scholarly journals Analysis of bone-reconstructive surgery aimed at normalization of occlusal relationships of the jaws at the final stages of rehabilitation treatment of children with congenital cleft lips and palate (Literature review)

2021 ◽  
Vol 9 (3) ◽  
pp. 377-387
Author(s):  
Mikhail G. Semenov ◽  
Sofia A. Botsarova ◽  
Yulia V. Stepanova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Medical Rehabilitation ◽  
Clear Understanding ◽  
Lower Jaw ◽  
Reconstructive Operations ◽  
Aesthetic Results ◽  
The Face ◽  
Congenital Cleft

BACKGROUND: The completion of medical rehabilitation of children aged 1618 years with congenital cleft lips and palate is often impossible without surgical correction of occlusal relationships of the jaws and improvement of facial aesthetics. At the same time, the main efforts of the specialists engaged in the treatment of children with orofacial clefts are aimed at correcting local plastic operations of the upper lip, nose, oral cavity, and orthodontic, using non-removable arc equipment, correction of disturbed occlusion. AIM: Our aim is to study and analyze the problems of final bone reconstructive operations in patients with HRGN. MATERIALS AND METHODS: The article presents a review of the literature on this topic, based on 61 sources. The literature was searched by keywords in the databases such as PubMed, ScienceDirect, E-library, and Google Scholar from 1938 to 2020. The data on the treatment of children with combined maxillofacial anomalies and deformities with cleft lips and palate, who underwent reconstructive bone operations on the jaws in order to normalize their occlusal relationships, were analyzed. RESULTS: In order to achieve good morphofunctional and aesthetic results, as well as early socialization of patients with VRGN at the final stages of rehabilitation, complex hardware and surgical treatment are necessary. The indication for reconstructive operations on the jaws in patients is the face disorder and disharmony of the face, which cannot be corrected by orthodontic treatment. The operations should be based on careful planning, including CT modeling, the use of sparing techniques, including various modifications of Le Faure I osteotomy on the upper jaw, and retromolar sagittal osteotomy of the jaw and, according to indications, genioplasty on the lower jaw. CONCLUSIONS: Two-jaw orthognatic bone reconstructive operations on the jaws to restore the correct bite have recently been used in the complex medical rehabilitation of patients, especially in adolescents with VGN. At the same time, there are a number of unresolved issues of orthodontic and surgical treatment that require further study. There is a strong need for a clear understanding of the age of planning and timing of such operations considering the stage of completion of skeletal growth. The criteria for the patients readiness for surgery for multiple occlusive contacts also need to be evaluated. It is of paramount importance to determine the order of performing corrective operations on the soft tissues of the face and oral cavity. Hence there is a necessity to develop new methods of reconstructive operations on the jaws.

scholarly journals PROBLEMS OF REHABILITATION AFTER RECONSTRUCTIVE OPERATIONS ON SOFT TISSUES OF ORAL CAVITY

2020 ◽  
Vol 8 (4) ◽  
pp. 609-616
Author(s):  
E.S. Galkina ◽  
◽  
V.A. Tarakanova ◽  
A.V. Grekhov ◽  
E.A. Durnovo ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Psychological Health ◽  
Soft Tissues ◽  
Pain Syndrome ◽  
Dental Clinics ◽  
Reconstructive Operations ◽  
Rehabilitation Period ◽  
The Relationship

In this article, patients’ problems in the rehabilitation period after reconstructive operations on the soft tissues of the oral cavity are analyzed. The performed manipulations are associated with neg-ative emotions of a person, complicating the establishment of trusting relationship with a doctor, which ultimately can affect a course of the wound process in the postoperative period. The doc-tor’s ability to convince a patient and set him to a positive solution to problems plays an im-portant role in the emotional discharge at the stages of surgical treatment and after it. The speci-ficity of the patients of a dental surgeon is based on the conflicting desire to have a beautiful smile and an agreement to surgical treatment. The decisive element is the relationship established between a doctor and a patient on a clinical visit. These relationships ultimately determine the result of the treatment. Any damage to the oral mucosa will cause pain syndrome of different severity, making the patient suffer. Keeping the patient’s psychological health in balance is a rather complex and important step that improves the quality of life. In the process of rehabilitation, one should not exclude the involvement of clinical psychologists to reduce emotional stress. It is important to create special rooms in dental clinics for psychological consulting, taking patients out of stress, emotional discharge and correction of the emotional state. Further search for new stress-protective agents and methods available for use by a dentist himself is a promising direction in the rehabilitation of patients after reconstructive operations on the soft tissues of the oral cavity.

