Dr. Michael Escudier

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King's College London
Dental Institute
Oral Medicine
Honorary ConsultantAppointed: 2003
King's College London
Dental Institute
Human Disease
LecturerAppointed: 1999
Professional Headshot of Michael Escudier

Mailing Address

Department of Oral Medicine
Floor 18, Guy's Tower, Guy's Hospital
St. Thomas Street
London Bridge
London, SE1 9RT
United Kingdom

Contact Information

Phone: (207) 188-4359
Fax: (207) 636-2305
michael.escudier@kcl.ac.uk

Qualifications

F.F.G.D.P., Faculty of General Dental Practice, Royal College of Surgeons of England, Dentistry, 2008.
F.H.E.A., Higher Education Academy, Education, 2006.
F.D.S. (OM) R.C.S. (Eng), Royal College of Surgeons of England, Oral Medicine, 2002.
F.D.S., Royal College of Surgeons of England, Oral Medicine and Oral Surgery, 1997.
M.B.B.S., University of London, Medicine, 1992.
B.D.S., University of London, Dentistry, 1985.

Expertise and Research Interests

Clinical:
Oral medicine (registered specialist)
Surgical dentistry (registered specialist)

Research:
My prinicipal areas of research are:

1. Minimally invasive management of salivary calculi
Sialolithiasis accounts for more than 50% of cases of major salivary gland disease and is therefore the most common cause of acute and chronic salivary infections. Until now the treatment of choice for calculi that lie in the proximal duct or gland has been sialadenectomy despite its attendant risks. An alternative, minimally invasive approach based on shock wave lithotripsy, radiologically guided basket retrieval, endoscopically guided surgery and conservative surgical intervention is currently being pioneered in some European centres. An important principle that underpins this development is that the secretory function of the affected gland can regenerate after removal of the obstruction. It is possible that, with time, this approach will replace sialoadenectomy as the primary treatment option.

2. Management of oral mucosal disease.
Traditionally the management of such conditions has been based on consensus. However, with the move towards evidence based practice there is a need for objective assessments of outcome to facilitate prospective randomised clinical trials. We are currently developing clinical scoring systems for a number of conditions including lichen planus, mucous membrane pemphigoid, pemphigus vulgaris and oro-facial granulomatosis.

3. Managment of oro-facial granulomatosis
Oro-facial granulomatosis (OFG) is a chronic inflammatory disorder presenting characteristically with lip swelling. Most cases of OFG occur as a separate clinical entity but a proportion present in association with established CrohnÂ's disease of the small or large intestine. We have shown that in a large proportion, particularly younger patients, the oral inflammation may form part of a generalised, discrete granulomatous enteritis. We are currently investigating the role of dietary restriction inthe managment of such patients.

Teaching Roles
Administration

Undergraduate:
GKT
1. Chairman of BDS year 3 examination board
2. Lead for Human Disease within the BDS course
2. Member of curriculum and steering committee for year 2 and 3 of BDS course

GDC
1. Exam organiser for IQE part A section 2
2. Exam organiser for IQE part C

Postgraduate:
1. RCS England representative on MFDS/MFD core group.
2. RCS England representative on MJDF development group

Teaching
Lectures, seminars, and clinical teaching for undergraduate medical (year 3) and dental students (pathology, human disease and oral medicine) as well as postgraduate students (experimental oral medicine, core lectures for MSc and MClin Dent and MFDS). Contibutor to external courses for candidates preparing for national examinations (MFDS, IQE). Provider of 31 section 63 course since 1998. Invited speaker at regional (GMP, medical and dental specialist registrar training days),national (BSG, CDS and BDHA) and international (EACMFS, specialist societies).

Student support through role as year 2 personal tutor, staff member of staff-student liaison committee and staff president elect of dental society.

Assessment
I am involved in educational assessment at undergraduate, general professional, taught postgraduate and specialty level.

