RESUMO
Temporalis tendon transfer is a technique for dynamic facial reanimation. Since its inception, nearly 80 years ago, it has undergone a wealth of innovation to produce the modern operation. Temporalis tendon transfer is a relatively minimally invasive technique for the dynamic reanimation of the paralyzed face. This technique can produce significant and appropriate movement of the lateral oral commissure, more closely mimicking the normal side. The aim of this article is to review the technique of temporalis tendon transfer involving transferring of the coronoid process of the mandible with the insertion of the temporalis tendon via intra-oral and transcutaneous approach.
Assuntos
Mandíbula , Transferência Tendinosa , TendõesRESUMO
BACKGROUND: Xenologous or synthetic graft materials are commonly used as an alternative for autografts for guided bone regeneration. The purpose of this study was to evaluate effectiveness of carbonate apatite on the critical-size bone defect of rat's calvarium. METHODS: Thirty-six critical-size defects were created on 18 adult male Sprague-Dawley rat calvaria under general anesthesia. Calvarial bones were grinded with 8 mm in daimeter bilaterally and then filled with (1) no grafts (control, n = 10 defects), (2) bovine bone mineral (Bio-Oss®, Geistlich Pharma Ag. Swiss, n = 11 defects), and (3) hydroxyapatite (Bongros®, Bio@ Inc., Seongnam, Korea, n = 15 defects). At 4 and 8 weeks after surgery, the rats were sacrificed and all samples were processed for histological and histomorphometric analysis. RESULTS: At 4 weeks after surgery, group 3 (42.90 ± 9.33 %) showed a significant difference (p < 0.05) compared to the control (30.50 ± 6.05 %) and group 2 (28.53 ± 8.62 %). At 8 weeks after surgery, group 1 (50.21 ± 6.23 %), group 2 (54.12 ± 10.54 %), and group 3 (50.92 ± 6.05 %) showed no significant difference in the new bone formation. CONCLUSIONS: Bongros®-HA was thought to be the available material for regenerating the new bone formation.
Assuntos
Adulto , Animais , Humanos , Masculino , Ratos , Anestesia Geral , Autoenxertos , Regeneração Óssea , Carbono , Durapatita , Xenoenxertos , Coreia (Geográfico) , Mineradores , Osteogênese , Ratos Sprague-Dawley , Crânio , TransplantesRESUMO
BACKGROUND: The utilization of a cone-beam computed tomography (CT)-assisted surgical template allows for predictable results because implant placement plans can be performed in the actual surgery. In order to assess the accuracy of the CT-guided surgery, angular errors and shoulder/apex distance errors were evaluated by data fusion from before and after the placement. METHODS: Computer-guided implant surgery was performed in five patients with 19 implants. In order to analyze differences of the implant fixture body between preoperative planned implant and postoperative placed implant, angular error and distance errors were evaluated. RESULTS: The mean angular errors between the preoperative planned and postoperative placed implant was 3.84°± 1.49°; the mean distance errors between the planned and placed implants were 0.45 ± 0.48 mm horizontally and 0.63 ± 0.51 mm vertically at the implant neck and 0.70 ± 0.63 mm horizontally and 0.64 ± 0.57 mm vertically at the implant apex for all 19 implants. CONCLUSIONS: It is important to be able to utilize these methods in actual clinical settings by improving the various problems, including the considerations of patient mouth opening limitations, surgical guide preparation, and fixation.
Assuntos
Humanos , Tomografia Computadorizada de Feixe Cônico , Boca , Pescoço , Cirurgia Assistida por ComputadorRESUMO
OBJECTIVES: We retrospectively evaluated the impact of mandibular third molars on the occurrence of angle and condyle fractures. MATERIALS AND METHODS: This was a retrospective investigation using patient records and radiographs. The sample set consisted of 440 patients with mandibular fractures. Eruption space, depth and angulation of the third molar were measured. RESULTS: Of the 144 angle fracture patients, 130 patients had third molars and 14 patients did not. The ratio of angle fractures when a third molar was present (1.26 : 1) was greater than when no third molar was present (0.19 : 1; odds ratio, 6.58; P<0.001). Of the 141 condyle fractures patients, the third molar was present in 84 patients and absent in 57 patients. The ratio of condyle fractures when a third molar was present (0.56 : 1) was lower than when no third molar was present (1.90 : 1; odds ratio, 0.30; P<0.001). CONCLUSION: The increased ratio of angle fractures with third molars and the ratio of condyle fractures without a third molar were statistically significant. The occurrence of angle and condyle fractures was more affected by the continuity of the cortical bone at the angle than by the depth of a third molar. These results demonstrate that a third molar can be a determining factor in angle and condyle fractures.
Assuntos
Humanos , Fraturas Ósseas , Côndilo Mandibular , Fraturas Mandibulares , Dente Serotino , Razão de Chances , Estudos Retrospectivos , DenteRESUMO
Arthroscopy is useful to detect early changes in the temporomandibular joint (TMJ). Despite great advances in arthroscopy, many arthroscopic surgeries have now been replaced by arthrocentesis. We propose a simple diagnostic and therapeutic method having operative rigid ultra-thin arthroscopy with 16 gauge needle size combined with arthrocentesis.