scholarly journals CLINICAL CASE OF APPLICATION OF AN OBTURIRUYUSHCHY ARTIFICIAL LIMB, AT MAINTENANCE SURGICAL TREATMENT OF DEFECT OF THE LOWER JAW

2018 ◽  
Vol 14 (3) ◽  
pp. 45-48
Author(s):  
Наталья Нуриева ◽  
Natal'ya Nurieva ◽  
Юрий Васильев ◽  
Yuri Vasilev
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Clinical Case ◽  
Surgical Techniques ◽  
Artificial Limb ◽  
Surgical Interventions ◽  
Lower Jaw ◽  
Orthopedic Rehabilitation ◽  
The Moment ◽  
Temporary Closure

Subject. The obturator for dissociation of an oral cavity from a nose cavity, the maxillary of cavities, the post surgeons of defects of maxillary bones. Purpose ― to carry out stomatology rehabilitation of the patient with the acquired defect of the lower jaw with use of the obturator. Methodology. Surgical treatment in maxillofacial area, often doesn't do without appearance of defects of maxillary bones. Elimination of the arising deformations unconditionally perhaps both surgical techniques, and orthopedic designs. Temporary closure of the formed defects and restoration of functions of breath, the speech and food can be the purpose of orthopedic maintenance, at surgical interventions, as division of an oral cavity from cavities of a nose, a bosom, and. We made use of experience of production of various obturator at more than 50 patients needing orthopedic rehabilitation for writing of this article, and in honesty in production of various designs the obturator of artificial limbs, at the moment and after the surgical and combined methods of treatment of new growths of maxillary bones postponed. All of them are at different stages of rehabilitation. Results. On example of a clinical case is shown a possible orthopedic way of closing of temporary defect of the lower jaw, by production of the obturator artificial limb adapted in an oral cavity. The Obturator artificial limb has the small sizes, can independently be established and be taken by the patient, for hygienic leaving, doesn't influence diction and an articulation, helps to avoid of postoperative defect and also to normalize meal. Conclusions. The assessment of results of the carried-out orthopedic treatment is carried out, its efficiency is established, practical recommendations about clinical use and ways of production are made.

scholarly journals Use of autogenous platelet rich plasma and 3D collagen matrix Fibromatrix for soft tissue regeneration in the treatment of Miller Class I gingival recessions

2020 ◽  
Vol 22 ◽  
pp. 02022
Author(s):  
Rushana Farkhshatova ◽  
Larisa Gerasimova ◽  
Milyausha Kabirova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Platelet Rich Plasma ◽  
Statistical Processing ◽  
Collagen Matrix ◽  
Gingival Recession ◽  
Class I ◽  
Anterior Maxilla ◽  
3D Collagen

Background: Evaluation of the effectiveness of the integrated use of autogenous platelet plasma and 3D collagen matrix Fibromatrix for the regeneration of soft tissues of the oral cavity in the surgical treatment of Miller Class I gingival recession. Materials and Method: 25 patients were examined and treated. All patients underwent surgical treatment of gingival recession using two-layer techniques of eliminating gingival recession with «3D collagen matrix FibroMATRIX» for the regeneration of soft tissues of the oral cavity and autologous platelet plasma. In all cases, the rehydration of the collagen matrix was carried out in autogenous platelet plasma for 2 minutes. The result was evaluated after 7th day, 14th day, 1 and 3 months. Statistical processing of the studies was carried out in GraphPadPrism v.6.0, using the t-test, Mann-Whitney. Differences were considered significant at p <0.05. Results: Assessment of gingival recession closure and its significant (p <0.05) increase, corresponding to 85% efficiency after treatment in both groups of patients, no significant differences were found in both groups. The best clinical results were achieved in eliminating gingival recessions in the anterior maxilla, showing its 100% efficiency. Conclusions: The combined use of autogenous platelet plasma and 3D collagen matrix Fibromatrix for the regeneration of soft tissues of the oral cavity is an effective method for treating Miller Class I gingival recession.

scholarly journals A Rare Clinical Case of Lipoma in the Soft Tissues of the Sublingual Space: A Case Report

2021 ◽  
Vol 14 (1) ◽  
pp. 91-93
Author(s):  
Petya G. Kanazirska ◽  
Mery A. Hristamyan-Cilev ◽  
Nikolay D. Kanazirski
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Oral Cavity ◽  
Clinical Features ◽  
Clinical Case ◽  
Soft Tissues ◽  
Slow Growth ◽  
Histopathological Features ◽  
Mesenchymal Neoplasms

