A 13-year-old black girl with an extensive ameloblastoma of the mandible required subtotal mandibular resection and immediate reconstruction with use of an autogenous, ipsilateral, corticocancellous graft from the iliac crest and monobic functional therapy. Twenty-seven months later, clinical evaluation showed normal mandibular function and no facial asymmetry. Bony architectural changes after 27 months included reformation of the coronoid process, angular process, and external oblique ridge; preservation of mandibular length and thickness; and maintenance of the alveolar ridge height. The reformation of the coronoid process suggests the importance of the functional matrix (temporalis muscle) in skeletal tissue growth. The monobloc appliance in conjunction with bone grafting is an effective means for transmission of biophysical stimuli and for maintenance of appropriate stress for remodeling of bone in the mandible.

Activator Appliances↗

PubMed1978

The art of history taking.

The art of history taking involves the ability to recognize the interrelationship between the details of the medical history and the patient's personal history. For the oral surgeon, this provides important insights into how the patient has reacted to illness in the past as well as how he is most likely to react to current treatment. Specific problems have been reviewed as well as suggested interview techniques to guide the oral surgeon in his management of his patient's reactions. No one expects the doctor to be an iconoclast. He cannot be all things to all patients. He should recognize a problem, acknowledge it as a problem, and be flexible enough to deal with it or refer the patient to someone who can. This kind of understanding will enable the oral surgeon to fulfill his role with appreciation from his patients and an inner sense of professional and personal achievement.

Adolescent↗

PubMed1978

Evaluation--diagnosis-planning. The challenge in the correction of dentofacial deformities.

Explore the source record for details and available documents.

Dental Occlusion↗

PubMed1978

Surgical-orthodontic correction of vertical facial excess.

Explore the source record for details and available documents.

Adolescent↗

PubMed1978

Aspergillus infection in a patient receiving immunosuppressive drugs.

A rare case of an indolent Aspergillus infection in a deep neck space in an immunologically compromised patient is reported. Aggressive measures were taken to identify the cause of the infection. Despite concerted antifungal therapy, the patient died.

Adult↗

PubMed1976