Sample records for mandibular implant overdentures

  1. Attachment systems for mandibular implant overdentures: a systematic review

    PubMed Central

    Kim, Ha-Young; Lee, Jeong-Yol; Bryant, S. Ross

    2012-01-01

    PURPOSE The aim of this systematic review was to address treatment outcome according to attachment systems for mandibular implant overdentures in terms of implant survival rate, prosthetic maintenance and complications, and patient satisfaction. MATERIALS AND METHODS A systematic literature search was conducted using PubMed and hand searching of relevant journals considering inclusion and exclusion criteria. Clinical trial studies on mandibular implant overdentures until August, 2010 were selected if more than one type of overdenture attachment was reported. Twenty four studies from 1098 studies were finally included and the data on implant survival rate, prosthetic maintenance and complications, patient satisfaction were analyzed relative to attachment systems. RESULTS Four studies presented implant survival rates (95.8 - 97.5% for bar, 96.2 - 100% for ball, 91.7% for magnet) according to attachment system. Ten other studies presented an implant survival rate ranging from 93.3% to 100% without respect to the attachment groups. Common prosthetic maintenance and complications were replacement of an assay for magnet attachments, and activation of a matrix or clip for ball or bar attachments. Prosthetic maintenance and complications most commonly occurred in the magnet groups. Conflicting findings were found on the rate of prosthetic maintenance and complications comparing ball and bar attachments. Most studies showed no significant differences in patient satisfaction depending upon attachment systems. CONCLUSION The implant survival rate of mandibular overdentures seemed to be high regardless attachment systems. The prosthetic maintenance and complications may be influenced by attachment systems. However patient satisfaction may be independent of the attachment system. PMID:23236571

  2. Mandibular overdentures anchored to single implants: A five-year prospective study

    Microsoft Academic Search

    Giampiero Cordioli; Zeina Majzoub; Stefano Castagna

    1997-01-01

    Statement of problem. It is unknown what minimum number of implants are required to satisfactorily support and retain a mandibular overdenture.Purpose. The purpose of this study was to evaluate a treatment modality by using mandibular overdentures anchored to single implants in a geriatric patient population.Material and methods. Twenty-one patients with a mean age of 74.2 years were treated with single

  3. Two-Year Success Rate of Implant-Retained Mandibular Overdentures by Novice General Dentistry Residents.

    PubMed

    Malmstrom, Hans; Xiao, Jin; Romanos, Georgios; Ren, Yan-Fang

    2015-06-01

    The purpose of the present study was to evaluate the clinical success and patient satisfaction when dental implant-retained mandibular overdentures are placed and restored by novice general dentistry residents. A total of 50 subjects who were dissatisfied with their mandibular complete dentures were enrolled in the study. Two dental implants were placed in the anterior mandible between the mental foramina by novice general dentistry residents under the direct supervision of the principal investigator. The resident attached the denture to the implants 3 to 4 months later using locator attachments. The implant success rate was determined by measuring bone loss, mobility, pocket probing depth, and gingival and plaque indices. Subjects were asked to complete a satisfaction questionnaire with the prosthesis at 3 months, 1 year, and 2 years after overdenture delivery. A total of 100 implants were placed in the 50 study subjects. Of these, 2 implants were lost in 1 subject, and 1 subject died due to unrelated causes. Of the 48 remaining subjects, 45 have had their implants restored with overdentures. The subjects' overall satisfaction with fit and ability to chew hard foods with their mandibular overdentures improved significantly (P < .05) following the denture attachment to the dental implants. We conclude that novice general dentistry residents can successfully place mandibular implants and restore them with overdentures under direct supervision, subsequently enhancing the subjects' satisfaction with their mandibular dentures. PMID:24188137

  4. Stud attachments for the mandibular implant-retained overdentures: Prosthetic complications. A literature review

    PubMed Central

    Daou, Elie E.

    2013-01-01

    A plethora of attachment systems for mandibular two-implant overdentures is currently available often without evidence-based support. Technical aspects are now parameters considered when choosing the appropriate attachment. Despite the increasing use of the Locator attachments, studies regarding their properties remain scarce. Peer reviewed articles published in English up to 2011, were identified through a MEDLINE search (Pubmed and Elsevier) and a hand search of relevant textbooks and annual publications. Emphasis was made on the technical complications as well as the loss of retention related to the attachments in implant-retained overdentures, primarily the Locator attachment. The evaluation of the long-term outcome of implant overdentures and complications associated with different attachment systems may provide useful guidelines for the clinician in selecting the type of attachment system and overdenture design. PMID:23960557

  5. Masticatory efficiency and oral health-related quality of life with implant-retained mandibular overdentures

    PubMed Central

    Sun, Xu; Zhai, Jun-Jiang; Liao, Jian; Teng, Min-Hua; Tian, Ai; Liang, Xing

    2014-01-01

    Objectives: To evaluate masticatory efficiency (ME) and oral health-related quality of life (OHRQoL) in patients rehabilitated with implant-retained mandibular overdentures. Methods: In this randomized controlled clinical trial, 50 edentulous patients visiting the Implant Center and Department of Prosthodontics, West China College of Stomatology, Sichuan University, Chengdu, China between June 2010 and June 2012 were selected and received 2 implant-retained mandibular overdenture treatments. All patients were rehabilitated with maxillary complete dentures. The ME and OHRQoL were determined both one month before the mandibular complete denture was anchored to the osseointegrated implants, and 6 months after anchoring. Paired t-tests were used to compare means of ME, and oral health impact profile-49 (OHIP-49) domains scores between pre- and post-implant. Linear regression models were utilized to seek correlations between ME and OHIP domains scores. Results: The ME increased from pre- to post-implant retained mandibular overdentures significantly (p<0.001). The total OHIP score and 4 subscales scores were changed significantly from pre- to post-implant; namely, functional limitation, psychological discomfort, physical disability, and physical pain. The total OHIP score, functional limitation, physical disability, and physical pain subscale scores were related to ME. Conclusion: Implant-retained mandibular over dentures can significantly improve patients’ ME and OHRQoL. The improvement in OHRQoL is mainly because of the improved ME. An improved chewing experience, and pain relief also contributes to improvement of OHRQoL. PMID:25316463

  6. Cost-effectiveness of Mandibular Two-implant Overdentures and Conventional Dentures in the Edentulous Elderly

    Microsoft Academic Search

    G. Heydecke; J. R. Penrod; Y. Takanashi; J. P. Lund; J. S. Feine; J. M. Thomason

    2005-01-01

    Implementation of new therapies is usually governed by financial considerations, so efficacy studies should also include cost comparisons. The cost and effectiveness of mandibular conventional dentures (CD, n = 30) and two-implant overdentures (IOD, n = 30) were compared in elderly subjects. Effectiveness (Oral Health Impact Profile, OHIP-20) and cost were measured up to one year post-treatment. Data for subsequent

  7. Use of an Implant O-Ring Attachment for the Tooth Supported Mandibular Overdenture: A Clinical Report

    PubMed Central

    Guttal, Satyabodh S.; Tavargeri, Anand K.; Nadiger, Ramesh K.; Thakur, Srinath L.

    2011-01-01

    Retention of a mandibular denture can be achieved by an implant-retained or natural tooth-retained bar and stud attachment in the anterior segment of the mandible. The same design principles holds true for both implant-retained and tooth-retained methods of anchoring the bar and stud attachment. A simple and cost effective treatment for more complex implant overdenture is the concept of conventional tooth-retained overdentures. When few firm teeth still remain in a compromised dentition, preservation of these teeth for overdentures can improve retention and stability. The authors present a clinical report of a patient treated with a mandibular tooth-borne overdenture with bar and O-ring attachment. A splinted bar supported the prosthesis and an O-ring retained the denture. PMID:21769276

  8. Effect of attachment type on load distribution to implant abutments and the residual ridge in mandibular implant-supported overdentures.

    PubMed

    Yoda, Nobuhiro; Matsudate, Yoshiki; Abue, Masaru; Hong, Guang; Sasaki, Keiichi

    2015-01-01

    This study aimed to investigate the effect of attachment type on the load transmitted to implants and the residual ridge in a mandibular two-implant-supported overdenture in a model study. Ball attachments, locator attachments, and round-bar attachments were selected and examined. Static and dynamic vertical loads of 100?N were applied in the right first molar region. The load on the implants was measured by piezoelectric three-dimensional force transducers, and the load on the residual ridge beneath the denture base was measured using a tactile sheet sensor. The load on the implants with ball attachments was significantly higher than that with the other two attachments. The load on the residual ridge with round-bar attachments was significantly higher than that with the other two attachments. Our findings indicate that the three-dimensional load on implants and the residual ridge beneath the denture base is significantly associated with the type of attachment used in implant-supported overdentures. PMID:25798201

  9. Comparison of marginal bone loss and patient satisfaction in single and double-implant assisted mandibular overdenture by immediate loading

    PubMed Central

    Khoshhal, Masume; Ebrahimzadeh, Zahra

    2015-01-01

    PURPOSE The purpose of this study was to compare the coronal bone level and patient satisfaction in 1-implant and 2-implant assisted mandibular overdentures. MATERIALS AND METHODS Twenty patients who had maladaptive mandibular dentures were treated in this study. Patients were randomly divided into two groups. The first group received 1 implant (Simple line II, Implantium, South Korea) in their mandibular midline and the second group received 2 implants in their B and D regions (according to Misch's category). If the primary stability of each implant was at least 60 ISQ, ball attachment was placed and denture relined with soft liner. After 6 weeks, retentive cap incorporated with hard acrylic resin. In the 6 and 12 months recalls, periapical digital radiograph were made and visual analogue scale questionnaires were used to record patient satisfaction. The Friedman test was done for comparing the presurgical and postsurgical parameters in each group and the U-Mann Whitney test (P<.05) was done for comparison of post-treatment results between the two groups. RESULTS All implants achieved sufficient primary stability to be immediately loaded. Patient satisfaction was high, and there were no significant differences between two groups (P>.05). In addition, mean marginal bone loss was 0.6 ± 0.67 mm in the first group and 0.6 ± 0.51 mm in the second group, after 12 month. Mean marginal bone loss showed no significant differences between two groups. CONCLUSION This preliminary one-year result indicated that mandibular overdentures anchored to a single implant can be a safe and cost-effective method as a starting step for implant-overdenture treatment.

  10. A randomized clinical trial comparing the efficacy of mandibular implant-supported overdentures and conventional dentures in diabetic patients. Part V: Food preference comparisons

    Microsoft Academic Search

    Eleni D. Roumanas; Neal R. Garrett; Michael O. Hamada; Randy M. Diener; Krishan K. Kapur

    2002-01-01

    Statement of Problem. The functional benefits of replacing old dentures with new conventional mandibular dentures or implant-supported overdentures has not been fully determined. Purpose. This study assessed the impact of these 2 types of replacement dentures on the food choices of diabetic patients. Material and Methods. A total of 68 diabetic patients with original complete dentures participated in this study.

  11. Implant overdenture using Konus telescope on one-piece implant: a case report.

    PubMed

    Ohkubo, Chikahiro; Kobayashi, Mariko; Okamoto, Naoko; Hosoi, Toshio; Kurtz, Kenneth S; Murata, Toshiyuki

    2009-12-01

    An implant-retained Konus (tapered double crown) telescopic complete overdenture was fabricated for a mandibular edentulous patient. The Konus telescopic overdenture coping crowns and framework assembly were cast with commercially pure (CP) titanium, joined using laser welding and placed on four one-piece implants. Sufficient retention and stability were obtained using this method. PMID:20158062

  12. Effect of Implant Height Differences on Different Attachment Types and Peri-Implant Bone in Mandibular Two-Implant Overdentures: 3D Finite Element Study.

    PubMed

    Ozan, Oguz; Ramoglu, Serhat

    2015-06-01

    Implant-supported overdentures with self-aligning attachment systems are preferred to improve the stability and retention of complete dentures. The positioning of the implant attachments is a very important aspect of two-implant overdentures in obtaining better stress distribution. Therefore, the objective of this study was to compare two different attachment systems in a two-implant overdenture by evaluating the stress distributions in peri-implant bone and stresses on the attachments with positioning at different height levels using the 3D FEA method. Six models with ball attachments and 6 models with locator attachments-totaling 12 models (including 2 controls)-with the left implant positioned unilaterally at different height levels were subjected to 3 loading conditions (anterior, right posterior, and left posterior). Data for Von Misses stresses were produced numerically, color coded, and compared among the models for attachments and peri-implant cortical bone. The configurations in which implants presented 3 mm height differences in the bone level showed the most successful results in the peri-implant bone. When stresses on the attachments were compared, greater stress values were obtained from the ball attachments. As a conclusion, the configurations with a considerable (3 mm) height difference between quadrants of the mandible in the anterior segment showed the most successful results in the peri-implant bone. On the contrary, peak stress values around the implant observed from the models with less (1 mm) bone height difference may require leveling of the bone during surgery. However, these findings should be corroborated with clinical studies. PMID:24471769

  13. Short-term post-operative pain and discomfort following insertion of mini-implants for retaining mandibular overdentures: a randomized controlled trial.

    PubMed

    Ribeiro, A B; Della Vecchia, M P; Cunha, T R; Sorgini, D B; Dos Reis, A C; Muglia, V A; de Albuquerque, R F; de Souza, R F

    2015-08-01

    The retention of removable dentures by mini-implants is a relatively recent treatment modality and may lead to minimal post-operative trauma. This study compared post-operative pain and discomfort following the insertion of mini-implants (two or four) or two standard-size implants for the retention of mandibular overdentures. One hundred and twenty edentulous participants (mean age 59·5 ± 8·5 years) were randomly allocated into three groups according to received treatment: (GI) four mini-implants, (GII) two mini-implants or (GIII) two standard implants. Seven days after implant insertion, patients answered questions (100-mm VAS) relating to pain, swelling, and discomfort with chewing, speech and hygiene, considering their experiences during the 1st and 6th day. Groups were compared by two-way anova (? = 0·05). All participants (GI: 38; GII: 42; GIII: 40) were analysed after 7 days. At the 6th day, GI felt significantly higher pain than GII and GIII. GI also reported more difficulty in performing oral hygiene practices than GIII during the 1st day. There was no significant difference between groups for the other questions and periods. No participant suffered unexpected side effects. The use of four mini-implants induces more intense post-operative pain at the 6th day than the insertion of two mini- or conventional fixtures, as well as more difficult oral hygiene on the 1st day. Clinicaltrials.gov, NCT01411683; FAPESP, 2011/00688-7 and 2011/23347-0. PMID:25765784

  14. A 5-year randomized trial to compare 1 or 2 implants for implant overdentures.

    PubMed

    Bryant, S R; Walton, J N; MacEntee, M I

    2015-01-01

    The hypothesis of this 5-y randomized clinical trial was that there would be no significant difference in the satisfaction of edentulous participants with removable complete overdentures attached to 1 or 2 mandibular implants. Secondary aims were to test changes in satisfaction between and within the groups from baseline to 5 y and differences between the groups in implant survival and prosthodontic maintenance over 5 y. Each of the 86 participants (mean age, 67 y) was randomly allocated to receive either 1 implant in the midline (group 1) or 2 implants in the canine areas (group 2) attached to a mandibular overdenture opposing a maxillary complete denture. Satisfaction was self-assessed by participants on a visual analog scale at baseline prior to implants, as well as at 2 mo and 1, 3, and 5 y with implant overdentures, whereas implant survival and prosthodontic maintenance were assessed by clinical examination. After 5 y, 29 participants in group 1 and 33 in group 2 were available, with most dropouts due to death. Satisfaction with the implant denture after 5 y was significantly (P < 0.001) higher than at baseline in both groups and remained with no significant difference (P = 0.32) between the groups. No implants failed in group 1 but 5 failed before loading in 4 participants in group 2. Most participants required maintenance or occasionally denture replacement, and although differences between the groups were not statistically significant, group 1 experienced almost twice as many fractured dentures usually adjacent to the implant attachment. We conclude that there were no significant differences after 5 y in satisfaction or survival of implants with mandibular overdentures retained by 1 implant or 2 implants. Additional research is required to confirm long-term treatment effectiveness of single-implant dentures and the implications of prosthetic maintenance with implant overdentures (ClinicalTrials.gov: NCT02117856). PMID:25348544

  15. Implant and root supported overdentures - a literature review and some data on bone loss in edentulous jaws

    PubMed Central

    2014-01-01

    PURPOSE To present a literature review on implant overdentures after a brief survey of bone loss after extraction of all teeth. MATERIALS AND METHODS Papers on alveolar bone loss and implant overdentures have been studied for a narrative review. RESULTS Bone loss of the alveolar process after tooth extraction occurs with great individual variation, impossible to predict at the time of extraction. The simplest way to prevent bone loss is to avoid extraction of all teeth. To keep a few teeth and use them or their roots for a tooth or root-supported overdenture substantially reduces bone loss. Jaws with implant-supported prostheses show less bone loss than jaws with conventional dentures. Mandibular 2-implant overdentures provide patients with better outcomes than do conventional dentures, regarding satisfaction, chewing ability and oral-health-related quality of life. There is no strong evidence for the superiority of one overdenture retention-system over the others regarding patient satisfaction, survival, peri-implant bone loss and relevant clinical factors. Mandibular single midline implant overdentures have shown promising results but long-term results are not yet available. For a maxillary overdenture 4 to 6 implants splinted with a bar provide high survival both for implants and overdenture. CONCLUSION In edentulous mandibles, 2-implant overdentures provide excellent long-term success and survival, including patient satisfaction and improved oral functions. To further reduce the costs a single midline implant overdenture can be a promising option. In the maxilla, overdentures supported on 4 to 6 implants splinted with a bar have demonstrated good functional results. PMID:25177466

  16. Tissue-supported dental implant prosthesis (overdenture): the search for the ideal protocol. A literature review

    PubMed Central

    Laurito, Domenica; Lamazza, Luca; Spink, Michael J.; De Biase, Alberto

    2012-01-01

    Summary Aims The success of maxillary and mandibular tissue supported implant prostheses varies in the literature, and the ideal protocol may be elusive from given the numerous studies. The oral rehabilitation option is an alternative to conventional dentures and should improve function, satisfaction, and retention. The purpose of this review article is to clarify these questions. Methods The search of literature reviews English non-anecdotal implant overdentures articles from 1991 to 2011. Results The results display an aggregate comprehensive list of categorical variables from the literature review. Overall success of maxillary and mandibular implant overdenture was respectively, 86.6% and 95.8%. Conclusion The literature indicates that the implant overdenture prosthesis provides predictable results – enhanced stability, function and a high-degree of satisfaction compared to conventional removable dentures. PMID:22783448

  17. Do Implant Overdentures Improve Dietary Intake? A Randomized Clinical Trial

    PubMed Central

    Hamdan, N.M.; Gray-Donald, K.; Awad, M.A.; Johnson-Down, L.; Wollin, S.; Feine, J.S.