Summary This report presents clinical case with a histopathologically established lipoma of the sublingual space. Lipomas are benign mesenchymal neoplasms produced by adipocytes. Our search in the literature demonstrated that the development of lipomas in the sublingual space is extremely rare. In the oral cavity, it is seen in less than 5% of patients. In this paper, we describe clinical features, imaging diagnostic and histopathological features. Lipomas are characterized by slow growth and could be asymptomic, therefore diagnosis could be delayed. This report describes and discusses the case of a 64 years-old-man with a formation, located below the left tongue, for a period of 4 years. The patient had repeatedly consulted with Ear-Nose-Throat (ENT) specialists and dentists who recommended surgical treatment. During the last month of the monitoring, the formation had grown significantly and the chewing and speech function had gradually worsened.

scholarly journals Use of the 3D collagen matrix FibroMATRIX for the regeneration of soft tissues of the oral cavity in the treatment of Miller class I gingival recessions

2020 ◽  
Vol 18 (3) ◽  
pp. 32-38
Author(s):  
R. R. Farkhshatova ◽  
L. P. Gerasimova ◽  
M. F. Kabirova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Statistical Processing ◽  
Collagen Matrix ◽  
Gingival Recession ◽  
Clinical Results ◽  
Class I ◽  
Frontal Part ◽  
3D Collagen

Aim. Evaluation of the effectiveness of the use of 3D collagen matrix FibroMATRIX for the regeneration of soft tissues of the oral cavity in the surgical treatment of Miller Class I gingival recessions.Materials and methods. 25 patients were examined and treated. All patients underwent surgical treatment of gingival recession using two-layer methods for eliminating gingival recession using the “FibroMATRIX 3D collagen matrix” to regenerate soft tissues of the oral cavity. The result was evaluated after 7.14 days, 1 and 3 months. Statistical processing of the studies was carried out in the GraphPadPrism v.6.0 program, using the t-test. Differences were considered significant at p < 0.05.Results. Assessment of the closure of the gingival recession and showed its significant (p < 0.05) increase, both groups. The best clinical results were achieved in eliminating gingival recessions in the frontal part of maxilla and corresponded to 100% efficiency.Conclusions. The use of FibroMATRIX 3D collagen matrix for the regeneration of soft tissues of the oral cavity is an effective method for treating Miller Class I gingival recession.

scholarly journals Distraction techniques for face and smile aesthetic preventing ageing decay

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 433-442
Author(s):  
Antonio Cortese ◽  
Roberto Barbaro ◽  
Donato Troisi ◽  
Giuseppe D’Alessio ◽  
Maurizio Amato ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Maxillofacial Surgery ◽  
Functional Aspects ◽  
High Tension ◽  
Aesthetic Results ◽  
The Face ◽  
Perfect Symmetry ◽  
Orthognatic Surgery ◽  
Natural Result ◽  
The Aesthetic

AbstractModern concepts in the world of beauty arise from popular models, beautiful faces of actors document a bi-protrusive asset with high tension for soft tissues. Facial symmetry has been proposed as a marker of development and stability that may be important in human mate choice. For various traits any deviation from perfect symmetry can be considered a reflection of imperfect development. Additionally, bi-protrusive profile is dependent on the hormonal level regardless of male or female sex. The goal of maxillofacial surgery is to provide best results both for aesthetic and functional aspects. Following these new concepts of aesthetic of the face, new surgical procedure by osteodistraction techniques will lead to a very natural result by harmonizing the face also preventing aesthetic decay in aging faces. Ten cases with a feedback on the aesthetic results using the fivepoint scale of Likert after orthognatic surgery performed following distraction new techniques in combination with ancillary surgical procedures.The aesthetic results in all patients were highly satisfactory. All the patients accepted the new aesthetic of the face avoiding elements of discrepancy and consequently medico-legal problems.

Facial Aesthetics following Edgewise and Fränkel Appliance Therapy: The Application of Chernoff Faces

1994 ◽  
Vol 21 (2) ◽  
pp. 139-149
Author(s):  
Joanna M. Battagel ◽  
N. J. Battagel
Keyword(s):  
Soft Tissues ◽  
Lower Face ◽  
Pictorial Presentation ◽  
Lower Jaw ◽  
Division 1 ◽  
The Face ◽  
Graphical Technique ◽  
The Individual ◽  
Single Figure ◽  
Relationship Of

