Pure Ectodermal Dysplasia: Retrospective Study of 16 Cases and Literature Review

2001 ◽  
Vol 38 (5) ◽  
pp. 504-518 ◽  
Author(s):  
B. Ruhin ◽  
V. Martinot ◽  
P. Lafforgue ◽  
B. Catteau ◽  
S. Manouvrier-Hanu ◽  
...  
Keyword(s):  
Ectodermal Dysplasia ◽  
Maxillofacial Surgery ◽  
University Hospital ◽  
Oral And Maxillofacial Surgery ◽  
Nail Dystrophy ◽  
Ectodermal Dysplasias ◽  
Surgery Department ◽  
Mandibular Protrusion ◽  
Implant Treatment ◽  
Plaster Casts

Objective: To review the possible craniomaxillofacial deformative consequences associated with ectodermal dysplasias and embryonic malformations, which include dental ageneses. Setting: Oral and Maxillofacial Surgery Department, University Hospital, Lille, France. Patients: Sixteen patients (seven boys and nine girls, aged 4 to 34 years) with pure ectodermal dysplasia (no ectodermal dysplasia syndromes). Interventions: All patients had a clinical examination. Seven (two boys and five girls, aged 4 to 25 years) had undergone plaster casts and radiographic and Delaire's cephalometric studies before being treated. Main Outcome Measures: All patients had tooth ageneses (from hypodontia to anodontia), associated with cutaneous dyshidrosis and hair and nail dystrophy. Most of them had a short face, with an unusual facial concavity, a maxillary retrusion, and a relative mandibular protrusion. Management Results and Discussion: Depending on their ages and their orthopedic abnormalities, patients underwent either dental or prosthodontic, orthodontic, orthopedic, orthognathic, or implant treatment. So as not to interfere with the growth pattern, we preferred to reserve implant and orthognathic surgery for full-grown cases. Conclusions: Oral and maxillofacial surgeons must undertake a comprehensive approach to these patients to improve their dental, masticatory, growing, and orthognathic conditions.

scholarly journals DENTOALVEOALR INJURIES

2016 ◽  
Vol 23 (11) ◽  
pp. 1345-1348
Author(s):  
Syed Ghazanfar Hassan ◽  
Muhammad Shahzad ◽  
Suneel Kumar Panjabi ◽  
Salman Shams ◽  
Anand Kumar
Keyword(s):  
Maxillofacial Surgery ◽  
Traumatic Injury ◽  
Age Distribution ◽  
University Hospital ◽  
Oral And Maxillofacial Surgery ◽  
Common Etiology ◽  
Dentoalveolar Trauma ◽  
Surgery Department ◽  
Dental Injuries ◽  
Type Of Injury

Objectives: To analyze frequency, gender, age distribution, cause of injuryand type of dento alveolar injury among patients at Liaquat university hospital Hyderabad.Setting: This research done in Oral and Maxillofacial Surgery department at Liaquat UniversityHospital Hyderabad. Period: June 2013 to December 2014. Material and Methods: A dataof 114 patients who had been suffered with dentoalveolar trauma was reviewed. Patientshistory including age, gender, etiology of injury, type of injury like (intrusion, extrusion, luxation,subluxation, avulsion, crown fracture, root fracture were analyzed. Results: 36 female patientsand 78 male patients were affected with dentoalveolar trauma. The injury was frequent in agebetween 11-20 years. Mainly etiology of injury was fall in 54 cases followed by RTA in 35 cases.Intrusion of teeth was seen in 51 cases and crown fracture in 29 cases. Conclusion: The resultsof this study illustrate that fall is most common etiology of dentoalveolar trauma in this area.Intrusion of teeth was the most common types of dentoalveolar traumatic injury. Precautionaryeducational programs relating to traumatic dental injuries are required to be held in our countryto reduce the number of such injuries.

scholarly journals 1359 Everyone Deserves to Smile: An Audit on The Success Rate of Dental Implants in Complex Maxillofacial Patients

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Lugaric ◽  
C Frezzini ◽  
A Patterson
Keyword(s):  
Dental Implants ◽  
Maxillofacial Surgery ◽  
Survival Rates ◽  
Oral And Maxillofacial Surgery ◽  
Head And Neck Reconstruction ◽  
Success Rates ◽  
Native Bone ◽  
Local Standard ◽  
Edentulous Patients ◽  
Surgery Department

Abstract Aim To determine the success rates of dental implants in complex patients treated in the Oral and Maxillofacial Surgery Department at Rotherham General Hospital (RGH). Method All patients who received dental implants in the period January 2010 – March 2017 at RGH were included in the audit. Standards 90% local standard Results 68 dental implants were placed in 22 patients: 15 patients head and neck reconstruction, 5 atrophic edentulous patients, 2 trauma. Conclusions Survival rates for dental implants in the literature is variable ranging from 91 -96% in native bone and mucosa and 46 - 98% in irradiated tissue.

scholarly journals The provision of surgical tracheostomies by maxillofacial surgeons in the UK: time for a dedicated tracheostomy team?