Assuntos
Artrocentese , Artroscopia , Métodos , Agulhas , Articulação TemporomandibularRESUMO
PURPOSE: The aim of the present study is to assess the importance of proper treatment timing for dental emergency patients by characterizing current patient care in the emergency room. MATERIALS AND METHODS: A retrospective chart review of 3,211 patients who visited the Chosun University Hospital's dental emergency department (Gwangju, Korea) was conducted from January 1, 2011 to May 31, 2014. Information regarding age, gender, onset date, main causes, and diagnoses were collected and analyzed. The main causes were divided into six categories: assault, household/play, sports, traffic, work, and others. RESULT: Emergency visits were more common for men (69%), and the ratio of males to females was 2.2:1 On average, the major cause was household/play (49.8%), followed by others (18.9%), traffic (16.6%), assault (9.1%), sports (2.9%), and work (2.6%). The most frequent diagnosis on average was dental trauma with 82.4%, followed by infection (10.7%), others (4.7%), and bleeding (2.2%). CONCLUSION: The main reasons for visits to the dental emergency department are dental trauma, dental infection, bleeding, and others. The most frequent reason for dental emergency patients to visit the emergency department was dental trauma (82.4%).
Assuntos
Feminino , Humanos , Masculino , Diagnóstico , Emergências , Serviço Hospitalar de Emergência , Hemorragia , Assistência ao Paciente , Estudos Retrospectivos , EsportesRESUMO
Osteoradionecrosis is one of the most serious complications of patients receiving radiation therapy. It is characterized by hypovascularity, hypocellularity, and hypoxia-inducing necrosis of bone and soft tissue following delayed healing. In this case, a 72-year-old man was referred to the Department of Oral and Maxillofacial Surgery complaining of trismus following extraction three months before first visit. He had a history of right tonsillectomy, radical neck dissection and radiotherapy performed due to right tonsillar cancer seven years prior. After the diagnosis of osteoradionecrosis on right mandibular body and angle, conservative antibiotic therapy was used first, but an orocutaneous fistula gradually formed, and extensive bony destruction and sequestrum were observed. Sequestrectomy, free particulated iliac bone and umbilical fat pad graft were performed via a submandibular approach under general anesthesia. Preoperative regular exams and delicate wound care led to secondary healing of the wound without vascularized free flap reconstruction.
Assuntos
Idoso , Humanos , Tecido Adiposo , Anestesia Geral , Diagnóstico , Fístula , Retalhos de Tecido Biológico , Neoplasias de Cabeça e Pescoço , Arcada Osseodentária , Esvaziamento Cervical , Necrose , Osteorradionecrose , Radioterapia , Cirurgia Bucal , Neoplasias Tonsilares , Tonsilectomia , Transplantes , Trismo , Ferimentos e LesõesRESUMO
The posttraumatic complications of jaw fractures related to jaw function and facial deformity include nonunion, malunion, malocclusion, temporomandibular joint dysfunction and facial asymmetry. This report presents cases referred to our department for revision of malunion and malocclusion following inadequate reduction of jaw fractures. Three patients with posttraumatic malocclusions caused by malunion were treated with a LeFort I osteotomy in one case and re-fracture in two cases. All of the patients exhibited stable results without further complications (e.g., malunion or malocclusion). Accurate preoperative diagnosis and proper anatomical reduction of the fracture segments are essential to preventing post-surgical malunion and malocclusion.
Assuntos
Humanos , Anormalidades Congênitas , Diagnóstico , Assimetria Facial , Arcada Osseodentária , Fraturas Maxilomandibulares , Má Oclusão , Osteotomia , Articulação TemporomandibularRESUMO
OBJECTIVES: Bisphosphonates (BP) are widely used in medicine for inhibiting bone resorption; however bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a major side effect of BP. To date, there have been no specific reports on the incidence of BRONJ among Koreans. This study investigated the preliminary results from a nationwide survey of BRONJ in the Departments of Oral and Maxillofacial Surgery (OMFS) at individual training hospitals. MATERIALS AND METHODS: A total of 15 OMFS departments (10 from dental schools, 4 from medical schools, and 1 from a dental hospital) participated in a multi-centric survey. This study assessed every BRONJ case diagnosed between January 2010 and December 2010. The patient age and BP type were evaluated. RESULTS: A total of 254 BRONJ cases were collected. The majority of BRONJ cases were associated with oral BP therapy, while 21.8% of the cases were associated with intravenous administration. Alendronate was the drug most frequently related to BRONJ (59.2% of cases), followed by risedronate (14.3%) and zolendronate (17.0%). The average age of BRONJ patients was 70.0+/-10.1 years, with a range of 38-88 years of age. With the number of BP patients in Korea reported to be around 600,000 in 2008, the estimated incidence of BRONJ is at least 0.04% or 1 per 2,300 BP patients. CONCLUSION: The results suggest that the estimated incidence of BRONJ in Korea is higher than the incidence of other countries. Future prospective studies should be carried out to investigate the exact epidemiological characteristics of BRONJ in Korea.
