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At least 1,369 records · Page 76Linked to original sources
PubMed2002

[The Fantoni translaryngeal tracheostomy: perioperative complications In a series of 220 consecutive patients].

BACKGROUND: To evaluate problems arisen du-ring Fantoni translaryngeal tracheostomy (TLT). METHODS SETTING: intensive care unit. PATIENTS: 220 patients (aged from 18 to 87). EXCLUSION CRITERIA: coagulopathy, difficult intubation, local infections, previous neck surgery, suspected cervical spine lesion, severe hypoxemia, hemodynamic instability, patients close to be discharged from ICU. Operation: TLT was performed in general anesthesia, using the technique described by Fantoni in 206 cases; in the other 14 cases changes were made. RESULTS: Perioperative clinical complications were separated from instrumental problems. Clinical complications were 28 (12.7% of TLT): 20 (9.1% of total TLT, 71.4% of total complications) were considered minor and ascribed to medical staff training; among these the complete drawing of the cannula and the difficulty in pushing it in trachea. Eight complications (3.6% of TLT, 28.6% of total complications) were considered major; they were: the impossibility to place the cannula in trachea, the displacement of the prothesis in the peritracheal tissue, the rupture of tracheal ring, the bleeding and the infection of tracheostomy, the dental uprooting. Among instrumental problems, the faulty closure of the ring nut, the overdimension of rigid tracheoscope, and the difficult change of the cannula were observed. CONCLUSIONS: With expert medical staff, this technique is effective and safe, with a low rate of complications. Major complications were rare, and occurred in spite of patients selection, often needing changing of TLT in surgical tracheostomy.

Adolescent↗
PubMedDate not supplied

Computerized milled solid implant abutments utilized at second stage surgery.

Single tooth restoration with implants traditionally has been complicated due to the difficulty in achieving ideal emergence profile and crown form. The Atlantis milled abutment overcomes these difficulties, utilizing CAD/CAM technology to develop a customized milled abutment with ideal emergence profile and shape to simplify crown fabrication.

Adult↗
PubMed2001

Ridge augmentation with a folded acellular dermal matrix allograft: a case report.

Deformities of the dentoalveolar ridge are usually the result of developmental defects, periodontal disease, trauma, or surgical insult. Various techniques are available to correct ridge defects. In this case presentation, ridge augmentation was achieved utilizing an acellular dermal matrix allograft in lieu of an autograft. This report demonstrated an acceptable esthetic result with a significant improvement in the bucco-lingual dimension of the dental ridge. Color match was judged to be excellent. Furthermore, there was no post-surgical loss in papillae height. This case report illustrates an innovative soft tissue surgical technique for clinicians attempting to correct dentoalveolar ridge defects.

Adult↗
PubMed2003

Maxillary bone growth and implant positioning in a young patient: a case report.

The literature supports the efficacy of osseointegrated implants for partially edentulous patients, but care must be exercised in adolescents with incomplete bone formation. Implants do not follow the normal growth of the jaws, and they behave like ankylosed teeth. They may also interfere with the normal growth of the alveolar process and jeopardize the germs of the adjacent permanent teeth or alter eruption. This case report analyzes the unfavorable clinical and radiographic findings of a single-tooth replacement in a young male over a 15-year period.

Alveolar Bone Loss↗
PubMed2003

"Mom. My tooth!".

Explore the source record for details and available documents.

Adolescent↗
PubMed2003

[Maxillofacial trauma by defenestration: 64 cases].

OBJECTIVE: There has been little work reported in the literature concerning trauma resulting from high level falls and almost none devoted to maxillofacial trauma following defenestration. The purpose of this work was to report the first series of defenestration victims who incurred maxillofacial trauma. METHOD: This retrospective series included all patients treated at the Pitié-Salpêtrière hospital between July 1994 and July 1999, all units included: surgery intensive care, neurosurgical emergency, orthopedic surgery or maxillofacial surgery. RESULTS: Female gender predominated in comparison with studies concerning high level falls (SR=0.5) with no difference concerning age (mu=31.5, sigma2=9.1). Fifty percent of the patients had a maxillofacial involvement. Death ensued in 17.2% (11/64 patients). The height of the fall among survivors ranged from one floor to eight floors; third-floor falls accounted for 31%. Defenestration was intentional in 70.3% of the cases, accidental in 17.1% and undetermined in 12.6%. The suicide attempts involved 13 patients with maniac depressive psychosis, 11 with depression, 6 with schizophrenia, 2 with undetermined familial problems, and 12 with no specific history. Four patients were drug abusers and 3 were alcoholics. Fifty percent of the victims were living in precarious social and economical conditions. The maxillofacial injuries included: 20 mandibular fractures, 15 Lefort fractures (I, II, III or combined), 2 blow out fractures, 7 fractures of the orbital roof, 15 fractures of the malar bone, 7 fractures of the nose bones, and 11 fractures of the naso-ethmoïdo-maxillo-fronto-orbital complex. On the average, patients lost 6 dental elements. The mean Glasgow index was 7.9. Extrafacial injuries included limb fractures (89%), chest trauma (73.4%), brain lesions (67%), spinal injury (40.6%), and abdominal injury (26.5%). CONCLUSION: The psychic and social vulnerability of the defenestration patient aggravated by the trauma is a fundamental dimension which must be taken into consideration during the initial management of these patients.

