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- 1. CURRICULUM VITAECURRICULUM VITAE V Murugaraj (Raj) BDS, MFDS RCS (Eng), FFD RCSI (Oral Surgery and Oral Medicine) Oral Surgery Experience-14 yearsOral Surgery Experience-14 years Page 1 of 14
- 2. Personal Profile Name : V. Murugaraj Address : 11, Pimento Drive, Earley, Reading RG6 5GZ Telephone : 0118 9371494, 07758091567 GDC registration : 138050 Nationality : British citizen E-mail : murugarajv2000@yahoo.co.uk Academic Qualifications FFD RCSI (Oral Surg Oral Med) March 2011, Royal College of Surgeons of Ireland MFDS RCS (Eng) May 2005, Royal College of Surgeons of England, UK B.D.S (Bachelor in Dental Surgery) 1998, The Tamil Nadu Dr.M.G.R Medical University, Chennai, India Appointments Held Current PositionCurrent Position 1. Specialty Doctor in Oral & Maxillofacial Surgery (8 sessions) 02/06/08 to date Royal Berkshire NHS Foundation Trust, London Road,Reading 2. Oral Surgery Expert (Monday 6-8pm) Gipsy Lane Advanced Dental Care 5A Gipsy Lane, Lower Earley, Reading Most recent Oral surgery specialist services in primary care(3 sessions per week) West Berkshire PCT (Jan 2010 to April 2013) Gipsy lane Dental practice, Reading. Page 2 of 14
- 3. Previous Appointments Date Hospital/Primary Care Position 18/08/05 - 25/01/08 Dental Care Clinic, Chennai India. Oral surgeon 12/04/04 - 02/08/05 Barking,Havering and Redbridge Hospitals, Romford Senior House Officer in oral and maxillofacial surgery 06/02/02 -06/02/04 Leeds Teaching Hospitals Leeds Senior House Officer in oral and maxillofacial surgery 08/02/01 - 05/02/02 The MidYorkshire Hospital NHS Trust, Wakefield Senior House Officer in oral and maxillofacial surgery 02/02/00 - 01/08/00 Royal London Hospital, London House Officer in oral and maxillofacial Surgery 10/09/99 - 25/01/00 Queen Victoria Hospital, East Grinstead Clinical attachment in oral and maxillofacial Surgery Page 3 of 14
- 4. Clinical Experience Out Patient Clinic : 4 sessions per week We have a busy outpatient clinic as our department covers a large catchment population. An average of 14 to 15 patients per clinic seen by me includes combination of new and review patients. My clinic schedule includes 1. Joint Oral surgery / Orthodontics clinic - 2 sessions per month Consultation for a) Exposure of unerupted canines b) Removal of severely impacted canines, unerupted supernumerary teeth along with routine orthodontic extractions. c) Labial frenectomy 2. General clinic - 3 sessions per week Majority of referral covers wisdom teeth extractions followed by soft tissue oral lesions, medically compromised patients for dental extractions, complicated non wisdom teeth and failed extractions, management of complications of dental extraction, nervous patients requiring general anaesthetic, cyst management, second opinion on radiological findings and patients for apicectomy. Oral medicine A wide range of oral medicine patients are referred from Dentists & General practitioners to our department for management. As part of my preparation for the fellowship exam in Oral surgery which includes oral medicine, I have developed my interest in the diagnosis and management of patients with oral lesions. With the knowledge gained by constant updating and preparing for my lectures I have improved my diagnosis accuracy and appropriate management of these patients. Treating medically compromised patients As increasing number of medically compromised patients being referred to the secondary care for dental extractions and their management. The wide range of exposure and experience has given me full confidence in management including pre-operative precautions and anticipated post-operative complications following oral surgical procedures. Facial pain and temporomandibular disorders- 1 session per week An average of 12-14 patients with facial pain /TMJDS will be seen by me in the clinic and I have developed interest and skills in diagnosing and managing these condition. Page 4 of 14
- 5. Minor oral surgical procedures performed independently under local anaesthesia, IV Sedation and general anaesthesia. o Third molar and non third molar extractions o Management of complications of extraction including closure of oro antral fistula, tuberosity fracture, retrieval of root from sinus etc. o Coronectomy of third molars o Apicectomy with retrograde root filling +/- granuloma / cyst removal o Management of odontogenic and non odontogenic cyst o Management of odontogenic and other oral infections-Incision and drainage of dental abscess, debridement of infected wound etc. o Incisional / excisional biopsies of oral mucosal lesions o Labial gland biopsies o Management of salivary gland conditions - stone retrieval and duct dilatation o Cryotherapy o Exploration of hard and soft tissues o Management of dentoalveolar trauma patients including wiring and splinting the teeth etc. o Alveloplasty o Exposure and bonding of canine teeth o Surgical removal of impacted and supernumerary teeth o Extraction of deciduous teeth including submerged teeth o Labial and lingual frenectomy . Page 5 of 14
