Use of a two-piece Gunning splint as a mandibular guide appliance for a patient treated for ameloblastoma.

Prosthodontic restoration in edentulous patients who have undergone hemisection of the mandible is difficult because of the instability of the mandible after resection and the lack of teeth necessary for successful retention of a guidance appliance. Successful prosthodontic restoration was accomplished through the use of a two-piece Gunning splint both for intermaxillary fixation and as a guidance appliance in an edentulous patient who underwent a hemisection of the mandible subsequent to treatment for an ameloblastoma. Because mandibular guidance therapy is most successful in patients whose resection involves only bony structures with minimal loss of soft tissue and no radical neck dissection or radiation therapy, the patient treated for ameloblastoma is an ideal candidate for the use of a two-piece Gunning splint for intermaxillary fixation and mandibular guidance therapy.

A simplified technique for closure of surgical sites following intraoral open reduction of mandibular fractures.

A technique is described in which intraoral open reductions can be performed with direct access to the bony fracture sites and still achieve a tight wound closure while the patient is maintained in maxillomandibular fixation following fracture reduction.

Management of a dental infection in a patient with Sturge-Weber disease.

A patient with Sturge-Weber disease was treated for a facial infection. Particular attention is given to oral histopathologic changes, and the special care needed for patients with this disease is outlined.

Foreign body-type reaction following crown cementation.

1. Hazards of the indirect impression techniques for crown fabrication are discussed. 2. A foreign body reaction caused by retained cotton fibers is substantiated. 3. Since the gingival retraction cord is a possible and likely source, placing the cord and choice of instruments is important.