This study investigates an application of the graphical technique of multivariate data description, ‘Chernoff faces’, to orthodontics. This method of pictorial presentation allows the simultaneous examination of several measurements in a single figure. Each variable is represented by a scaled feature of the human face: the size and position of the ears, eyes, eyebrows, nose, and mouth, as well as the face itself, are used to display data in a diagrammatic form. Using this method, the individual post-treatment results of 62 severe Class II division 1 cases treated by either Fränkel or Edgewise appliance therapy were compared. Nine cephalometric variables were chosen, describing the profile and the antero-posterior positions of the lower jaw and teeth, and stylized cartoon faces drawn for each child. These were compared with a control face prepared from untreated children of the same sex and age. Overall, children treated with Fränkel appliances showed a more normal relationship of the lips to Ricketts' aesthetic line and a greater prominence of the lower face. This difference between the two groups was most marked in the soft tissues. In a few cases, however, the appearance of the Edgewise treated children was indistinguishable from that of the controls. It is concluded that Chernoff faces, by portraying several pertinent aspects of data simultaneously, may be a useful adjunct to the presentation of orthodontic findings.

scholarly journals Demonstration of the possibilities of reconstructive surgical interventions for closure of the exposed bones of the facial skeleton and cranial vault due to extensive defects of various etiologies

2021 ◽  
Vol 27 (2) ◽  
pp. 163-168
Author(s):  
S.B. Bogdanov ◽  
◽  
G.A. Zabunyan ◽  
D.N. Marchenko ◽  
A.N. Blazhenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Soft Tissues ◽  
Greater Omentum ◽  
Cortical Plate ◽  
Facial Skeleton ◽  
Surgical Interventions ◽  
Aesthetic Result ◽  
Complete Restoration ◽  
The Face ◽  
The Aesthetic

Introduction Surgical treatment of patients with tissue defects of the scalp and face is challenging for surgeons. It is an integral part of the social and labor rehabilitation of such patients. Exposure of the skull bones after extensive polyetiological resections creates a difficult task for reconstruction of complete or partial loss of soft tissues of the head. Autologous dermoplasty, simple in its technical implementation, is impractical on the bones of the facial and cerebral skull because insufficient vascularization of the wound bed creates a risk of early rejection of the graft. The aim of the study was development and evaluation of the effectiveness of the method of restoring the integrity of the skin of the head and face inh extensive defects with exposure of the bones of the skull. Materials and methods Аnalysis of the methods and results of reconstructive surgical treatment of three patients with extensive defects in the tissues of the scalp and face at the Research Institute of the Ochapovsky Regional Clinic Hospital No.1 in 2018-2020. Results The immediate result of surgical treatment was a complete restoration of the skin with the maximum possible preservation of underlying deep anatomical structures after a radical one-step removal of non-viable tissues, both soft and bony. Subjectively, the patients were satisfied. The aesthetic result obtained in all cases satisfied both the patients and the surgical team. Conclusion The treatment of extensive defects of the soft tissues of the face and bones of the skull is a doable task, provided certain conditions are met. Removal of the affected tissues with simultaneous plasty of the resulting wound defect with a autologous greater omentum and skin autografts allows one to simultaneously solve the problem of plastic closure of wound defects of such localization. When performing osteonecrectomy of the outer cortical plate of the skull to the bleeding layer, conditions are created for survival of a free skin autograft on the bone.

scholarly journals THE USE OF SUBMENTAL LOCAL FLAP AND RADIAL FREE FLAP FOR THE RECONSTRUCTION OF DEFECTS IN PATIENTS WITH ORAL CANCER

2018 ◽  
Vol 8 (3) ◽  
pp. 39-48 ◽  
Author(s):  
M. A. Kropotov ◽  
V. A. Sobolevskiy ◽  
A. A. Lysov ◽  
L. P. Yakovleva ◽  
A. V. Khodos
Keyword(s):  
Surgical Treatment ◽  
Oral Cancer ◽  
Oral Cavity ◽  
Free Flap ◽  
Soft Tissues ◽  
Free Flaps ◽  
Functional Results ◽  
Local Flap ◽  
Anatomical Features ◽  
Methods Of Reconstruction

Introduction.Due to anatomical features, surgical treatment of oral cancer can lead to significant functional and esthetic defects. Main methods of reconstruction can be divided into groups of local and free flaps. There are lots of publications devoted to reconstruction of defects of oral cavity with the use of local and free flaps, but only few of them contain the comparison of these methods in the aspect of functional results.Materials and methods.A total of 58 patients with oral cancer were included in our study. All patients received surgical treatment with one-time reconstruction of defect. In 34 cases we used free radial flap and in 24 – submental local flap.Results.The use of submental flap has advantages in the intraoperative time, time of recovery, functional results, with the same locoregional control.Conclusions.We suggest submental local flap and radial free flap to be the method of choice in reconstruction of mucosa and soft tissues defects in patients with primary and recurrent oral cancer.

Sign in / Sign up

Export Citation Format

Share Document