scholarly journals Dynamic UCLA for aesthetic rehabilitation on implant in a patient with special needs: A 4-year follow-up case report

2020 ◽  
Vol 9 (9) ◽  
pp. e557997715
Author(s):  
Luiz Carlos Volp Junior ◽  
Iago Ridão Scandinari ◽  
Helder Fernando Borges Junior ◽  
Fernanda Ferruzzi Lima ◽  
Sérgio Sábio
Keyword(s):  
Low Cost ◽  
Three Dimensional ◽  
Mouth Opening ◽  
Success Rates ◽  
Limited Mouth Opening ◽  
Aesthetic Results ◽  
Complex Surgical Procedures ◽  
Esthetic Area ◽  
Missing Tooth

This study aims to present the dynamic UCLA as a prosthetic option to restore a tilted implant, replacing a missing maxillary left lateral incisor with a functional and aesthetic screw-retained crown. Dental implants show high success rates; however, complications related to three-dimensional positioning of the implant are common. The correction of the implant position usually requires machined angled abutments or complex surgical procedures, which results in long and difficult treatment, and increases the treatment final cost. A 45-years-old male patient sought for specialized dental care to restore the front missing tooth esthetic area. The patient has limited mouth opening, mental and physical disabilities, so the construction of a metal-ceramic prosthesis with the aid of dynamic UCLA was proposed as a straightforward and low-cost procedure under the sign of free and informed consent. The prosthetic treatment provided aesthetic results and patient satisfaction without complications after a four-year follow-up.

Freeman-Sheldon Syndrome: Case Management from Age 6 to 16 Years

1997 ◽  
Vol 34 (2) ◽  
pp. 151-153 ◽  
Author(s):  
Kimie Ohyama ◽  
Takafumi Susami ◽  
Yoshiyuki Kato ◽  
Hiromi Amano ◽  
Takayuki Kuroda
Keyword(s):  
Case Management ◽  
Orthodontic Treatment ◽  
Mouth Opening ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Limited Mouth Opening ◽  
Deep Bite ◽  
Long Term Follow Up

Objective This is the first description of long-term follow-up of a case of Freeman-Sheldon syndrome. Microstomia was treated with a mouth expander for 2 to 3 hours per day before active orthodontic treatment. Separate impressions were necessary in each quadrant of both upper and lower jaws because of limited mouth opening. Conclusion Orthodontic treatment improved the patient's Class II malocclusion, which was accompanied by crowding and a deep bite.

scholarly journals Application of the rapid prototyping technique to design a customized temporomandibular joint used to treat temporomandibular ankylosis

2009 ◽  
Vol 42 (01) ◽  
pp. 085-093
Author(s):  
Suresh M. Chaware ◽  
Vaibhav Bagaria ◽  
Abhay Kuthe
Keyword(s):  
Rapid Prototyping ◽  
Temporomandibular Joint ◽  
Three Dimensional ◽  
Mouth Opening ◽  
Clinical Results ◽  
Postoperative Recovery ◽  
Normal Diet ◽  
Success Rates ◽  
Tmj Ankylosis ◽  
Custom Made

ABSTRACTAnthropometric variations in humans make it difficult to replace a temporomandibular joint (TMJ), successfully using a standard “one-size-fits-all” prosthesis. The case report presents a unique concept of total TMJ replacement with customized and modified TMJ prosthesis, which is cost-effective and provides the best fit for the patient. The process involved in designing and modifications over the existing prosthesis are also described. A 12-year- old female who presented for treatment of left unilateral TMJ ankylosis underwent the surgery for total TMJ replacement. A three-dimensional computed tomography (CT) scan suggested features of bony ankylosis of left TMJ. CT images were converted to a sterolithographic model using CAD software and a rapid prototyping machine. A process of rapid manufacturing was then used to manufacture the customized prosthesis. Postoperative recovery was uneventful, with an improvement in mouth opening of 3.5 cm and painless jaw movements. Three years postsurgery, the patient is pain-free, has a mouth opening of about 4.0 cm and enjoys a normal diet. The postoperative radiographs concur with the excellent clinical results. The use of CAD/CAM technique to design the custom-made prosthesis, using orthopaedically proven structural materials, significantly improves the predictability and success rates of TMJ replacement surgery.

