scholarly journals Orthognathic Surgery in a Patient with Multiple Sclerosis

2015 ◽  
Vol 16 (6) ◽  
pp. 507-511
Author(s):  
Saleh A Al-Bazie
Keyword(s):  
Multiple Sclerosis ◽  
Surgical Procedures ◽  
Orthognathic Surgery ◽  
Dental Treatment ◽  
Maxillofacial Surgery ◽  
Neurological Dysfunction ◽  
Oral And Maxillofacial Surgery ◽  
Inflammatory Disorder ◽  
Prophylactic Regimen ◽  
Acute Exacerbations

ABSTRACT Aim The aim of this paper was to report a case of orthognathic surgery successfully done in a patient with multiple sclerosis. Background Multiple sclerosis (MS) is a chronic, progressive inflammatory disorder of the central nervous system affecting young adults, characterized by lymphocytic infiltration of the brain and spinal cord leading to demyelination and focal axonal damage. Clinically, MS patients present with reversible neurological dysfunction in the early stages, which progresses to irreversible neurological disability and deficit. Oral manifestations of MS include facial numbness or pain, neuralgias, facial paralysis, dysarthria and dysphagia. While dental treatment is not contraindicated in MS patients, it is, however, limited to preventive and supportive dental care. Case description A 23-year-old Saudi male patient with a diagnosis of MS since 2008 reported to the oral and maxillofacial surgery (OMFS) department for correction of dentofacial deformity. The patient was under follow-up with the neurology department and was being treated with interferon beta-1a. Following consent from the neurologist and the patient, a Lefort 1 segmental osteotomy was done under general anesthesia. The patient was stable throughout the surgical procedure and during the postoperative period. The patient was discharged upon complete surgical recovery and no acute exacerbations of MS were reported during the perioperative period. Conclusion Based on our observations, orthognathic and maxillofacial surgical procedures can be safely carried out in patients with MS, provided a strict perioperative prophylactic regimen for stress reduction and prevention of acute attacks of MS is adhered to. Clinical significance Due to the stressful nature of dental treatment and oral and maxillofacial surgical procedures, acute exacerbations of MS are very much likely. Hence, it is imperative that dental and oral surgical practitioners are aware of the manifestations of MS and are able to manage such patients with suitable treatment modifications. How to cite this article Al-Bazie SA. Orthognathic Surgery in a Patient with Multiple Sclerosis. J Contemp Dent Pract 2015;16(6):507-511.

Maxillofacial surgery

2020 ◽  
pp. 487-525
Keyword(s):  
Head And Neck ◽  
Orthognathic Surgery ◽  
Life Support ◽  
Maxillofacial Surgery ◽  
Neck Surgery ◽  
Dental Students ◽  
Facial Trauma ◽  
Advanced Trauma Life Support ◽  
Oral And Maxillofacial Surgery ◽  
Post Graduate

Oral and maxillofacial surgery is largely a post-graduate subject. This chapter begins with a section on advanced trauma life support and goes on to include details of the diagnosis and management of facial trauma, orthognathic surgery, as well as head and neck surgery and reconstruction. Only basic aspects of this specialty have been included here as advanced techniques are beyond the scope of this chapter. However, this chapter provides enough information so as to ensure success for final year dental students but it can also be of use to those working in oral and maxillofacial units.

Evolution of Aesthetic Dentistry

2019 ◽  
Vol 98 (12) ◽  
pp. 1294-1304 ◽  
Author(s):  
M.B. Blatz ◽  
G. Chiche ◽  
O. Bahat ◽  
R. Roblee ◽  
C. Coachman ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Maxillofacial Surgery ◽  
Dental Materials ◽  
Specific Treatment ◽  
Point Of View ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
The Past ◽  
Science And Art ◽  
Aesthetic Dentistry

One of the main goals of dental treatment is to mimic teeth and design smiles in a most natural and aesthetic manner, based on the individual and specific needs of the patient. Possibilities to reach that goal have significantly improved over the last decade through new and specific treatment modalities, steadily enhanced and more aesthetic dental materials, and novel techniques and technologies. This article gives an overview of the evolution of aesthetic dentistry over the past 100 y from a historical point of view and highlights advances in the development of dental research and clinical interventions that have contributed the science and art of aesthetic dentistry. Among the most noteworthy advancements over the past decade are the establishment of universal aesthetic rules and guidelines based on the assessment of natural aesthetic parameters, anatomy, and physiognomy; the development of tooth whitening and advanced restorative as well as prosthetic materials and techniques, supported by the pioneering discovery of dental adhesion; the significant progress in orthodontics and periodontal as well as oral and maxillofacial surgery; and, most recently, the implementation of digital technologies in the 3-dimensional planning and realization of truly natural, individual, and aesthetic smiles. In the future, artificial intelligence and machine learning will likely lead to automation of aesthetic evaluation, smile design, and treatment-planning processes.

scholarly journals Anesthetic Complication during Maxillofacial Trauma Surgery: A Case Report of Intraoperative Tension Pneumothorax

2016 ◽  
Vol 9 (3) ◽  
pp. 251-254
Author(s):  
AlHaitham Al Shetawi ◽  
Leonard Golden ◽  
Michael Turner
Keyword(s):  
Case Report ◽  
Orthognathic Surgery ◽  
Maxillofacial Surgery ◽  
Trauma Surgery ◽  
Tension Pneumothorax ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Circulatory Collapse ◽  
Life Threatening ◽  
Chest Decompression