2018 ◽  
Vol 100 (2) ◽  
pp. 116-119
Author(s):  
P Chohan ◽  
R Elledge ◽  
MK Virdi ◽  
GM Walton
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Telephone Survey ◽  
Percutaneous Dilatational Tracheostomy ◽  
Maxillofacial Surgery ◽  
University Hospital ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Tracheostomy ◽  
Surgical Teams ◽  
The Uk

Surgical tracheostomy is a commonly provided service by surgical teams for patients in intensive care where percutaneous dilatational tracheostomy is contraindicated. A number of factors may interfere with its provision on shared emergency operating lists, potentially prolonging the stay in intensive care. We undertook a two-part project to examine the factors that might delay provision of surgical tracheostomy in the intensive care unit. The first part was a prospective audit of practice within the University Hospital Coventry. This was followed by a telephone survey of oral and maxillofacial surgery units throughout the UK. In the intensive care unit at University Hospital Coventry, of 39 referrals, 21 (53.8%) were delayed beyond 24 hours. There was a mean (standard deviation) time to delay of 2.2 days (0.9 days) and the most common cause of delay was surgeon decision, accounting for 13 (61.9%) delays. From a telephone survey of 140 units nationwide, 40 (28.4%) were regularly involved in the provision of surgical tracheostomies for intensive care and 17 (42.5%) experienced delays beyond 24 hours, owing to a combination of theatre availability (76.5%) and surgeon availability (47.1%). There is case for having a dedicated tracheostomy team and provisional theatre slot to optimise patient outcomes and reduce delays. We aim to implement such a move within our unit and audit the outcomes prospectively following this change.

scholarly journals Granulomatosis with polyangiitis: potentially lethal gingival lesions presenting to the dentist

2019 ◽  
Vol 12 (4) ◽  
pp. e229607 ◽  
Author(s):  
Amy Patrick ◽  
Keith Altman
Keyword(s):  
Rare Disease ◽  
Granulomatosis With Polyangiitis ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Oral Lesions ◽  
Blood Tests ◽  
Eosinophilic Infiltrate ◽  
Gingival Bleeding ◽  
History Of ◽  
Surgery Department

Gingival pathology is a daily presentation, however a small number of systemic conditions can manifest similar to a common gingival condition and have fatal results. Dentist referred 56-year-old woman to Oral and Maxillofacial Surgery department with a 2-week medical history of gingival bleeding not responding to local measures. Biopsy showed eosinophilic infiltrate and vasculitis, and blood tests showed positive markers including cytoplasmic antineutrophil cytoplasmatic antibodies. Granulomatosis with polyangiitis is a rare disease affecting the respiratory tract, blood vessels and kidneys. Oral lesions are rarely the primary presenting feature. When left untreated, most cases are fatal within a year of diagnosis. The diagnosis can only be made when certain criteria are found, including granular oral lesions exhibiting an eosinophilic inflammatory infiltrate on biopsy. With 5% of cases showing intraoral lesions as the primary feature, it is essential that dentists have the knowledge of this rare disease to refer and not to treat as a common gingival condition.

scholarly journals Redesigning the Paradigms of Clinical Practice for Oral and Maxillofacial Surgery in the Era of Lockdown for COVID-19: From Tradition to Telesemeiology

2020 ◽  
Vol 17 (18) ◽  
pp. 6622
Author(s):  
Massimo Robiony ◽  
Elena Bocin ◽  
Salvatore Sembronio ◽  
Fabio Costa ◽  
Vittorio Bresadola ◽  
...  
Keyword(s):  
Local Governments ◽  
Maxillofacial Surgery ◽  
Physical Contact ◽  
Clinical Activity ◽  
Oral And Maxillofacial Surgery ◽  
Clinical Services ◽  
Organization Model ◽  
Outpatient Consultation ◽  
New Challenges ◽  
Surgery Department

The rise of the COVID-19 pandemic has posed new challenges for health care institutions. Restrictions imposed by local governments worldwide have compromised the mobility of patients and decreased the number of physicians in hospitals. Additional requirements in terms of medical staff security further limited the physical contact of doctors with their patients, thereby questioning the traditional methods of clinical examination. Our institution has developed an organization model to translate the essential clinical services into virtual consultation rooms using a telemedicine interface which is commonly available to patients. We provide examples of clinical activity for a maxillofacial surgery department based on teleconsultation. Our experience is summarized and an organization model is drafted in which outpatient consultation offices are translated into virtual room environments. Clinical examples are provided, demonstrating how each subspecialty of oral and maxillofacial surgery can benefit from virtual examinations. The concept of “telesemeiology” is introduced and a checklist is presented to guide clinicians to perform teleconsultations. This paper is intended to provide an organization model based on telemedicine for maxillofacial surgeons and aims to represent an aid for colleagues who are facing the pandemic in areas where lockdown limits the possibility of a physical examination.

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