- 6. Previous Experience : SHO level - 6 years I have been exposed to a wide range of Oral and maxillofacial conditions during my SHO training which includes Head & Neck pathology , facial deformity congenital defects and facial trauma. I have also been involved in fracture reduction & fixation, abscess drainage, and management of patients with acute maxillofacial emergencies under guidance. I have assisted in Major Head & Neck surgical procedures including neck dissection, micro vascular reconstruction, using free flaps, salivary gland operations, repair of cleft lip & palate with iliac bone graft, osteotomy and temporomandibular procedures. During my period in the Leeds teaching hhospitals and Leeds Dental Institute I had opportunity to work under cconsultants with specific interests in the above field. I have also developed my knowledge and improvised my skills in the dentoalveolar surgeries with the help and support from my senior colleagues including procedure under local anaesthetic and intravenous sedation. During my career I have learnt to prioritise my duties, understand my limitations, seek help when appropriate and improved my communication skills and record keeping. I acquired knowledge and experience in treating patients with complex medical problems and dealt with medical emergencies in oral surgical setup. Additional Activities: Clinical supervisor and tutor for junior trainees In our department, I am actively involved in supervising and guiding the junior trainees in order to help them to gain confidence in treating oral surgery patients. I also conduct minor oral surgery and clinic sessions with junior trainees under the instruction of consultants and work together on patients under local and general anaesthetics to help them to gradually develop confidence and improve the surgical skills. I organise and deliver weekly tutorials to the junior members and nursing staffs in the view of helping them to prepare for the membership exams and to discuss current thinking and evidence based approach. Page 6 of 14
- 7. Clinical governance activities Regular attender of clinical governance meetings and work together with my colleagues to improve quality of service and ensure high standard of care to the patients treated in our department So far my contribution towards achieving the above goal includes regular course attendance including mandatory training, involve and support junior trainees in audit projects, to implement evidence based approach, identify and support risk management in our working environment. Since 2008, I have developed number of protocols and policies for our department in the view of providing standardised care to our patients in treating a particular condition. The following protocols were developed by me since 2008 1. Antibiotic prophylaxis before dental extraction to prevent infective endocarditis-October 2008 2. Steroid cover before Dental extractions - October 2008 3. Antibiotic prophylaxis before dental extraction for patients on bisphosphonates - November 2009 4. Follow-up policy in outpatient clinic - March 2010 5. Surgical safety checklist for minor oral surgical procedures-May 2014 Teaching Experience I have developed the teaching programme in our department from August 2008 for the SHO/DF2s with weekly lectures session aimed to help them to prepare for the membership exams and ensure they were kept up-to-date with the current developments in oral surgery. The teaching session covers a wide range of oral surgery topics, including discussions of papers and journal club meetings under the supervision of consultants. I have lectured along with my consultant to the local dentists organised by the Deanery, and planned to continue delivering periodic lectures in the future. I took every opportunity to seek advice and suggestions from my senior colleagues, and always wanted to give my best input to deliver precise and informative lectures in order to reach Individuals with varied levels of exposure in the field of oral surgery.Due to my academic interest and passion towards teaching, this opportunity and responsibility has given me encouragement to update regularly with a view to prepare for these lectures. I have also attended relevant courses in relation to teaching and mentoring to develop my skills. Page 7 of 14