    2013-01-01

    People wearing mandibular two-implant overdentures (IOD) chew food with less difficulty than those wearing conventional complete dentures (CD). However, there is still controversy over whether or not this results in better dietary intake. In this randomized clinical trials (RCT), the amounts of total dietary fiber (TDF), macronutrients, 9 micronutrients, and energy in diets consumed by persons with IOD and CD were compared. Male and female edentate patients ? 65 yrs (n = 255) were randomly divided into 2 groups and assigned to receive a maxillary CD and either a mandibular IOD or a CD. One year following prosthesis delivery, 217 participants (CD = 114, IOD = 103) reported the food and quantities they consumed to a registered dietician through a standard 24-hour dietary recall method. The mean and median values of TDF, macro- and micronutrients, and energy consumed by both groups were calculated and compared analytically. No significant between-group differences were found (ps > .05). Despite quality-of-life benefits from IODs, this adequately powered study reveals no evidence of nutritional advantages for independently living medically healthy edentate elders wearing two-implant mandibular overdentures over those wearing conventional complete dentures in their dietary intake at one year following prosthesis delivery (International Clinical Trials ISRCTN24273915). PMID:24158335

  18. YOU'RE INVITED... UNLV Narrow Diameter Overdenture Implants 101

    E-print Network

    Hemmers, Oliver

    YOU'RE INVITED... UNLV Narrow Diameter Overdenture Implants 101 The UNLV School of Dental Medicine, and Director of the Implant program at the Department of Dental Medicine, Hospital of the University is proud to host an introductory course on narrow diameter overdenture implants including: - Treatment

  19. A Cost-effectiveness Analysis of Implant Overdentures

    Microsoft Academic Search

    N. U. Zitzmann; C. P. Marinello; P. Sendi

    2006-01-01

    Placement of dental implants may improve the retention and stability of complete dentures in edentulous patients. Treatment costs, however, substantially increase with implant treatment. We therefore performed a stochastic cost-effectiveness analysis, comparing implant-supported over-denture prostheses (4 implants), implant-retained overdentures (2 implants), and complete dentures, from the patient's perspective in Switzerland, to assess whether implant treatment in the mandible represents value

  20. Can general dentists produce successful implant overdentures with minimal training?

    Microsoft Academic Search

    Shahrokh Esfandiari; James P. Lund; J. Mark Thomason; Eric Dufresne; Taira Kobayashi; Melanie Dubois; Jocelyne S. Feine

    2006-01-01

    ObjectivesThis study was carried out to determine whether inexperienced dentists can provide two-implant overdentures that are as satisfactory and of the same cost as those provided by experienced prosthodontists.

  1. Various Techniques to Increase Keratinized Tissue for Implant Supported Overdentures: Retrospective Case Series

    PubMed Central

    Cayarga, Rodrigo; Suzuki, Takanori; Kaufman, Zev

    2015-01-01

    Purpose. The purpose of this retrospective case series is to describe and compare different surgical techniques that can be utilized to augment the keratinized soft tissue around implant-supported overdentures. Materials and Methods. The data set was extracted as deidentified information from the routine treatment of patients at the Ashman Department of Periodontology and Implant Dentistry at New York University College of Dentistry. Eight edentulous patients were selected to be included in this study. Patients were treated for lack of keratinized tissue prior to implant placement, during the second stage surgery, and after delivery of the final prosthesis. Results. All 8 patients in this study were wearing a complete maxillary and/or mandibular denture for at least a year before the time of the surgery. One of the following surgical techniques was utilized to increase the amount of keratinized tissue: apically positioned flap (APF), pedicle graft (PG), connective tissue graft (CTG), or free gingival graft (FGG). Conclusions. The amount of keratinized tissue should be taken into consideration when planning for implant-supported overdentures. The apical repositioning flap is an effective approach to increase the width of keratinized tissue prior to the implant placement. PMID:26124833

  2. Alternative procedure for making a metal suprastructure in a milled bar implant-supported overdenture

    Microsoft Academic Search

    Carlo Ercoli; Gerald N. Graser; Ross H. Tallents; Michael E. Hagan

    1998-01-01

    The predictability of implant-supported prostheses has been established. Although the original Brånemark design has been successfully used in the mandible, esthetic, speech, and hygiene-related problems have been reported in maxillary fixed prostheses. Implant-overdentures can overcome some of the problems encountered in maxillary fixed prostheses. Milled-bar implant-supported overdentures fabricated by electric discharge machining are characterized by stability similar to a fixed

  3. An economic evaluation of maxillary implant overdentures based on six vs. four implants

    PubMed Central

    2014-01-01

    Background The purpose of the present study was to assess the value for money achieved by bar-retained implant overdentures based on six implants compared with four implants as treatment alternatives for the edentulous maxilla. Methods A Markov decision tree model was constructed and populated with parameter estimates for implant and denture failure as well as patient-centred health outcomes as available from recent literature. The decision scenario was modelled within a ten year time horizon and relied on cost reimbursement regulations of the German health care system. The cost-effectiveness threshold was identified above which the six-implant solution is preferable over the four-implant solution. Uncertainties regarding input parameters were incorporated via one-way and probabilistic sensitivity analysis based on Monte-Carlo simulation. Results Within a base case scenario of average treatment complexity, the cost-effectiveness threshold was identified to be 17,564 € per year of denture satisfaction gained above of which the alternative with six implants is preferable over treatment including four implants. Sensitivity analysis yielded that, depending on the specification of model input parameters such as patients’ denture satisfaction, the respective cost-effectiveness threshold varies substantially. Conclusions The results of the present study suggest that bar-retained maxillary overdentures based on six implants provide better patient satisfaction than bar-retained overdentures based on four implants but are considerably more expensive. Final judgements about value for money require more comprehensive clinical evidence including patient-centred health outcomes. PMID:25135370

  4. Fabrication of a Maxillary Implant Retained Overdenture Using an Existing Subperiostal Implant: A Clinical Report

    PubMed Central

    Barrero, Carlos; Border, Michael B.; Bencharit, Sompop

    2011-01-01

    Subperiosteal implants used to be prescribed to partially and fully edentulous patients to restore occlusion and esthetics prior to the emergence of the more successful endosseous implants that are used today. Because subperiosteal implants had a high incidence of failure, difficulty of placement, and post-operative complications, the use of subperiosteal implants declined significantly. However, some subperiostal implants placed 20-30 years ago still survive. Little information is available in the literature on how to treat patients whose subperiosteal implants still remain. This clinical case report thereby describes a treatment for a patient with a maxillary subperiosteal implant placed 23 years ago. The patient was offered a treatment option that included surgical implant removal, bone grafting and placement of endosseous implants to support a new maxillary overdenture. This treatment plan was not feasible due to the financial constraints of the patient and the complexity of the treatment. The patient chose a more conservative treatment plan, preserving the existing implant. The existing maxillary subperiosteal implant was restored with MICRO ERA attachments and a maxillary implant-retained overdenture was fabricated. The patient was satisfied with the esthetics and functional aspects of the treatment. No further peri-implant bone loss or other complications were found after a six-month recall. This clinical report suggests an alternative treatment plan for patients with existing subperiosteal implants that wish to avoid complex surgical procedures. PMID:21804901

  5. Dolder bar joint mandibular overdenture: a technique for nonparallel abutment teeth.

    PubMed

    Marquardt, G L

    1976-07-01

    A mandibular overdenture technique has been presented that utilizes the Dolder bar joint attachment. Endodontically treated lower canines were retained as abutments. Two techniques for attaching the bar to teeth with divergent root canals were discussed: (1) the Schubiger screw system for those teeth with extremely divergent canals and (2) the Stutz pivots system for teeth with only slightly divergent root canals. The use of the Dolder bar joint offers periodontally involved teeth an improved crown/root ratio and splinting of the teeth. Because the bar is close to the alveolar bone, forces of mastication exert much less leverage to the teeth. Finally, the bar joint offers slight vertical and rotational movement of the denture as well as a stressbreaker action. PMID:787496

  6. Telescopic Overdenture and Implant Supported Fixed Partial Denture: A Pragmatic Treatment Approach

    PubMed Central

    Dede, Do?u Ömür; Cenk Durmu?lar, M.; ?ah?n, Onur; Köro?lu, Ay?egül; ???sa?, Özer

    2015-01-01

    This case report presents a patient who had been rehabilitated with a telescopic overdenture and implant supported fixed partial denture (ISFPD). The treatment process was as follows: (1) fabricating telescopic crowns and overdenture prosthesis for the lower jaw and a temporary complete denture for the upper jaw, (2) using the temporary denture as diagnostic and surgical guide to optimize dental implant placement, and (3) fabricating ISFPD for the upper jaw. Using the patient's existing or temporary denture not only serves as an alternative surgical guide to calibrate the dental implant locations but also helps to finish the restoration at desired dimension, size, and anatomic form. PMID:26106491

  7. A longitudinal clinical assessment of spark erosion technology in implant-retained overdenture prostheses: A preliminary report

    Microsoft Academic Search

    Joseph A. Toljanic; Dimitris Antoniou; R. Scott Clark; Louis Graham

    1997-01-01

    Statement of problem. As adapted for the dental profession, spark erosion technology permits precise machining of retentive metal overdenture frameworks for use in implant prosthetics.Purpose. The resultant prostheses are retentive and provide a number of benefits offered by both conventional overdenture and fixed prosthetic designs.Material and methods. Preliminary data collected from an ongoing 5-year clinical trial were reviewed to qualitatively

  8. Alternative procedure for making a metal suprastructure in a milled bar implant-supported overdenture.

    PubMed

    Ercoli, C; Graser, G N; Tallents, R H; Hagan, M E

    1998-08-01

    The predictability of implant-supported prostheses has been established. Although the original Brånemark design has been successfully used in the mandible, esthetic, speech, and hygiene-related problems have been reported in maxillary fixed prostheses. Implant-overdentures can overcome some of the problems encountered in maxillary fixed prostheses. Milled-bar implant-supported overdentures fabricated by electric discharge machining are characterized by stability similar to a fixed prostheses and are removable for hygiene procedures. However, the procedure is costly and requires highly trained technicians. An alternative procedure to produce an accurately fitting metal suprastructure is presented. This procedure does not require additional technical skills and uses instruments and materials that are readily available and relatively inexpensive. The use of simple and easy to replace attachments allows repairs to be performed in the dental office, thus reducing maintenance cost. The overall result is a prosthesis that incorporates the features of a spark erosion overdenture at a fraction of the cost and that is available to a broader patient population. PMID:9710832

  9. Comparison of immediate complete denture, tooth and implant-supported overdenture on vertical dimension and muscle activity

    PubMed Central

    Shah, Farhan Khalid; Gebreel, Ashraf; Elshokouki, Ali hamed; Habib, Ahmed Ali

    2012-01-01

    PURPOSE To compare the changes in the occlusal vertical dimension, activity of masseter muscles and biting force after insertion of immediate denture constructed with conventional, tooth-supported and Implant-supported immediate mandibular complete denture. MATERIALS AND METHODS Patients were selected and treatment was carried out with all the three different concepts i.e, immediate denture constructed with conventional (Group A), tooth-supported (Group B) and Implant-supported (Group C) immediate mandibular complete dentures. Parameters of evaluation and comparison were occlusal vertical dimension measured by radiograph (at three different time intervals), Masseter muscle electromyographic (EMG) measurement by EMG analysis (at three different positions of jaws) and bite force measured by force transducer (at two different time intervals). The obtained data were statistically analyzed by using ANOVA-F test at 5% level of significance. If the F test was significant, Least Significant Difference test was performed to test further significant differences between variables. RESULTS Comparison between mean differences in occlusal vertical dimension for tested groups showed that it was only statistically significant at 1 year after immediate dentures insertion. Comparison between mean differences in wavelet packet coefficients of the electromyographic signals of masseter muscles for tested groups was not significant at rest position, but significant at initial contact position and maximum voluntary clench position. Comparison between mean differences in maximum biting force for tested groups was not statistically significant at 5% level of significance. CONCLUSION Immediate complete overdentures whether tooth or implant supported prosthesis is recommended than totally mucosal supported prosthesis. PMID:22737309

  10. Study of Biomechanics of Porous Coated Root Form Implant Using Overdenture Attachment: A 3D FEA.

    PubMed

    Savadi, Ravindra C; Goyal, Chhavi

    2010-09-01

    The purpose of this article is to do a three-dimensional finite element stress analysis, in relation to root form implant supported by overdenture attachment, during axial and non-axial loading. Two porous coated Titanium-aluminum-vanadium (Ti-6Al-4V) implants with overdenture abutment were embedded in both simple and 3D model of interforaminal region of mandible. The material properties of tissue ingrowth bonded interface were calculated considering Iso-Strain condition. The masticatory forces: axial load of 35 N, a horizontal load of 10 N, and an oblique load of 120 N, was applied for the two qualities of cancellous bone. It implied that porous topography of the implant led to optimal stress transfer at the tissue ingrowth bonded interface and insignificant punching stress at the apex than a smooth surface implant. The inferior bone quality was deformed even under physiologic loads and showed wider stress pattern. Simulated implant abutment to implant bone interface stress may be significantly affected by the quality of the bone and the surface topography of the implant. The interface is affected to a lesser extent by the prosthetic material properties. Threedimensional anatomical model was more close to reality than the geometry of much simpler altered models. PMID:21886409

  11. Maxillary Overdentures Supported by Four Splinted Direct Metal Laser Sintering Implants: A 3-Year Prospective Clinical Study

    PubMed Central

    Mangano, Francesco; Shibli, Jamil Awad; Anil, Sukumaran

    2014-01-01

    Purpose. Nowadays, the advancements in direct metal laser sintering (DMLS) technology allow the fabrication of titanium dental implants. The aim of this study was to evaluate implant survival, complications, and peri-implant marginal bone loss of DMLS implants used to support bar-retained maxillary overdentures. Materials and Methods. Over a 2-year period, 120 implants were placed in the maxilla of 30 patients (18 males, 12 females) to support bar-retained maxillary overdentures (ODs). Each OD was supported by 4 implants splinted by a rigid cobalt-chrome bar. At each annual follow-up session, clinical and radiographic parameters were assessed. The outcome measures were implant failure, biological and prosthetic complications, and peri-implant marginal bone loss (distance between the implant shoulder and the first visible bone-to-implant contact, DIB). Results. The 3-year implant survival rate was 97.4% (implant-based) and 92.9% (patient-based). Three implants failed. The incidence of biological complication was 3.5% (implant-based) and 7.1% (patient-based). The incidence of prosthetic complication was 17.8% (patient-based). No detrimental effects on marginal bone level were evidenced. Conclusions. The use of 4 DMLS titanium implants to support bar-retained maxillary ODs seems to represent a safe and successful procedure. Long-term clinical studies on a larger sample of patients are needed to confirm these results. PMID:25580124

  12. The Effects of Denture Cleansing Solutions on the Retention of Attachments of Implant Supported Overdentures

    PubMed Central

    Derafshi, Reza; Mohaghegh, Mina; Saki, Maryam; Safari, Anahita; Rabee Haghighi, Mohammad

    2015-01-01

    Statement of the Problem Implant-retained overdenture can improve the stability of dentures and prevent bone loss. Overdenture-wearing patients need special hygiene care. Purpose The aim of this study was to evaluate the effects of various denture cleansers on the retention of Dio orange O-rings. Method and Materials In this experimental study, 40 Dio orange O-rings were divided into 4 groups (10 O-rings each) and each group was soaked for equivalent of 6 months in the following solutions: 5.25% NaOCl (1:10 dilution), Corega cleanser tabs, Professional cleanser tabs and water (as the control group). After 6 months, O-rings were tested for 2inch/minutes of tensile force. The peak load-to-dislodgement was recorded. Data were imported to SPSS18 and were analyzed by One-Way ANOVA and Tukey HSD test (p? 0.05). Results Denture cleansing solutions have significant effects on the reduction of retentive value of O-rings (p? 0.001). Corega tabs caused the reduction of 15.7% (9.91±0.53 N) in the retentive value of O-rings and Professional tabs caused 15% (10.00±0.86 N). NaOCl caused significant decrease (48%) in retentive value of O-rings (6.10±0.91 N in comparison with the control group (11.76±1 N). Conclusion This in-vitro study demonstrated that the retention of O-rings was affected when soaked in cleansing solutions. NaOCl caused more reduction in retentive value compared to effervescent cleansers and would not be recommended for cleansing O-rings. These results should be interpreted clinically and the role of other factors in the retention of O-rings should be considered in order to recommend the best cleanser for O-ring overdentures.