Undergraduate
Internal: BDS parts 2, 3 and 5 (Chair of year 3 part board)
External: Universities of Cardiff and Dublin
GDC (IQE parts A and C)

Postgraduate:
Internal: MClin Dent (Surgical Dentistry), MSc (Experimental Oral Medicine)
External: Univerity of Lonon - QMW
Royal College - MFDS (Eng)
M Surg Dent (Eng and Glas)

Other Expertise

Teaching qualifications
1999 Certificate in Teaching, GKT Education Department
2002 Full membership of ILT

British Society of Oral Medicine (and Fellows representative on Council)
Royal Society of Medicine (Junior Secretary Odontological Section)

Future Research

Future research will include:
1. Role of sialoendoscopy in the managment of salivary gland disease
2. Quantitative assessment of therapeutic measures for oral mucosal disease

Keywords

COS Keywords:

Dentistry, Education, Health and Medicine, Oral Diseases, Oral Or Maxillofacial Surgery, Surgery.

Languages

(Reading, Writing, Speaking)

English: (Fluent, Fluent, Fluent)
Arabic, Gulf: (None, None, Functional)
French: (Basic, Basic, Functional)

Memberships

British Association of Oral and Maxillofacial Surgeons
British Medical Association
British Society for Dental Research
British Society for Oral Medicine
British Society of Oral Surgeons
European Association of Oral Medicine
Faculty of General Dental Pactitioners Royal College of Surgeons of England
Institute of Learning and Teaching
International Association for Dental Research
Royal Society of Medicine

Honors and Awards

1985, Final Year Prize in Dental Surgery and Pathology, UMDS, University of London, Dentistry
1984, David Frank Sturdee Prize in Prosthetic Dentistry (Certificate of Merit), UMDS, University of London, Dentistry

Previous Positions

2002-2003, Lecturer, King's College London, Dental Institute, Oral Medicine and Pathology
2002-2003, Clinical Assistant, King's College London, Dental Institute, Oral Medicine and Pathology
1999-2002, Honorary Specialist Registrar, King's College London, Dental Institute, Oral Medicine and Pathology
1999-2002, Lecturer, King's College London, Dental Institute, Oral Medicine and Pathology
1998-1999, Clinical Demonstrator, King's College London, Dental Institute, Oral Medicine and Pathology/ Oral and Maxillofacial Surgery, Dentistry
1996-1998, Research Trainee, King's College London, Dental Institute, Oral Medicine and Pathology/ Oral and Maxillofacial Surgery, Dentistry
1994-1996, Clinical Demonstrator, King's College London, Dental Institute, Oral Medicine and Pathology/ Oral and Maxillofacial Surgery, Dentistry
1993-1994, General Dental Practitioner,
1993-1993, Medical House Officer, Whipps Cross Hospital, Gastroenterology/Cardiology, Medicine
1992-1992, Surgical House Officer, St Bartholomew's Hospital, General Surgery/ENT/Plastic Surgery, Surgery
1987-1992, Medical Student, University of London, St. Bartholomew's Hospital
1986-1987, Senior House Office, Royal Sussex County Hospital, Oral and Maxillofacial Surgery, Surgery
1986-1986, House Officer, King's College London, Dental Institute, Oral and Maxillofacial Surgery, Dentistry

Funding Received

  • South Thames: South Thames Research Training Fellowship, £72,000, Oct 1, 1996 to Sep 30, 1998.
  • Shwachman-Diamond Association: An investigation into the salivary composition of patients with Shwachman-Diamond Syndrome (SDS), £3,810, 2005 to 2007.
  • King's College TEaching Fund: The development of on-line assessment, £32,000, 2004 to 2006.

