Thomas Dodson

Thomas Dodson
University of Washington Seattle | UW · Department of Oral and Maxillofacial Surgery / Oral Pathology

DMD, MPH

About

269
Publications
27,704
Reads
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12,513
Citations
Additional affiliations
September 2013 - present
University of Washington Seattle
Position
  • Professor (Full) and Chair, Associate Dean of Hospital Affairs
July 1998 - August 2013
Massachusetts General Hospital
Position
  • Professor (Full)
July 1990 - June 1998
Emory University
Position
  • Professor (Associate)

Publications

Publications (269)
Article
Strategies for management of patients with, or at risk for, medication-related osteonecrosis of the jaws (MRONJ) – formerly referred to as bisphosphonate related osteonecrosis of the jaws (BRONJ) – were set forth in the American Association of Oral and Maxillofacial Surgeons (AAOMS) position papers in 2007,¹ 2009² and 2014.³ The position papers wer...
Article
Purpose: Oral and maxillofacial surgeons (OMSs) must manage post-operative pain control for patients who take illicit substances. The purpose of this study was to measure and compare the amount of opioid prescribing between patients with and without self-reported substance use history (SUH) by OMSs after third molar (M3) removal. Materials and Meth...
Article
Purpose Our Level I trauma center provides care over a large geographic area including Alaska, Washington, Idaho, Montana, and Wyoming, with many patients traveling hundreds of miles to receive care. Distance to a treatment site is documented to be an independent risk factor for complications after multisystem trauma, but it is unclear if it is a r...
Article
Purpose Treating mandibular fractures urgently is controversial. The purpose of this study was to estimate and compare the rates of postoperative inflammatory complications (POICs) in patients with isolated mandibular fractures treated non-urgently using an outpatient protocol versus a traditional, urgent inpatient protocol. Methods The investigat...
Article
Purpose Coronectomy is performed to avoid injury to the inferior alveolar nerve (IAN) when mandibular third molars (M3s) in close proximity to the IAN are indicated for extraction. Concern has been raised regarding the fate of submerged roots with exposed pulp tissue and whether this will serve as a nidus for infection. The study purpose was to ans...
Article
Background The sagittal split osteotomy (SSO) of rami with fused or no marrow space above the lingula may increase the risk for an unfavorable osteotomy split of the proximal ramus. To reduce the risk of a proximal segment fracture, a recent modification of the SSO places the medial horizontal osteotomy below the lingula. The purpose of this work w...
Article
Purpose When the inferior alveolar nerve (IAN) is contained within the proximal segment following a mandibular SSO (SSO), conventional teaching is to release the nerve so that it freely enters the distal segment. However, manipulation of the IAN may cause further injury. The purpose of this study was to measure IAN neurosensory recovery in SSOs whe...
Article
Purpose: To address the shortcoming of reporting P values, several leading medical journals have revised their authors' guidelines for reporting results, specifically mandating the use of confidence intervals (CIs). The purpose of the present study was to evaluate the frequency of reporting CIs in randomized clinical trials (RCTs) by academic oral...
Article
Purpose: Although bikeshare programs can relieve traffic congestion, concerns for cyclist safety have been reported, secondary to the low frequency of helmet use observed among bikeshare users. The purpose of the present study was to measure and compare the risk of cycling-related maxillofacial injuries in communities with and without bikeshare pr...
Article
Purpose: Dog bites to the head, neck, and face (HNF) disproportionately affect children. It is unclear if specific facial regions are uniquely at risk in this population. Both the periorbital region and the central target area (CTA; nose, lips, and cheeks) have been proposed as being at increased risk. This study addressed the following question:...
Article
Purpose: In response to the national opioid epidemic crisis, the purpose of this study was to measure changes in opioid and non-narcotic analgesia (NNA) prescribing practices over time after third molar (M3) removal. Materials and methods: A retrospective double cohort study was utilized enrolling 2 samples of patients who had M3s removed during...
Article
Purpose: Given the increasing use of bicycles for local transportation and recreation, the purpose of the present study was to measure the effects of bicycle helmets on the frequency and severity of maxillofacial injuries. The specific aims were to measure and compare the frequencies and severity of maxillofacial injuries between injured bicyclist...