  13. Implant overdenture impressions using a dynamic impression concept

    PubMed Central

    Lee, Byung-Kil; Park, Sang-Hun; Lee, Cheong-Hee

    2014-01-01

    A dynamic impression is a functional impression that records the functional movement of the patient's own muscle and muscle attachment. This process reduces the number of random factors. This article describes a method for making a special tray using a dynamic impression concept that was made from provisional dentures used for implant healing. The individual tray is used to make a wash-impression to record the features of the mucosa in detail. The main advantage of this technique is that it provides a functional relationship of the implant components to the supporting tissues without overextension because provisional denture had been used for 2 months and the border length of individual tray was nearly the same as that of provisional denture. The delivery of the prosthesis constructed using this impression technique is time-saving because there is no need for border molding and there are fewer post-insertion appliance adjustments. PMID:24605209

  14. Assessment of Candida species colonization and denture-related stomatitis in bar- and locator-retained overdentures.

    PubMed

    Kilic, Kerem; Koc, Ayse Nedret; Tekinsen, Fatma Filiz; Yildiz, Pinar; Kilic, Duygu; Zararsiz, Gokmen; Kilic, Erdem

    2014-10-01

    The aim of this study was to assess the prevalence of denture-related stomatitis (DRS) in different attachment-retained overdenture wearers and its association with particular colonizing Candida species. Thirty-seven edentulous patients with implant-supported maxillary or mandibular overdentures were enrolled. A full clinical history was obtained, including details of patients' oral hygiene practices and the levels of erythema based on Newton's classification scale. Swabs were taken from the palate and investigated mycologically to identify the yeast colonies. Quantitative and qualitative microbiological assessments were performed, which included recording the total numbers of colonies (cfu), their color, and their morphological characteristics. Significant differences were found in cfu values between the attachment and inner surfaces of locator- and bar-retained overdentures (P < .05). Candida albicans was the most common species in both evaluations, being isolated from 81.3% of bar-retained overdentures and 38.1% of locator-retained overdentures. DRS developed in all patients using bar-retained overdentures but in only 71.4% of those using locator-retained overdentures. No statistically significant relationship was found between bar and locator attachments according to smoking habit, overnight removal, or plaque and gingival indices (P > .05). PMID:25295886

  15. Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report

    PubMed Central

    Agustín-Panadero, Rubén; Peñarrocha-Oltra, David; Gomar-Vercher, Sonia; Ferreiroa, Alberto

    2015-01-01

    This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.

  16. Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report.

    PubMed

    Agustín-Panadero, Rubén; Peñarrocha-Oltra, David; Gomar-Vercher, Sonia; Ferreiroa, Alberto; Peñarrocha-Diago, Miguel

    2015-06-01

    This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene. PMID:26140179

  17. Physical and metallurgical considerations of failures of soldered bars in bar attachment systems for implant overdentures: a review of the literature.

    PubMed

    Waddell, J Neil; Payne, Alan G T; Swain, Michael V

    2006-10-01

    The purpose of this literature review was to identify the etiological factors of failure of soldered bars in bar attachment systems for removable implant overdentures. A search of MEDLINE using the key words "bar attachment systems" was performed of English language peer-reviewed journals published between 1975 and 2005. Clinical studies of implant overdentures with prosthodontic maintenance complications of bar attachment systems were identified to establish the perceived etiology of failure. A further search of MEDLINE using the key words "solder joint" was also performed of the fixed prosthodontic literature to identify specific factors affecting the strength, fatigue resistance, and quality of gold solder joints used for bar attachment systems. The first search on bar attachment systems produced evidence of low failure rates of interabutment bars, but higher failure rates of bars where distal cantilever extensions were used. There were no explanations or descriptions of the nature of those failures in the clinical studies reviewed. The second search on fixed prosthodontic literature identified multiple factors that could potentially relate to the failed solder joints with bar attachments. Two potential sites of failure in bar attachments with distal cantilevers were identified, and a simple estimate of the tensile stresses at the solder joints was performed. The values found are comparable to the fatigue failure stresses reported in the searched literature. PMID:17052473

  18. Restoration of the partially edentulous mouth — a comparison of overdentures, removable partial dentures, fixed partial dentures and implant treatment

    Microsoft Academic Search

    E. Budtz-Jörgensen

    1996-01-01

    Objectives: Loss of posterior teeth may result in the loss of neuromuscular stability of the mandible, reduced masticatory efficiency, loss of vertical dimension of occlusion and poor aesthetics. Prosthetic rehabilitation should aim at restoring the vertical dimension and increasing the occlusal contact area in the premolar\\/molar region. Overdentures are particularly indicated in patients with a severe loss of periodontal attachment,

  19. Effect of Prosthesis Stiffness and Implant Length on the Stress State in Mandibular Bone with Dental Implants

    Microsoft Academic Search

    M. Todo; K. Irie; Y. Matsushita; K. Koyano

    The purpose of this study was to develop a detailed 3- Dimension mandibular model with dental implants on the basis of CT\\u000a data and to conduct stress analysis to characterize the effects of the material type of prosthesis on stress\\/strain distribution\\u000a in the mandibular bone. Three types of materials, a polymer and two metals, with different elastic properties were chosen

  20. Implant prosthetic rehabilitation of the patients with mandibular resection following oral malignoma surgery.

    PubMed

    Simunovi?-Soski?, Marica; Jureti?, Mirna; Kovac, Zoran; Cerovi?, Robert; Uhac, Ivone; Antoni?, Robert; Pezelj-Ribari?, Sonja

    2012-03-01

    Patient underwent mandibular resection due to surgical therapy of oropharingeal malignoma. Facial asymmetry and cosmetic distortion are frequent consequences of such interventions, which may also include deviation and intrusion of the mandible, motor and sensory disorders, abnormal intermaxillary relations and malocclusion. Implant-supported prosthesis could be an optimal solution to prosthodontic treatment of such patients. However, there is a problem in determination of stable (interocclusal) intermaxillary relations. This article describes the choice of therapy and procedures undertaken in prosthetic rehabilitation of a patient who underwent mandibular resection and radiotherapy with supported prosthesis retained with four implants. PMID:22816236

  1. Bone resection, extra-corporal cryotherapy and immediate re-implantation in the treatment of mandibular tumours.

    PubMed

    Popescu, V; Spirescu, I E

    1980-02-01

    Two aspects have to be considered in the treatment of mandibular tumours: The eradication of the disease, and the maintenance of mandibular continuity to obtain a good functional and aesthetic result. The authors experimented with a cryo-surgical method which consists of mandibular hemiresection, extra corporal immersion of the specimen in liquid nitrogen at - 180 degrees C, followed by re-implantation of the mandibular body in its bed. In this way we achieved the eradication of the tumour and produced an auto-transplant for immediate bone grafting. The clinical and radiological progress of four patients with various mandibular tumours, followed-up for three years, is presented. PMID:6929866

  2. An alternative technique for fabrication of frameworks in an immediate loading implant fixed mandibular prosthesis.

    PubMed

    Paleari, André Gustavo; Presoto, Cristina Dupim; Vasconcelos, Juliano Alencar; Nunes Reis, José Maurício Dos Santos; Pinelli, Lígia Antunes Pereira; Tavares da Silva, Regina Helena Barbosa; Quishida, Cristiane Campos Costa

    2015-01-01

    The oral rehabilitation of edentulous patients with immediate loading has become a safe procedure with high predictability. The success is related to immediate fabrication of a passive fit framework to attach the implants. Based on these considerations, this case report shows an alternative technique for mandibular rehabilitation using implants immediately loaded, where the framework was fabricated using cylinders with internal reinforcement and precast pieces, electrowelding, and conventional welding providing esthetics and function to the patient in a short period of time. PMID:25628899

  3. An Alternative Technique for Fabrication of Frameworks in an Immediate Loading Implant Fixed Mandibular Prosthesis

    PubMed Central

    Paleari, André Gustavo; Presoto, Cristina Dupim; Vasconcelos, Juliano Alencar; Nunes Reis, José Maurício dos Santos; Pinelli, Lígia Antunes Pereira; Tavares da Silva, Regina Helena Barbosa; Quishida, Cristiane Campos Costa

    2015-01-01

    The oral rehabilitation of edentulous patients with immediate loading has become a safe procedure with high predictability. The success is related to immediate fabrication of a passive fit framework to attach the implants. Based on these considerations, this case report shows an alternative technique for mandibular rehabilitation using implants immediately loaded, where the framework was fabricated using cylinders with internal reinforcement and precast pieces, electrowelding, and conventional welding providing esthetics and function to the patient in a short period of time. PMID:25628899

  4. Strain of implants depending on occlusion types in mandibular implant-supported fixed prostheses

    PubMed Central

    Sohn, Byoung-Sup; Heo, Seong-Joo; Koak, Jai-Young; Kim, Seong-Kyun

    2011-01-01

    PURPOSE This study investigated the strain of implants using a chewing simulator with strain gauges in mandibular implant-supported fixed prostheses under various dynamic loads. MATERIALS AND METHODS Three implant-supported 5-unit fixed prostheses were fabricated with three different occlusion types (Group I: Canine protected occlusion, Group II: Unilaterally balanced occlusion, Group III: Bilaterally balanced occlusion). Two strain gauges were attached to each implant abutment. The programmed dynamic loads (0 - 300 N) were applied using a chewing simulator (MTS 858 Mini Bionix II systems, MTS systems corp., Minn, USA) and the strains were monitored. The statistical analyses were performed using the paired t-test and the ANOVA. RESULTS The mean strain values (MSV) for the working sides were 151.83 µ?, 176.23 µ?, and 131.07 µ? for Group I, Group II, and Group III, respectively. There was a significant difference between Group II and Group III (P < .05). Also, the MSV for non-working side were 58.29 µ?, 72.64 µ?, and 98.93 µ? for Group I, Group II, and Group III, respectively. One was significantly different from the others with a 95% confidence interval (P < .05). CONCLUSION The MSV for the working side of Groups I and II were significantly different from that for the non-working side (Group I: t = 7.58, Group II: t = 6.25). The MSV for the working side of Group II showed significantly larger than that of Group III (P < .01). Lastly, the MSV for the non-working side of Group III showed significantly larger than those of Group I or Group II (P < .01). PMID:21503186

  5. Experimental findings on customized mandibular implants in Göttingen minipigs - a pilot study.

    PubMed

    Markwardt, J; Sembdner, P; Lesche, R; Jung, R; Spekl, K; Mai, R; Schulz, M C; Reitemeier, B

    2014-01-01

    Reconstructing continuity defects of the mandible is still challenging for surgeons. The currently applied conventional titanium bridging plates have considerable rates of complications. Now, a new technology enables an individual shape-identical creation of a mandibular implant in a form-board design by the method of LaserCUSING using pure titanium. This technology has been successfully performed in previous examinations to individually reconstruct mandibular continuity defects. This pilot study evaluated the surgical procedure in 10 female Göttingen mini pigs. First, a computed tomography scan from a mini pig cranium was performed. A three-dimensional model of the mandible was designed by data conversion. Based on the data, a customized mandibular implant resembling the natural shape was virtually created and manufactured. Then, a continuity defect of the left mandible was created in a standardized way. The implants were inserted into the defect and the wounds were allowed to heal for 21, 35, 56 and 180 days. During the healing period, no signs of inflammation or infection were observed. After the sacrifice of the minipigs the mandibles were resected. Histological microsections using Donath's sawing and grinding technique were manufactured and stained with Masson Goldner trichrome staining. The histomorphological results showed a pronounced ossification at the outer and inner surface of the implants. This animal study describes a promising approach to optimize customized implants for the application in humans. PMID:24189298

  6. An early loaded implant-supported mandibular complete arch fixed prosthesis in a young completely edentulous patient: a case report.

    PubMed

    Mathew, Miriam; John, Bobby; George, Arun

    2013-08-01

    The restoration of the mandibular arch up to the first molars with 5 one-piece implants presents a viable and cost-effective treatment plan in patients with adequate bone volume and favorable ridge relationships. The early loading of the implants with a provisional restoration reduces the period of edentulousness and restores the patient's ability to eat, talk, and smile effectively. Implants in younger patients prevent resorption of the residual alveolar ridge. This article presents a case report of the restoration of an edentulous mandibular arch with an early loaded implant-supported fixed restoration in a young patient. PMID:21905889

  7. Effect of implant number on transverse bending moments during simulated unilateral loading of mandibular fixed-detachable prostheses.

    PubMed

    Korioth, T W; Chew, C B; Chung, D H

    1998-01-01

    High bending moments acting on osseointegrated implants due to transverse forces are believed to be potential contributors to mechanical implant failure. Theoretically, the rigidity of a system comprised of five implants would seem to counter these moments more effectively than one with only three implants. To study this, we built an experimental model comprised of five Brånemark implants embedded in an acrylic mandibular edentulous arch and connected by a metal framework. This lower prosthesis was mounted with an opposing maxillary complete denture in nonbalanced lingualized occlusion on a semiadjustable articulator. Eccentric static bites were simulated by fixing the dentures at 1.5 mm left and right working side (WS) and balancing side (BS) positions, respectively, and loading the upper member of the articulator with 50 N. The distal right implant abutment was transformed into a loadcell by bonding four strain gauges at 90 degrees intervals across its surface. Three 10-second static load ramps were carried out for each of 4 experiments: (1) WS loadcell with five implants, (2) BS loadcell with five implants, (3) WS loadcell with three implants, and (4) BS loadcell with three implants. Transverse bending moments were found to be significantly higher on the WS for the three-implant prosthesis as compared to the five-implant design (1.469 Ncm for five implants vs 2.151 Ncm for three implants; p = 0.001, Student's t-test). This difference was insignificant on the BS (0.532 Ncm for five implants vs 0.521 Ncm for three implants; p = 0.34). These results suggest that a higher number of mandibular implants may decrease the bending moments affecting mandibular fixed-detachable prostheses during unilateral biting tasks. PMID:9835836

  8. Correction of the occlusal and functional sequelae of mandibular condyle fractures using orthodontic mini-implant molar intrusion.

    PubMed

    Cousley, Richard R J; Gibbons, Andrew J

    2014-09-01

    We report on the non-surgical management of an adult female whose bilateral mandibular condylar fractures had resulted in a clockwise (posterior) mandibular rotation, limitation of mandibular movements and increased occlusal loading on the molar teeth. She refused maxillary surgery and was treated with a minimally-invasive approach, involving orthodontic fixed appliances and mini-implant intrusion of the maxillary molar teeth. This provided both occlusal and functional improvements, including a significant increase in the inter-incisal distance, which were stable after one year of retention. PMID:24521751

  9. Remedy for Repeated Implant Retained Denture Fracture-A Challenging Case Report

    PubMed Central

    Reddy M, Ramu; Metta, Kiran Kumar; Charry N, Sudheer; B, Chittaranjan

    2014-01-01

    The most common site of fracture in a maxillary or a mandibular complete denture is along an anteroposterior line that coincides with the labial notch in in the denture which used to provide the frenum relief. Osseointegrated implants have been a boon to the patients who are completelly edentulous and are not satisfied with the conventional removable complete denture approach.Implant supported dentures have proven to provide superior retention and support for removable complete dentures. Nevertheless, fracture of the denture bases is a common complication of implant-supported mandibular overlay dentures,ecspecially when the artificial denture is opposing natural dentition. This article describes and illustrates a method of reinforcing implant-supported mandibular overdentures to overcome this problem. PMID:25584333

  10. A comparative study on complete and implant retained denture treatments - a biomechanics perspective.

    PubMed

    Chen, Junning; Ahmad, Rohana; Suenaga, Hanako; Li, Wei; Swain, Michael; Li, Qing

    2015-02-01

    Although implant-retained overdenture allows edentulous patients to take higher occlusal forces than the conventional complete dentures, the biomechanical influences have not been explored yet. Clinically, there is limited knowledge and means for predicting localized bone remodelling after denture treatment with and without implant support. By using finite element (FE) analysis, this article provides an in-silico approach to exploring the treatment effects on the oral mucosa and potential resorption of residual ridge under three different denture configurations in a patient-specific manner. Based on cone beam computerized tomography (CBCT) scans, a 3D heterogeneous FE model was created; and the supportive tissue, mucosa, was characterized as a hyperelastic material. A measured occlusal load (63N) was applied onto three virtual models, namely complete denture, two and four implant-retained overdentures. Clinically, the bone resorption was measured after one year in the two implant-retained overdenture treatment. Despite the improved stability and enhanced masticatory function, the implant-retained overdentures demonstrated higher hydrostatic stress in mucosa (43.6kPa and 39.9kPa for two and four implants) at the posterior ends of the mandible due to the cantilever effect, than the complete denture (33.4kPa). Hydrostatic pressure in the mucosa signifies a critical indicator and can be correlated with clinically measured bone resorption, pointing to severer mandibular ridge resorption posteriorly with implant-retained overdentures. This study provides a biomechanical basis for denture treatment planning to improve long-term outcomes with minimal residual ridge resorption. PMID:25560272

  11. Mandibular reconstruction using autologous iliac bone and titanium mesh reinforced by laser welding for implant placement.

    PubMed

    Yamashita, Yoshio; Yamaguchi, Yoshimasa; Tsuji, Mitsuhiro; Shigematsu, Masahito; Goto, Masaaki

    2008-01-01

    Segmental mandibulectomy is a treatment option for benign and malignant neoplasms of the mandible. Although reconstructing the mandible of a patient with a missing segment is difficult, it is essential to improve the postoperative course of the patient. Mandibular reconstruction using titanium mesh is a useful technique for dental implant placement because the morphology of the mandible can be easily reproduced. However, fitting titanium mesh to the remaining mandible is not an easy task during surgery. The present report introduces a method in which a 3-dimensional skull model fabricated by means of stereolithography is prepared, based on computerized tomography (CT) scans, to construct a titanium mesh cage matching the shape of the mandible, preoperatively. Furthermore, the load-bearing area of the titanium mesh cage is reinforced by laser welding another layer of titanium mesh to reduce the incidence of metal fatigue during jaw movement. PMID:19216287

  12. Evaluation of Micromovements and Stresses around Single Wide-Diameter and Double Implants for Replacing Mandibular Molar: A Three-Dimensional FEA

    PubMed Central

    Desai, Shrikar R.; Karthikeyan, I.; Singh, Rika

    2012-01-01

    Purpose. The purpose of this finite element study was to compare stresses, strains, and displacements of double versus single implant, in immediate loading for replacing mandibular molar. Materials and Methods. Two 3D FEM models were made to simulate implant designs. The first model used 6?mm wide-diameter implant to support a single molar crown. The second model used 3.75-3.75 double implant design. Each model was analyzed with a single force magnitude of 70?N in oblique axis in three locations. Results. This FEM study suggested that micromotion can be well controlled by both double implants and 6?mm single wide-diameter implant. The Von Mises stress for double implant had 31%–43% stress reduction compared to the 6?mm implant. Conclusion. Within the limitations of the paper, when the mesiodistal space for artificial tooth is more than 12.5?mm, under immediate loading, the double implant support should be considered. PMID:22461992

  13. Edentulous maxillary arch fixed implant rehabilitation using a hybrid prosthesis made of micro-ceramic-composite: case report.

