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At least 1,711 records · Page 95Linked to original sources
PubMed2005

The use of a removable appliance to relieve symptoms of burning lower lip in a dentate patient.

UNLABELLED: The treatment of burning mouth Syndrome, in all its forms, is a challenge to the management of some older patients. The multi-factorial aetiology of this problem requires careful diagnosis and treatment planning to address the major aetiological factors for a given individual. This case report describes the treatment given to an elderly dentate female patient, whose main symptom was intense burning of her lower lip. The patient was aware of tooth clenching and various splints had been provided in the past, with limited improvement in symptoms. A simple removable appliance to prevent trapping of the soft tissues of the lower lip was provided, which produced a rapid and sustained reduction in symptoms. CLINICAL RELEVANCE: Solutions to some common, yet distressing, problems may well be appropriate for use in the Primary Dental Care setting. This solution to the problem of burning lower lip, may be useful for other patients with similar symptoms. It may be adapted for different clinical situations and is relatively non-invasive and reversible.

Aged↗
PubMed2005

The influence of incompetent lip seal on the growth and development of craniofacial complex.

Abnormal orofacial functions in the period of growth and development can cause morphological anomalies of the craniofacial complex. The aim of this study was to determine the correlation between open mouth posture and morphology of craniofacial complex. The shape, size and relationships of skeletal parts of craniofacial complex were determined by analysis of lateral cephalograms in the sample of 84 children--45 girls and 39 boys (aged 8.96 +/- 0.66 years). The sample was divided into two groups--lip competence and lip incompetence group. Differences in cephalometric values between observed groups were found. The values of inclination of lower central incisors (angle ILi/NB), interbasal angle (NL/NSL), angle between occlusal and mandibular plane and anterior lower facial height were significantly higher in the group with open mouth posture. It can be concluded that lip incompetence plays an important role in growth and development of craniofacial complex.

Cephalometry↗
PubMed2005

[Correction of dento-maxillofacial deformities following cleft lip and palate repair with orthognathic surgery and orthodontics].

OBJECTIVE: To restore good occlusion and face profile, the orthognathic operation and orthodontics were used to correct the dento-maxillofacial deformities following the repair of cleft lip and palate. METHODS: 21 patients (7 males and 14 females, mean age of 20.6 years) were included in this study. Their dento-maxillofacial deformities following the repair of cleft lip and palate have been corrected in our hospital since 1996. Of them, 17 patients received pre- and postoperative orthodontic treatments. 21 cases underwent the following surgical procedures: Le Fort I osteotomy in 7 cases, multisegmental Le Fort I osteotomy in 5 cases, Le Fort I osteotomy and bilateral sagittal split ramus osteotomy (BSSRO) in 4 cases, Le Fort I osteotomy and mandibular body osteotomy in 2 cases, BSSRO and genioplasty in 2 cases, BSSRO in 1 case. Rigid internal fixation was used in all patients. After multisegmental Le Fort I osteotomy, the rigid fixed palatine splint was used for 6 approximately 8 weeks. RESULTS: Osteotomy segments healed well in all cases without severe complications. 14 patients were followed-up for an average of 25.6 months. There was no evident relapse. 12 patients who received pre- and postoperative orthodontic treatments had satisfactory occlusion and face profile. CONCLUSIONS: Orthognathic operation combined with orthodontics can be used satisfactorily to correct the dento-maxillofacial deformities following cleft lip and palate repair.

Adolescent↗
PubMed2006

Exploring parental reactions to the diagnosis of cleft lip and palate.

The birth of an infant with a facial cleft evokes a range of emotions and reactions in parents. During acceptance of a child's disability, parents are said to progress through several stages similar to those responses reported in the bereavement process. This paper describes the process of adapting in terms of personal construct theory, and reports a pilot of the repertory grid technique as a therapeutic tool to elicit parental reactions following diagnosis of cleft lip and palate. Two mothers compared other significant life events to their reactions to the diagnosis of cleft lip and palate. This pilot supported the use of the repertory grid technique as a means to facilitate exploration of parental responses. Comparisons to the bereavement process were evident, although individual reactions or perceptions may differ from those expected. Recommendations are made for a wider research study within cleft lip and palate.

