scholarly journals Combined orthodontic and surgical open bite correction:

2022 ◽  
Author(s):  
G. William Arnett ◽  
Lorenzo Trevisiol ◽  
Elisabetta Grendene ◽  
Richard P. McLaughlin ◽  
Antonio D'Agostino

This paper is divided into Part 1, the study findings, and Part 2, a detailed explanation of orthodontic and surgical methods used in the study. In this Part 1, treatment protocols will be mentioned, but explained in Part 2.

2007 ◽  
Vol 132 (6) ◽  
pp. 743-747 ◽  
Author(s):  
Paola Cozza ◽  
Tiziano Baccetti ◽  
Lorenzo Franchi ◽  
Manuela Mucedero

2020 ◽  
Vol 16 (1) ◽  
pp. 48-51
Author(s):  
T.M. Kostiuk ◽  
A.A. Kaniura ◽  
N. Lytovchenko

Relevance. Treatment of the temporo-mandibular joint (TMJ) dysfunctions still stays an urgent issue of modern stomatology. Its significance is predisposed for its high incidence and annual increase in patients’ referrals as well as diversity of it clinical manifestations, complexity of diagnosis and treatment, variability of clinical pattern, which requires a multi-disciplinary approach. According to Ukrainian and foreign authors, the TMJ pathologies take up the third place after caries and parodontal diseases, being diagnosed in 20 % of children and almost 87 % of adults. The share of patients with the TMJ dysfunction increases every year. The 79 % are represented with the intra-capsular disorders of the temporo-mandibular joints. The study was necessitated by the fact that there is still no single agreement in the treatment methods and definite treatment protocols regarding the intracapsular TMJ disorders. Objectives: analysis of efficiency of the TMJ intracapsular disorders patients’ treatment using the pathogenetically rationalized conservative and mini-invasive surgical methods. Methods and materials. The study includes the data of 38 patients with complaints of the TMJ region pain and the TMJ dysfunction. All patients were examined according to the common protocol. According to the disorder stage, the patients were administered either the conservative treatment course using the treatment tray on the mandible or maxilla, with the subsequent orthopedic or prosthetic treatment, or the splint therapy with subsequent surgical intervention. Results. Having analyzed the dynamical pattern of the treatment outcomes within the study, it has been detected that the surgical injection correction of the TMJ disorders was effective in all examined patients. To provide for the long-term steady treatment outcome the prosthetic-orthopedic rehabilitation measures were indicated, aimed at preserving the correct occlusion relation. Conclusion. The method of hyaluronic acid preparations injection into the TMJ cavity as a stage of the TMJ dysfunction therapy has proven its effectiveness in all the examined patients. In order to achieve the long-term steady result, the patients were recommended prosthetic-orthopedic rehabilitation for producing and supporting the occlusion relation.


2019 ◽  
Vol 43 (4) ◽  
pp. 292-303 ◽  
Author(s):  
Gye Hyeong Lee ◽  
Jae Hyun Park ◽  
Sang Mi Lee ◽  
Da Nal Moon

Treatment of orthodontic patients with idiopathic condylar resorption (ICR) is challenging for clinicians due to the continuous change of occlusion caused by the unstable condylar position and symptoms in the temporomandibular joint (TMJ). As an unstable condylar position can lead to confusion during orthodontic evaluation, stabilization of TMJ with splint therapy should precede orthodontic and/or orthognathic treatment. In this case report, a patient with Class II open bite and progressive condylar resorption was treated with an appropriate treatment protocol. Her condylar position was stabilized with a stabilization splint and her occlusion and facial esthetics were improved with intrusion of her maxillary posterior teeth after extraction of four premolars. Her occlusion was stable without recurrence of joint symptoms 2 years after active treatment.