    PubMed

    Geckili, Onur; Bilhan, Hakan; Ceylan, Gulsum; Cilingir, Altug

    2013-02-01

    The prosthetic treatment of patients with an edentulous maxilla opposing mandibular natural teeth is one of the most challenging endeavors that face clinicians. Occlusal forces from the opposing natural teeth may cause fractures in the maxillary prosthesis and also result in advanced bone loss of the edentulous maxilla. With the presence of extreme gagging reflex, the treatment may become more complicated. This article describes and illustrates the 2-stage surgical and prosthetic treatment of a patient with an edentulous maxilla opposing natural teeth. In the beginning, the patient was treated with 4 implants and a maxillary implant-supported overdenture. The extreme gagging reflex and the occlusal forces from the mandibular natural teeth obligated the team a second stage surgical and prosthetic treatment, which included increasing the number of implants after bilateral sinus lifting in the posterior maxilla and fabricating a maxillary fixed hybrid prosthesis made of micro-ceramic composite that yielded a satisfactory result. PMID:20932120

  14. Five years follow-up of implant-prosthetic rehabilitation on a patient after mandibular ameloblastoma removal and ridge reconstruction by fibula graft and bone distraction

    PubMed Central

    Oteri, Giacomo; Ponte, Francesco Saverio De; Pisano, Michele; Cicciù, Marco

    2012-01-01

    This case report presents a combination of surgical and prosthetic solutions applied to a case of oral implant rehabilitation in post-oncologic reconstructed mandible. Bone resection due to surgical treatment of large mandibular neoplasm can cause long-span defects. Currently, mandibular fibula free flap graft is widely considered as a reliable technique for restoring this kind of defect. It restores the continuity of removed segment and re-establishes the contour of the lower jaw. However, the limited height of grafted fibula does not allow the insertion of regular length implants, therefore favouring vertical distraction osteogenesis as an important treatment choice. This report presents a patient affected by extensive mandibular ameloblastoma who underwent surgical reconstruction by fibula free flap because of partial mandibular resection. Guided distraction osteoneogenesis technique was applied to grafted bone, in order to obtain adequate bone height and to realize a prosthetically guided placement of 8 fixtures. After osseointegration, the patient was rehabilitated with a full arch, screw-retained prosthetic restoration. At five-years follow up, excellent integration of grafted tissue, steady levels of bone around the fixtures and healthy peri-implant tissues were reported. PMID:22623943

  15. Functional criteria for mandibular implant placement post resection and reconstruction for cancer

    Microsoft Academic Search

    Mark T. Marunick; Ellen D. Roumanas

    1999-01-01

    Statement of problem. Osseointegrated implants used in the mandible post resection and reconstruction for cancer represents a treatment option with the potential for functional improvement and enhanced quality of life. Unfortunately, protocols for their use in this patient population have been empirical and technique-driven with the assumption that they will overcome most, if not all, functional deficits encountered. Purpose. The

  16. Posterior implants for distal extension removable prostheses: a retrospective study.

    PubMed

    Mitrani, Ricardo; Brudvik, James S; Phillips, Keith M

    2003-08-01

    Common complaints associated with the Kennedy Class I (bilateral free end) and Class II (unilateral free end) removable partial denture situations are lack of stability, minimal retention, and unesthetic retentive clasping. Some of the same complaints have been reported for implant overdentures with only anterior implants. Starting in 1995, 10 of these patients were treated at the University of Washington with posterior osseointegrated implants to provide stability and/or retention of the removable prostheses, eliminating the need for clasps when possible. This article describes implant alternatives and prosthesis designs and presents a follow-up clinical evaluation of at least 1 year consisting of patient satisfaction, radiographic examination, and soft tissue health. Two groups were evaluated. Group 1 included patients whose implants were used as vertical stops for mandibular distal extension prostheses. Care was taken to ensure that the implants were not loaded laterally by creating a single-point contact at the center of a modified healing abutment. In these cases, sufficient retention was available from the anterior teeth and/or implant abutments. Group 2 included patients whose implants required retention because of lack of adequate tooth abutments. In those cases, a resilient type of attachment was used, which allowed for a small divergence from the path of insertion. Results indicated consistent increased satisfaction in all patients, minimal component wear, no radiographic evidence of excessive bone loss, and stable peri-implant soft tissues. PMID:12956479

  17. Peri-implant and systemic release of metallic elements following insertion of a mandibular modular endoprosthesis in Macaca fascicularis.

    PubMed

    Lee, S; Goh, B T; Lai, S H; Tideman, H; Stoelinga, P J W; Jansen, J A

    2009-11-01

    The aim of this study was to assess the release of metal elements from a Ti6Al4V modular endoprosthesis for mandibular reconstruction. Ten monkeys were included, seven of the animals had an endoprosthesis inserted and three served as controls. Mucosa, regional lymph nodes and distant organs, were assessed after the implant had been in place for 12 months, using light (LM) and transmission electron microscopy (TEM) and inductively coupled plasma optical emission spectroscopy (ICP). Blood was also drawn from all animals for elemental analysis using ICP. LM and TEM evaluation showed no detectable metal particles in the mucosa surrounding the endoprosthesis, nor in the regional lymph nodes and distant organs. Blood analysis revealed that titanium and vanadium were detectable in comparable amounts in the test (Ti: 1.63+/-0.54, Va: 0.42+/-0.08) as well as in the control group (Ti: 2.07+/-0.55, Va: 0.37+/-0.07). The amount of aluminum appeared to be higher in the control group (31.77+/-11.67) compared with the test group (20.41+/-9.13), but this difference was not statistically significant. ICP showed that no titanium, vanadium or aluminum was detectable in the mucosa surrounding the endoprosthesis. In addition, no titanium and vanadium were found in the lymph nodes and distant organs using ICP. On the other hand, using ICP, the aluminum content was found to be higher in the right regional lymph nodes and all examined distant organs as compared to the control group (lymph nodes: 11.55+/-22.15 vs. 0.36+/-0.61, lung: 6.24+/-11.28 vs. 1.40+/-2.15, liver: 1.66+/-0.99 vs. 0, kidney: 15.69+/-24.88 vs 0, spleen: 2.75+/-3.09 vs. 0.49+/-0.43). However, only for the kidney and liver the higher amount of aluminum was statistically significant. In conclusion, this study quantified the release of only aluminum in lymph nodes and distant organs, when using a modular endoprosthesis made of Ti-6Al-4V for mandibular reconstruction. PMID:19481181

  18. [The osteoplastic replacement of mandibular defects].

    PubMed

    Makhkamov, E U; Abdullaev, Sh IU

    1996-01-01

    Remote (from 1 to 18 years) results of mandibular defect repair were followed up in 64 patients, to whom auto- and allografts and implants of glass ceramics were implanted. A relatively low incidence of complications in patients with glass ceramic implants demonstrates its advantages over other materials for plastic repair of mandibular defects. PMID:8658577

  19. In vivo load measurements on osseointegrated implants supporting fixed or removable prostheses: a comparative pilot study.

    PubMed

    Jemt, T; Carlsson, L; Boss, A; Jörneús, L

    1991-01-01

    Load was measured in vivo on a single terminal abutment cylinder by means of a strain gauge technique. The clinical measurements were made on one female patient (age 62) provided with six implants in the edentulous maxilla. A fixed prosthesis was tested initially, followed by an overdenture supported by a bar connected to the implants. The results indicated that a significant force could be introduced when connecting the framework. Furthermore, measurements showed that compression/tension forces were lower in the overdenture situation. However, the preliminary data also indicated relatively higher bending moments on the implant when the overdenture was loaded. PMID:1820310

  20. Mandibular all-on-four therapy using angled implants: a three-year clinical study of 857 implants in 219 jaws.

    PubMed

    Butura, Caesar C; Galindo, Daniel F; Jensen, Ole T

    2011-10-01

    Immediate function with Brånemark implants is well established for the mandible. This article describes a series of 857 implants placed consecutively in which very few implants failed or lost bone despite the dynamic healing conditions of simultaneous dental extractions and bone leveling. Though these findings are relatively early, 3 years or fewer, it appears that the immediate function All-on-Four procedure can be done with a high degree of confidence for the mandible--putting into question the need for additional implants. PMID:21933733

  1. Mandibular all-on-four therapy using angled implants: a three-year clinical study of 857 implants in 219 jaws.

    PubMed

    Butura, Caesar C; Galindo, Daniel F; Jensen, Ole T

    2011-05-01

    Immediate function with Brånemark implants is well established for the mandible. This article describes a series of 857 implants placed consecutively in which very few implants failed or lost bone despite the dynamic healing conditions of simultaneous dental extractions and bone leveling. Though these findings are relatively early, 3 years or fewer, it appears that the immediate function All-on-Four procedure can be done with a high degree of confidence for the mandible-putting into question the need for additional implants. PMID:21492802

  2. Allogeneic materials in complications associated with pre-implantation restoration of maxillary and mandibular alveolar processes. A four case report.

    PubMed

    Krasny, Marta; Krasny, Kornel; Kami?ski, Artur; Fiedor, Piotr

    2014-09-01

    There are numerous types of bone replacement materials used to regenerate atrophic alveolar processes before the elective intraosseous implantation. Properties of these materials differ one from another, therefore the choice of material should be thoroughly analysed as well as its type and texture in regard of intraoral conditions and the objective to be achieved. The study involved reconstruction of atrophic alveolar processes with allogeneic bone following unsuccessful use of synthetic and animal materials. The procedure of bone regeneration was performed with frozen bone block (case 1) and allogeneic bone granulate (cases 2, 3, 4) radiation-sterilised with 35 kGy prepared by the Tissue Bank. In all of the presented cases after 3-month implant reorganisation optimal width of the process was obtained, which allowed implant embedment (case 1) or correct implant submergence in the osseous tissue, when implantation took place at the same time (case 2, 3, 4). Allogeneic bone material both, in the form of a block as well as granulate, seems to be an adequate alternative for other materials used in order to widen the bone of the alveolar process, particularly in difficult, complicated cases, where the first regeneration procedure was not successful. PMID:24072359

  3. Laser micro-grooved, Arginine-Glycine-Apspartic acid (RGD) coated dental implants, a 5 years radiographic follow-up

    PubMed Central

    Alkhodary, Mohamed Ahmed

    2014-01-01

    Objectives This work has utilized laser direct writing to produce 10 microns wide uniform grooves on the surface of custom made titanium (Ti-6Al-4V) dental implants, and the tri-peptide RGD coating to produce a micromechanical and a chemical union with the tissues around the implant crest module and minimize crestal bone loss. The aim of this study was to follow these implants radiographically after five years of service under a mandibular overdenture. Methodology Standardized digital periapical radiographs and the computer software “Image J” were used to evaluate the bone density profile and vertical bone loss along the mesial and distal sides of the implants used in this study. Results The results of this study demonstrated less vertical bone loss and higher bone density profiles next to the laser microgrooved implants coated with the RGD than those only having the laser micro-grooves. Conclusion The RGD coating has improved the bone density profile and reduced the vertical bone loss around the studied dental implants. However, further studies are needed to compare the effects of the laser micro-grooves versus other uniform or non uniform surface features; also, the RGD coating should be compared to other biomimetic surface coating materials. PMID:25780355

  4. An overview of U.S. predoctoral dental implant programs and their directors.

    PubMed

    Barwacz, Christopher A; Avila-Ortiz, Gustavo; Allareddy, Veerasathpurush; Tamegnon, Monelle; Hoogeveen, Kaitlin

    2015-03-01

    The aim of this study was to provide an overview of current predoctoral implant programs in the United States, including curricular characteristics and clinical practices regarding implant therapy education and program directors' characteristics. An electronic survey was sent to predoctoral implant program directors of all 64 accredited U.S. dental schools; 52 of the 60 eligible programs responded, for a response rate of 87%. The responding program directors were primarily affiliated with either prosthodontics departments (44%) or restorative dentistry departments (40%). Structurally, 80.8% of the responding schools integrate their implant programs into the third year of the curriculum. Clinical implant therapy exercises reported were simulation exercises without direct patient care (90.4% of responding schools) and direct patient care under supervision (94.2%). The most frequently taught restorative modalities are posterior single-tooth implant crown (96.2%), mandibular implant-retained overdenture (88.5%), and anterior implant-supported single crown (61.5%). A majority (74.5%) of responding programs utilize analog surgical guide planning, while 25.5% reported use of digital guided surgery planning software. All schools in the Northwest and 66.7% in the South Central regions utilize custom abutments as the primary abutment design, while a majority of schools in the North Central (62.5%), Northeast (53.8%), Southwest (66.7%), and Southeast (80%) regions use stock abutments (p=0.02). Regional differences were significant with regard to fixation modality, with all the Northwest programs using screw retention and 90% of Southeast and 87.5% of North Central programs using cement retention (p=0.002). This study demonstrated that while institutions share program director and curricular similarities, clinical practices and modalities vary significantly by region. PMID:25729020

  5. Mandibular reduction.

    PubMed

    Chan, Theodore C; Harrigan, Richard A; Ufberg, Jacob; Vilke, Gary M

    2008-05-01

    Patients who dislocate their mandible often present to the Emergency Department for care. Dislocation can occur after a variety of activities that hyperextend the mandible or open the mouth widely, such as yawning, laughing, or taking a large bite. Anterior dislocation is the most common type, in which the condylar head of the mandible dislocates out of the glenoid fossa anterior to the articular eminence of the temporal bone. These dislocations are often complicated by muscle spasm and trismus, making reduction more difficult. The emergency physician can often reduce the anterior mandibular dislocation with or without procedural sedation or local anesthesia. A variety of methods are available for closed reduction, including the classic approach and various alternatives such as the recumbent, posterior, and ipsilateral approaches, as well as the wrist pivot method, alternative manual technique, and gag reflex induction. This article will review the pathophysiology and clinical presentation of acute mandibular dislocations, as well as discuss the various closed reduction methods available for the practitioner. PMID:18242920

  6. Maxillofacial and mandibular fractures.

    PubMed

    Rudy, R L; Boudrieau, R J

    1992-02-01

    Any traumatic event that produces maxillofacial and/or mandibular fractures generally results in gross and usually severe patient disfigurement and often results in the patient's inability to eat and drink. These fractures are exceptionally rewarding cases as simple techniques may be performed resulting in a successful functional outcome (ability to eat and drink) within a very short period of time (24 hours) after fracture stabilization. A markedly improved cosmetic appearance follows shortly thereafter once inflammation and edema resolve. The primary principle of fracture treatment, ie, providing stable fixation to the bone fragments, may be successfully used with wiring techniques only through an appreciation and proper application of biomechanical principles. Knowledge that bending forces (divided into their tensile and compressive components) are the primary forces to be neutralized dictates the use of the wiring techniques outlined as the "standard" to which all other methods of fixation for maxillofacial and mandibular fractures are compared. The location of the tension-band surface of the bone, the alveolar (oral) surface, dictates the most appropriate position for wire placement. Successful treatment is predicted on obtaining a cosmetically acceptable and functional result (Fig 29). Anatomic reduction and rigid fixation of fractures that can be reconstructed piece-by-piece creates optimal conditions for uncomplicated healing. Fractures in which bone loss or severe comminution exists, and which cannot be anatomically reconstructed, must be reduced using dental occlusion as the template for fracture fixation, thereby avoiding malocclusion. Excessive leverage on the bone fragments may occur secondary to malocclusion, resulting in an increased risk of complications (fragment motion, loosening of implants, infection). Some fractures with comminution or bone loss may not be suitable for wire fixation and must be treated by alternate methods (eg, external skeletal fixators, plates). PMID:1570433

  7. Pathological mandibular fracture: A severe complication of periimplantitis

    PubMed Central

    Rodriguez-Campo, Francisco; Naval-Parra, Beatriz; Sastre-Pérez, Jesús

    2015-01-01

    Nowadays, dental implant treatment is a very common option for patients even in medical compromised conditons. Some complications related to them have been described. Periimplantitis (PI) is one of the biggest concerns complications of these kind of treatments, probably has a multifactorial aethiology. Usually the consequences of PI are the loss of the implants and prostheses, expenses of money and time for dentists and patients. Very often PI implies the necesity of repeating the treatment . Pathological mandibular fracture due to PI is a severe but infrequent complication after dental implant treatment, especially after PI. In this study we present three cases of mandibular pathologic fractures among patients with different medical and dental records but similar management: two of them had been treated years ago of oral squamous cell carcinoma with surgery and radiotherapy, the other patient received oral bisphosphonates for osteoporosis some years after implantation. We analized the causes, consequences and posible prevention of these fractures as well as the special features of this kind of mandibular fractures and the different existing treatments. Key words:Periimplantitis, pathological mandibular fracture, mandibular atrophy, bicortical implants.

  8. Three dimensional finite element analysis of the stress distribution around the mandibular posterior implant during non-working movement according to the amount of cantilever

    PubMed Central

    Park, Ji-Man; Kim, Hyun-Joo; Park, Eun-Jin; Kim, Myung-Rae

    2014-01-01

    PURPOSE In case of large horizontal discrepancy of alveolar ridge due to severe resorption, cantilevered crown is usually an unavoidable treatment modality. The purpose of this study was to evaluate the clinical criteria for the placement of the aforementioned implant crown. MATERIALS AND METHODS The mandible model with 2 mm thick cortical bone and cancellous bone was fabricated from CT cross-section image. An external connection type implant was installed and cantilevered crowns with increasing offset of 3, 4, 5, 6, and 7 mm were connected. Vertical load and 30° oblique load of 300 N was applied and stress around bone and implant component was analyzed. A total of 14 cases were modeled and finite element analysis was performed using COSMOS Works (Solid works Inc, USA). RESULTS As for the location of the vertical load, the maximum stress generated on the lingual side of the implant became larger according to the increase of offset distance. When the oblique load was applied at 30°, the maximum stress was generated on the buccal side and its magnitude gradually decreased as the distance of the offset load increased to 5 mm. After that point, the magnitude of implant component's stress increased gradually. CONCLUSION The results of this study suggest that for the patient with atrophied alveolar ridge following the loss of molar teeth, von-Mises stress on implant components was the lowest under the 30° oblique load at the 5 mm offset point. Further studies for the various crown height and numbers of occusal points are needed to generalize the conclusion of present study. PMID:25352958

  9. Implants

    MedlinePLUS

    ... They are used to support crowns , bridges or dentures . Implants are surgically placed in your jawbone. Most ... other methods of replacing missing teeth, such as dentures. There are many reasons it's important to replace ...

