Dental Asia May/Jun 2018

41 DENTAL ASIA MAY / JUNE 2018 E ar, Nose and Throat specialists (ENT) and dentists alike, dedicate their professional careers to the management of the upper aerodigestive tract and its appendages. It is very simple to provide clinical conditions where there is an overlap between the two professions, with the following immediately coming to mind: obstructive sleep apnoea, reƪux disease, bruxism and interceptive orthodontics as it relates to facial growth and development, and upper aerodigestive tract malignancies. As to be expected, the paradigm by which one group of specialists look at one thing is moulded by their education and learning. The old analogy of three blindfolded people feeling a di ơ erent part of an elephant, and coming to di ơ erent conclusions as towhat is before them, comes tomind. For the dental profession, the focus of assessment is the teeth, and for ENT it is everything above the palate. The truth is, however, that we are all dealing with the same anatomical landscape, and by understanding each other’s perspective, a greater appreciation of thewhole picture can emerge especially with respect to clinical management. The following summarises supportive literature as to why dentists that do more than “drill and Ƥll” should include an ENT surgeon as part of their clinical team. Likewise, it behoves an ENT who has an interest in working with dentists, to appreciate their perspectives on clinical conditions. Deviated septum ENT and Dentistry: Sample Cases for the Need to Work Together by Dr. Derek Mahony (Orthodontics) and Dr. David McIntosh (ENT) Clinical Assessment One of the biggest areas of dental medicine is the Ƥeld of upper airway obstruction. There is a signiƤcant number of untreated obstructive sleep apnoea, in the community, and this applies to both children and adults, alike. Of all the medical professions, dentists are by far the group that pays more attention to examining the oral cavity than any other. Such examinations, however, may only be conƤned to the teeth and adjacent mucous membranes, which is a shame as it presents a signiƤcant opportunity to detect additional pathology and provide advice on subsequent management that can make a medical di ơ erence to patients. Clinical Feature