scholarly journals Efficacy of splint theraphy on Pain in the Treatment of Internal Derangement of TMJ-A clinical study

JMS SKIMS ◽  
2019 ◽  
Vol 22 (2) ◽  
Author(s):  
Altaf Malik ◽  
Shabnum Majeed
Keyword(s):  
Mouth Opening ◽  
Internal Derangement ◽  
Safe Procedure ◽  
Limited Mouth Opening ◽  
Splint Therapy ◽  
Pain Scores ◽  
Post Operative Period ◽  
Tmj Pain ◽  
Closed Lock

Purpose: This study was designed to investigate the efficacy of splint theraphy  on  pain   in the treatment of temporomandibular joint (TMJ) internal derangement patients. Materials  and Methods: 15 males and 25 females aged between   18 to 37 years comprised the study material  in the Dental Implant and Faciomaxillary centre at Bandipore  (India). The patients’ complaints were limited mouth opening and  TMJ pain  . Splints were given to the patients suffering from internal derangement. Clinical evaluation of the patients was done before the procedure, and  1 week and 3 months after postoperatively. Intensity of TMJ pain  was recorded at each follow-up visit. Results: There was significant  reduction in pain scores in the post-operative period. Conclusions: Splint therapy  is simple and safe procedure for the patients of internal derangement with closed lock for improving mouth opening and decreasing pain.

scholarly journals ISOLATED ZYGOMATIC BONE FRACTURE

2016 ◽  
Vol 23 (05) ◽  
pp. 526-530
Author(s):  
Suneel Kumar Punjabi ◽  
Kashif Ali Channar ◽  
Munir Ahmed Banglani ◽  
Naresh Kumar ◽  
Ambreen Munir
Keyword(s):  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Fixation Method ◽  
Facial Bones ◽  
Limited Mouth Opening ◽  
Zygomatic Bone ◽  
Study Setting ◽  
Infraorbital Rim

Introduction: Facial bones injuries results in functional disturbances. Patientsmay presents with flattening of normal malar prominence, lid drop, eye movement limited orwith double vision, numbness of cheek area and unilateral epitasis. Emphasizing upon incisiontype, fixation method and occasionally reconstruction, surgeons suggest different methods forrepairing complex fractures of Zygoma. Study Design: Descriptive study. Setting: Departmentof Oral & Maxillofacial Surgery, Liaquat University of Medical & Health Sciences, Jamshoro.Period: Mar 2013 to Feb 2014. Materials and methods: Total 20 patients were included.Patients with fracture more than 28 days old were excluded. Zygomatic bone can be approachedby lateral brow or subcilicary incisions and by subgingival buccal sulcus approach. When 3fracture sites were reduced and aligned satisfactorily, application of miniplates was performedat 3 points frontozygomatic suture, Zygomatico maxillary buttress and infraorbital rim, woundwere closed in 2 layers. At 2nd week follow-up patients were assessed for outcome. Results:There were 14 male and 6 female patients. Most were of age <25 years. 45% fractures weredue to RTA. Duration of fracture of 2 patients was 2 days, 7 days of 11 patients, 4 patients had14 days and 3 patients had 28 days. 5 fractures were reduced using Gilies temporal approach,6 with Keen approach, 4 with Hook approach and 5 with Dingman approach. Preoperatively,17 patients had facial asymmetry, 19 had limited mouth opening and postoperatively this wasreduced to 6 cases each for facial asymmetry and limited mouth opening. Conclusion: Itis concluded from this study that three point fixation is most effective and safe method forreduction of fracture of Zygomatic bone.

scholarly journals Osteochondroma of the temporomandibular joint: a case report

2010 ◽  
Vol 21 (3) ◽  
pp. 253-258 ◽  
Author(s):  
Estevam Rubens Utumi ◽  
Irineu Gregnanin Pedron ◽  
Andréia Perrella ◽  
Camila Eduarda Zambon ◽  
Marcelo Minharro Ceccheti ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Mandibular Condyle ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Contralateral Side ◽  
Limited Mouth Opening ◽  
Oral And Maxillofacial Region ◽  
Preauricular Approach ◽  
Condylar Morphology

