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BONE SWAGING.

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Alveolectomy↗

Osteoradionecrosis of the mandible. Treatment with hyperbaric oxygen.

Hyperbaric oxygen used in the treatment of 14 patients with intractable osteonecrosis of the mandible produced a favorable response in relief of pain, elimination of extraoral draining sinus tracts, the return of osseous union in areas of the abnormal fracture, and the rapid dissolution of sequestrum without suppuration, so that further loss of hard and soft tissue was minimized. This treatment is a more conservative approach in the management of osteoradionecrosis.

Adult↗

Results of surgical treatment for squamous carcinoma of the lower alveolus: segmental vs. marginal resection.

The records of 53 patients treated surgically for squamous cell carcinoma of the lower alveolar ridge were reviewed and the results of segmental and marginal resections of the mandible were compared. Analysis of these 2 treatment modalities disclosed that marginal resection was effective in controlling lower gingival cancers, with and without apparent bone involvement, if erosive bone defects that did not extend beyond the inferior alveolar canal, or invasive bone defects confined to a superficial area of the alveolar bone, were detected radiologically.

Adult↗

Cephalometric evaluation of surgical orthodontic treatment for the correction of anterior cross-bites.

Severe skeletal Class III malocclusion cases were treated by surgical orthodontic techniques. Surgical operations included alveolar osteotomy, horizontal osteotomy of the mandibular ramus, osteotomy of the mandibular body, and sagittal-split osteotomy of the mandibular ramus, according to the type of malocclusion. Comparisons between lateral cephalograms made before and after operation at the prognosis examination were made for the four surgical procedures.

Adolescent↗

Soft-tissue change as a result of maxillary surgery. A preliminary study.

A retrospective investigation of soft-tissue changes following two types of maxillary surgical procedure (anterior alveolar segmental, LeForte I) in nineteen adult patients was undertaken. Several hard-tissue coordinates were correlated to each coordinate of eleven soft-tissue points by multivariate regression analysis. This new method was compared to a previously derived nonsurgical prediction method (Ricketts). The following results were observed: 1. For eight horizontal and vertical coordinates (Glh, Glv, Nah, Av, Nch, Ncv, Pnh, and Pnv), neither method was accurate. 2. For ten horizontal and vertical coordinates (Snh, Snv, Ah, Av, ULh, ULv, Stv, LLh, Bv, and Pogv), the mean prediction residuals for the multivariate method were significantly smaller than those for the modified nonsurgical method. 3. For three horizontal and vertical coordinates (LLv, Bh, and Pogh), there were no significant differences between the mean prediction residuals of both methods. Two additional cases were used to test the new method for general applicability. Visual examination reveals that the predictions for these cases are clinicallly acceptable. Only further testing can establish the true validity of the new method.

Adolescent↗

Autogenic tooth transplantation. The "state of the art".

With proper case selection and technique, autogenic tooth transplantation can be a viable treatment modality. The authors present a number of transplant cases and suggest the procedure be considered as an adjunct in orthodontic treatment planning. A comprehensive review of the literature, combined with the authors' opinions and clinical demonstrations, has culminated in a discussion of indications and contraindications, special considerations, optimal timing, technique, and prognosis. It is thought that appropriate utilization can simplify or eliminate prosthetic requirements, reduce the complexity of many orthodontic treatment plans, and convert into routine certain cases heretofore thought to be inoperable.

Alveolectomy↗

Total mandibular alveolar osteotomy: an alternate choice to other surgical procedures.

Patients whose facial esthetics are not severely compromised but who need surgical intervention for the correction of a dentoskeletal problem can be treated by repositioning of the whole mandibular alveolar segment in the direction needed to allow for such correction. The challenge to achieve efficient and relatively stable results with the use of combined orthodontic and surgical methods has been met by the use of various surgical techniques. The lower total alveolar osteotomy is another viable surgical technique that could be considered when treatment is being planned in an orthognathic surgical case. Its indications, contraindications, advantages, and disadvantages are described, and cases are reported to exemplify problems that can be corrected with this approach.

Adolescent↗

The surgical exposure and application of direct traction of unerupted teeth.

This article presents a retrospective study of patients treated for impacted maxillary canines by a combined surgical and orthodontic approach. All patients were assessed radiographically by means of a lateral skull radiograph and an orthopantograph. No posteroanterior radiographs were taken. Facial or lingual position within the arch was not determined, the height and inclination of the canine being deemed more important. At surgery, a facial flap was raised first in all cases. Only if access and isolation were poor was a palatal flap raised. Bone was removed as necessary. One contention of this article is that the amount of bone removed is not important. It is the manner in which the soft tissues and, in particular, the periosteum are handled that ultimately affects the results of the surgical treatment. An attachment was bonded onto the tooth and the wound closed. The tooth was then actively extruded, a removable appliance being preferable because more vertical control of anchorage is possible.

Alveolectomy↗