Significant experience is gained in techniques of intravenous conscious sedation and restorative dental care of generally anesthetized patients in the operating room. CHMC provides experience with the medical work-up, management and rendering of comprehensive dental care to a wide variety of medically, physically, and mentally compromised infants and children including diagnosis, treatment planning, operative procedures, appliance therapy, and operating room dentistry. Residents assist the Oral Surgeons in the ward management of oral surgery patients, selected orthognathic reconstruction cases, treatment of emergent and non-emergent head and neck trauma, and assume the primary responsibility for the Oral surgery outpatient clinic. Principles of dentoalveolar surgery including flap technique, removal of impacted third molars, and biopsies of hard and soft tissue pathology are emphasized during this rotation. Significant operating room experience is available as well.
Residents render inhalation and regional anesthesia both under direct and limited supervision.
This rotation introduces the techniques of anesthetic care, with emphasis on gaining proficiency in patient assessment, venipuncture technique, patient monitoring, pharmacology of anesthetic medications, managing emergent situations, post-anesthetic recovery, and airway maintenance. The program enjoys an active after-hour emergency call service to the community. As such, the residents have the opportunity to treat a wide range of emergencies from major maxillofacial trauma to minor toothaches. Call is handled at both UWMC and CHMC on a rotating basis. During most of the academic year, dental students on rotation at UWMC are available to screen and provide assistance to the resident with both the work-ups and the treatment of the patients.