Adaptation, Psychological↗
PubMedDate not supplied

[Long-term evaluation of width and length of the maxillary dental arch in unilateral cleft lip and palate children].

AIM: To compare the width and length of a maxillary dental arch in unilateral cleft lip and palate (UCLP) children treated during the first year of life with a one-stage repair of the lip and palate and a control group. MATERIAL AND METHODS: 25 UCLP 10-12 years old subjects treated in the first year of life compared to 26 subjects with normal morphology of the dental arches. Intermolar and interpremolar widths and the length of the dental arch were measured. The difference between the groups was assessed by the T test for independent samples. RESULTS: The intermolar width was similar in both groups. The interpremolar width and the length of the dental arch were smaller in the treated group. However the difference in the interpremolar width between the groups was small -- approximately 2 mm. CONCLUSIONS: One-stage surgical repair of the cleft lip and palate performed in the first year of life prevents a serious constriction of the maxillary dental arch. However a final verification of the treatment protocol employed in our Centre for Craniofacial Disorders will only be possible after the completion of maxillary growth.

Child↗
PubMed2006

[Surgical management of neonate lip and palate cleft].

OBJECTIVE: To explore the security and feasibility in ambi-operation of the neonate lip and palate cleft correction. METHODS: Using Ornizuka's and innovated Langenbeck's method to correct the lip and palate cleft in 30 cases with detailed program, the effect after operation was evaluated. RESULTS: All physiological index were normal in the group of ambi-operation, which had no difference to other newborn. The effect is satisfactory. 5 of them have the fistula under the gingival. CONCLUSIONS: Based on controlling on surgery indication, screening the well-developed newborn, it is secure and feasible to correct lip and palate in one stage, and it can get excellent effect.

Cleft Lip↗
PubMed2006

[Analysis of Millard II technique for correcting secondary deformities of unilateral cleft lip].

OBJECTIVE: To analyze the Millard II technique for correcting secondary deformities of unilateral cleft lip. METHODS: The Millard II technique was used to correct secondary deformities of unilateral cleft lip in 42 patients from March of 2003 to September of 2004. Dissection was made between the alar cartilage and skin, and the alar cartilage was suspended. RESULTS: The postoperative follow-ups with 3 approximately 6 months revealed good results of the symmetrical nostrils and philtrums, prolonged columella nasi, good-shaped cupid's bow, and invisible scar. CONCLUSIONS: The Millard II technique could be an ideal method to correct secondary deformities of unilateral cleft lip. Releasing and suspending alar cartilage spontaneously at the same time can correct nasal deformity adequately.

Adolescent↗
PubMed2006

[Construction of the new dental arch in the prosthetic rehabilitation of cleft lip and palate. Case report].

The authors describe the prosthodontic rehabilitation of an adult patient with unilateral cleft lip and palate. After the surgical and orthodontic treatment of cleft lip and palate patients the prosthodontic treatment was started to correct the palatal defect, the malocclusion and the missing teeth. The authors emphasize on preliminary steps by using diagnostic casts and try-in dentures and they also suggest other directives in the dental management of cleft lip and palate patients.

Adult↗
PubMed2006

Lip repositioning for reduction of excessive gingival display: a clinical report.

Excessive gingival display can be managed by a variety of treatment modalities, depending on the specific diagnosis. This case report demonstrates the successful management of excessive gingival display with a lip-repositioning procedure. This is accomplished by removing a strip of mucosa from the maxillary buccal vestibule, then suturing the lip mucosa to the mucogingival line. This results in a narrower vestibule and restricted muscle pull, thereby reducing gingival display during smiling. This article reviews the basic technique for lip repositioning and discusses the indications and contraindications for this novel procedure in dentistry.

Adult↗
PubMed2006

Survey of the patients with cleft lip and palate in China who were funded for surgery by the Smile Train Program from 2000 to 2002.