Assuntos
Humanos , Administração Intravenosa , Alendronato , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos , Coleta de Dados , Difosfonatos , Ácido Etidrônico , Incidência , Arcada Osseodentária , Coreia (Geográfico) , Osteonecrose , Faculdades de Odontologia , Faculdades de Medicina , Cirurgia Bucal , Ácido RisedrônicoRESUMO
OBJECTIVES: Bisphosphonates (BP) are widely used in medicine for inhibiting bone resorption; however bisphosphonate-related osteonecrosis of the jaw (BRONJ) is a major side effect of BP. To date, there have been no specific reports on the incidence of BRONJ among Koreans. This study investigated the preliminary results from a nationwide survey of BRONJ in the Departments of Oral and Maxillofacial Surgery (OMFS) at individual training hospitals. MATERIALS AND METHODS: A total of 15 OMFS departments (10 from dental schools, 4 from medical schools, and 1 from a dental hospital) participated in a multi-centric survey. This study assessed every BRONJ case diagnosed between January 2010 and December 2010. The patient age and BP type were evaluated. RESULTS: A total of 254 BRONJ cases were collected. The majority of BRONJ cases were associated with oral BP therapy, while 21.8% of the cases were associated with intravenous administration. Alendronate was the drug most frequently related to BRONJ (59.2% of cases), followed by risedronate (14.3%) and zolendronate (17.0%). The average age of BRONJ patients was 70.0+/-10.1 years, with a range of 38-88 years of age. With the number of BP patients in Korea reported to be around 600,000 in 2008, the estimated incidence of BRONJ is at least 0.04% or 1 per 2,300 BP patients. CONCLUSION: The results suggest that the estimated incidence of BRONJ in Korea is higher than the incidence of other countries. Future prospective studies should be carried out to investigate the exact epidemiological characteristics of BRONJ in Korea.
Assuntos
Humanos , Administração Intravenosa , Alendronato , Osteonecrose da Arcada Osseodentária Associada a Difosfonatos , Coleta de Dados , Difosfonatos , Ácido Etidrônico , Incidência , Arcada Osseodentária , Coreia (Geográfico) , Osteonecrose , Faculdades de Odontologia , Faculdades de Medicina , Cirurgia Bucal , Ácido RisedrônicoRESUMO
Assuntos
Humanos , Cicatriz , Anormalidades Congênitas , Olho , Incidência , Lábio , Nariz , Palato , SuccinatosRESUMO
Inferior alveolar nerve block obtained maximum anesthetic effect using a small dose of local anesthetic agent, which also has low a complication incidence. Complications of an inferior alveolar nerve block include direct nerve damage, bleeding, trismus, temporary facial nerve palsy, and etc. Among them, the major iatrogenic complication is dental needle fracture. A fragment that disappears into the soft tissue would be hard to remove, giving rise to a legal problem. A 31-year-old woman was referred for the removal of a broken needle, following an inferior alveolar nerve block. Management involved the removal of the needle under local anesthesia with pre- and peri-operative computed tomography scans.
Assuntos
Adulto , Feminino , Humanos , Anestesia Local , Anestésicos , Tomografia Computadorizada de Feixe Cônico , Nervo Facial , Migração de Corpo Estranho , Hemorragia , Incidência , Nervo Mandibular , Agulhas , Paralisia , TrismoRESUMO
Assuntos
Animais , Cães , Humanos , Implantes Dentários , Durapatita , Fêmur , Intenção , Mentores , Osseointegração , Osteogênese , Valores de ReferênciaRESUMO
Assuntos
Humanos , Fraturas Mandibulares , Dente Serotino , Complicações Pós-Operatórias , DenteRESUMO
Assuntos
Humanos , Masculino , Obstrução das Vias Respiratórias , Artérias , Celulose Oxidada , Hemorragia , Hemostasia , Mandíbula , Hemorragia Pós-OperatóriaRESUMO
Assuntos
Humanos , Tecido Adiposo , Colágeno , Implantes Dentários , Eletrônica , Elétrons , Pisos e Cobertura de Pisos , Hemorragia , Maxila , Seio Maxilar , Membranas , Mucosa Nasal , Transplante HomólogoRESUMO
Assuntos
Humanos , Anestesia Geral , Anormalidades Congênitas , Estética , Expressão Facial , Nervo Facial , Traumatismos do Nervo Facial , Mandíbula , Nervo Mandibular , Boca , Músculos , Mordida Aberta , Cirurgia Ortognática , Osteotomia , Paralisia , Porfirinas , Retinaldeído , Lesões dos Tecidos Moles , Cirurgia Bucal , Transtornos da Articulação Temporomandibular , VitaminasRESUMO
Assuntos
Queixo , Anormalidades Congênitas , Reação a Corpo Estranho , Fungos , Osteotomia , Polietileno , Cirurgia PlásticaRESUMO
Assuntos
Humanos , Regeneração Óssea , Implantes Dentários , Prontuários Médicos , Membranas , Pericárdio , Taxa de Sobrevida , Transplante Homólogo , TransplantesRESUMO