1/7. Severe panfacial fracture with facial explosion: integrated and multistaged reconstructive procedures.Midface fractures, especially if related to traffic accidents, represent a remarkable problem from a surgical, psychological, and social standpoint. In trauma dynamics, the pattern of the fractures can extend to all bony fragments and is often associated with soft tissue injuries and loss of bony structures. This can lead to posttraumatic deformities that greatly influence the patient psychologically and limit his social rehabilitation, sometimes permanently. Panfacial trauma includes midface fractures associated with fractures of other areas (i.e., mandible, frontal bone). Orbits and the nasoethmoidal area are often involved with loss of soft tissue and, in severe cases, loss of orbital contents. We report an unusual complex clinical case representative of this kind of pathological profile in which the guidelines described in the literature were followed in the reconstructive procedure.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
2/7. Occlusal reconstruction: orthodontic techniques for treatment of jaw fracture.AIM: Treatment by the multidisciplinary-team approach for jaw fractures, and the role of the orthodontist, are discussed and illustrated through case reports. methods: Two cases of jaw fractures treated with orthodontic techniques, as an alternative noninvasive procedure, are presented. One subject with a fresh mandibular fracture did not consent to surgery, despite a good indication for open reduction. The other subject had maljoined mandibular fractures from surgery, with insufficient occlusal consideration. CONCLUSION: Orthodontists, as well as oral surgeons, participate in every stage of the treatment of jaw fractures, including treatment decisions, in-patient management, dietary guidance, etc. Orthodontists also attend surgical operations to determine the most stable occlusion, making possible more detailed occlusal reconstruction.- - - - - - - - - - ranking = 2.6154827597638keywords = jaw (Clic here for more details about this article) |
3/7. Use of a miniplate to provide intermaxillary fixation in the edentulous patient.A case of severe facial trauma is presented. The fractures were stabilized using wire osteosynthesis and miniplates. Since no dentures were available intermaxillary fixation was achieved with a miniplate from the upper to the lower jaw, which resulted in a very satisfactory stabilization.- - - - - - - - - - ranking = 0.37364039425197keywords = jaw (Clic here for more details about this article) |
4/7. Pediatric jaw fractures: indications for open reduction.jaw fractures in children are generally managed without major surgical intervention. Closed reduction usually is sufficient to restore normal anatomy and function. The one inviolate principle is early treatment. During the past three years, four pediatric jaw fractures that required open reduction were treated. This mode of treatment was necessitated by the limitations imposed by pediatric dental anatomy and by the type of fractures encountered. In at least 24 months of follow-up, no dental problems have been seen.- - - - - - - - - - ranking = 1.8682019712598keywords = jaw (Clic here for more details about this article) |
5/7. Complex maxillofacial fractures: management and surgical procedures.Complex maxillofacial fractures may be defined as combined, mixed, or unclassified. Adequate diagnostic technics must be used with the formulation of a plan for general management and sequential maxillofacial surgery. The basic principal of building from the stable mandible to the first superior stable bone must be adhered to. Exploration of all fracture sites with direct reduction and fixation is the most satisfactory technic for best cosmetic and functional results. The maxillary buccal vestibule incision in midfacial fractures provides exploration of the lateral walls of the maxilla, nasal aperture, zygomatic buttress, maxillary tuberosity and pterygoid area, maxillary antrum and roof (or orbital floor), and infraorbital rim. The extent of the injury can be determined and direct reduction and fixation obtained. Additional approaches for reduction and internal stabilization are used according to the findings. When direct wiring technics are inadequate, internal and external skeletal fixation must be used.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |
6/7. Surgical prosthetic splints as an adjunct in treating facial fractures.Surgical splints are a valuable adjunct in managing certain mandible and maxillary fractures. Of the various splint materials, acrylic is the easiest, fastest, and least expensive. Acrylic splints are rigid, strong, easily adjusted and repaired, translucent, lightweight, and tolerated well by the oral mucosa. splints are beneficial not only in the edentulous adult, but also in the child with deciduous dentition and in the patient with a partial dentition. splints are helpful in managing fractures of the symphysis, parasymphyseal region, body, and alveolar ridges of the mandible, sagittal fractures of the hard palate, and severely comminuted mandible fractures. Construction of acrylic splints is simple and rapid if the surgeon uses the services of a dentist or a dental laboratory.- - - - - - - - - - ranking = 3keywords = mandible (Clic here for more details about this article) |
7/7. Oral myiasis. A case report.myiasis is a disease commonly seen in animals, especially sheep and cattle. The condition is rare in man. A patient with a neglected fractured mandible with superimposed myiasis is reported.- - - - - - - - - - ranking = 1keywords = mandible (Clic here for more details about this article) |