Tension pneumothorax is a life-threatening emergency that requires a high index of suspension and immediate intervention to prevent circulatory collapse and death. Only five cases of pneumothorax were described in the Oral and Maxillofacial Surgery literature. All cases were postoperative complications associated with orthognathic surgery. We report a case of intraoperative tension pneumothorax during a routine facial trauma surgery requiring emergency chest decompression. The possible causes, classification, and reported cases will be presented.

scholarly journals Mandibular Reconstruction with Lateral Tibial Bone Graft: An Excellent Option for Oral and Maxillofacial Surgery

2017 ◽  
Vol 10 (4) ◽  
pp. 292-298 ◽  
Author(s):  
Ana Lucia Carpi Miceli ◽  
Livia Costa Pereira ◽  
Thiago da Silva Torres ◽  
MônicaDiuana Calasans-Maia ◽  
Rafael Seabra Louro
Keyword(s):  
Bone Graft ◽  
Orthognathic Surgery ◽  
Proximal Tibia ◽  
Donor Site ◽  
Maxillofacial Surgery ◽  
Lateral Approach ◽  
Autogenous Bone ◽  
Oral And Maxillofacial Surgery ◽  
Superficial Infection ◽  
Tibial Bone

Autogenous bone grafts are the gold standard for reconstruction of atrophic jaws, pseudoarthroses, alveolar clefts, orthognathic surgery, mandibular discontinuity, and augmentation of sinus maxillary. Bone graft can be harvested from iliac bone, calvarium, tibial bone, rib, and intraoral bone. Proximal tibia is a common donor site with few reported problems compared with other sites. The aim of this study was to evaluate the use of proximal tibia as a donor area for maxillofacial reconstructions, focusing on quantifying the volume of cancellous graft harvested by a lateral approach and to assess the complications of this technique. In a retrospective study, we collected data from 31 patients, 18 women and 13 men (mean age: 36 years, range: 19–64), who were referred to the Department of Oral and Maxillofacial Surgery at the Servidores do Estado Federal Hospital. Patients were treated for sequelae of orthognathic surgery, jaw fracture, nonunion, malunion, pathology, and augmentation of bone volume to oral implant. The technique of choice was lateral access of proximal tibia metaphysis for graft removal from Gerdy tubercle under general anesthesia. The mean volume of bone harvested was 13.0 ± 3.7 mL (ranged: 8–23 mL). Only five patients (16%) had minor complications, which included superficial infection, pain, suture dehiscence, and unwanted scar. However, none of these complications decreases the result and resolved completely. We conclude that proximal tibia metaphysis for harvesting cancellous bone graft provides sufficient volume for procedures in oral and maxillofacial surgery with minimal postoperative morbidity.

scholarly journals Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure

2017 ◽  
Vol 18 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Rafaella de S Leão ◽  
Edmilson Z da S Júnior ◽  
Marília GM de Alencar ◽  
Raisa Q Catunda ◽  
Sandra LD de Moraes ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Recurrent Dislocation ◽  
Complete Denture ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Movement ◽  
Technical Adequacy ◽  
Surgical Access ◽  
Tmj Dislocation

ABSTRACT Aim To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporomandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct. Introduction There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy. In edentulous patients undergoing TMJ surgical procedures, prosthetic rehabilitation can be seen as a means of treatment preservation. Case report A 73-year-old female patient attended the oral and maxillofacial surgery clinic presenting with joint instability, ligament laxity, and chronic recurrent TMJ dislocations. She had already been through three previous unsuccessful surgical procedures. A treatment plan was done based on the installation of a mini-anchor in the patient's TMJ through the preauricular surgical access. Dislocations were then resolved, but the lack of mandibular control even to a lesser extent after surgery precluded the use of prosthetics even at rest. Thus, it was planned to manufacture two conventional TPs with 0° cusp angle teeth, a clinical protocol shortened to three sessions in an attempt to improve the stability of the prosthesis. Conclusion The use of an individual mini-anchor is simple and effective, and the use of artificial teeth is well suited to the case. Clinical significance A multidisciplinary intervention (surgery/ prosthesis) is of utmost importance for the resolution and preservation of the treatment of these complex cases. How to cite this article de S Leão R, da S Júnior EZ, de Alencar MGM, Catunda RQ, de Moraes SLD, do E Vasconcelos BC. Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure. J Contemp Dent Pract 2017;18(4):337-341.

Bismuth Iodoform Paraffin Paste: History, Uses and Alternatives in Oral and Maxillofacial Surgery

Dental Update ◽  
2021 ◽  
Vol 48 (3) ◽  
pp. 207-211
Author(s):  
Gurpreet Kaur Randhawa ◽  
Richard M Graham ◽  
Karanveer Singh Matharu
Keyword(s):  
Side Effects ◽  
Surgical Procedures ◽  
Clinical Relevance ◽  
Wound Dressing ◽  
Adverse Reactions ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Ent Surgery ◽  
Present Information ◽  
Background History

Bismuth iodoform paraffin paste (BIPP) continues to be widely used in dental/oral and maxillofacial/ENT surgery for surgical cavity packing and wound dressing where pressure, antisepsis and haemostasis is required. We present information on its history and uses, including historical use, constituents, uses in surgery, risks and considerations for deciding on its use. Although side effects and adverse reactions have been reported, these are rare. CPD/Clinical Relevance: BIPP is commonly used in surgical procedures and an appreciation of its background, history, uses and side effects are important as well as an understanding of its alternatives.

Sign in / Sign up

Export Citation Format

Share Document