BACKGROUND: Cleft lip (CL) and cleft palate (CP) are two of the most frequent congenital malformations. Many epidemiologic studies on this deformity have been conducted worldwide, often producing inconsistent results. This study assessed epidemiology and some genetic aspects of cleft lip and palate in a Chinese sample from the Smile Train Program and to compare with other methodologically sound surveys. METHODS: The general information, family history, classification of cleft and associated malformations of 8000 CL and CP surgery patients were analyzed. RESULTS: Of the 8000 cases, 7812 had complete data. The distribution of cleft types is 17.04% with CP, 23.39% with CL and 59.58% with cleft lip and palate (CLP). Unilateral clefts were more common than bilateral, with unilateral to bilateral ratios being 10.4:1 for CL, and 3.42:1 for CLP. The overall male:female ratio was 2.01:1. Left sided defects were more common than right sided regardless of sex, 1.90:1 for CL and 1.96:1 for CLP. CLP and CL were more common in males than in females with sex ratios (SR) of 2.88:1 and 1.85:1 respectively, whereas CP was more common in females with SR of 0.76:1. Associated malformations (2.89%), involved 29 CP cases, 41 CL and 156 CLP. The frequency of associated malformations in CLP (3.35%) was higher than CL (2.24%) and CP (2.22%) (P < 0.05). Patients with CP or CLP were born less often in the winter than in the summer (P < 0.05). A history of family members having clefts occurred in 6.84% of patients. The proportion of CLP cases (7.56%) was significantly higher than that of CL cases (5.64%) (P < 0.05). CONCLUSIONS: The different types of clefts appeared in the highest proportion in CLP and lowest proportion in CP. Males are more common with CL and CLP and less common with CP. These characteristics are the same as those of other Chinese surveys but different from some European reports.

China↗
PubMed1991

Differences between facial configuration and development in complete and incomplete unilateral cleft lip and palate during the prepubertal period.

Mixed-longitudinal roentgencephalometric data were used for the determination of differences between the configuration and development of the face in complete and incomplete unilateral cleft lip and palate at the age of 8 to 12 years. As compared to incomplete clefts patients with complete clefts had a reduced height of the upper face and thus also of the face as a whole and an increased width of the nasal cavity. These findings were in agreement with the situation in adults, but contrary to adults we failed to disclose any difference in the depth of the maxilla and thus there were also no differences of the retrusion of the upper jaw, sagittal jaw relations, facial convexity, occlusion of incisors and the prominence of the upper lip. The thickness of the upper lip did not differ as well. The global results showed that the differences between facial configuration in these two types of clefts were much smaller up to the onset of puberty than in adults. Throughout the investigated period of time the growth and development of the investigated parameters proceeded identically in both forms of clefts. The reduction of upper face height in complete clefts confirmed an early, probably prenatal origin of this deviation from normal.

Cleft Lip↗
PubMedDate not supplied

Curative interstitial brachytherapy for early stage carcinoma lip.

Brachytherapy is potentially useful in the treatment of head-and-neck cancers, because most tumor sites, such as the lip, tongue, floor of mouth, tonsil, pharynx, nasopharynx, sinuses, and neck, are accessible for the placement of afterloading applicators and catheters. It has the advantage of delivering a higher radiation dose to the tumor while sparing surrounding normal tissue from radiation. Furthermore, the overall treatment duration is shorter, and the dose distribution confirms to tumor shape. Brachytherapy is used as "monotherapy" for the treatment of small primary tumors or recurrent disease after external beam radiation therapy (EBRT). Small cancers of the lip (less than 2 cm) are treated equally well with surgery or radiation therapy with excellent cosmetic and functional results seen in radiation therapy. We treated an 18-year old male diagnosed as stage I carcinoma lip with curative interstitial brachytherapy. He was treated to a dose of 3 Gy per fraction, two fractions per day at interval of 6 hours between the two fractions for 6 days. He therefore received a total dose of 36 Gy with High Dose Rate (HDR) Brachytherapy, which is equivalent to 58.36 Gy conventional radiotherapy dose. At two months follow, the patient is clinically disease free and has no complaints.

Adolescent↗
PubMed1991

Orbicularis oris muscle: a double-breasted suture for its repair in the unilateral cleft lip.

The release of abnormal insertions of orbicularis oris muscle from the columella and ala base, and from their inferior attachments along the labial margin, provides muscle flaps for a double-breasted suture in cleft lip repair. Using the muscle flaps for double-breasted sutures realigns the orbicularis oris muscle fibers to achieve an anatomical and functional repair that is characterized by a symmetrical lip length, nostrils, philtral column, and philtral dimple. Double-breasted sutures also increase muscle thickness surrounding the lip and consequently provides better symmetry for the nostril floor.