Publications

  • Cook RJ, McParland H, Escudier M (Feb 2008) An unusual primary presentation of myasthenia gravis., The British journal of oral & maxillofacial surgery Abstract
  • Cook RJ, Sharif I, Escudier M (Feb 2008) Meningioma as a cause of chronic orofacial pain: case reports., The British journal of oral & maxillofacial surgery Abstract
  • Escudier M, Ahmed N, Shirlaw P, Setterfield J, Tappuni A, Black MM, Challacombe SJ (Oct 2007) A scoring system for mucosal disease severity with special reference to oral lichen planus., The British journal of dermatology, 157 (4), 765-70 Abstract
  • Chiandussi S, Tappuni AR, Watson TF, White A, Escudier MP, Sanderson JD, Challacombe SJ (Jan 2007) Lip impressions: a new method for monitoring morphological changes in orofacial granulomatosis., Oral diseases, 13 (1), 93-8 Abstract
  • Nunes C, Escudier M, Sanderson J (2006) Disorders of the mouth, Medicine, London, Medicine publishing company, In Press (bookchapter)
  • Escudier M (2006) Liver and renal disease, Essential Human Disease for Dentists, First Edition, Edinburgh, Churchill Livingstone, In Press, ISBN=0-443-10098-5 (bookchapter)
  • Escudier M (2006) Gastroenterology, Essential Human Disease for Dentists, First Edition, Edinburgh, Churchill Livingstone, In Press, ISBN=0-443-10098-5 (bookchapter)
  • Setterfield JF, Neill S, Shirlaw PJ, Theron J, Vaughan R, Escudier M, Challacombe SJ, Black MM (Jul 2006) The vulvovaginal gingival syndrome: a severe subgroup of lichen planus with characteristic clinical features and a novel association with the class II HLA DQB1*0201 allele., Journal of the American Academy of Dermatology, 55 (1), 98-113 Abstract
  • White A, Nunes C, Escudier M, Lomer MC, Barnard K, Shirlaw P, Challacombe SJ, Sanderson JD (Jun 2006) Improvement in orofacial granulomatosis on a cinnamon- and benzoate-free diet., Inflammatory bowel diseases, 12 (6), 508-14 Abstract
  • Escudier M, Bagan J, Scully C (Mar 2006) Number VII Behçet's disease (Adamantiades syndrome)., Oral diseases, 12 (2), 78-84 Abstract
  • Nunes C, Escudier M, Sanderson J (2006) Treatment of Oral Crohns Disease, Clinical dilemas in inflammatory bowel disease, First Edition, Oxford, Blackwell, 164-167 pages, ISBN=13:9781405133 (bookchapter)
  • Sanderson J, Nunes C, Escudier M, Barnard K, Shirlaw P, Odell E, Chinyama C, Challacombe S (2005) Crohn's disease or a new inflammatory bowel disease?, Inflammatory Bowel Disease, 11 (9), 840-846
  • Scully C, Bagan JV, Black M, Carrozzo M, Eisen D, Escudier M, Farthing P, Kuffer R, Lo Muzio L, Mignogna M, Porter SR, Epithelial Biology., Oral Diseases, 11(2), 58-71, Mar 2005 Abstract
  • McGurk M, Escudier MP, Brown JE, Modern Management of Salivary Calculi., The British Journal of Surgery, 92(1), 107-12, Jan 2005 Abstract
  • Makdissi J, Escudier MP, Brown JE, Osailan S, Drage N, McGurk M, Glandular Function After Intraoral Removal of Salivary Calculi From The Hilum of the Submandibular Gland., The British Journal of Oral & Maxillofacial Surgery, 42(6), 538-41, Dec 2004 Abstract
  • Macfarlane TV, Blinkhorn AS, Craven R, Zakrzewska JM, Atkin P, Escudier MP, Rooney CA, Aggarwal V, Macfarlane GJ, Can One Predict the Likely Specific Orofacial Pain Syndrome From A Self-completed Questionnaire?, Pain, 111(3), 270-7, Oct 2004 Abstract
  • McGurk M, Escudier MP, Brown E (Oct 2004) Modern management of obstructive salivary gland disease., Annals of the Royal Australasian College of Dental Surgeons, 17, 45-50 Abstract
  • Savage NW, Barnard K, Shirlaw PJ, Rahman D, Mistry M, Escudier MP, Sanderson JD, Challacombe SJ, Serum and Salivary IgA Antibody Responses to Saccharomyces Cerevisiae, Candida Albicans and Streptococcus Mutans in Orofacial Granulomatosis And Crohn's Disease., Clinical and Experimental Immunology, 135(3), 483-9, Mar 2004 Abstract
  • Escudier M (2004) Hypoglycaemia, Clinical Problem Solving in Dentistry, Second Edition, Edinburgh, Chiurchill Livingstone, 89-92 pages, ISBN=0723610894 (bookchapter)
  • Escudier M, Brown J, Odell E (2004) A pain in the nexk, Clinical Problem Solving in Dentistry, Second Edition, Edinburgh, Churchill Livingstone, 267-273 pages, ISBN=0443073864 (bookchapter)
