and teach.
To my students and residents, who taught me by asking me questions.
To my family, who supported me throughout all this.
AOA
To my wife, for the unconditional support that she has given me for
whatever selfish decisions i have made over the years. I am forever
thankful.
To my sons, Austin and Stephen, for the many nights and weekends that
i was not able to spend time with.
To my mom and brother who have provided me all they can to allow me
to become who i am today.
To my teachers and colleagues who challenge me constantly to allow
me to reach beyond my limit.
DL

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https://t.me/medicina_free

CONTRIBUTORS
https://t.me/medicina_free
Shelly Abramowicz, DMD, MPH
Assistant Professor
Department of Oral and Maxillofacial Surgery
School of Medicine
Emory University
Associate Chief, Section of Dentistry/Oral and
Maxillofacial Surgery
Children’s Healthcare of Atlanta
Atlanta, Georgia
A. Omar Abubaker, DMD, PhD
Professor and S. Elmer Bear Chair
Department of Oral and Maxillofacial Surgery
VCU School of Dentistry and VCU Medical Center
Virginia Commonwealth University
Richmond, Virginia
Ravi Agarwal, DDS
Assistant Program Director and Chairman
Department of Oral and Maxillofacial Surgery
Medstar Washington Hospital Center
Washington, DC
David M. Alfi, DDS, MD
Department of Oral and Maxillofacial Surgery
Houston Methodist Hospital
Houston, Texas
Fahad M. Alsaad, DDS
Chief Resident
Department of Oral and Maxillofacial Surgery
School of Dentistry and Medical Center
Virginia Commonwealth University
Richmond, Virginia
Ludmils Antonos, Jr., DMD
Resident
Department of Oral and Maxillofacial Surgery
School of Dentistry
Virginia Commonwealth University
Richmond, Virginia
Shahid R. Aziz, DMD, MD, FACS
Professor
Department of Oral and Maxillofacial Surgery
School of Dental Medicine
Rutgers, The State University of New Jersey
Newark, New Jersey
Shahrokh Bagheri, DMD, MD, FACS
Chief, Division of Oral and Maxillofacial Surgery
Department of Surgery, Northside Hospital
Georgia Oral and Facial Surgery, and Eastern
Surgical
Associates and Consultants
Atlanta, Georgia
Clinical Associate Professor
Department of Oral and Maxillofacial Surgery
Georgia Health Sciences University
Augusta, Georgia
Clinical Assistant Professor
Department of Surgery, School of Medicine
Emory University
Atlanta, Georgia
Adjunct Assistant Professor of Surgery
School of Medicine, University of Miami
Miami, Florida
Kenneth J. Benson, DDS
Private Practice - Central Carolina Oral and
Maxillofacial Surgery
Oral and Maxillofacial Surgery
Apex, North Carolina
Behnam Bohluli, DMD, OMFS
Associate Professor
Oral and Maxillofacial Surgery
Azad University
Tehran, Iran
Lauren G. Bourell, DDS, MD
Former Chief Resident of Oral and Maxillofacial
Surgery
Bellevue Hospital Center
New York University
New York, New York
Private Practice - Western Lake Erie Oral &
Maxillofacial Surgery
Toledo, Ohio
Hani F. Braidy, DMD, FRCD(C)
Associate Professor
Department of Oral and Maxillofacial Surgery
School of Dental Medicine
Rutgers, The State University of New Jersey
Newark, New Jersey
vii