2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Edwin Kuriakose ◽  
Leena P Nair ◽  
Ravindar Korede ◽  
Jayashankar Mund

Amlapitta is one among the commonest disorders prevalent in the society nowadays due to indulgence in incompatible food habits and activities. In Brihatrayees of Ayurveda, scattered references are only available about Amlapitta. Kashyapa Samhita was the first Samhita which gives a detailed explanation of the disease along with its etiology, signs and symptoms with its treatment protocols. A group of drugs and Pathyas in Amlapitta are explained and shifting of the place is also advised when all the other treatment modalities fail to manage the condition. The present review intended to explore the important aspect of Amlapitta and its management as described in Kashyapa Samhita, which can be helpful to understand the etio-pathogenesis of disease with more clarity and ultimately in its management, which is still a challenging task for Ayurveda physician.


2021 ◽  
Vol 12 ◽  
Author(s):  
Jiayu Liu ◽  
Fang Li ◽  
Guangyong Wu ◽  
Bo Liu ◽  
Jingru Zhou ◽  
...  

Objective: To explore the clinical characteristics of patients with persistent or recurrent hemifacial spasm (HFS) and the experience of microvascular decompression (MVD) in the treatment of such patients to accumulate additional clinical evidence for optimal treatment protocols.Methods: We retrospectively analyzed the clinical data, surgical methods and treatment efficacies of 176 patients with persistent or recurrent HFS from January 2009 to January 2018.Results: Missing compression zones was the main reason for symptom persistence (87.50%) or recurrence (71.50%) after MVD treatment of HFS. We divided the surgical area into three zones. Most persistent or recurrent cases had decompression only in the root exit zone (REZ) (Zone 1) but missed the ventrolateral pons-involved area (Zone 2) or the bulbopontine sulcus-involved area (Zone 3) in the first MVD. Too much use of Teflon (12.50%), arachnoid adhesions (5.60%) and Teflon granulomas (10.40%) can also cause a recurrence. The difference between preoperative and postoperative Cohen scores was statistically significant in persistent or recurrent HFS patients (p<0.05). The postoperative follow-up time ranged from 36 to 108 months (71.75 ± 22.77).Conclusions: MVD should be performed in the compression site, which is mostly located at the brainstem/facial REZ. Intraoperative exploration should be conducted in accordance with the abovementioned zones to effectively avoid missing offending vessels. Re-do MVD is effective in patients with persistent or recurrent HFS.


2016 ◽  
Vol 87 (2) ◽  
pp. 215-222 ◽  
Author(s):  
Thiago Slaviero ◽  
Thais Maria Freire Fernandes ◽  
Paula Vanessa Pedron Oltramari-Navarro ◽  
Ana Claudia de Castro ◽  
Ferreira Conti ◽  
...  

ABSTRACT Objective: To evaluate the dimensional changes of dental arches on digital models of open bite treatment with fixed and removable palatal cribs. Materials and Methods: The sample comprised 41 patients of both sexes who were white, aged 7–10 years, and who had mixed dentition, Angle Class I molar relationship, and a negative overbite of at least 1 mm. The sample was randomly divided into two groups: G1, fixed palatal crib; and G2, removable palatal crib. Cast models, obtained initially (T1) and after 1 year of treatment (T2), were scanned by a three-dimensional (3D) scanner, 3Shape R700, producing a 3D image. Measurements were performed by a calibrated examiner using OrthoAnalyzer™ 3D software. Results: At T2–T1, differences were observed between the groups regarding vertical dentoalveolar development and overjet. There was more mandibular incisor extrusion for G1 (−1.66 mm) than for G2 (−0.54 mm). An overjet increase was observed in G1 (0.56 mm), in contrast to a reduction in G2 (−0.40 mm). There was a similar overbite increase for both groups (3.51 mm for fixed palatal crib and 3.88 mm for removable palatal crib). Conclusions: Both the treatment protocols are similarly effective for anterior open bite correction, providing an overbite increase with dentoalveolar arch changes, especially in the anterior region.