- 8. Details of Lectures given Date Topic 26/03/14 Bisphosphonates and osteonecrosis of the Jaw (Gypsy lane Advanced Dental care, Reading) 19/04/12 Diagnosis and Management of White, Red and Potentially Premalignant Lesions Of The Mouth Education Centre. Royal Berkshire Hospital, Reading 24/03/10 Changing role of Apicectomy- Royal Berkshire Hospital, Reading 07/12/11 Temporomandibular disorders- Royal Berkshire Hospital, Reading 12/11/11 Brush biopsy in oral surgery- Royal Berkshire Hospital, Reading 18/05/11 Multilocular radiolucency of the mandible Royal Berkshire Hospital, Reading 15/09/10 Management of facial swelling- Royal Berkshire Hospital, Reading 25/08/10 Odontogenic cysts of the jaws- Royal Berkshire Hospital, Reading 21/07/10 Assesment of wisdom teeth prior to removaL Royal Berkshire Hospital, Reading 20/01/10 Salivary gland disease- Royal Berkshire Hospital, Reading 21/10/09 Complications of dental extractions and management Royal Berkshire Hospital, Reading 14/10/09 Impacted wisdom teeth surgical techniques Royal Berkshire Hospital, Reading 22/09/09 Examination of patients with facial bone fracture Royal Berkshire Hospital, Reading 28/04/09 Trigeminal neuralgia- Royal Berkshire Hospital, Reading 21/01/09 Infection control in oral surgery- Royal Berkshire Hospital, Reading Page 8 of 14
- 9. Research Activities 1. Randomised controlled trial to evaluate the effectiveness of oxidised regenerated Cellulose and gelatin sponge in post extraction complications in patients on warfarin. IRAS Project ID: 133157 Actively pursuing a formal research project, based on data obtained from previous Pilot audit conducted on patients treated in my outpatients minor oral surgery Clinic during the period from December 2008 to November 2011 at Royal Berkshire Hospital, Reading Data presented at the International Association of Oral & Maxillofacial surgeons Scientific meeting at Barcelona-12/07/13 Audits 1. Outcome Audit; Post Extraction of Mandibular Third Molar 2014 2. Audit on occurrence of post extraction bleeding in patients on Warfarin who had Oxidised cellulose and gelatin sponge packed in their extraction sockets- 2013 3. Audit of 2 week referrals to the Oral and Maxillofacial Department 2011 4. Quality of radiographs sent with referrals to RBH for dental extractions-2008 Courses attended 11/03/15 IRMER(Radiography and Radiation protection) Royal Berkshire Hospital, Reading 26/01/15 Adult basic life support Royal Berkshire Hospital, Reading 19/02/14 Bone level implants International team for implantology,Reading 11/12/13 Critical Appraisal Workshop Royal Berkshire Hospital, Reading 23/09/13 Good Clinical Practice-A Practical guide to Ethical Royal Berkshire Hospital, Page 9 of 14
- 10. and Scientific quality standards in clinical research Reading 15/05/13 Restorative training on Ankylos Implants Densply implants,Reading 29/04/13 Immediate life support Resuscitation council(UK) 05/09/12 Endodontics and Implants,The Evidence British Dental Association,Reading 20/01/12 BAOS Oral Surgery Study day Kings College London(British Association of oral surgeons) 25/11/11 Mentoring Skills for SAS Doctors Oxford Deanery 29/10/11 TMJ Surgery Master Class Royal College of Surgeons, 26/08/11 Effective Teaching Skills for SAS Doctors Royal College of Physicians Oxford Deanery, Oxford 06/04/11 Medical Emergencies British Dental Association, Reading 02/03/11 Oral Cancer Management Pathway British Dental Association, Reading 10/12/10 Basic Educational Supervisor Training Oxford Deanery 23/06/10 Osteotomy Planning Laboratory Technique Royal Berkshire Hospital 10/06/10 Maxillofacial Prosthesis Fabrication Royal Berkshire Hospital 27/01/10 Medical Emergencies in Oral Surgery Mr Patel, Royal Berkshire Hospital, Reading 17/12/09 Manual Handling Training Royal Berkshire Hospital, Reading 30/06/09 Health and Safety &Conflict Management Royal Berkshire Hospital, Reading 26/06/09 Oral Surgery- The Future Oxford Deanery 27/02/09 Update in Radiography and Radiation Protection Royal Berkshire Hospital Reading 04/02/09 Modern Oral Surgery Guys and Kings college Hospital 14/01/09 Update on infection control Royal Berkshire Hospital Reading 10/03/05 Management of facial trauma Post graduate dental education Eastern Deanery, Newmarket 23/02/05 Adult Basic Life Support Barking, Havering and Redbridge Hospitals, Romford 13/12/04 Cross infection control Old church Hospital, Romford 27/10/04 Radiation protection Luton and Dunstable Hospital, Luton 26/05/04 Junior Papers day Basildon and Thurrock Hospital 03/05/02 Maxillofacial plating course Manchester Dental School, Manchester Page 10 of 14
