Medico legal Curriculum Vitae of Mr Keith G Smith  FDSRCS  PhD Consultant Oral and Maxillofacial Surgeon

Contact and Correspondence

Address:Newton House, Coombs Road, Bakewell, Derbyshire, DE45 1AQ
E-mail:k.g.smith@keithsmithomfs.co.uk
Website:www.keithsmithomfs.co.uk
SECRATARY
Tel:01629 812756
Fax:01629 813084
E-mail:secretary@keithsmithomfs.co.uk

Academic Qualifications

i)Bachelor of Dental Surgery (with Honours), University of Newcastle-upon-Tyne.1981
ii)Fellowship in Dental Surgery, Royal College of Surgeons (England).1985
iii)Certificate of Accreditation in Oral and Maxillofacial Surgery, Royal College of Surgeons (England).1993
iv)Doctor of Philosophy, University of Sheffield.1994

Full Registration with the General Dental CouncilRegistration no: 55350
General Dental Council Specialist ListOral Surgery
Membership of Dental Defence UnionMembership no: 162199X

Appointments

Consultant Oral and Maxillofacial Surgeon, BMI Thornbury Hospital Sheffield.March 1995PRESENT
Senior Lecturer in Oral and Maxillofacial Surgery, University of Sheffield.March 1995March 2017
Honorary Consultant Oral and Maxillofacial Surgeon, Sheffield Teaching Hospitals NHS Trust.March 1995March 2017

Management and Administration

Clinical Lead for Diagnostic and Surgical Services (Oral and Maxillofacial surgery, Oral Pathology and Oral Radiology), Sheffield Teaching Hospitals NHS Trust.April 2002April 2005
Head of Department of Oral and Maxillofacial Medicine and Surgery, University of Sheffield.August 2005August 2009
Clinical Lead for Oral and Maxillofacial Surgery, Sheffield Childrens Hospital.October 2010March 2017
Training Programme Director for Oral Surgery, Yorkshire and Humber Deanery.October 2011March 2107

Membership of Learned Societies

Fellow of the British Association of Oral and Maxillofacial Surgeons.
Member of the Association of British Academic Oral and Maxillofacial Surgeons.
Member of the British Association of Oral Surgeons.
Member of AO-CranioMaxilloFacial Society.
Fellow of the Royal Society of Medicine.
Member of the British and Irish Society of Oral Medicine.

National Profile

I am a Member of Council of the Medical Defence Union and a member of the Dental Advisory Committeee of the Dental Defence Union.2015PRESENT
I am a Member of the General Dental Council panel of Experts/Advisor to the fitness to Practice Committee.2014PRESENT
I was the President of the British Association of Oral Surgeons, my two years of office commenced on 1st January 2012 ending on 31st December 2014.20122014
I also represented the BAOS on the Senate of Dental Specialities of the RCS of England and I was a member of the Council of the European Federation of Oral Surgery Societies.20122015
In 2007 I was the founding Editor-in-Chief of the journal, 'Oral Surgery', the Journal of the British Association of Oral Surgeons, which I edited for five years until December 2012 and I continue as a member of the Editorial Board.2012PRESENT
I was the Representative of the Royal College of Surgeons of England on the Specialist Advisory Committee in Oral Surgery20102015
I was a member of the Clinical Standards Committee of the Faculty of Dental Surgery (FDS RCS) for five years until April 2014. The Committee promotes clinical effectiveness across all dental specialties. As the Oral Surgery representative on the committee I was involved the updating of the RCS guidelines on wisdom tooth removal.20092014
I was a member of the Specialty Advisory Panel in Oral Surgery of the Faculty of Dental Surgery (RCS England)20102015
I was a member of the Senate of Dental Specialties of the Royal College of Surgeons of England20112013
I was the Royal College of Surgeons Specialist Advisor in Oral Surgery for the East Midland Region20102017
I was the Royal College of Surgeons Specialist Advisor in Oral Surgery for the Yorkshire and Humber Region20102015
I was an Examiner for the Tri-collegiate (Royal Colleges of Surgeons of England, Edinburgh and Glasgow) Specialty Fellowship Examination (ISFE) in Oral Surgery20112015

Medicolegal Experience

I prepare 30 - 35 medicolegal reports a year mainly for cases involving medical and dental negligence (approximately equal number Claimant and Defendant). 

I also prepare a small number of reports for personal injury cases.

I have acted as medicolegal Expert Witness in both Civil Courts and in General Dental Council Fitness to Practice Hearings, where I have acted both as an Expert for the General Dental Council and as an Expert for the Defendant. I am regularly instructed as an Expert Witness by NHS Resolution

During the two last years I have been instructed as an Expert witness, both Defence and Prosecution, by;

                                                The General Dental Council

                                                The General Medical Council

                                                The Dental Defence Union

                                                The Medical Defence Union

                                                The Medical Protection Society

                                                Several firms of Solicitors

Training as an Expert Witness

General Dental Council Training Days for Experts and Advisors;
- Capsticks SolicitorsMarch 2014
- Blake Morgan SolicitorsJune 2017
Bond Salon training days;
- Medico-legal Report writing
- Day in Court
Inspire MediLaw’s Expert Witness Training Course
- 2 Day training Course in Conjunction with the GMC
- 14th & 15th November 2018
Medicolegal Conference Annual Conference London May 2019