Accidental Falls↗
PubMedDate not supplied

Early radiographic diagnosis of inflammatory root resorption.

Inflammatory root resorption (IRR) is a common sequelae to oral trauma. Anticipating root resorption after trauma and taking some preventive measures may avoid this outcome. Endodontics and radiographic examination play an important role in the early diagnosis and treatment of root resorption. Subtle radiographic clues can lead to timely implementation of appropriate treatment (if any) according to the kind of resorption discovered. This article describes the most current classification of inflammatory root resorption (usually following trauma) and utilizes a clinical study to provide radiographic clues for its early detection.

Adolescent↗
PubMed2004

[Implant prosthesis rehabilitation after maxillofacial injuries--case report].

The dental and oral rehabilitation of patients with severe trauma that involves the oral cavity is demanding and challenging. Recently, advanced surgical techniques and innovations in oral implantology led to more sophisticated treatment modalities that may better fulfill the patients needs in special situations. Young people rather often suffer from accidents--at school and during leisure activities--in a period of their life that has a great impact on their physical, mental and personal development. Thus, the wish for a quick functional and esthetical rehabilitation contrasts with the complex clinical situation and the compromised oral conditions. All persons involved in the rehabilitation process--including the patient--must seek for the best solution that takes into account treatment time, invasivity of procedures and patients morbidity. Further, it is also observed that insurances very much stress the reduction of cost and the simplicity of treatment. This will also influence the treatment planning and the sequence of the procedures as shown by the following case.

Accidental Falls↗
PubMed2005

[Treatment of young permanent teeth following luxation based on two clinical cases].

Treatment of young permanent teeth following luxation based on two clinical cases The most problematic field of pediatric dentistry is the treatment of dental trauma. There has been a remarkable increase in the number of dental injuries resulting in damaged periodontal tissues at the pediatric dentistry department of the University of Debrecen. The aim of the authors' present study was to call attention to the most common problems emerging during the treatment of dental trauma of young permanent teeth following luxation based on two clinical cases. Furthermore, the article offers guidance for the more effective therapy of traumatized teeth according the IADT protocols in Hungarian.

Accidents, Home↗
PubMed2005

Treatment planning: implant-supported partial overdentures.

When multiple anterior teeth are missing, many options of replacement are available. Traditionally, the choice was between a fixed or removable prostheses. Today, with the predictability of dental implants, the options of tooth replacement range from removable partial dentures to implant-supported fixed prostheses. The choice of which restoration that will best provide occlusion and esthetics depends on multiple factors including the number and location of missing teeth, the residual ridge form in relation to the replacement teeth, the relationship of the maxillary and mandibular anterior teeth, the condition of teeth adjacent to the edentulous span, the amount of bone available for implant placement, the patients "smile line" and display of teeth, lip support, and financial constraints. When there is minimal loss of the ridge contour, restorations that emerge from the ridge are the most functional and esthetic restorations, adhesive-type fixed partial dentures, conventional fixed partial dentures, and implant-supported restorations can be indicated with the choice of restoration dependent on a risk benefit and cost benefit analysis. When there is a loss of ridge contour due to residual ridge resorption or trauma, the decision becomes more complex as not only does the tooth structure need to be replaced, the ridge form also has to be replaced. (Figures 1 and 2). This can be assessed clinically as illustrated by Figures 1 and 2 where a dis crepancy in arch form and ridge form in relation to the adjacent teeth and/or opposing arch can be observed. Other considerations are lip support and display of the teeth when smiling. This article presents a case and rationale for implant-supported par tial overdentures. Many authors have written on the merits of com plete overdentures. The complete overdenture has proven to be an improvement over conventional complete prostheses with respect to chewing efficiency, patient comfort and satisfaction. In partial edentulism, the implant-supported overdenture has several advantages, some in common with a removable partial denture.

Alveolar Bone Loss↗
PubMed2006

An application of a splint purposeful resin-bonded fixed partial denture after orthodontic treatment: a case report.

An adult male patient who had lost his maxillary left central incisor seven years ago in a traffic accident presented with a chief complaint about his unaesthetic appearance associated with the loss of his maxillary left central incisor space, a Class III molar occlusion, and an anterior open bite malocclusion due to tongue-thrust swallowing. Fixed orthodontic treatment was rendered following fan-type expansion of the maxilla. A Maryland bridge as a minimally invasive dentistry approach was used as a retention appliance and the patient's aesthetic appearance was restored.

Accidents, Traffic↗