Child↗
PubMed1991

[Applied anatomy of lymph drainage of lower lip mucosa].

The lymph drainage of lower lip mucosa was studied in 30 fresh cadavers of fetus and neonatus by submucosa injection of 30% Prussian blue of chloroform solution. The collecting lymphatics in lateral third of both the right and left sides of the lower lip mucosa ran laterally to the angles of the mouth, and then back- and downward between mandible and depressor muscle of angle of mouth, and finally, accompanying the facial vessels, emptied into submandibular lymph nodes. The efferent lymphatics of the latter emptied into angular lymph nodes and jugulo-omohyoid lymph nodes. The collecting lymphatics in the middle third of the lower lip mucosa went superficially to the mental muscle and downward into submental lymph nodes. The efferent lymphatic of the latter emptied, anteriorly to the body of the hyoid bone, latter- and downward into right and left jugulo-omohyoid lymph nodes. All collecting lymphatics lie in the loose connective tissue between the muscles.

Humans↗
PubMed1991

Two cases of hemangioma of the upper lip in infants--treatment using the Nd: YAG laser.

We report here two cases of treatment of upper lip hemangioma in infants, in which the Nd:YAG laser had a significant therapeutic effect. Case 1 was a 3-month-old male with swelling of the upper lip as the chief complaint. After galvano-caustic was performed under general anesthesia, sclerosing agent injection therapy (6 times, total 4.5 ml) was continued for 2 months. But the tumor was still growing about 2 years later, so resection was performed with Nd:YAG laser under general anesthesia. Case 2 was a 1-month-old male, also with swelling of the upper lip as the chief complaint. Resection was performed with Nd:YAG laser under general anesthesia. But the tumor was still growing about 4 months later, so it was repeated. The patients made satisfactory prognosis. Histologically, the final diagnoses of two cases were capillary hemangioma.

Hemangioma↗
PubMed1991

[Cleft lip: apropos of 80 cases].

Patient, with cleft lip do not go unnoticed because the malformation is obvious. But in our countries it's not rare to receive some teenagers and even adults with cleft lip: among the patients of our series 20% were more than 14 years old. Cleft lip was unilateral in 92.5% of the cases. All these patients were operated on by a same E.N.T. specialist's team using a same method: the modified rotation--advancement of MILLARD Results were judged good in 85% of the cases. Minimum fare of malformation must begin at birth by many specialist.

Adolescent↗
PubMed1991

Treatment of cleft lip and cleft palate.

The first case of cheiloplasty recorded was in China at about 200 BC. The technique of course has been vastly improved over the centuries. Cleft lip and/or cleft palate are among the most common congenital anomalies in China and the world. There is controversy over some of the surgical techniques used and age for operation, especially in cleft palate, but the condition requires surgery. Unilateral cleft lip is operated on at 3-6 month of age and bilateral cleft lip at 6-12 month of age. Views on palatoplasty are: 1. Cleft palate should be repaired at an early age; 2. Supplementary orthodontic treatment to expand the upper arch postoperatively is necessary, and orthognathic surgery is performed if needed when the patient has matured. This is the best choice at present.

China↗
PubMed1991

[The use of the maxillary protractor in the treatment of cleft lip and palate: a report of two cases].

The patients who underwent reconstruction of cleft lip and palate had clinically abnormal characteristics such as cicatricial contracture in the cleft area, narrow arches, missing teeth, and fistula. Most of those patients showed severe class III malocclusion with underdevelopment of the maxillary complex. In such patients, the treatment objectives in orthodontics were mainly anterior and lateral expansions of the maxillary arches, and inhibition of mandibular growth. In recent years, the maxillary protractor has been used positively in the treatment of the underdeveloped maxillary complex. In this study, we report on two patients with cleft lip and palate, and underdevelopment of the maxillary complex. Maxillary protractors were used beneficially at the period of the dento-craniofacial growth spurt. In these two cases, improvement of disharmony was obtained in the antero-posterior relationship between the maxilla and the mandible. The effects of the treatment were forward movement of the maxilla and growth inhibition of the mandible. Accordingly, the use of the maxillary protractor for cleft lip and palate patients with underdeveloped maxilla at the period of the dento-craniofacial growth spurt was shown to be important.

Cleft Lip↗