Osteochondroma of the mandibular condyle has been found in the oral and maxillofacial region rarely. This paper describes a case of osteochondroma of the mandibular condyle in a 20-year-old woman, who was referred to our service with facial asymmetry, prognathic deviation of chin, cross-bite to the contralateral side, changes in condylar morphology, limited mouth opening, and malocclusion. Computed tomography (CT) was performed for better evaluation to the pathological conditions on the temporomandibular joint. Based on the clinical examination, patient history, and complementary exams, the hypothesis of osteochondroma was established. Condylectomy was performed using a preauricular approach with total removal of the lesion. After 3 years of postoperative follow up and orthodontic therapy, the patient is symptom-free, and has normal mouth opening with no deviation in the opening pattern.

scholarly journals Treatment of Mandibular Angle Fractures with Single Three-Dimensional Locking Miniplates without Maxillomandibular Fixation: How Much Fixation is Required?

2017 ◽  
Vol 10 (3) ◽  
pp. 188-196 ◽  
Author(s):  
Sanjay Rastogi ◽  
Sam Paul ◽  
Sumedha Kukreja ◽  
Karun Aggarwal ◽  
Rupshikha Choudhury ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Three Dimensional ◽  
Mouth Opening ◽  
Mandibular Angle ◽  
Analog Scale ◽  
Hardware Failure ◽  
Angle Fractures ◽  
Fracture Stability

The aim of this simple nonrandomized and observational study was to evaluate the efficacy of single three-dimensional (3D) plate for the treatment of mandibular angle fractures without maxillomandibular fixation. A total of 30 patients with noncomminuted fractures of mandibular angle requiring open reduction and internal fixation were included in the study. All the patients were treated by open reduction and internal fixation using single 3D titanium locking miniplate placed with the help of transbuccal trocar or Synthes 90-degree hand piece and screw driver. 3D locking titanium miniplates used in our study was four-holed, box-shaped plate, and screws with 2 mm diameter and 8 mm length. The following clinical parameters were assessed for each patient at each follow-up visit: pain (visual analog scale: 0–5), swelling (visual analog scale: 0–5), mouth opening, infection, paresthesia, hardware failure (plate fracture), occlusal discrepancies, and mobility between fracture fragments. A significant decrease in pain level was seen during the follow-up visits. No statistically significant changes were seen in swelling, but mouth opening increased in the subsequent visits. Also better results were seen in terms of fracture stability and occlusion in the postoperative period. Two cases of infection and two cases of hardware failure were noted in sixth postoperative week. 3D plating system is an easy to use alternative to conventional miniplates to treat mandibular angle fractures that uses lesser foreign material, thus reducing the operative time and overall cost of the treatment. Better fracture stability and occlusion was also achieved using the 3D plating system.

scholarly journals The importance of videolaryngoscopy in maxillofacial practice associated with restricted mouth opening in traumatized patients

2021 ◽  
Vol 10 (2) ◽  
pp. e12010212178
Author(s):  
Leonardo Alan Delanora ◽  
Ana Maira Pereira Baggio ◽  
Nathália Januario de Araujo ◽  
William Phillip Pereira da Silva ◽  
Leonardo Perez Faverani ◽  
...  
Keyword(s):  
Clinical Case ◽  
Mouth Opening ◽  
Orotracheal Intubation ◽  
Video Laryngoscope ◽  
Intubation Time ◽  
Success Rates ◽  
Trauma Victim ◽  
Limited Mouth Opening ◽  
Video Cameras ◽  
Team Planning

Orotracheal intubation is considered the most delicate maneuver performed by anesthesiologists, and failure to manage the airways is one of the main causes of possible complications that can be catastrophic during its performance, thus requiring good team planning. Anatomical and / or physiological characteristics, such as limited mouth opening, a condition often found in patients suffering from fractures of the zygomatic arch or who have some abnormality in the temporomandibular joint (TMJ), can characterize a difficult airway, which demands attention greatest of the professional. Therefore, in order to overcome the obstacles that may occur during a difficult or unexpected intubation, new tools have been used, such as videolaryngoscopy in which an intubation device containing miniature video cameras is used in order to allow the operator has an indirect view of the glottis to increase success rates and decrease intubation time. The aim of the present study is to report a clinical case of a trauma victim, with limited mouth opening, who underwent intubation with the aid of a video laryngoscope after failed attempts at conventional intubation.