viii CONTRIBUTORS
https://t.me/medicina_free
Tuan Bui, MD, DMD
Affiliate Assistant Professor
Department of Oral and Maxillofacial Surgery
School of Dentistry
Oregon Health and Sciences University
Private Practice - Head and Neck Surgical
Associates
Portland, Oregon
Srinivasa Chandra, MD, BDS, FDS, FDSRCS
Clinical Assistant Professor
Department of Oral and Maxillofacial Surgery
School of Dentistry
University of Washington
Seattle, Washington
Ray Cheng, DDS, MD
Resident
Department of Oral and Maxillofacial Surgery
College of Dentistry
New York University
New York, New York
Matthew Cooke, DDS, MD, MPH
Assistant Professor
Departments of Anesthesiology and Pediatric
Dentistry
School of Dental Medicine
University of Pittsburgh
Pittsburgh, Pennsylvania
Assistant Adjunct Professor
Departments of Pediatric Dentistry and Oral and
Maxillofacial Surgery
School of Dentistry
Virginia Commonwealth University
Richmond, Virginia
Renie Daniel, MD, DMD, MS
Private Practice - Charleston Area Medical Center
Charleston, West Virginia
George R. Deeb, DDS, MD
Associate Professor and Director of Graduate and
Undergraduate Implant Programs
Department of Oral and Maxillofacial Surgery
School of Medicine
Virginia Commonwealth University
Richmond, Virginia
Dean M. DeLuke, DDS, MBA
Associate Professor and Director of Predoctoral
Oral and Maxillofacial Surgery
Department of Oral and Maxillofacial Surgery
School of Dentistry and Medical Center
Virginia Commonwealth University
Richmond, Virginia
Bhavik S. Desai, DMD, PhD, Dip ABOM
Assistant Professor
Division of Oral Medicine
Department of Diagnostic Sciences
School of Dental Medicine
Tufts University
Boston, Massachusetts
Jasjit Dillon, DDS, MBBS, FDSRCS, FACS
Program Director, Department of Oral and
Maxillofacial Surgery
Clinical Assistant Professor, Oral and Maxillofacial
Surgery Department at Harborview Medical
Center
University of Washington
Seattle, Washington
Richard D’Innocenzo, DMD, MD
Clinical Professor and Director of Pre-doctoral
Education, Department of Oral and Maxillofacial
Surgery
Vice Chairman, Dentistry and Oral and Maxillofacial
Surgery, Boston Medical Center
Henry M. Goldman School of Dental Medicine
Boston University
Boston, Massachusetts
Lisa Marie Di Pasquale, DDS, MD
Resident
Division of Oral and Maxillofacial Surgery
School of Dental Medicine
University of Connecticut
Farmington, Connecticut
T.J. Dyer, DDS
Resident
Department of Oral and Maxillofacial Surgery
Henry M. Goldman School of Dental Medicine
Boston University
Boston, Massachusetts
Harry Dym, DDS
Chair, Dentistry and Oral and Maxillofacial Surgery
The Brooklyn Hospital Center
Brooklyn, New York
Siavash Siv Eftekhari, DMD, MD
Faculty/Fellow
Head and Neck Oncologic and Reconstructive
Surgery
Department of Oral and Maxillofacial Surgery
John Peter Smith Hospital
Fort Worth, Texas
Resident
Department of Oral and Maxillofacial Surgery
School of Dentistry
Oregon Health and Science University
Portland, Oregon

CONTRIBUTORS ix
https://t.me/medicina_free
Vincent Carrao, DDS., MD
Chief of the Division of Oral Maxillofacial Surgery
The Mount Sinai Hospital
One Gustave L. Levy Place
New York, New York
Sidney Eisig, DDS
George Guttmann Professor of Clinical Craniofacial
Surgery
Division Director of Oral and Maxillofacial Surgery
Chair of Hospital Dentistry
College of Dental Medicine
Columbia University
New York, New York
Chief, Hospital Dental Service
New York-Presbyterian Hospital/Columbia
University Medical Center
New York, New York
Ariel Farahi, MPH
USC Master of Public Health Program (MPH)
Doctoral (DMD) Candidate (2016)
School of Dental Medicine
University of Pennsylvania
Philadelphia, Pennsylvania
Tirbod Fattahi, MD, DDS, FACS
Chair and Associate Professor
Department of Oral and Maxillofacial Surgery
College of Medicine
University of Florida
Jacksonville, Florida
Rui Fernandes, DMD, MD
Associate Professor
Department of Surgery
College of Medicine - Jacksonville
University of Florida
Jacksonville, Florida
Ruben Figueroa, DMD, MS
Clinical Associate Professor
Department of Oral and Maxillofacial Surgery
Henry M. Goldman School of Dental Medicine
Boston University
Boston, Massachusetts
Joel M. Friedman, DDS, BA
Associate Professor of Clinical Surgery
Weill Cornell Medical College
Associate Attending Surgeon
New York-Presbyterian/Weill Cornell Medical Center
New York, New York
Clinical Associate Professor of Surgery (Dentistry,
Oral and Maxillofacial Surgery)
Weill Cornell Medical College
Cornell University
Ithaca, New York
Helen Giannakopoulos, DDS, MD
Associate Professor
Department of Oral and Maxillofacial Surgery
School of Dental Medicine
University of Pennsylvania
Philadelphia, Pennsylvania
James A. Giglio, DDS, MEd
Retired Professor
Department of Oral and Maxillofacial Surgery
School of Dentistry
Retired Professor of Surgery
Department of Surgery, Division of Oral and
Maxillofacial Surgery
School of Medicine
Virginia Commonwealth University
Richmond, Virginia
Steven G. Gollehon, DDS, MD, FACS
Director, Piedmont Facial Cosmetic and
Reconstructive Surgery
Private Practice - Piedmont Oral and Maxillofacial
Surgery Center
Greensboro, North Carolina
Michael J. Grau Jr., DMD
Assistant Program Director, Oral and Maxillofacial
Surgery Training Program
Department of Oral and Maxillofacial Surgery
Naval Medical Center
San Diego, California
Arin K. Greene, MD, MMSc
Department of Plastic and Oral Surgery
Boston Children’s Hospital
Associate Professor of Surgery
Harvard Medical School
Boston, Massachusetts
Bradley A. Gregory, DMD
Private Practice - Center for Oral and Maxillofacial
Surgery
Findlay, Ohio
Alden H. Harken, MD, FACS
Professor and Chairman
Department of Surgery
University of California-San Francisco, East Bay
Chief of Surgery
Department of Surgery
Alameda County Medical Center
Oakland, California
Tabetha R. Harken, MD, MPH
Associate Professor
Division of General Obstetrics and Gynecology
School of Medicine
University of California, Irvine
Irvine, California
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