  10. Mandibular bone repair by implantation of rhBMP-2 in a slow release carrier of polylactic acid—An experimental study in rats

    Microsoft Academic Search

    Henning Schliephake; Herbert A. Weich; Christian Dullin; Rudolf Gruber; Sarah Frahse

    2008-01-01

    The aim of the present study was to test the hypothesis that human recombinant bone morphogenic protein 2 (rhBMP-2) implanted in a slow release carrier of polylactic acid (PLA) can repair a non-healing defect in the rat mandible and maintain the thickness of an augmented volume. p-dl-lactic acid discs were produced and loaded with 48 and 96?g rhBMP-2 and inserted

  11. Immediately loaded maxillary and mandibular dental implants with fixed CAD/CAM prostheses using a flapless surgical approach: a clinical report.

    PubMed

    Bedi, Abhayjit; Michalakis, Konstantinos X; Mariani, Eugene J; Zourdos, Despina Mato

    2011-06-01

    Immediate implant loading is a viable treatment method for selected cases. One of the greatest advantages of this method is the virtual surgery, which precedes the actual clinical treatment and eliminates any need for last minute decisions. The actual surgery time is decreased, since all steps are predetermined. Additionally, no flaps have to be elevated, resulting in preservation of periimplant soft tissues, vascularization of the underlying bone, fewer postoperative complications, and minimal patient discomfort. This article presents a clinical approach made possible due to the evolution of modern scanning techniques and appropriate software. PMID:21535291

  12. Tissue-engineered Neogenesis of Human-shaped Mandibular Condyle from Rat Mesenchymal Stem Cells

    Microsoft Academic Search

    A. Alhadlaq; J. J. Mao

    2003-01-01

    The temporomandibular joint is susceptible to diseases and trauma that may ultimately lead to structural degeneration. Current approaches for replacing degenerated mandibular condyles suffer from deficiencies such as donor site morbidity, immunorejection, implant wear and tear, and pathogen transmission. The hypothesis of this study was that a human-shaped mandibular condyle can be tissue-engineered from rat mesenchymal stem cells (MSCs) encapsulated

  13. Investigation of titanium leak to bone tissue surrounding dental titanium implant: electron microscopic findings and analysis by electron diffraction

    Microsoft Academic Search

    Nobuyuki Tanaka; Shizuko Ichinose; Yutaka Kimijima; Masafumi Mimura

    2000-01-01

    This study investigated the tissue response associated with dental titanium implants. The mandibular third and fourth premolars and first molar of three adult beagle dogs were extracted bilaterally. Healing was then allowed for 3 months. Six titanium implants were placed in the mandibles of a dog. Three weeks after the implantation, mandibular sections containing the implants were retrieved with the

  14. Bovine Mandibular Fractures

    PubMed Central

    Trent, A. M.; Ferguson, J. G.

    1985-01-01

    A retrospective study of bovine mandibular fractures was conducted. An increased incidence in males, beef breeds and animals less than one year of age was identified when the study group of 17 was compared to the total bovine case load. Manipulation during dystocia was the most common cause of fractures. Four neonates had rostral mandibular fractures. Fractures caudal to or involving the premolars were restricted to animals over a year of age. Treatment was attempted in ten of the seventeen cases, with euthanasia or slaughter elected in the remaining seven cases. Of the five cases treated by internal fixation, all four neonates died from conditions related to septicemia. PMID:17422602

  15. Measuring mandibular motions

    NASA Technical Reports Server (NTRS)

    Dimeff, J.; Rositano, S.; Taylor, R. C.

    1977-01-01

    Mandibular motion along three axes is measured by three motion transducers on floating yoke that rests against mandible. System includes electronics to provide variety of outputs for data display and processing. Head frame is strapped to test subject's skull to provide fixed point of reference for transducers.

  16. Favoring Trauma as an Etiological Factor in Denture Stomatitis

    Microsoft Academic Search

    E. Emami; P. de Grandmont; P. H. Rompré; J. Barbeau; S. Pan; J. S. Feine

    2008-01-01

    The etiology of denture stomatitis remains controversial. Trauma due to unstable dentures has been suggested as an etiological factor. Therefore, we tested the hypothesis that the prevalence of denture stomatitis is reduced when mandibular dentures are stabilized by implants. Data were collected at a one-year follow-up from 173 edentulous elders who had randomly received mandibular implant overdentures or conventional dentures.

  17. Anterior mandibular ameloblastoma

    PubMed Central

    Bhandarwar, Ajay H.; Bakhshi, Girish D.; Borisa, Ashok D.; Wagh, Amol; Kapoor, Rajat; Kori, Channabasappa G.

    2012-01-01

    Ameloblastoma is a benign odontogenic tumor. These are usually asymptomatic until a large size is attained. Ameloblastoma has tendency to spread locally and has a high recurrence rate. Majority of ameloblastomas (80%) arise from the mandible. Ameloblastoma arising from anterior mandibular region (symphysis-menti) is rare. Very few cases of midline anterior ameloblastomas are reported in the literature. They often require wide local excision. Reconstruction of mandible in these cases is challenging. We present a case of mandibular ameloblastoma arising from symphysis-menti. Patient underwent wide surgical excision of the tumor followed by immediate reconstruction using free fibular vascular flap, stabilized with titanium reconstructive plates. A brief case report ands review of literature is presented. PMID:24765429

  18. 21 CFR 872.3960 - Mandibular condyle prosthesis.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...false Mandibular condyle prosthesis. 872.3960 Section... MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices...3960 Mandibular condyle prosthesis. (a) Identification. A mandibular condyle prosthesis is a device that...

  19. A new technique for retaining double crowns on implants via custom-positioned vertical screws.

    PubMed

    Frisch, Eberhard; Ziebolz, Dirk; Ratka-Krüger, Petra; Rinke, Sven

    2014-01-01

    This report describes the use of custom-positioned vertical screws (CVS) to attach primary telescopic crowns to implant abutments. In a private practice setting, 37 patients with 40 double crown-retained implant overdentures (IODs) with a clearance fit (Marburg double crowns) were followed. All primary crowns on the 120 implant abutments were retained using CVS. After a mean followup period of 3.55 ± 1.37 years (range: 1.5 to 6.3 years), one abutment screwloosening incident was reported (incidence: 0.08%). No loosening of any of the screw-retained primary crowns occurred. CVS may represent a viable fixation concept for IODs. PMID:25390875

  20. Implant-connected versus tooth-connected implant-supported partial dentures: 2-year clinical and radiographic comparative evaluation.

    PubMed

    Mostafa, Tamer Mohamed; El-Sheikh, Mohamed M; Abd El-Fattah, Fadel

    2015-01-01

    The purpose of this study was to clinically and radiographically compare implant-connected and tooth-connected implant-supported fixed-detachable mandibular partial dentures. Twenty partially edentulous patients (age range: 25 to 50 years) with mandibular Kennedy Class II configurations were equally divided into two groups receiving a three-unit, fixed-detachable, screw-retained partial denture. Group 1 comprised patients with unilateral missing mandibular molars and premolars. Two implants were placed at the mandibular first premolar and first molar areas. Group 2 comprised patients with missing mandibular molars and second premolars. An implant was placed at the mandibular first molar area, the first premolar was prepared, and a coping was cemented to the tooth with permanent cement. Each case was evaluated clinically and radiographically at baseline (partial denture insertion) and after 6, 12, and 24 months. Data were collected and statistically analyzed using repeated-measures one-way and two-way analysis of variance tests. There was no statistically significant difference between the two groups (P > .05). The implant-tooth-supported prosthesis provided an equally predictable treatment option compared to the totally implant-supported prosthesis in terms of implant survival and loss of marginal bone. PMID:25909533

  1. Biting and Chewing in Overdentures, Full Dentures, and Natural Dentitions

    Microsoft Academic Search

    F. A. Fontijn-Tekamp; A. P. Slagter; A. Van Der Bilt; M. A. Van'T Hof; D. J. Witter; W. Kalk; J. A. Jansen

    2000-01-01

    It has been suggested that the provision of dental implants can improve the oral function of subjects with severely resorbed mandibles, possibly restoring function to the level experienced by satisfied wearers of conventional complete dentures. Nevertheless, a quantitative comparison has never been made and can be drawn from the literature only with difficulty, since studies differ greatly in methodology. To

  2. Bilateral Molariform Mandibular Second Premolars

    PubMed Central

    Acharya, Sonu; Kumar Mandal, Pradip; Ghosh, Chiranjit

    2015-01-01

    Macrodontia is a rare dental anomaly that refers to teeth that appear larger than normal. Generalised macrodontia can be associated with certain medical conditions and syndromes. This case report presents clinical and radiographic findings of isolated bilateral macrodontia in a 14-year-old child. The patient was referred to the clinic with local crowding of maxillary and mandibular teeth. Radiographic findings revealed the presence of impacted macrodont mandibular second premolar on one side and erupted macrodontic premolar on the other side and their distinct morphological appearance, characterized by large, multitubercular, and molariform crowns and tapering, single roots. PMID:25685564

  3. Development of a self-adjusting magnetic attachment for implant overdentures.

    PubMed

    Maeda, Yoshinobu; Yang, Tsung-Chieh; Kinoshita, Yoshiko

    2011-01-01

    This study aimed to clarify the efficacy of a newly developed self-adjusting magnetic attachment (SMAT) that allowed 0.4 mm of vertical and 8 degrees of rotational movements using an in vitro model. Comparison between the SMAT and a conventional magnetic attachment (CMAT) was performed for the retentive force under different dislodgement directions. Lateral forces to the abutment were also compared among the SMAT, CMAT, dome-shaped magnetic attachment, and a ball attachment. The SMAT maintained retentive force more effectively than the CMAT, even in oblique directions of dislodgement. A smaller lateral force to the abutment was found for the SMAT compared to the CMAT or ball attachment. PMID:21519571

  4. Pediatric maxillary and mandibular tumors.

    PubMed

    Trosman, Samuel J; Krakovitz, Paul R

    2015-02-01

    Pediatric maxillary and mandibular tumors offer considerable challenges to otolaryngologists, oral surgeons, pathologists, and radiologists alike. Because of the close proximity to vital structures, appropriate steps toward a definitive diagnosis and treatment plan are of paramount importance. This article reviews the most common causes of pediatric jaw masses and discusses diagnostic and therapeutic considerations and recommendations. PMID:25442129

  5. Treatment of mandibular odontogenic keratocysts

    Microsoft Academic Search

    Anwar B Bataineh; Mansour A Al Qudah

    1998-01-01

    Objective. The purpose of this study was to report our experience with surgical treatment of 31 mandibular odontogenic keratocysts, with special reference to their recurrence, and to review the literature on this subject.Study design. A retrospective analysis was conducted of all odontogenic cysts treated in the Department of Oral Surgery and Oral Medicine at Jordan University of Science and Technology

  6. [First clinical experiences with ceramic ball attachments for overdentures].

    PubMed

    Büttel, Adrian E; Schmidli, Fredy; Marinello, Carlo P; Lüthy, Heinz

    2008-01-01

    In this prospective clinical study on 40 patients with similar clinical conditions (edentulous jaw with 2 interforaminal implants) commercially available ceramic ball attachments (ruby) were compared to commercial titanium ball attachments. The primary aim of the study was to measure the wear of the ball attachments after being 1 year in function. However, in the course of the study already after 7 to 12 months multiple failures with ceramic ball attachments occurred. Twelve (28%) of 43 ceramic ball attachments had to be replaced, mostly because of fractures (8) of the ceramic ball. It seems that ceramic ball attachments of the investigated design are not able to withstand normal intraoral stresses. The short-term susceptibility to fractures didn't allow to examine the ceramic-inherent features such as compressive strength and wear resistance. Furthermore, a secure connection between a titan base and a ceramic ball seems to be challenging. Based on these results, in implant-retained removable prosthesis the use of metal-based retainers is still recommended, although during maintenance a higher wear has to be expected. This wear can be compensated by either activating or changing the matrix or the patrix. PMID:18293602

  7. Diet and Mandibular Morphology in African Apes

    Microsoft Academic Search

    Andrea B. Taylor

    2006-01-01

    Investigations seeking to understand the relationship between mandibular form, function, and dietary behavior have focused\\u000a on the mandibular corpus and symphysis. African apes vary along a gradient of folivory\\/frugivory, yet few studies have evaluated\\u000a the morphology of the mandibular corpus and symphysis in these taxa, and the investigations have yielded mixed results. Specifically,\\u000a studies using external metrics have identified differences

  8. Regenerating mandibular bone using rhBMP-2: part 1 - immediate reconstruction of segmental mandibulectomies

    PubMed Central

    Arzi, Boaz; Verstraete, Frank J.M.; Huey, Daniel J.; Cissell, Derek D.; Athanasiou, Kyriacos A.

    2015-01-01

    Objective To describe a surgical technique utilizing a regenerative approach and internal fixation for immediate reconstruction of critical size bone defects following segmental mandibulectomy. Study design Prospective case series Animals Dogs (n=4) that had reconstruction following segmental mandibulectomy for treatment of malignant or benign tumors. Methods Using a combination of extraoral and intraoral approaches, a locking titanium plate was contoured to match the native mandible. Following segmental mandibulectomy, the plate was secured and a compression resistant matrix (CRM) infused with rhBMP-2, implanted in the defect. The implant was then covered with a soft tissue envelope followed by routine intraoral and extraoral closure. Results All dogs that had mandibular reconstruction healed with intact gingival covering over the mandibular defect and had immediate return to normal function and occlusion. Mineralized tissue formation was observed clinically within 2 weeks and solid cortical bone formation within 3 months. Computed tomographic findings at 3 months postoperatively demonstrated that the newly regenerated mandibular bone had ?50% of the bone density and porosity compared to the contralateral side. No significant complications were noted. Conclusion Mandibular reconstruction using internal fixation and CRM infused with rhBMP-2 is an excellent solution for immediate reconstruction of segmental mandibulectomy defects in dogs. Clinical Relevance In dogs with a segmental mandibulectomy, reconstruction using rhBMP-2 and a CRM should be considered a viable surgical option. PMID:24410740

  9. Assessment of variations of the mandibular canal through cone beam computed tomography

    Microsoft Academic Search

    Christiano de Oliveira-Santos; Paulo Henrique Couto Souza; Soraya de Azambuja Berti-Couto; Lien Stinkens; Kristin Moyaert; Izabel Regina Fischer Rubira-Bullen; Reinhilde Jacobs

    The neurovascular bundle may be vulnerable during surgical procedures involving the mandible, especially when anatomical variations\\u000a are present. Increased demand of implant surgeries, wider availability of three-dimensional exams, and lack of clear definitions\\u000a in the literature indicate that features of anatomical variations should be revisited. The objective of the study was to evaluate\\u000a features of anatomical variations related to mandibular

  10. Combined maxillary and mandibular distraction osteogenesis.

    PubMed

    Molina, F

    1999-03-01

    Mandibular elongation by gradual distraction in patients with hemifacial microsomia is a simple and effective procedure to correct facial asymmetry. The changes in mandibular dimension result in changes in dental occlusion. These are minimal in children because of the rapid growth of the maxilla and can be corrected easily with minor orthodontic treatment. Mandibular distraction in adults with hemifacial microsomia produces good aesthetic results but leaves the patient with a severe alteration in the occlusion requiring complex orthodontic treatment over a long period of time. To avoid this problem, an incomplete Le Fort I osteotomy is performed simultaneously with the mandibular corticotomy. Intermaxillary fixation is placed on the fifth postoperative day, and distraction is initiated. This technique preserves the preexisting stable occlusion. After distraction, both the maxillary and mandibular occlusal planes become horizontal, and facial asymmetry is corrected. PMID:10371939

  11. Relationship between findings of mandibular cortical bone in inferior border and bone mineral densities of lumbar vertebrae in postmenopausal women.

    PubMed

    Naitoh, Munetaka; Takada, Shoko Tamaki; Kurosu, Yasunari; Inagaki, Koji; Mitani, Akio; Ariji, Eiichiro

    2014-01-01

    It is important to assess the general bone condition in dental implant treatment. The relationships between the bone mineral densities (BMDs) of lumbar vertebrae and mandibular cortical bone condition in the inferior border using multi-slice computed tomography (CT) were assessed in postmenopausal women. If a strong correlation between them is obtained, the mandibular cortical bone condition may be useful to evaluate the general bone condition. Twenty-two postmenopausal women were enrolled in this investigation. The maximum CT value and width of the mandibular cortical bone (MCW-MSCT) were measured, and the mandibular cortical bone index (MCI-MSCT) was classified using multi-slice CT. BMDs of lumbar vertebrae were measured using dual energy X-ray absorptiometry (DXA), and then the percentage of the young adult mean (YAM) was analyzed. The correlations were investigated between the mandibular cortical bone condition and values of lumbar vertebrae. Weak correlations were observed between MCW-MSCT and the percentage of YAM. Also, significant differences in the percentage of YAM were noted between types of MCI-MSCT. The mandibular cortical bone index (MCI-MSCT) in the inferior border using multi-slice CT may be applicable to evaluate the influence of the general bone condition. PMID:25797458

  12. Mandibular reconstruction with a bioactive-coated cementless Ti6Al4V modular endoprosthesis in Macaca fascicularis.

    PubMed

    Chanchareonsook, N; Tideman, H; Lee, S; Hollister, S J; Flanagan, C; Jansen, J A

    2014-06-01

    The titanium mandibular modular endoprosthesis fixed with polymethylmethacrylate cement in the medullary space of the mandible has been introduced in previous studies. However, the internal parts of these devices have been found to be prone to loosening and wound dehiscence. The current study introduces a newly designed bioactive-coated cementless modular mandibular endoprosthesis, which was used for reconstruction in Macaca fascicularis. The devices were coated with hydroxyapatite (HA) and hydroxyapatite/bioglass (HA/BG) and implanted in unilateral mandibular segmental defects in nine monkeys for 6 months. Biomechanical testing found the reconstructed mandible to have a mean stiffness value of 110.43 N/mm. Histologically, there were both fibrous capsule and woven bone around the device body, and histomorphology analysis showed 64.17% bone contact to device stem surface. The percentage bone volume calculated from micro-computed tomography analysis around the stem surface was found to be superior to that reported in previous studies of cemented mandibular endoprostheses. Intermodular connection screw loosening has also been resolved with the dovetail interconnection. In conclusion, the current bioactive-coated cementless mandibular endoprosthesis is feasible for use in mandibular segmental reconstruction. However, insufficient load-bearing capability and a high rate of intraoral wound dehiscence were found in the majority of the study animals. Further device modifications and improvements in the surgical technique need to be addressed in future studies. PMID:24507820

  13. Cochlear Implants

    MedlinePLUS

    Cochlear Implants Cochlear Implants Patient Health Information News media interested in covering the latest from AAO-HNS/F ... treated only with a cochlear implant. How do cochlear implants work? Cochlear implants bypass damaged hair cells and ...