Article
Purpose: Developing a valid method for assessing mandibular injury severity could permit standardized comparisons of treatment-specific outcomes between and among various mandibular fracture studies. The study purpose was to assess the validity of the Mandible Injury Severity Score (MISS) developed by Shetty et al (J Oral Maxillofac Surg 65:663, 2...
Article
Purpose: Several studies of surgical specialties have shown disparities in measures of research productivity and academic rank between female and male surgeons. The purpose of this work was to measure the role of surgeon gender in academic success in oral and maxillofacial surgery. Materials and methods: We performed a cross-sectional study of f...
Article
The purpose of this study was to identify the characteristics associated with highly cited papers in orthognathic surgery. This was a cohort study of articles published in the English-language literature from 1900 to 2017. Citation databases were searched for papers related to orthognathic surgery and the most frequently cited papers were identifie...
Article
Full-text available
The pseudomyogenic hemangioendothelioma (PMH) is a low-grade malignant vascular neoplasm of different tissue planes including skin and soft tissue. Primary tumors in the skeletal muscle and bone have also been diagnosed. The PMH was introduced into the WHO classification of tumors of soft tissue and bone in 2013. This is the first description of or...
Article
Purpose: The purpose of this study was to answer the following clinical question: of patients who have their third molars (M3s) removed, do those who receive only postoperative antibiotics compared with those who receive no perioperative antibiotics have a lower frequency of postoperative inflammatory complications? Materials and methods: The au...
Article
Full-text available
Four cases of cutaneous S-100 negative granular cell tumor were described in 1991. Until now, only 3 cases of oral involvement have been documented in English literature. Two additional cases of oral S-100 negative granular cell tumor are described. Immunohistochemical markers were applied to exclude other lesions that may show the presence of gran...
Article
Purpose: Pursuing promotion in academic rank and seeking funded research opportunities are core elements of academic practice. Our purpose was to assess whether formal research training influences academic rank or National Institutes of Health (NIH) funding among full-time academic oral and maxillofacial surgeons (OMSs). Materials and methods: W...
Article
The Publisher regrets that this article is an accidental duplication of an article that has already been published, https://doi.org/10.1016/j.joms.2017.03.056. The duplicate article has therefore been withdrawn. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal
Article
Purpose: Citation rate is one of several tools to measure academic productivity. The purposes of this study were to estimate and identify factors associated with citation rates in the oral and maxillofacial surgery (OMS) literature. Materials and methods: This was a retrospective longitudinal study of publications in the Journal of Oral and Maxi...
Chapter
The reported frequencies of penetrating maxillofacial injuries in the English literature range from 14 % to 52 %. The wide range in reported frequencies is a function of the institution’s location and referral patterns. Level 1 emergency departments (EDs) located in an urban environment and military units are more likely to see a large volume of pe...
Article
Background and overview: Oral melanomas vary in color and morphology and resemble myriad other reactive, benign, or malignant conditions. The authors describe a case report of a patient with a primary oral melanoma that presented as a nonspecific ulcer, which showed nodal metastasis during resection. Case description: A 64-year-old man who was e...
Article
Purpose: The role of antibiotic use in third molar (M3) surgery is controversial. The purpose of this study was to measure the association between antibiotic use and postoperative inflammatory complications after M3 surgery in the community office-based ambulatory private practice setting. Materials and methods: The authors designed and implemen...
Article
Purpose: Benchmark statistics are used in quality assurance/quality improvement processes. The purposes of the present report are to 1) review the rationale for a new specialty-specific benchmark study, 2) summarize the methods to create a practice-based research collaborative (P-BRC) designed for collecting data to create benchmarks, and 3) descr...
Article
Purpose: Management of zygomaticomaxillary complex (ZMC) fractures should be based on injury patterns and not on training background. This study assessed management decisions for ZMC injuries among surgeons with different training backgrounds. Materials and methods: This was a cross-sectional study of surgeons who evaluated 5 ZMC injury cases. T...
Article
Purpose To examine the complications resulting from moderate sedation versus deep sedation/general anesthesia for adolescent patients undergoing third molar extraction and determine whether any differences in complication risks exist between the 2 levels of sedation. Materials and Methods We performed a prospective study of the Oral and Maxillofac...