Clinical and Research Special Interests

My specialist field is Oral & Maxillofacial Surgery.  I was a Senior Lecturer in Oral & Maxillofacial Surgery at the University of Sheffield and Honorary Consultant Oral and Maxillofacial Surgeon at the Sheffield Teaching Hospitals NHS Foundation Trust for over 22 years until March 2017.  I now practice Oral and Maxillofacial Surgery at the BMI Thornbury Hospital in Sheffield and I have a private Oral Surgery Specialist Practice, in addition to my medicolegal practice. I undertake a broad range of work within the field of Oral Surgery and Oral and Maxillofacial Surgery including the diagnosis and treatment of lesions of the head and neck.  I have over 30 years’ experience in the management and treatment of patients with oral and facial injuries, the last 22 years as a Senior Lecturer and Consultant in a large Teaching Hospital. I have two areas of special interest and expertise;

  • Lingual and inferior alveolar nerve injuries

I am a leading expert in the management of lingual and inferior alveolar nerve injuries, which are usually sustained during the removal of impacted wisdom teeth.  Lingual nerve injury can be very debilitating, resulting not only in numbness but also painful dysaesthesia in the tongue. I ran a dedicated nerve injury clinic in Sheffield for over 25 years for the management of patients with lingual and inferior alveolar nerve injuries.  Patients were referred from all over the UK and Ireland for assessment and treatment at my clinic.  I am regularly invited to give lectures on the management of nerve injuries at national and at international conferences in the UK and abroad, including Germany and the USA.

  • Orthognathic Surgery (Surgical Correction of Facial Deformity)

Before March 2017, I carried out the majority of the orthognathic/facial deformity surgery in Sheffield, carrying out over 25 bimaxillary osteotomies each year.  As a consultant I carried out more than 800 bimaxillary (combined upper and lower jaw) osteotomies.  I worked very closely with all the Consultant Orthodontists in Sheffield, holding joint clinics twice monthly. I also held regular joint clinics with the Consultants in the Department of Paediatric Dentistry for paediatric patients with complex oral and maxillofacial surgery problems. I was the Clinical Lead for Oral and Oral and Maxillofacial Surgery at Sheffield Children’s Hospital (2010 -2017) where I had regular operating lists. As the Lead Clinician, and in collaboration with clinical psychologists at the University of Sheffield, I jointly supervised PhD and Doctorate students carrying out studies investigating the psychological effects of orthognathic surgery on adolescent patients. 

Publications

My PhD thesis was on ‘Studies on the efficacy of lingual nerve repair’. I have published more than 30 papers in clinical and scientific journals.  These have been mainly on the aetiology and management of trigeminal nerve injuries.  The branches of the trigeminal nerve, including the lingual and inferior alveolar nerves, are the sensory nerves that give sensation to the face and jaws and are often injured during dental and surgical procedures as well as in facial trauma.

I have presented more than 50 papers, each with a published abstract, at national or international scientific meetings.

Some Recent Publications

Young Adults’ Experience of Appearance-Altering Orthognathic Surgery: A longitudinal interpretive phenomenologic analysis.

Liddle MJ, Baker SR, Smith KG, Thompson AR. 

Cleft Palate-Craniofacial Journal   2018; 55(2), 238-247

Psychosocial Outcomes in Orthognathic Surgery: A Review of the Literature. 

Liddle MJ, Baker SR, Smith KG, Thompson AR. 

Cleft Palate-Craniofacial Journal   2015; 52: 458-470

Correlation of Nav1.8 and Nav1.9 sodium channel expression with neuropathic pain in human subjects with lingual nerve neuromas.

Bird E, Christmas C, Loescher AR, Smith KG, Robinson PP, Black J, Waxman S,   

Boissonade FM. 

Molecular Pain.  2013; 9:52.

Outcomes of trigeminal nerve repair in Trigeminal nerve injuries. 

Robinson PP, Smith KG, Hillerup S.

Springer 2013; 317-342 

A multidisciplinary approach to management of extensive facial injuries resulting from the use of an angle grinder.

Khurram SA, Atkins S, Smith KG, Yates JM.

Injury Extra 2011 42(7):75-78

Repair of nerves injured during dental and oral surgery procedures.                              

Smith KG.                                                                                                                   

Faculty Dental Journal, Royal College of Surgeons of England 2011;2:158-163.

A prospective, quantitative study on the clinical outcome of inferior alveolar nerve decompression and neurolysis.                                                                                      

Robinson PP, Yates JM, Smith KG.                                                                        

Oral Surgery 2008;1: 35-44

Development, optimization and characterization of a full-thickness tissue engineered human oral mucosal model for biological assessment of dental biomaterials.

Moharamzadeh K, Brook IM, Van Noort R, Scutt AM, Smith KG and Thornhill MH.      

Journal of Materials Science: Materials in Medicine   2008;19: 1793–801

Current management of damage to the inferior alveolar and lingual nerves as a result of removal of third molars.

Robinson PP, Loescher AR, Yates JM, Smith KG.                                                        

British Journal of Oral Maxillofacial Surgery 2004; 42:285-92