Comprehensive analysis of the volume of bone for grafting that can be harvested from iliac crest donor sites.

Our aim was to calculate the volumes of cancellous, cortical, and corticocancellous bone that can be harvested as a graft from the anterior and posterior iliac crests using 3-dimensional computed tomography (CT) and software in a living adult population. We selected random CT scans of the pelvis from 31 men and 29 women from the Department of Radiology imaging database. CT data in DICOM file format were imported into Mimics software. The anterior iliac crest and posterior iliac crest bone graft-harvested boundaries were measured. The volume of the 3-dimensional cortical and cancellous bone grafts was measured using the Mimics software. There were significant differences in all comparisons between the anterior and posterior iliac crest, except for volumes of cortical bone. More cancellous and total corticocancellous bone can be harvested from the posterior than the anterior iliac crest, together with similar or smaller volumes of cortical bone. Sex, but not age, is an important factor in terms of the amount of bone that can be harvested, with a wide range of volumes individually from both iliac crests.

Biomechanical comparison of transoral and transbuccal lateral cortical plate fixation for the management of mandibular angle fractures.

OBJECTIVES: The purpose of this experimental study was to compare the biomechanical behaviors of two different types of osteosynthesis that are used in the treatment of mandibular angle fractures. MATERIALS AND METHODS: Twenty synthetic polyurethane human mandible replicas, with medullar and cortical portions, were used in this study. These polyurethane hemimandibles were randomly divided into two groups (n = 10). The transbuccal group (Group A) was fixed with 7 mm long self-tapping 2.0 mm titanium screws at 85° to the reference line and the transoral group (Group B) was fixed with the same screws at 15° to the reference line. All testings were performed on a servo-hydraulic testing machine. The data were transmitted directly from the load cell to a computer, which showed the emergent results of the material characteristics under resisted forces as a graphic containing force and displacement. The peak point loading and displacement for each subject were measured. RESULTS: The comparison between the groups was analyzed with an independent-samples t-test, and P < 0.05 was considered to be significant. The results show that there were no significant differences between the groups for the peak loads and displacement values at the peak loads. CONCLUSION: The results of this experimental study demonstrated that there were no significant differences between the transbuccal and transoral methods in terms of fixation stability. In other words, the screw position and angle seemed to no have influence on the fixation stability in single miniplate treatments of a mandibular angle fracture.

Biomechanical comparison of osteosynthesis with poly-L-lactic acid and titanium screw in intracapsular condylar fracture fixation: An experimental study.

BACKGROUND AND AIMS: The aim of this study was to compare the biomechanical stability of poly-L-lactic acid and titanium screws in the fixation of intracapsular condylar fractures, in 10 polyurethane hemimandibles. MATERIALS AND METHODS: Artificial intracapsular fractures were created with a steel disk and electronic micromotor. The first group was fixed with 15 mm long self-tapping 2.0 mm system titanium screws and the second group was fixed with 15 mm long 2.4 mm bioresorbable screws. Linear loads of 25, 50, 75, 100 N was applied in anteroposterior direction to the hemimandibles and the data were transmitted directly from the load cell to a computer that shows emergent results of material characteristics under same forces as a graphic containing force and displacement. RESULTS: The results show that there were no significant differences between the two methods, with 25 N of loading. (P > 0,05) The difference became significant with a higher value of loading. CONCLUSION: The results suggest that treatment with a single resorbable screw is not functionally stable as a single titanium screw.

The effects of bone chips dehydrated with solvent on healing bone defects.

The effect of bone chips dehydrated with solvent on the healing of bone defects was evaluated. Solvent-dehydrated spongiose bone chips were placed in experimentally formed cavities in the right back tibia of rabbits. After 10, 20 and 30 days, histopathological cross-sections from the bone grafts were examined microscopically for bone healing and formation of spongiose bone, cortex and bone marrow. Spongiose bone chips had a positive and accelerating influence on the healing of bone defects in the 10-day period after transplantation, but no significant differences were observed between the treated and control groups 20 and 30 days after transplantation.

Adenomatoid odontogenic tumour (adenoameloblastoma). Case report and review of the literature.

An adenomatoid tumour was found in the anterior maxillary region of a 15 year old female patient. Two impacted teeth were found in the tumour. The lateral incisor found in the tumour was dilacerated, and the roots of the first premolar were resorbed. A review of the English literature indicated that 294 similar cases have been reported.

Ectodermal dysplasia. A case with impacted permanent teeth.

An unusual case of ectodermal dysplasia is presented. Besides the main symptoms of ectodermal dysplasia, congenitally missing teeth and the impaction of all the other existing permanent teeth make this case interesting.

Central mucoepidermoid carcinoma of the jaws. Review of the literature and case report.

A CMEC which occurred within the right maxillary canine-third molar region of a 34-year-old male was presented. The clinical symptoms were swelling and pain. Radiologically the lesion looked like an ameloblastoma or residual cyst. Hemimaxillectomy was the treatment. No evidence of recurrence has been observed for ten months after the operation.