Article
This article provides the best current frequency estimate of medication-related osteonecrosis of the jaws (MRONJ), and identifies factors associated with the risk of developing osteonecrosis of the jaw (ONJ) among patients exposed to relevant medications (ie, antiresorptive or antiangiogenic agents). MRONJ is a rare but serious complication of canc...
Article
Academic promotion is linked to research productivity. The purpose of this study was to assess the correlation between quantitative measures of academic productivity and academic rank among academic oral and maxillofacial surgeons. This was a cross-sectional study of full-time academic oral and maxillofacial surgeons in the United States. The predi...
Article
Assessing program quality and outcomes is essential to improve postgraduate dental education. This study's aims were to document career direction and practice patterns of graduates of the Brigham and Women's Hospital (BWH) General Practice Residency (GPR), to compare BWH GPR outcomes to those of other American GPRs, and to identify characteristics...
Article
Quantitative measures of research productivity depend on the citation frequency of a publication. Citation-based metrics, such as the h-index (total number of publications h that have at least h citations), can be susceptible to self-citation, resulting in an inflated measure of research productivity. The purpose of the present study was to estimat...
Article
The American Association of Oral and Maxillofacial Surgeons Board of Trustees mandated monitoring using capnography during moderate sedation (MS) and deep sedation or general anesthesia (DS/GA) delivered in the office setting effective January 1, 2014. The purpose of this study was to estimate the frequency of capnography use and to identify variab...
Article
Evidence-based practice is an important concept for surgeons. The purpose of this study was to assess the quality of evidence in the craniomaxillofacial surgery (CMS) literature. This was a retrospective cohort study of patient-oriented articles published in 9 journals. The primary predictor variable was the year of publication (September 2007 to A...
Article
To determine whether the clinical management of odontogenic keratocysts (OKCs) is more complex in patients who undergo enucleation with or without adjuvant therapy than in patients who undergo decompression with or without residual cystectomy. The authors implemented a retrospective cohort study and enrolled a sample composed of patients presenting...
Article
The purpose of our report was to determine clinically whether young adults who elect to retain their asymptomatic third molars (M3s) have a risk of undergoing 1 or more M3 extractions in the future. To address our clinical question, we designed and implemented a systematic review. The studies included in the present review were prospective, had a s...
Article
Strategies for management of patients with, or at risk for, Medication-Related Osteonecrosis of the Jaw (MRONJ) were set forth in the American Association of Oral and Maxillofacial Surgeons (AAOMS) Position Papers in 2007 and 2009. The Position Papers were developed by a Special Committee appointed by the Board and composed of clinicians with exten...
Article
Full-text available
Abstract Purpose: To estimate the magnitude of crestal bone loss and to identify factors associated with changes in crestal bone height following placement of dental implants. Materials and Methods: This was a retrospective cohort study, consisting of a sample derived from the population of patients who had at least one dental implant placed in a c...
Article
Our aim was to answer the question: "Among patients at high risk of injury to the inferior alveolar nerve (IAN) after removal of 3rd molars, what factors are associated with postoperative neurosensory deficits?" We organized a retrospective, two-center study and enrolled a group of subjects who were at increased risk of injury to the IAN after remo...
Article
Founded in 1811, the Massachusetts General Hospital recently celebrated its bicentennial. The War of 1812 delayed construction of the building so the first patient actually was admitted to the hospital 10 years later, on September 3, 1821. By 1823, the 60 hospital beds were full. Patient 66 was admitted on February 28, 1823, and his hospital course...
Article
Bisphosphonate (BP)-related osteonecrosis of the jaw (BRONJ) presents with necrotic bone in the mouth in the setting of BP exposure. It has been studied in cancer patients taking high-dose BP, but BRONJ has also been noted in patients taking lower-dose BP for osteoporosis. The purpose of this study was to characterize the phenotypes and outcomes in...
Article
PURPOSE: To answer the clinical question: Among patients treated for odontogenic keratocysts (OKCs), what is the overall 5-year disease-free rate and what factors are associated with disease recurrence? MATERIALS AND METHODS: The investigators implemented a retrospective cohort study and enrolled a sample composed of patients presenting for the eva...
Article
Full-text available
Objective: To estimate the impact of infection-related never events (postoperative pneumonia, Clostridium difficile infection, infection with microorganisms resistant to penicillin, postoperative infections, and decubitus ulcers) following radical neck dissections for head and neck cancers. Study design: The 2008 Nationwide Inpatient Sample was...