scholarly journals Reliability of a Trapezium Miniplate with Endoscope-Assisted Internal Fixation in Mandibular Subcondylar Fractures: A Three-Dimensional Analysis

2021 ◽  
Vol 11 (1) ◽  
pp. 207
Author(s):  
Seungwook Jung ◽  
Okhyung Nam ◽  
Yi-Qin Fang ◽  
Shavkat Dusmukhamedov ◽  
Chunui Lee
Keyword(s):  
Internal Fixation ◽  
Three Dimensional ◽  
Mouth Opening ◽  
Mandibular Movement ◽  
Normal Range ◽  
Anatomical Reduction ◽  
Radiographic Findings ◽  
The Mean ◽  
Christian Hospital

This study aimed to evaluate the reliability of a trapezium plate for open reduction and internal fixation (ORIF) of mandibular subcondylar fractures with the simultaneous use of an endoscope. We selected and retrospectively studied 18 patients (12 males and 6 females) with unilateral mandibular subcondylar fractures who visited the Wonju Severance Christian Hospital. The mean age of the patients was 43.43 ± 15.76 years. Patients underwent ORIF with trapezium miniplate application through an intraoral incision under general anesthesia. The clinical and radiographic findings of the fractured side were compared with those of the non-operated side at 6 months follow-up. All occlusions became stable, and transient functional disturbances disappeared within 6 months of periodic follow-up. Functional mandibular movement recovered within the normal range, with an average mouth opening of 41.5 mm, protrusion of 7.5 mm, and lateral excursion of 7 mm at 6 months. Radiographic controls and statistical analysis confirmed a decent anatomical reduction in all 18 cases. In conclusion, the use of a trapezium miniplate with endoscope-assisted ORIF in mandibular subcondylar fractures can be useful for fixation and functional recovery.

Results of Crystalized Phenol Application in the Treatment of Pilonidal Sinus Disease in Children: Our Single Center Experience

2021 ◽  
Author(s):  
Yusuf Atakan Baltrak ◽  
Seniha Esin Söğüt ◽  
Onursal Varlıklı
Keyword(s):  
Pilonidal Sinus ◽  
Low Cost ◽  
Area Measurement ◽  
Pilonidal Sinus Disease ◽  
Index Number ◽  
Imaging Method ◽  
Success Rates ◽  
Sinus Disease ◽  
Single Center Experience

Objective: The debate about the etiology of Pilonidal Sinus Disease (PSD) continues over whether the disease is congenital or acquired. After determining the etiologic factora, new pilonidal sinus treatment methods have been developed. Method: The 6-month follow-up results of patients who were treated with crystallized phenol (CF) application with the diagnosis of PSD between March 2020 and August 2020 in the Pediatric Surgery Clinic were retrospectively analyzed. The patients were evaluated by age, height, weight, gender, body mass index, number of sinus mouths, sinus mouth width, sacral cupping distance and cyst diameter by imaging method and pilonidal sinus area measurement. After three consecutive weeks of CF administration, a two-week break was given. Every three weeks of treatment was considered as one treatment cycle. CF treatment was considered unsuccessful for patients whose pilonidal sinus cavity was not closed at the end of three cycles and the complaint of discharge persisted. Results: During the study period, 21 patients with PSH and a maximum of three sinus orifices were treated with CF in our clinic. Including 15 (71.4%) male and 6 (18.6%) female cases. The median age of the patients was 16 (14-17.5) years. In two patients (9.5%) who received three cycles of treatment, the treatment was considered as CF treatment failure because of the persistence of discharge complaints, and surgical treatment was planned for the patient. In the findings obtained as a result of the follow-up of the patients, it was observed that three patients (14.2%) had temporary painless transient dermatitis during follow-up due to phenol applied. Conclusion: The application of CF in the PSD treatment in pediatric age group should be considered as an acceptable method that can be easily applied by any surgeon with its short hospital stay, its applicability under local anesthesia in outpatient clinic conditions, low postoperative complications, high success rates, and low cost.

Sign in / Sign up

Export Citation Format

Share Document