  • Escudier M (2004) General and systemic aspects of endodontics, Harty's Endodontics in clinical Practice, Fifth Edition, Edinburgh, Wright, 9-16 pages, ISBN=0723610894 (bookchapter)
  • Escudier M, Skelly M (2004) An unpleasnat surprise, Clinical Problem Solving in Dentistry, Second Edition, Edinburgh, Churchill Livingstone, 15-18 pages, ISBN=0443073864 (bookchapter)
  • Escudier MP, Brown JE, Drage NA, McGurk M, Extracorporeal Shockwave Lithotripsy in the Management of Salivary Calculi., The British Journal of Surgery, 90(4), 482-5, Apr 2003 Abstract
  • M Escudier, General and systemic aspects of endodontics, Harty’s Endodontics in Clinical Practice, 2003
  • M Escudier, M Skelly, Anaphylaxis, Odell: Clinical Problem Solving in Dentistry, 2nd Edition, 2003
  • M Escudier, J Brown, A Salivary Stone, Odell: Clinical Problem Solving in Dentistry, 2nd Edition, 2003
  • M Escudier, M Skelly, Hypoglycaemia, Odell: Clinical Problem Solving in Dentistry, 2nd Edition, 2003
  • Brown JE, Drage NA, Escudier MP, Wilson RF, McGurk M, Minimally Invasive Radiologically Guided Intervention for the Treatment Of Salivary Calculi., Cardiovascular and Interventional Radiology, 25(5), 352-5, Sep-Oct 2002 Abstract
  • Drage NA, Brown JE, Escudier MP, Wilson RF, McGurk M, Balloon Dilatation of Salivary Duct Strictures: Report on 36 Treated Glands., Cardiovascular and Interventional Radiology, 25(5), 356-9, Sep-Oct 2002 Abstract
  • M Escudier, P Katz, P Cappacio, Extracorporeal shock wave lithotripsy for salivary calculi: results and future role in the management of salivary calculi, Controversies in the management of salivary gland disease, 257-270, 2001
  • M Escudier, Epidemiology and aetiology of salivary calculi. M Escudier in Controversies in the management of salivary gland disease, Controversies in the management of salivary gland disease, 249-256, 2001
  • Escudier M (2001) Epidemiology and aetiology of salivary calculi, Controversies in the management of salivary gland disease, First Edition, Oxford, Oxford University Press, 249-255 pages (bookchapter)
  • Escudier M, Katz P, Capaccio P (2001) Extracorporeal shockwave lithotripsy for salivary calculi: results and future role in the management of salivary calculi, Controversies in the management of salivary gland disease, First Edition, Oxford, Oxford Universoty Press, 257-269 pages (bookchapter)
  • Drage NA, Brown JE, Escudier MP, McGurk M, Interventional Radiology in the Removal of Salivary Calculi., Radiology, 214(1), 139-42, Jan 2000 Abstract
  • Escudier MP, Drage NA, The Management of Sialolithiasis in 2 Children Through Use Of Extracorporeal Shock Wave Lithotripsy., Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics., 88(1), 44-9, Jul 1999 Abstract
  • Escudier MP, McGurk M, Symptomatic Sialoadenitis and Sialolithiasis in the English Population, An Estimate of the Cost of Hospital Treatment., British Dental Journal, 186(9), 463-6, May 1999 Abstract
  • Escudier MP, The Current Status and Possible Future for Lithotripsy of Salivary Calculi., Atlas of the Oral and Maxillofacial Surgery Clinics of North America, 6(1), 117-32, Mar 1998 Abstract
  • Escudier M (1998) The current status and possible future devekopments for salivary lithotripsy of salivary calculi, Atlas of Oral and Maxillofacial Surgery Clinics of North America, Volume 6 Number 1 Edition, Philadelphia, W B Saunders, 117-132 pages (bookchapter)
  • Brown JE, Escudier MP, Whaites EJ, Drage NA, Ng SY, Intra-oral Ultrasound Imaging of a Submandibular Duct Calculus., Dento Maxillo Facial Radiology, 26(4), 252-5, Jul 1997 Abstract
  • Bartlett DW, Escudier MP, Fisher NL, Factors Influencing Treatment Planning of Restorative Dentistry in General Practice: Part 1., Dental Update, 22(7), 292-6, Sep 1995 Abstract
  • M McGurk, M Escudier, Treatment of Salivary Calculi, British Journal of Hospital Medicine, 54(5), 184-185, 1995
  • McGurk M, Escudier MP, Thomas BL, Brown JE, A revolution in the management of obstructive salivary gland disease., Dental update, 33 (1), 28-30, 33-6 Abstract

Profile Details

Last Updated: 5/12/2008

COS Expertise ID #1004924
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