  14. Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges

    PubMed Central

    Abu Tair, Jawad A.

    2014-01-01

    Purpose: A two stage approach of ridge splitting and lateral expansion in the mandible to achieve enough bone width for the purpose of dental implants is presented. Materials and Methods: A total of 13 consecutive patients with 16 long-span edentulous areas of the mandibular ridge were included in this study and 42 dental implants were inserted. Corticotomy of a rectangular buccal segment was carried out followed by 3 weeks of recovery; the mandibular ridge was stretched laterally, leaving the buccal periosteum attached to the lateralized segment. In this modification, there was no need for the use of grafted foreign materials to fill the defect and neither the use of barrier membranes, since it was treated practically as a fresh extraction site. To prevent the undesirable movement of the lateral plate, a small chip (2-3 mm in diameter) of bone spacer was properly fixed. The dental implants were placed 3-5 months later on. Results: Approximately, 86% of the expanded areas were successful in providing an adequate width to accommodate an implant. The average gain in width was 3.22 ± 0.97 mm. All intended implants were inserted. Prosthetic loading with fixed prosthesis was successfully implemented in all cases. Conclusion: This modified technique is a simple and short procedure with satisfactory results and minimal morbidity. Of note, this approach is devoid of foreign materials usage and has a low rate cost, therefore, should be employed more often. PMID:24987593

  15. Sex differences in denture satisfaction

    Microsoft Academic Search

    Shaoxia Pan; Manal Awad; J. Mark Thomason; Eric Dufresne; Taira Kobayashi; Suguru Kimoto; Stephanie D. Wollin; Jocelyne S. Feine

    2008-01-01

    ObjectivesMales and females differ in their responses to many health conditions and treatments. The aim of this randomized clinical trial was to determine whether there are differences in the way that male and female edentulous elders rate their satisfaction with new mandibular implant overdentures (IODs) and conventional dentures (CDs), at 6 and 12 months following delivery.

  16. New Therapeutics in Promoting and Modulating Mandibular Growth in Cases with Mandibular Hypoplasia

    PubMed Central

    Alhadlaq, Adel

    2013-01-01

    Children with mandibular growth deficiency may develop airway obstruction. The standard treatment of severe airway obstruction involves invasive procedures such as tracheostomy. Mandibular distraction osteogenesis has been proposed in neonates with mandibular deficiency as a treatment option to avoid tracheostomy procedure later in life. Both tracheostomy and distraction osteogenesis procedures suffer from substantial shortcomings including scarring, unpredictability, and surgical complications. Forward jaw positioning appliances have been also used to enhance mandible growth. However, the effectiveness of these appliances is limited and lacks predictability. Current and future approaches to enhance mandibular growth, both experimental and clinical trials, and their effectiveness are presented and discussed. PMID:23819121

  17. Treatment of recurrent mandibular ameloblastoma

    PubMed Central

    INFANTE-COSSIO, PEDRO; PRATS-GOLCZER, VICTORIA; GONZALEZ-PEREZ, LUIS-MIGUEL; BELMONTE-CARO, RODOLFO; MARTINEZ-DE-FUENTES, RAFAEL; TORRES-CARRANZA, EUSEBIO; GACTO-SANCHEZ, PURIFICACION; GOMEZ-CIA, TOMAS

    2013-01-01

    Ameloblastoma is a locally invasive benign odontogenic tumor with a high rate of recurrence in the long term. The authors conducted a retrospective study of patients with mandibular ameloblastoma in order to evaluate recurrent ameloblastoma management. The study included data from 31 patients over a period of 10 years. Data collected included age, gender, tumor location, histological findings, initial treatment, number of recurrences and year of onset, type of treatment of recurrence, reconstruction and follow-up. Recurrences were detected in nine patients (29%). Tumor recurrences appeared at 32 months on average following the initial surgical procedure. Recurrences were associated mainly to inadequate initial therapeutic approach and were treated by bone resection with a safety margin of at least 1 cm beyond the radiographically visible margins. Immediate reconstruction of bone defects was performed with grafts or free flaps. PMID:24137230

  18. Mandibular symphysis of large-bodied hominoids.

    PubMed

    Sherwood, Richard J; Hlusko, Leslea J; Duren, Dana L; Emch, Victoria C; Walker, Alan

    2005-12-01

    The hominoid mandibular symphysis has received a great deal of attention from anatomists, human biologists, and paleontologists. Much of this research has focused on functional interpretations of symphyseal shape variation. Here, we examine the two-dimensional cross-sectional shape of the adult mandibular symphysis for 45 humans, 42 chimpanzees, 37 gorillas, and 51 orangutans using eigenshape analysis, an outline-based morphometric approach. Our results demonstrate that a large proportion of the variation described by the first eigenshape correlates with proposed functional adaptations to counteract stresses at the mandibular midline during mastication. Subsequent eigenshapes describe subtle aspects of shape variation in the mandibular symphysis. The morphology associated with these eigenshapes does not conform with functional predictions, nor does it show a relationship with sexual dimorphism. However, eigenshapes provide for considerable taxonomic discrimination between the four taxa studied and may consequently prove useful in the analysis of fossil material. Comparison with elliptical Fourier analysis of the mandibular symphysis identifies eigenshape analysis as providing superior taxonomic discrimination. The results presented here demonstrate that the cross-sectional shape of the mandibular symphysis results from a complex interplay of functional and nonfunctional influences and for the first time identifies and quantifies the specific aspects of variation attributable to these factors. PMID:16715835

  19. Regenerating mandibular bone using rhBMP-2: part 2 – treatment of chronic, defect non-union fractures

    PubMed Central

    Verstraete, Frank J.M.; Arzi, Boaz; Huey, Daniel J.; Cissell, Derek D.; Athanasiou, Kyriacos A.

    2015-01-01

    Objective To describe a surgical technique utilizing a regenerative approach and internal fixation for reconstruction of critical size bone defect non-union mandibular fractures. Study design Case series Animals Dogs (n = 6) that had internal fixation of defect non-union mandibular fracture. Methods In 5 of the 6 cases the repair was staged and extraction of teeth performed during the first procedure. After 21-98 days (mean 27 days) a pharyngotomy intubation and temporary maxillomandibular fixation were performed. Using an extraoral approach, a locking titanium miniplate plate was contoured and secured. A compression resistant matrix (CRM) infused with rhBMP-2, was implanted in the defect. The implant was then covered with a soft tissue envelope followed by routine closure. Results All dogs had healed with intact gingival covering over the mandibular fracture site defect and had immediate return to normal function and correct occlusion. Hard-tissue formation was observed clinically within 2 weeks and solid cortical bone formation within 3 months. Computed tomographic findings in one case at 3 months postoperatively demonstrated that the newly regenerated mandibular bone had 92% of the bone density and porosity compared to the contralateral side. Long-term follow-up revealed excellent outcome. Conclusion Mandibular reconstruction using internal fixation and CRM infused with rhBMP-2 is an excellent solution for the treatment of critical size defect non-union fractures in dogs. Clinical Relevance In dogs with a mandibular critical size defect non-union fractures, reconstruction using rhBMP-2 and a CRM should be considered as a viable surgical option. PMID:24410723

  20. Mandibular advancement and obstructive sleep apnoea: a method for determining effective mandibular protrusion

    Microsoft Academic Search

    L. C. Dort; E. Hadjuk; J. E. Remmers

    2006-01-01

    The objectives of the study were to test the hypotheses that it is possible, during routine polysomnography (PSG), to prospectively identify favourable candidates for mandibular repositioning appliance (MRA) therapy in the treatment of obstructive sleep apnoea (OSA) and to accurately estimate an optimal protrusive distance at which to fabricate the MRA. A series of subjects underwent a remotely controlled mandibular

  1. Nonsurgical correction of a Class III malocclusion in an adult by miniscrew-assisted mandibular dentition distalization.

    PubMed

    Jing, Yan; Han, Xianglong; Guo, Yongwen; Li, Jingyu; Bai, Ding

    2013-06-01

    This article reports the successful use of miniscrews in the mandible to treat a 20-year-old Mongolian woman with a chief complaint of anterior crossbite. The patient had a skeletal Class III malocclusion with a mildly protrusive mandible, an anterior crossbite, and a deviated midline. In light of the advantages for reconstruction of the occlusal plane and distal en-masse movement of the mandibular arch, we used a multiloop edgewise archwire in the initial stage. However, the maxillary incisors were in excessive labioversion accompanied by little retraction of the mandibular incisors; these results were obviously not satisfying after 4 months of multiloop edgewise archwire treatment. Two miniscrews were subsequently implanted vertically in the external oblique ridge areas of the bilateral mandibular ramus as skeletal anchorage for en-masse distalization of the mandibular dentition. During treatment, the mandibular anterior teeth were retracted about 4.0 mm without negative lingual inclinations. The movement of the mandibular first molar was almost bodily translation. The maxillary incisors maintained good inclinations by rotating their brackets 180° along with the outstanding performance of the beta-titanium wire. The patient received a harmonious facial balance, an attractive smile, and ideal occlusal relationships. The outcome was stable after 1 year of retention. Our results suggest that the application of miniscrews in the posterior area of the mandible is an effective approach for Class III camouflage treatment. This technique requires minimal compliance and is particularly useful for correcting Class III patients with mild mandibular protrusion and minor crowding. PMID:23726338

  2. Cochlear Implants

    MedlinePLUS

    ... and Medical Procedures Implants and Prosthetics Cochlear Implants Cochlear Implants View movie of the normal ear, ear with hearing loss, and cochlear implant procedure (Requires Flash Player - Download now ) Welcome to ...

  3. Dental Implants

    MedlinePLUS

    Dental Implants A fuller, more complete smile is within reach. The following information is designed to provide helpful ... whether dental implants are right for your situation. Dental Implants and Roots The key benefit of dental implants ...

  4. Efficacy of 3-Dimensional plates over Champys miniplates in mandibular anterior fractures

    PubMed Central

    Barde, Dhananjay H; Mudhol, Anupama; Ali, Fareedi Mukram; Madan, R S; Kar, Sanjay; Ustaad, Farheen

    2014-01-01

    Background: Mandibular fractures are treated surgically by either rigid or semi-rigid fixation, two techniques that reflect almost opposite concept of craniomaxillofacial osteosynthesis. The shortcomings of these fixations led to the development of 3 dimensional (3D) miniplates. This study was designed with the aim of evaluating the efficiency of 3D miniplate over Champys miniplate in anterior mandibular fractures. Materials & Methods: This study was done in 40 patients with anterior mandibular fractures. Group I consisting of 20 patients in whom 3D plates were used for fixation while in Group II consisting of other 20 patients, 4 holes straight plates were used. The efficacy of 3D miniplate over Champy’s miniplate was evaluated in terms of operating time, average pain, post operative infection, occlusion, wound dehiscence, post operative mobility and neurological deficit. Results: The mean operation time for Group II was more compared to Group I (statistically significant).There was significantly greater pain on day of surgery and at 2nd week for Group II patients but there was no significant difference between the two groups at 4th week. The post operative infection, occlusal disturbance, wound dehiscence, post operative mobility at facture site, neurological deficit was statistically insignificant (chi square test). Conclusion: The results of this study suggest that fixation of anterior mandibular fractures with 3D plates provides three dimensional stability and carries low morbidity and infection rates. The only probable limitation of these 3D plates may be excessive implant material, but they seem to be easy alternative to champys miniplate. How to cite the article: Barde DH, Mudhol A, Ali FM, Madan RS, Kar S, Ustaad F. Efficacy of 3-Dimensional plates over Champys miniplates in mandibular anterior fractures. J Int Oral Health 2014;6(1):20-6. PMID:24653598

  5. Removable Partial Denture Supported by Implants with Prefabricated Telescopic Abutments - A Case Report

    PubMed Central

    Sehgal, Komal

    2014-01-01

    Implants have been designed to rehabilitate edentulous patients with fixed prosthesis or implant supported overdentures. Implant-supported single crowns and fixed partial dentures have become successful treatment alternatives to removable and fixed partial dentures. However, it is common to have clinical situations which make it impossible to use conventional as well as implant supported fixed partial dentures. The implant supported removable partial dentures can be a treatment modality that offers the multitude of benefits of implant-based therapy—biologic, biomechanical, social, and psychological to such patients. The aim of this article is to present a case report describing the fabrication and advantages of removable partial denture supported by teeth and implants for a patient with long edentulous span. The patient was satisfied with his dentures in terms of function and aesthetics. Regular follow-up visits over a period of three years revealed that the periodontal condition of remaining natural dentition and peri-implant conditions were stable. There was no evidence of excessive residual ridge resorption or mobility of the teeth, nor were any visible changes in the bone levels of the natural teeth or implants noted on radiographs. PMID:25121066

  6. An electronic device for accelerating bone formation in tissues surrounding a dental implant

    Microsoft Academic Search

    Jong K. Song; Tae H. Cho; Hui Pan; Yoon M. Song; In S. Kim; Tae H. Lee; Soon J. Hwang; Sung J. Kim

    2009-01-01

    A dental implant is a unique structure which can be used with a noninvasive method because it is inserted into the bone in part and extended extracorporally. This study presents an electronic device that is temporarily connected with the dental implant, and reports its effect on accelerating bone formation in the surrounding tissues in a canine mandibular model. A small

  7. 21 CFR 872.3960 - Mandibular condyle prosthesis.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...temporary reconstruction of the mandibular condyle in patients who have undergone resective procedures to remove malignant or benign tumors, requiring the removal of the mandibular condyle. See § 870.3 of this chapter. [59 FR 65478, Dec. 20, 1994,...

  8. 21 CFR 872.3960 - Mandibular condyle prosthesis.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...temporary reconstruction of the mandibular condyle in patients who have undergone resective procedures to remove malignant or benign tumors, requiring the removal of the mandibular condyle. See § 870.3 of this chapter. [59 FR 65478, Dec. 20, 1994,...

  9. 21 CFR 872.3960 - Mandibular condyle prosthesis.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...temporary reconstruction of the mandibular condyle in patients who have undergone resective procedures to remove malignant or benign tumors, requiring the removal of the mandibular condyle. See § 870.3 of this chapter. [59 FR 65478, Dec. 20, 1994,...

  10. Immediate bleeding complications in dental implants: A systematic review

    PubMed Central

    Balaguer-Martí, José-Carlos; Peñarrocha-Oltra, David; Balaguer-Martínez, José

    2015-01-01

    Objective: A review is made of the immediate or immediate postoperative bleeding complications in dental implants, with a view to identifying the areas of greatest bleeding risk, the causes of bleeding, the length of the implants associated with bleeding, the most frequently implicated blood vessels, and the treatments used to resolve these complications. Material and Methods: A Medline (PubMed) and Embase search was made of articles on immediate bleeding complications in dental implants published in English up until May 2014. Inclusion criteria: studies in humans subjects with severe bleeding immediately secondary to implant placement, which reported the time until the hemorrhage, the implant lenght, the possible cause of bleeding and the treatment. Exclusion criteria: patients receiving anticoagulation treatment. Results: Fifteen articles met the inclusion criteria. The area with the largest number of bleeding complications corresponded to the mandibular canine. The cause of bleeding was lingual cortical bone perforation during implant placement, with damage to the sublingual artery. The implants associated with bleeding were those measuring 15 mm in length or more. Management focused on securing the airway (with intubation or tracheostomy if necessary), with bleeding control. Conclusions: It’s important to pay special attention when the implants are placed in the mandibular anterior zone, especially if long implants are used. The most frequently cause of bleeding was the perforation of the lingual plate. Treatment involves securing the airway, with bleeding control. Key words:Hemorrhage, complications, immediate, bleeding, dental implants. PMID:25475779

  11. Rigid connections between natural teeth and implants: a technical note.

    PubMed

    Lindh, T; Gunne, J; Danielsson, S

    1997-01-01

    In the posterior partially edentulous jaw, implants may be used to supplement existing natural dentition. Frequently, the maxillary sinuses and the mandibular nerve preclude the fabrication of freestanding implant-retained prostheses. However, if an implant and a natural abutment are combined, a fixed prosthesis can be fabricated, restoring the arch into the premolar area. The histories of three patients with attachments connecting implant-retained ceramotitanium crowns with crowns on natural abutments are described. A design for a rigid custom-made attachment for the Brånemark system, using standard components with a machine-duplication, spark-erosion technique, is suggested. PMID:9337030

  12. Biomechanical concerns with fixed partial dentures involving implants.

    PubMed

    English, C E

    1993-01-01

    Nine biomechanical factors involved in the design and fabrication of fixed partial dentures incorporating implants are discussed, focusing upon the deleterious effects of leverage, torsion, occlusal overload, and poor oral hygiene. Areas of concern are cantilevers, pier abutments, excessive fixed spans, use and misuse of nonrigid connectors, off-axis loading, occlusal plane to implant height ratio, inadequate support, distribution, and mandibular flexion and torsion. PMID:8004049

  13. Clinical evaluation of implant survival based on size and site of placement: A retrospective study of immediate implants at single rooted teeth sites

    PubMed Central

    Ramalingam, Sundar; Al-Hindi, Maryam; Al-Eid, Raniah Abdullah; Nooh, Nasser

    2015-01-01

    Objectives This retrospective clinical study sought to evaluate the survival of immediate implants placed at maxillary and mandibular single-rooted tooth extraction sites and to determine the relationship among implant size, placement site, and implant survival. Methods Between January 2010 and June 2011, 85 patients (33 males, 52 females; mean age: 45 years) underwent immediate implant placement after extraction of single-rooted teeth. All implants were restored between 12 and 14 weeks after implant placement. The implant survival and its relationship with implant size and implantation site were evaluated by odds ratios (ORs). Results Implants were placed at the following sites: upper central incisor (UCI, n = 35), upper lateral incisor (ULI, n = 27), upper second premolar (U2ndP, n = 36), lower incisor (LI, n = 53), and lower premolar (LP, n = 22). Implants of the following sizes were used: 5 × 10 mm (n = 24), 5 × 8 mm (n = 21), 4.3 × 10 mm (n = 77), 4.3 × 8 mm (n = 36), 3.5 × 10 mm (n = 12), and 3.5 × 8 mm (n = 3). After a mean follow-up time of 47 months, the overall implant survival rate was 96%. Survival rate was highest at the LI site (98.1%) and lowest at the ULI site (92.6%). All of the 5-mm implants survived (100%), as did most of the 4.3 × 10 mm implants (96.1%). Implants of 4.3 × 8 mm and 3.5 × 10 mm were the least successful (91.7%). Mandibular implants had a better survival rate (97.3%) than maxillary implants (94.9%). There was no significant OR of increased survival for any particular implant size or site. Conclusions Immediate implant placement in fresh extraction sockets can give predictable clinical outcomes, regardless of the implant size and site of placement.