Article
Objectives: This study examines 9-year discharge patterns and changes in outcomes in oral cancer hospitalizations in the United States. Study design: All hospitalizations with primary diagnosis of oral and oropharyngeal cancers were selected from 2000 to 2008 Nationwide Inpatient Sample. Association between outcomes (in-hospital mortality, lengt...
Article
The objective of this study was to identify factors associated with the conversion of scientific abstracts to publications in peer-reviewed journals. This was a retrospective study of abstracts presented by members of the Massachusetts General Hospital Department of Oral and Maxillofacial Surgery between 2000 and 2010. Predictor variables were cate...
Article
Objective: The aim of this study was to identify variables associated with infection-related never events in patients undergoing radical neck dissections for head and neck cancer. Study design: All hospitalizations with head and neck cancer that underwent radical dissection of cervical lymph nodes were selected from the Nationwide Inpatient Samp...
Article
Purpose: The purpose of the present study was to develop and validate a statistical model to predict third molar (M3) operative time. Materials and methods: This was a prospective cohort study consisting of a sample of subjects presenting for M3 removal. The demographic, anatomic, and operative variables were recorded for each subject. Using an...
Article
The purpose of the present report was to define and advocate active surveillance compared with follow-up as needed (prn follow-up), as the preferred management strategy for patients who elect to retain their third molars (M3s). Active surveillance, a nonoperative management strategy for retained M3s, is characterized as a prescribed, regularly sche...
Article
The purpose of this report was to summarize the frequencies of third molars (M3s) in general and asymptomatic, disease-free M3s specifically. Estimates of M3 prevalence range so widely (ie, 6.0% to 96%) as to be of little use. The estimates vary depending on definitions, age, clinical versus radiographic assessment, and patient versus population sa...
Article
PURPOSE: To identify factors associated with functional sensory recovery (FSR) after lingual nerve repair. MATERIALS AND METHODS: This retrospective cohort study was composed of subjects who underwent lingual nerve repair from 2004 through 2010. The predictor variables were demographic, anatomic, and operative measurements. The primary outcome meas...
Article
To determine whether the clinical behavior of giant cell lesions (GCLs) or their anatomic location can be differentiated by histologic criteria alone. We performed a retrospective study of patients with GCLs treated at Massachusetts General Hospital between 1993 and 2008. Predictor variables were histologic parameters: number of giant cells (GCs) p...
Article
Full-text available
To compare the accuracy of intraoperative frozen section (FS) and preoperative incisional biopsy (IB) techniques to diagnose benign intraosseous jaw lesions. This is a retrospective cohort study composed of subjects with benign intraosseous jaw lesions. The predictor variable was the technique for establishing a preliminary diagnosis of the lesion,...
Chapter
Generally, maxillofacial injuries do not create major resuscitation challenges. As such, immediate attention needs to be directed toward evaluating and managing the airway and bleeding. After the patient is stabilized, the long-term treatment objectives are to restore facial form and function while preventing or minimizing complications, e.g., infe...
Article
Two common treatments of temporomandibular joint ankylosis are gap arthroplasty and ankylosis resection and reconstruction of the ramus-condyle unit with a costochondral graft. The purpose of the present study was to answer the following clinical question: "Among patients with temporomandibular joint ankylosis, do those patients who undergo gap art...
Article
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Blood loss in orthognathic surgery: a systematic review. Piñeiro-Aguilar A, Somoza-Martín M, Gandara-Rey JM, García-García A. J Oral Maxillofac Surg 2011;69(3):885-92. REVIEWER: Thomas B. Dodson, DMD, MPH PURPOSE/QUESTION: To determine the range of information available to help surgeons better prepare th...
Article
Surgical removal of impacted third molars remains the most common procedure performed by oral and maxillofacial surgeons. Given the abundance of host bacteria within the operative sites, surgical site infections are among the most common complications of third molar removal, with an estimated frequency of 1% to 30%. In this setting, significant con...
Article
The use of prophylactic antibiotics in implant dentistry is controversial. Given the known risks of antibiotic treatment and lack of consensus on using antibiotics at the time of implant insertion, the purpose of this article was to review available studies on use of perioperative prophylactic antibiotics at the time of implant placement and to pro...