Author(s):  
Paul W Ackermann ◽  
Phinit Phisitkul ◽  
Christopher J Pearce

Achilles tendinopathy (AT) is a continued enigma for clinicians from all parts around the world. The increasing prevalence is related to physical activities, but additionally also to metabolic factors unrelated to activities that load the Achilles tendon. AT can comprise two different diagnosis: insertional AT and non-insertional AT (NIAT). This review will deal predominantly with the treatment of NIAT. The exact aetiology and pathophysiology of NIAT are not fully known, but seem to be a partly degenerative condition. This gap of knowledge is accountable for the highly variable principles of treatment. The diagnosis of NIAT can usually be made clinically but MRI scans may be used and ultrasound may be useful, with power Doppler to assess the level of neovascularisation, or to guide injection therapies. Current treatments of NIAT with highest evidence entail non-surgical methods to promote tendon healing with focused eccentric exercises and biophysical procedures. Injection therapies (cortisone, sclerosing agents, blood products including platelet-rich plasma) may have short-term effects, but have no proven long-term treatment effects. Targeted minimally invasive surgical procedures should be considered in specific recalcitrant cases to initiate healing and alleviate pain by removing pathological tissue or abnormal neoinnervation. Other surgical options including open debridement, gastrocnemius recession and plantaris tendon excision have been described. Overall, more high-quality level 1 studies are needed to define the optimal treatment protocols. Future therapies should target the differential underlying pathologies of NIAT using combined non-surgical and minimal-invasive including biological approaches.


Author(s):  
J.S. Bow ◽  
R.W. Carpenter ◽  
M.J. Kim

A prominent characteristic of high-resolution images of 6H-SiC viewed from [110] is a zigzag shape with a period of 6 layers as shown in Fig.1. Sometimes the contrast is same through the 6 layers of (0006) planes (Fig.1a), but in most cases it appears as in Fig.1b -- alternate bright/dark contrast among every three (0006) planes. Alternate bright/dark contrast is most common for the thicker specimens. The SAD patterns of these two types of image are almost same, and there is no indication that the difference results from compositional ordering. O’Keefe et al. concluded this type of alternate contrast was due to crystal tilt in thick parts of the specimen. However, no detailed explanation was given. Images of similar character from Ti3Al, which is also a hexagonal crystal, were reported by Howe et al. Howe attributed the bright/dark contrast among alternate (0002) Ti3Al planes to phase shifts produced by incident beam tilt.


2019 ◽  
Vol 28 (2) ◽  
pp. 245-250
Author(s):  
Ann E. Perreau ◽  
Richard S. Tyler ◽  
Patricia C. Mancini ◽  
Shelley Witt ◽  
Mohamed Salah Elgandy

Purpose Audiologists should be treating hyperacusis patients. However, it can be difficult to know where to begin because treatment protocols and evidence-based treatment studies are lacking. A good place to start in any tinnitus and hyperacusis clinic is to incorporate a group educational session. Method Here, we outline our approach to establishing a hyperacusis group educational session that includes specific aspects of getting to know each patient to best meet their needs, understanding the problems associated with hyperacusis, explaining the auditory system and the relationship of hyperacusis to hearing loss and tinnitus, describing the influence of hyperacusis on daily life, and introducing treatment options. Subjective responses from 11 adults with hyperacusis, who participated in a recent clinical group education session, were discussed to illustrate examples from actual patients. Conclusions Due to the devastating nature of hyperacusis, patients need to be reassured that they are not alone and that they can rely on audiologists to provide support and guidance. A group approach can facilitate the therapeutic process by connecting patients with others who are also affected by hyperacusis, and by educating patients and significant others on hyperacusis and its treatment options. Supplemental Material https://doi.org/10.23641/asha.8121197


2007 ◽  
Vol 177 (4S) ◽  
pp. 314-314 ◽  
Author(s):  
Joon-Yang Kim ◽  
Hoon Seog Jean ◽  
Beom Joon Kim ◽  
Kye Yong Song

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