- 11. 2-4/11/11 Trauma Skills Course University of Birmingham Sedation Course 06 -07/03/10 National Course in Conscious Sedation, (SAAD) Society for the advancement of anaesthesia in dentistry, London Implantology Year Course 04//5/12 Dental Implantology theory study-Module 1 UK Implantology Year course,Cambridge 01/06/12 Dental Implantology surgical skills-Module 2 UK Implantology Year course,Cambridge 06/07/12 Dental Implantology theory study-Module 3 UK Implantology Year course,Cambridge 04/09/12 Dental Implantology surgical skills-Module 4 UK Implantology Year course,Cambridge 05/10/12 Dental Implantology theory study-Module 5 UK Implantology Year course,Cambridge 09/11/12 Dental Implantology surgical skills-Module 6 UK Implantology Year course,Cambridge 07/12/12 Dental Implantology theory study-Module 7 UK Implantology Year course,Cambridge 11/01/13 Dental Implantology surgical skills-Module 8 UK Implantology Year course,Cambridge 22/02/13 Dental Implantology surgical skills-Module 9 UK Implantology Year course,Cambridge 08/03/13 Dental Implantology surgical skills-Module 10 UK Implantology Year course,Cambridge Page 11 of 14
- 12. Publications: Metastatic colorectal adenocarcinoma of the Jaw - A Case Report V.Murugaraj, Paul Bischoff, Shirlaine Fasanya, Sabina Hameed Journal: Oral Surgery Vol 6, Issue pages 88-90, May 2013 reference DOI: 10.1111/ors.12012 Low-grade mucoepidermoid carcinoma of the palate - a previously unreported case of metastasis to the liver Herd MK, Murugaraj V, Ghataura SS, Brennan PA, Anand R. Journal: Journal of Oral and Maxillofacial Surgery J Oral Maxillofac Surg. 2012 Oct;70(10):2343-6. doi: 10.1016/j.joms.2011.11.019 Intravascular Papillary Endothelial Hyperplasia (Masson's tumour) of the Oral Mucosa V. Murugaraj, G.T. Kingston, M. Patel, R. Anand Journal : British Journal of Oral and Maxillofacial surgery Br J Oral Maxillofac Surg. 2010 Jun;48(4):e16-7. doi: 10.1016/j.bjoms.2009.12.009 Essentials of suturing facial laceration- Educational video A Kalsi, E Stewart, V Murugaraj, D Dhariwal British association of oral and maxillofacial surgeon BAOMS website - Education and training. Denosumab-induced osteonecrosis of the jawA case report Sheena Vyas, Sabina Hameed, V. Murugaraj Journal: Dental Update- June 2014; 41: 449-450 Intracranial meningioma the cause of orofacial paresthesia Anish Patel,V.Murugaraj, Mr. Patel Journal: Dental Update Sep 2014; 41: 624-627 Page 12 of 14
- 13. Presentations: 25/03/15 - Comparison of Surgical techniques for wisdom teeth removal Royal Berkshire Hospital, Reading 25/03/15 - Flapless surgery for wisdom teeth removal, Royal Berkshire Hospital, Reading 25/03/15 - Post op socket irrigation in the prevention of dry socket Royal Berkshire Hospital, Reading 25/03/15- Coronectomy Vs Wisdom tooth removal - Royal Berkshire Hospital, Reading 18/04/13 - Implantology year course, Overview - Royal Berkshire Hospital, Reading 14/07/09 - Effectiveness of surgicel Vs gelitaspon - Royal Berkshire Hospital, Reading 15/01/03 - Adenoid cystic carcinoma of submandibular gland-Leeds Teaching Hospitals 12/07/01- Botulinum toxin in the management of drooling-Mid Yorkshire Hospital, Wakefield Log Book E Log Book of Royal College of surgeons Registered and updated regularly Other Interests Playing Cricket and Gardening Interested in educating young children about Oral health awareness (Speech given-Redlands Nursery, Reading-10/05/2012 ) Page 13 of 14
- 14. Career Aims and Goals To keep up to date with the current developments in Oral Surgery and consolidate my professional skills and knowledge. To involve in teaching , training and research activities related to Oral Surgery In order to achieve my aims and goals, I constantly update myself by attending relevant lectures and reading articles in the search of current thinking in the management of different oral surgery conditions. I give periodic lectures and presentations and use the opportunity to learn and share the knowledge References 1. Mr Mohan Patel, BDS,MBBS,FDSRCS,LLM Consultant Oral and Maxillofacial Surgeon Royal Berkshire Hospital Reading RG1 5AN Ph. 01183227670 Fax 01183227675 Email- mohan.patel@royalberhshire.nhs.uk 2. Mr Niall McLeod , FRCS (OMFS) FDS MRCS Consultant Oral and Maxillofacial Surgeon Royal Berkshire Hospital and John Radcliffe Hospital Reading RG1 5AN Ph. 01183227668 Fax 01183227675 Email-niall.mcleod@royalberkshire.nhs.uk Page 14 of 14