  14. Cochlear Implants.

    ERIC Educational Resources Information Center

    Clark, Catherine; Scott, Larry

    This brochure explains what a cochlear implant is, lists the types of individuals with deafness who may be helped by a cochlear implant, describes the process of evaluating people for cochlear implants, discusses the surgical process for implanting the aid, traces the path of sound through the cochlear implant to the brain, notes the costs of…

  15. Holographic measurement on deformation of mandible with dental implants due to occlusion

    NASA Astrophysics Data System (ADS)

    Matsumoto, Toshiro; Tamamura, Kentaro; Sugimura, Tadataka; Inada, Joji

    1996-12-01

    To consider the dynamic response of implant bridge caused by occlusion, the deformation of the bridge and the near mandible subjected to occlusional force was measured by holographic interferometry. In the study, the mandibles of Japanese monkeys were used. A screw type ceramic implant was placed in the site of the second molar, when it was about one year since the mandibular first and second molars were extracted. An implant bridge was then fabricated and placed between the implant and the first and second premolars. After the mandibular bone was extracted, double exposure holographic interferograms were recorded under various loads for the mandible. It was found that the stress on the implant bridge concentrated on the mesial of the pontic when the vertical load was applied to the second premolar. This shows that the mandible near the implant receives most of stress and suffers frequent damage such as the bone resorption, when the loads were applied to its mesial side.

  16. Prognosis of single molar implants: a retrospective study.

    PubMed

    Kim, Young-Kyun; Kim, Su-Gwan; Yun, Pil-Young; Hwang, Jung-Won; Son, Mee-Kyoung

    2010-08-01

    The purpose of this study was to evaluate the short- and mid-term prognosis of maxillary and mandibular single molar implants, prosthetic complications, and factors mediating the effects seen on them. Eighty-seven patients were enrolled consecutively in this study and 96 implants were placed into a single molar defect site by one oral and maxillofacial surgeon from March 2004 to December 2006. Primary osseointegration failure developed in two implants and delayed implant failure occurred at four implants. The fraction surviving interval was 97% to 100%, and at the last follow-up observation, the cumulative survival rate was 91.1%. All failed implants occurred in second molar sites, and the failure rate, according to implant site, showed a significant difference. Prosthetic complications, such as screw loosening, showed a significant correlation to the mesiodistal cantilever. Furthermore, crestal bone loss 3 years after loading was 0.2 mm on average and a very stable result was obtained. Based on the results, the risk of failure for maxillary and mandibular single molar implants is high and the possibility of developing prosthetic complications during loading is also high. Therefore, to minimize the cantilever, implants must be placed precisely and followed carefully and maintained for a long period of time. PMID:20664842

  17. Mandibular advancement and obstructive sleep apnoea: a method for determining effective mandibular protrusion.

    PubMed

    Dort, L C; Hadjuk, E; Remmers, J E

    2006-05-01

    The objectives of the study were to test the hypotheses that it is possible, during routine polysomnography (PSG), to prospectively identify favourable candidates for mandibular repositioning appliance (MRA) therapy in the treatment of obstructive sleep apnoea (OSA) and to accurately estimate an optimal protrusive distance at which to fabricate the MRA. A series of subjects underwent a remotely controlled mandibular positioner (RCMP) test during PSG monitoring. The ability of the RCMP test to eliminate OSA and the target protrusion at which that occurred was compared with the success of a custom oral MRA in the 33 subjects who completed the protocol. The RCMP test was a success in 15 subjects and a failure in 18 subjects. Appliance therapy was initiated in 38 subjects and completed in 33. MRA therapy was successful at target protrusion in 80% of subjects who had a successful RCMP test and failed in 78% of those who failed the RCMP test. In conclusion the remotely controlled mandibular positioner test outcome demonstrated a statistically significant association with mandibular repositioning appliance outcome. The target protrusion determined during the remotely controlled mandibular positioner test was the effective therapeutic protrusion in subjects with a successful remotely controlled mandibular positioner test. PMID:16707396

  18. Orthodontic extrusion of horizontally impacted mandibular molars

    PubMed Central

    Ma, Zhigui; Yang, Chi; Zhang, Shanyong; Xie, Qianyang; Shen, Yuqing; Shen, Pei

    2014-01-01

    Objective: To introduce and evaluate a novel approach in treating horizontally impacted mandibular second and third molars. Materials and methods: An orthodontic technique was applied for treatment of horizontally impacted mandibular second and third molars, which included a push-type spring for rotation first, and then a cantilever for extrusion. There were 8 mandibular third molars (M3s) and 2 second molars (M2s) in this study. Tooth mobility, extraction time, the inclination and parallelism of the impacted tooth, alveolar bone height of the adjacent tooth, and the relationship of impacted M3 and the inferior alveolar nerve (IAN) were evaluated. Results: Two horizontally impacted M2s could be upright in the arch and good occlusal relationships were obtained after treatment. All impacted M3s were successfully separated from the IAN, without any neurologic consequences. The average extraction time was 5 minutes. There was a significant change in the inclination and parallelism of the impacted tooth after treatment. A new bone apposition with the average height of 3.2 mm was noted distal to the adjacent tooth. Conclusions: This two-step orthodontic technique as presented here may be a safe and feasible alternative in management of severely horizontally impacted mandibular molars, which achieves a successful separation of M3s from the IAN and an excellent position for M2s. PMID:25419364

  19. Mandibular advancement devices and seep disordered breathing

    Microsoft Academic Search

    Glenn T. Clark

    1998-01-01

    It has been nearly 90 years since a dentist first fabricated a dental appliance for a patient with snoring. Since then, mandibular advancement devices or MADs have become a common treatment for obstructive sleep apnea and are used to increase the caliber of the airway during sleep. Their primary use is for the patient who has snoring or mild to

  20. Intra-mandibular adenoid cystic carcinoma.

    PubMed

    Bouaichi, A; Aimad-Eddine, S; Mommers, X-A; Ella, B; Zwetyenga, N

    2014-04-01

    Intra-mandibular localization of adenoid cystic carcinoma is rare. This tumor is characterized by progressive local, regional, and distant aggressiveness. We reviewed the latest data on this rare type of cancer with a small number of reported cases, alack of consensus for its treatment, and its bad prognosis. PMID:24674932

  1. Metastasis of breast carcinoma to mandibular gingiva

    Microsoft Academic Search

    J. E Scipio; P. R Murti; H. F Al-Bayaty; R Matthews; C Scully

    2001-01-01

    Metastatic tumours to the oral region are rare but more often involve the jaws rather than the oral soft tissues. In this report, an infiltrative ductal carcinoma of the breast that metastasised to the mandibular gingiva is presented. The patient consulted her dentist for what she thought was a dental abscess in the bicuspid region of the lower left jaw.

  2. Analysis of load transfer and stress distribution by an implant-supported fixed partial denture

    Microsoft Academic Search

    David Assif; Barry Marshak; Amir Horowitz

    1996-01-01

    This study simultaneously examined the load transfer and stress distribution by an implant-supported fixed partial denture. A mandibular implant framework with implants connected to the abutments was embedded in a three-dimensional photoelastic model of a mandible. Strain gauges were attached on the superior surface of the framework, and a vertical load of 7.5 kg was applied to seven points on

  3. Lingual mandibular bony defects: CT in the buccolingual plane

    SciTech Connect

    Slasky, B.S.; Bar-Ziv, J. [Hebrew Univ., Jerusalem (Israel)] [Hebrew Univ., Jerusalem (Israel)

    1996-05-01

    Our goal was to record the appearance of lingular mandibular bony defects (LMBD) on CT imaging of the mandible in the buccolingual plane. During the CT evaluation of patients planning to undergo dental implant surgery, five cases of LMBD were found. Axial 1.2 x 1.00 mm overlapping CT sections of the mandible and the maxilla were obtained. Then with use of specific software (DentaCT; Elscint), panoramic and cross-sectional (buccolingual) images of the mandible and maxilla were reformatted. Five cases of posterior LMBD were identified; one patient had both a posterior as well as the much rarer anterior LMBD. All cases were incidental findings and all were asymptomatic. CT features of LMBD were displayed it axial, panoramic, and buccolingual planes. The characteristic opening of the bony defect in the lingual aspect of the mandible was clearly displayed on the axial as well as the buccolingual images; however, this key feature was not manifest on the panoramic images; however, this key feature was not manifest on the panoramic images of the mandible. CT features of LMBD in the buccolingual plane are added to the known radiologic description of this entity. 8 refs., 6 figs.

  4. 3-d volumetric evaluation of human mandibular growth.

    PubMed

    Reynolds, Mathew; Reynolds, Michael; Adeeb, Samer; El-Bialy, Tarek

    2011-01-01

    Bone growth is a complex process that is controlled by a multitude of mechanisms that are not fully understood.Most of the current methods employed to measure the growth of bones focus on either studying cadaveric bones from different individuals of different ages, or successive two-dimensional (2D) radiographs. Both techniques have their known limitations. The purpose of this study was to explore a technique for quantifying the three dimensional (3D) growth of an adolescent human mandible over the period of one year utilizing cone beam computed tomography (CBCT) scans taken for regular orthodontic records. Three -dimensional virtual models were created from the CBCT data using mainstream medical imaging software. A comparison between computer-generated surface meshes of successive 3-D virtual models illustrates the magnitude of relative mandible growth. The results of this work are in agreement with previously reported data from human cadaveric studies and implantable marker studies. The presented method provides a new relatively simple basis (utilizing commercially available software) to visualize and evaluate individualized 3D (mandibular) growth in vivo. PMID:22046201

  5. Finite element stress analysis of the influence of staggered versus straight placement of dental implants.

    PubMed

    Akça, K; Iplikçio?lu, H

    2001-01-01

    Bending moments resulting from non-axial overloading of dental implants may cause stress concentrations exceeding the physiologic supporting capacity of cortical bone, leading to various kinds of failures. The aim of this study was to evaluate the effect of staggered (offset, tripodization) implant placement configuration and placement of wider-diameter implants in a straight-line configuration in mandibular posterior edentulism. A mandibular Kennedy Class II partially edentulous finite element model was constructed. Seven different partial fixed prostheses supported by 3 implants were designed according to 2 main configurations: straight-line or staggered implant placement. In 5 of the designs, implants with various diameters and length were placed along a straight line. In the other 2 models, offset placement of the middle implant buccally and lingually was simulated. A 400 N static load was applied perpendicular to the buccal inclination of the buccal cusps on each unit. Tensile and compressive stress values on cortical bone in the cervical region of the implants were evaluated. Lower stress values were recorded for the configuration with wider implants placed in a straight line. Other configurations, including staggered implant placement, produced similar stress values. Despite the offset implant placement, the stresses were not decreased; however, straight placement of wider implants may decrease bending moments. PMID:11669255

  6. Furcation lesion in a mandibular canine.

    PubMed

    Fonseca, Dimitri Ribas; Sena, Larryson Goncalves; Santos, Maria Helena; Goncalves, Patricia Furtado

    2011-01-01

    Morphological changes can complicate dental treatment. This report presents a rare case of a furcation lesion in a mandibular canine with two roots. A 39-year-old man in general good health sought dental care for severe pain in his maxillary anterior teeth. The clinical examination showed localized swelling in the vestibular mucosa close to the mandibular left canine. Radiographic examination revealed two distinct roots and vertical bone resorption in the canine's mesial surface. Periodontal evaluation led to a diagnosis of periodontal abscess associated with furcation lesion. Despite the occurrence in an atypical location, the site of periodontal furcation received conventional therapy for initial decontamination, including tissue debridement and a combination of polyvinylpyrrolidone irrigation and antibiotics. To improve access, the decontamination was completed with surgical techniques and scaling and root planing. Early diagnosis of this rare morphological change helped to determine appropriate, timely treatment planning and optimal patient recovery. PMID:21903558

  7. Bifid mandibular condyle: CT and MRI appearance.

    PubMed

    Tutar, Onur; Bas, Ahmet; Gülsen, Gökçe; Bayraktarov, Elmar

    2012-01-01

    Bifid mandibular condyle (BMC) is a rare asymptomatic morphological alteration with no predilection for age group or gender. Its morphology varies from a shallow groove to two condylar heads with separate necks, oriented mediolaterally or anteroposteriorly. This report describes an unusual case of bilateral mediolateral bifid condyle in a 24-year-old female patient with the main complaint of mouth-opening limitation. MRI and CT findings revealed bilateral bifid condyle. PMID:22922936

  8. [Mandibular metastasis revealing thyroid carcinoma. Two cases].

    PubMed

    Mahtar, M; Kadiri, F; Detsouli, M; Raji, A; Idrissi Chekkoury, A; Benchakroun, Y

    2002-04-01

    Although thyroid cancer is not the first cause of bone metastases, this diagnosis must be always entertained because when it is found to be the cause of the metastasis, the survival is good. Bone metastases can take on different appearances and thyroid cancer discovered secondarily. We report two cases of mandibular metastases revealing a thyroid cancer and we stress on diagnosis and therapeutic difficulties. PMID:11997740

  9. The Effect of Partial Coating with Hydroxyapatite on Bone Remodeling in Relation to Porous-coated Titanium-alloy Dental Implants in the Dog

    Microsoft Academic Search

    R. M. Pilliar; D. A. Deporter; P. A. Watson; M. Pharoah; M. Chipman; N. Valiquette; S. Carter; K. De Groot

    1991-01-01

    For inhibition of crestal bone resorption due to stress shielding and disuse atrophy, an hydroxyapatite (HA) plasma coating was added to the coronal portion of partially porous-coated endosseous dental implants. These implants, as well as control non-HA-coated implants were placed in healed mandibular premolar extraction sites in dogs for a 72-week period of function. Histological examination showed that both implant

  10. Unilateral Mydriasis After Mandibular Fracture Fixation Surgery

    PubMed Central

    Nesioonpour, Sholeh; Khiabani, Kazem; Hassanijirdehi, Marzieh

    2014-01-01

    Introduction: Unilateral mydriasis is a seriously significant finding in neurologic examinations indicating life-threatening conditions such as cerebral vascular injuries. Case Presentation: A 24 year old woman with mandibular trauma was referred to our center after five days for a reduction of the right mandibular angle fracture. The patient had no history of any loss of consciousness after the accident. Her physical examination showed no abnormalities, except those related to her mandibular fracture. The laboratory results were normal as well. At 8:30 am a general anesthesia was induced. The patient’s eyes were kept shut throughout the surgical procedure. The operation included an intraoral open reduction and fixation using two miniplates without any complications. After the operation, it was noticed that the left eye was completely dilated with no reaction to light, while the right eye was normal. The management and outcomes in this patient were described in the present case report. Conclusions: Evaluating the size of the patient’s pupils before, during and after the operation, careful history, consult, CT scan and MRI would help to diagnosis. Although no probable cause was found to explain the transient mydriasis in our patient. PMID:24829881

  11. Placing Dental Implants

    MedlinePLUS

    Placing Dental Implants Before Placing an Implant Placing the Implants Complications from Surgery Implant Failure When you get implants, more ... Implant Most people are good candidates to get dental implants. You must have enough bone in your jaw ...

  12. Mandibular hypo-hyperdontia: A report of three cases

    PubMed Central

    Nirmala, S. V. S. G.; Sandeep, C.; Nuvvula, Sivakumar; Mallineni, Sreekanth Kumar

    2013-01-01

    Dental anomalies of tooth number in development of the permanent dentition are quite common than the primary dentition, however, the combined occurrence of hypodontia and hyperdontia is a rare phenomenon, especially in the same dental arch. The purpose of this report is to describe a case of concomitant hypo-hyperdontia (CHH) in three patients (one girl and two boys) with missing mandibular central incisor and an erupted mandibular mesiodens. Three rare cases of mandibular CHH were observed during routine examination, where the two anomalies manifested in the anterior region of the mandible. Furthermore, these are the only cases exhibited taurodontism in association with mandibular CHH. PMID:24778987

  13. Reconstruction of Beagle Hemi-Mandibular Defects with Allogenic Mandibular Scaffolds and Autologous Mesenchymal Stem Cells

    PubMed Central

    Luo, JinChao; Liu, HuaWei; Hu, Min; Yue, Wen

    2014-01-01

    Objective Massive bone allografts are frequently used in orthopedic reconstructive surgery, but carry a high failure rate of approximately 25%. We tested whether treatment of graft with mesenchymal stem cells (MSCs) can increase the integration of massive allografts (hemi-mandible) in a large animal model. Methods Thirty beagle dogs received surgical left-sided hemi-mandibular defects, and then divided into two equal groups. Bony defects of the control group were reconstructed using allografts only. Those of the experimental group were reconstructed using allogenic mandibular scaffold-loaded autologous MSCs. Beagles from each group were killed at4 (n?=?4), 12 (n?=?4), 24 (n?=?4) or 48 weeks (n?=?3) postoperatively. CT and micro-CT scans, histological analyses and the bone mineral density (BMD) of transplants were used to evaluate defect reconstruction outcomes. Results Gross and CT examinations showed that the autologous bone grafts had healed in both groups. At 48 weeks, the allogenic mandibular scaffolds of the experimental group had been completely replaced by new bone, which has a smaller surface area to that of the original allogenic scaffold, whereas the scaffold in control dogs remained the same size as the original allogenic scaffold throughout. At 12 weeks, the BMD of the experimental group was significantly higher than the control group (p<0.05), and all micro-architectural parameters were significantly different between groups (p<0.05). Histological analyses showed almost all transplanted allogeneic bone was replaced by new bone, principally fibrous ossification, in the experimental group, which differed from the control group where little new bone formed. Conclusions Our study demonstrated the feasibility of MSC-loaded allogenic mandibular scaffolds for the reconstruction of hemi-mandibular defects. Further studies are needed to test whether these results can be surpassed by the use of allogenic mandibular scaffolds loaded with a combination of MSCs and osteoinductive growth factors. PMID:25153673

  14. Congenital cheek teratoma with temporo-mandibular joint ankylosis managed with ultra-thin silicone sheet interpositional arthroplasty.

