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At least 127 records · Page 7Linked to original sources

Peridontal manifestations and treatment in a case of Sturge-Weber syndrome.

A case of Sturge-Weber syndrome, uncommon in its intraoral extent, is presented. The pathologic process involved both the soft and osseous tissues of both the maxilla and mandible of the affected side. The first known histopathologic description of alveolar bone involvement is presented. The patients was treated by means of extractions and periodontal flap surgery on both an outpatient and an inpatient basis, with good results and no untoward sequelae. common clinical findings in Sturge-Weber syndrome and specific signs and symptoms manifested by this patient are discussed.

Adult↗

Cold agglutinin disease. Report of a case.

Cold agglutinin disease is an autoimmune hemolytic anemia with varying causes. Two major types are recognized, with different clinical manifestations. Cold agglutinins are circulating antibodies capable of erythrocyte agglutination. However, the reaction is readily reversible. Treatment of the disease is variable. A case is presented to illustrate that minor oral surgical procedures are feasible, provided the proper precautions are taken.

Alveoloplasty↗

Clinical applications of ultrasonic instrumentation in the surgical removal of bone.

The clinical use of ultrasonic inserts in the surgical removal of alveolar bone has been evaluated. Surgical applications included the removal of 19 teeth and the osseous management of periodontal disease in 50 cases. Histologic material was provided by resected bone fragments attached by periodontal tissues in anatomic relation to removed teeth. Microscopic observations of sections revealed that planed surfaces of bone were smooth, while incised edges were irregular. Evidence for residual debris was absent. No alterations in adjacent lacunar osteocytes, vascular channels, and underlying periodontal tissues were noted in clinical use, the ultrasonic inserts were found to remove bone with ease and preciseness. Hemorrhage from surgical sites was minimal or absent. Healing of tissues was uneventful with no postoperative complications encountered. Patients reported minimal discomfort during and following the surgical application of this instrumentation.

Alveolar Process↗

Hydroxylapatite reconstruction of alveolar ridge deficiency with an open mucosal flap technique.

A preliminary report on an open surgical technique for mandibular augmentation with hydroxylapatite has been presented. Twelve patients were evaluated from 2 to 20 months postoperatively. Advantages are thought to include better ridge form, maintenance of vestibular depth, and visualization of the mental nerve. In addition, splints usually are not necessary. Disadvantages include increased surgical time, possible lower lip inversion, and soft-tissue characteristics that may require secondary revisions.

Alveolar Ridge Augmentation↗

The use of allogeneic bone for alveolar cleft grafting.

Freeze-dried bone marrow has been used for grafting alveolar clefts. In all instances in which canines were present, they erupted through the grafted allogeneic bone. The ability to avoid donor site morbidity, coupled with successful eruption of canines through the grafted allogeneic bone, represents an additional technique for treating alveolar clefts.

Adolescent↗

Ridge reconstruction with hydroxylapatite. Part 2. Ridge reconstruction based on residual anatomic structure.

The second part of this article shows how the problems of atrophy and resorption of the residual ridge can be corrected with hydroxylapatite to obtain ideal ridge form and maximal prosthetic rehabilitation. The high degree of efficiency of the system is based on a thorough knowledge of the anatomic structures involved, on the use of the cephalogram as a guide, on the correction of adverse intermaxillary relationships and on the recourse to a staging of procedures when required.

Alveolar Process↗

Pulpal and root sensitivity rated to periodontal therapy.

The purpose of this clinical investigation was to determine if periodontal treatment consisting of scaling, root planing, and periodontal surgery produced any change in pulpal or root sensitivity. Ten patients were tested, with a total of 84 observations. There were 42 periodontally treated teeth, with 42 contralateral teeth serving as control specimens. The teeth were evaluated with stimuli from an electric pulp tester, cold, and air. The electric pulp tester was found to be reliable in assessing the pulpal sensitivity. Neither the amount of periodontal destruction nor the extent of periodontal treatment had any effect on the pulp. Scaling and root planing had no significant effect on root sensitivity. Periodontal surgery was directly related to root sensitivity in terms of the extent of root surface exposure. An association was observed clinically between plaque accumulation after periodontal surgery and root sensitivity.

Adult↗

A retrospective study of alveolar cleft grafting.

A surgical technique for the bone graft repair of alveolar clefts is described, and an evaluation of the conditions of 30 patients who have undergone that procedure is reported. Evaluation was made specifically for the preoperative and postoperative presence of oronasal fistula, postoperative eruption of previously unerupted teeth into the graft, soft and hard tissue periodontal status, and radiographic evidence of bone fill in the previous cleft defect resulting in alveolar segmental stabilization.

Adolescent↗

Long-term results of subperiosteal implants combined with cancellous bone grafts.

Twenty-three subperiosteal implants combined with cancellous bone grafts were done at the University of Washington over a four-year period. A modification of the original technique as used with 19 of the patients is described, as well as the follow-up evaluation. The greatest problem occurred at the mucosal-metal junction, resulting in multiple infections and some failures. This technique appears to be comparable with simple subperiosteal implant but not significantly better.

Alveoloplasty↗

Posteriorly based, lateral lingual flaps for alveolar cleft bone graft coverage.

The use of posteriorly based, lateral lingual flaps for primary oral coverage of alveolar cleft grafts is reported. These flaps offer dependable vascularity, versatility, and viable augmentation of tissue-deficient areas while avoiding the sacrifice of covering tissue from already scarred lips or maxillary surfaces.

Adult↗

Early results of secondary bone grafts in 106 alveolar clefts.

Eighty-three patients with cleft lip and cleft palate were treated by secondary bone grafts to the 106 alveolar clefts. In 98% of the alveolar clefts, the graft was successful and the oronasal fistula was closed. There were only occasional other complications, all but one of which were minor and did not affect the final result. Morbidity was low. Compared with older patients, the pre-teen group of patients not only had no complications of consequence but experienced less morbidity. The 100% success rate and the lower morbidity in the pre-teen group of patients thus favor operating on patients at the younger age.

Adult↗

Periodontal evaluation of canines erupted through grafted alveolar cleft defects.

Two to eight years after receiving autogenous iliac crest grafts for treatment of alveolar cleft defects, eighteen patients who had unilateral cleft palate were evaluated for their periodontal status. When cleft-associated canines were compared with contralateral control canines, no statistically significant differences were found between specific surface values for plaque index, gingival index, or probing depths. Attachment loss was found to be greater (less than 0.72 mm) on the mesio-facial, facial, and mesio-palatal surfaces of the cleft-associated canines than on the control canines. Fifty-six per cent of the cleft-associated canines required surgical exposure and 44% also required orthodontic assistance to erupt to a functional occlusion. Osseous grafting of alveolar cleft defects resulted in satisfactory clinical periodontal support for cleft-associated canines.

Adolescent↗