    PubMed

    Bhatnagar, Ankur; Verma, Vinay Kumar; Purohit, Vishal

    2013-01-01

    Primary cheek teratomas are rare with < 5 reported cases. None had associated temporo mandibular joint ankylosis (TMJA). The fundamental aim in the treatment of TMJA is the successful surgical resection of ankylotic bone, prevention of recurrence, and aesthetic improvement by ensuring functional occlusion. Early treatment is necessary to promote proper growth and function of mandible and to facilitate the positive psychological development of child. Inter-positional arthroplasty with ultra-thin silicone sheet was performed. Advantages include short operative time, less foreign material in the joint space leading to negligible foreign body reactions and least chances of implant extrusion. Instead of excising a large bony segment, a thin silicone sheet was interposed and then sutured ensuring preservation of mandibular height. Aggressive post-operative physiotherapy with custom made dynamic jaw exerciser was used to prevent recurrence. PMID:24163567

  15. Full-arch metal-resin cement- and screw-retained provisional restoration for immediately loaded implants.

    PubMed

    Baig, Mirza Rustum; Rajan, Gunaseelan

    2010-01-01

    Abstract This article describes the clinical and laboratory procedures involved in the fabrication of laboratory-processed, provisional, screw-retained, implant-supported maxillary and mandibular fixed complete dentures incorporating a cast metal reinforcement for immediate loading of implants. Precise fit is achieved by intraoral luting of the cast frame to milled abutments. Effective splinting of all implants is attained by the metal substructure and retrievability is provided by the screw-retention of the prosthesis. PMID:20553176

  16. Cochlear implant

    MedlinePLUS

    ... antenna. This part of the implant receives the sound, converts the sound into an electrical signal, and sends it to ... implants allow deaf people to receive and process sounds and speech. However, it is important to understand ...

  17. [Mandibular fractures. Our patient enrollment during the past 2 years].

    PubMed

    Divaris, M; Nottet, J B; Goudot, P; Kakou; Nivet, P; Dichamp, J; Bertrand, J C; Guilbert, F; Vaillant, J M

    1992-01-01

    The method of patient referral; the patient's physical predisposition, the localization and the treatment undertaken for the different mandibular fractures seen by SOS Face over the past two years were analyzed. The 312 mandibular fractures were used to reevaluate the commonly accepted statistics concerning these parameters. PMID:1475604

  18. Mandibular trauma treatment: A comparison of two protocols

    PubMed Central

    Kommers, Sofie C.; Roccia, Fabio; Forouzanfar, Tymour

    2015-01-01

    Objectives: The aim of this study was to evaluate the treatment of mandibular fractures treated in two European centre in 10 years. Study Design: This study is based on 2 systematic computer-assisted databases that have continuously recorded patients hospitalized with maxillofacial fractures in two centers in Turin, Italy and in Amsterdam, the Netherlands for ten years. Only patients who were admitted for mandibular fractures were considered for this study. Results: Between 2001 and 2010, a total of 752 patients were admitted at Turin hospital with a total of 1167 mandibular fractures not associated with further maxillofacial fractures, whereas 245 patients were admitted at Amsterdam hospital with a total of 434 mandibular fractures. At Amsterdam center, a total of 457 plates (1.5 - 2.7 mm) were used for the 434 mandibular fracture lines, whereas at Turin center 1232 plates (1.5 – 2.5 mm) were used for the management of the 1167 mandibular fracture lines. At Turin center, 190 patients were treated primarily with IMF, whereas 35 patients were treated with such treatment option at Amsterdam center. Conclusions: Current protocols for the management of mandibular fractures are quite efficient. It is difficult to obtain a uniform protocol, because of the difference of course of each occurring fracture and because of surgeons’ experiences and preferences. Several techniques can still be used for each peculiar fracture of the mandible. Key words:Mandibular fracture, facial trauma, maxillofacial, treatment, multicentre, database. PMID:25475782

  19. Regulation of Mandibular Postures: Mechanisms and Clinical Implications

    Microsoft Academic Search

    A. Woda; P. Pionchon; S. Palla

    2001-01-01

    This review argues that (1) the habitual mandibular position is constantly variable and so cannot be considered as a craniomandibular reference point, (2) there is no unique centric relation, (3) mandibular posture greatly depends on head posture, (4) clinical evaluation of the occlusal vertical dimension is mostly empirical, and (5) neither the vertical dimension at rest nor the centric relation

  20. Aplasia of the mandibular condyle associated with some orthopaedic abnormalities

    PubMed Central

    Canger, E M; Çelenk, P

    2012-01-01

    A rare case of aplasia of mandibular condyle associated with some other orthopaedic problems is presented. A 5-year-old boy attended our clinic with a chief complaint of facial asymmetry and chewing difficulty. The mandible was deviated to the left. The occlusion also showed a deflection to the left of the mandibular midline. He also had walking difficulty owing to a hip abnormality. Panoramic radiographic examination of the patient revealed that the left mandibular condyl was totally absent. The right condyle was unremarkable. His history revealed neither trauma nor any significant disease. Aplasia is a rare anomaly and means the insufficient development of the mandibular condyle. True agnesis of the mandibular condyle is extremely rare. Association of the manifestations of the patient with some orthopaedic problems makes this case interesting. PMID:22116127

  1. Mandibular plasmacytoma of jaw - a case report.

    PubMed

    Kamal, Meet; Kaur, Parwinder; Gupta, Rakhi; Gupta, Shally; Singh, Simranjit

    2014-08-01

    The plasma cell neoplasm may present as Extramedullary Plasmacytoma (EMP) in soft tissues in bone as a Solitary Plasmacytoma of bone (SPB) or as a part of multi focal disseminated disease Multiple Myeloma (MM). The majority of 80% occurs in head and neck region. In our case, a 62-year-old male patient presented with a non tender swelling of short duration. The swelling was noted obliterating the vestibular depth in right lower mandibular region. The radiological features were non specific. PMID:25302275

  2. Transmigration of mandibular canine – case report

    PubMed Central

    Gruszka, Katarzyna; Ró?y?o, T. Katarzyna; Ró?y?o-Kalinowska, Ingrid; Denkiewicz, Katarzyna; Mas?owska, Klaudia

    2014-01-01

    Summary Background Transmigration is a phenomenon of movement of an unerupted tooth in the bone across the midline. This anomaly is not often found. Transmigration is more prevalent in females than in males, and more often encountered in the mandible than maxilla, it affects mostly canines. Case Report The aim of this study was to present a case report of a mandibular canine transmigration in a patient aged 12. Intraoral examination determined hypodontia of right second premolar and delayed eruption of left second premolar in maxilla, as well as persistent deciduous teeth: right second molar, left canine and second molar. The patient was referred for a Cone-Beam CT examination, which allowed precise visualization of the transmigrating canine as well as ruled out resorption of roots of mandibular incisors. Results The treatment with a maxillary fixed orthodontic appliance was finished after obtaining a satisfactory result. Proper alignment of the incisors in the anterior-posterior plane and correct midline position were accepted by the patient. Transmigrating canine after consultation with the surgeon was designed to further radiological observation. PMID:24520309

  3. Peri-Implant Diseases

    MedlinePLUS

    ... Gum Disease Regenerative Procedures Dental Crown Lengthening Procedure Dental Implants Single Tooth Implants Multiple Tooth Implants Full Mouth Dental Implants Sinus Augmentation Ridge Modification Periodontal Pocket Reduction Procedures ...

  4. Cone beam computed tomography in oral implants.

    PubMed

    Gupta, Jyoti; Ali, Syed Parveez

    2013-01-01

    Cone beam computed tomography (CBCT) scanners for the oral and maxillofacial region were pioneered in the late 1990s independently by Arai et al. in Japan and Mozzo et al. CBCT has a lower dose of radiation, minimal metal artifacts, reduced costs, easier accessibility, and easier handling than multislice computed tomography (MSCT); however, the latter is still considered a better choice for the analysis of bone density using a Hounsfield unit (HU) scale. Oral implants require localized area of oral and maxillofacial area for radiation exposure; so, CBCT is an ideal choice. CBCT scans help in the planning of oral implants; they enable measurement of the distance between the alveolar crest and mandibular canal to avoid impingement of inferior alveolar nerve, avoid perforation of the mandibular posterior lingual undercut, and assess the density and quality of bone, and help in planning of the oral implant in the maxilla with special attention to the nasopalatine canal and maxillary sinus. Hence, CBCT reduces the overall exposure to radiation. PMID:24163545

  5. Intrusion of an overerupted molar using orthodontic miniscrew implant: A preprosthodontic therapy

    PubMed Central

    Sivakumar, Indumathi; Sivakumar, Arunachalam

    2014-01-01

    The purpose of this case report is to demonstrate the use of orthodontic miniscrew implant in the intrusion of overerupted molar as a preprosthodontic therapy. A 37-year-old woman with an overerupted maxillary right first molar encroaching on the opposing mandibular edentulous space was successfully intruded using a single miniscrew implant and partial fixed orthodontic appliance. The prosthodontic clinician may adopt this conservative and cost-effective strategy in their routine practice and avoid clinical crown reduction. PMID:25191088

  6. Rehabilitation with dental implants of oral cancer patients.

    PubMed

    Werkmeister, R; Szulczewski, D; Walteros-Benz, P; Joos, U

    1999-02-01

    The aim of this study was to evaluate the risks and complications of rehabilitation with dental implants after tumour surgery and radiotherapy. After a disease-free survival of 18 months, 29 patients who had undergone oral cancer treatment were rehabilitated with dental implants. The complication rate of implants in irradiated, non-irradiated and grafted bone was analyzed at least 3 years after implant placement. In the healing period, 28.6% of the implants in irradiated bone and 8.4% in non-irradiated bone showed soft tissue complications. Of the implants, 26.7% in the irradiated and 14.7% in the non-irradiated mandibular bone were lost in the first 36 months after placement. Thirty-one point two percent of implants inserted in non-irradiated bone grafts were affected and did not osseointegrate. Of 109 inserted implants, 70 were suitable for prosthetic rehabilitation. There are high complication rates after implant placement in oral cancer patients. Irradiation adversely affects soft tissue healing. Osseointegration is frequently disturbed, especially when implants were placed in non-vascularized bone grafts. PMID:10188126

  7. Reliability of mandibular canine and mandibular canine index in sex determination: A study using Uyghur population.

    PubMed

    Iqbal, Raza; Zhang, Shuang; Mi, Congbo

    2015-07-01

    Sex determination is a key process that is required to establish the forensic profile of an individual. Mandibular canine index (MCI) method yields fairly positive results for sex determination. However, this method has been challenged by a few authors. This study aimed to examine the reliability of MCI in Chinese Uyghur population and to establish its normal value for this ethnic group. Dental casts of 216 students (117 males and 119 females) from the College of Stomatology of Xinjiang Medical University in China were used to determine the sexing accuracy of MCI. The mesiodistal (MD) dimension of mandibular canine crowns, the inter-canine distance, and the MCI were calculated. The accuracy of the standard MCI derived from the current data was compared with that of the standard MCIs derived from previous data. Results were statistically described using the independent-samples t-test. The MD dimension of mandibular crown, the inter-canine distance, and the MCI exhibited statistically significant sexual dimorphism. Sex determination using the MCI derived from the current data revealed fairly reliable results. Therefore, MCI is a reliable method for sex determination for Uyghur population, with 0.248 as standard MCI value. PMID:26048489

  8. High Productivity Implantation ''PARTIAL IMPLANT''

    SciTech Connect

    Hino, Masayoshi; Miyamoto, Naoki; Sakai, Shigeki; Matsumoto, Takao [Nissin Ion Equipment Co., LTD., Kyoto (Japan)

    2008-11-03

    The patterned ion implantation 'PARTIAL IMPLANT' has been developed as a productivity improvement tool. The Partial Implant can form several different ion dose areas on the wafer surface by controlling the speed of wafer moving and the stepwise rotation of twist axis. The Partial Implant system contains two implant methods. One method is 'DIVIDE PARTIAL IMPLANT', that is aimed at reducing the consumption of the wafer. The Divide Partial Implant evenly divides dose area on one wafer surface into two or three different dose part. Any dose can be selected in each area. So the consumption of the wafer for experimental implantation can be reduced. The second method is 'RING PARTIAL IMPLANT' that is aimed at improving yield by correcting electrical characteristic of devices. The Ring Partial Implant can form concentric ion dose areas. The dose of wafer external area can be selected to be within plus or minus 30% of dose of wafer central area. So the electrical characteristic of devices can be corrected by controlling dose at edge side on the wafer.

  9. GMP-level adipose stem cells combined with computer-aided manufacturing to reconstruct mandibular ameloblastoma resection defects: Experience with three cases

    PubMed Central

    Wolff, Jan; Sándor, George K.; Miettinen, Aimo; Tuovinen, Veikko J.; Mannerström, Bettina; Patrikoski, Mimmi; Miettinen, Susanna

    2013-01-01

    Background: The current management of large mandibular resection defects involves harvesting of autogenous bone grafts and repeated bending of generic reconstruction plates. However, the major disadvantage of harvesting large autogenous bone grafts is donor site morbidity and the major drawback of repeated reconstruction plate bending is plate fracture and difficulty in reproducing complex facial contours. The aim of this study was to describe reconstruction of three mandibular ameloblastoma resection defects using tissue engineered constructs of beta-tricalcium phosphate (?-TCP) granules, recombinant human bone morphogenetic protein-2 (rhBMP-2), and Good Manufacturing Practice (GMP) level autologous adipose stem cells (ASCs) with progressively increasing usage of computer-aided manufacturing (CAM) technology. Materials and Methods: Patients’ three-dimensional (3D) images were used in three consecutive patients to plan and reverse-engineer patient-specific saw guides and reconstruction plates using computer-aided additive manufacturing. Adipose tissue was harvested from the anterior abdominal walls of three patients before resection. ASCs were expanded ex vivo over 3 weeks and seeded onto a ?-TCP scaffold with rhBMP-2. Constructs were implanted into patient resection defects together with rapid prototyped reconstruction plates. Results: All three cases used one step in situ bone formation without the need for an ectopic bone formation step or vascularized flaps. In two of the three patients, dental implants were placed 10 and 14 months following reconstruction, allowing harvesting of bone cores from the regenerated mandibular defects. Histological examination and in vitro analysis of cell viability and cell surface markers were performed and prosthodontic rehabilitation was completed. Discussion: Constructs with ASCs, ?-TCP scaffolds, and rhBMP-2 can be used to reconstruct a variety of large mandibular defects, together with rapid prototyped reconstruction hardware which supports placement of dental implants. PMID:24205470

  10. Breast Implants

    MedlinePLUS

    ... filled breast implants, including data supporting a reasonable assurance of safety and effectiveness, approval letters, labeling and information on post-approval studies. Provide information on reports ...

  11. Ion Implantation

    NASA Astrophysics Data System (ADS)

    Langouche, G.; Yoshida, Y.

    In this tutorial we describe the basic principles of the ion implantation technique and we demonstrate that emission Mössbauer spectroscopy is an extremely powerful technique to investigate the atomic and electronic configuration around implanted atoms. The physics of dilute atoms in materials, the final lattice sites and their chemical state as well as diffusion phenomena can be studied. We focus on the latest developments of implantation Mössbauer spectroscopy, where three accelerator facilities, i.e., Hahn-Meitner Institute Berlin, ISOLDE-CERN and RIKEN, have intensively been used for materials research in in-beam and on-line Mössbauer experiments immediately after implantation of the nuclear probes.

  12. Prosthetic rehabilitation of a patient with unilateral dislocated condyle fracture after treatment with a mandibular repositioning splint: a clinical report.

    PubMed

    Noh, Kwantae; Choi, Woojin; Pae, Ahran; Kwon, Kung-Rock

    2013-06-01

    This clinical report describes the use of a mandibular repositioning splint and the subsequent prosthodontic treatment of a unilateral dislocated condyle fracture for a patient whose injury resulted in significant mandibular deviation and malocclusion. The use of a mandibular repositioning splint considerably reduced the mandibular deviation, and a stable mandibular position was maintained with the definitive prosthesis. PMID:23763780

  13. Effects of irradiation on mandibular scintigraphy

    SciTech Connect

    Aitasalo, K.; Ruotsalainen, P.

    1985-11-01

    Technetium-99m methylene diphosphonate (Sn) scintigraphy with computer analysis was used to investigate alterations in the pathophysiology of the normal mandible and the pathologic mandible during and after irradiation. Slight but significant elevations of uptake levels were recorded as an early effect of irradiation. The elevations correlated with the duration of treatment and normalized over a follow-up period of 6 to 12 mo. Increased mandibular metabolism was found during irradiation and in osteomyelitis and osteoradionecrosis of the mandible. Scintigraphy with computer analysis proved a simple and valid method in the evaluation of early irradiation damage and pathophysiologic conditions of the mandible. The method can also be used to predict whether the irradiation damage will become irreversible.

  14. Use of a mandibular plate to maintain intergonial width in a partially edentulous patient undergoing mandibular symphysis reconstruction.

    PubMed

    Susarla, Srinivas; Gordon, Paul E; Attarpour, Ali R; Winograd, Jonathan M; Peacock, Zachary S

    2013-12-01

    One of the most challenging and essential aspects of management of patients with traumatic or ablative deformities involving the mandibular symphysis is maintenance of intergonial width. Classically, the use of occlusal splints has been a simple and cost-effective solution to this problem. Patients who are edentulous, the use of Gunning splints with circummandibular wires is an alternative strategy. In the present report, we describe the use of a mandibular fixation plate for maintenance of intergonial width in an edentulous patient with a postablative mandibular symphysis defect. PMID:24436775

  15. Reconstruction of residual mandibular defects by iliac crest bone graft in war-wounded Iraqi civilians, 2006-2011.

    PubMed

    Guerrier, Gilles; Alaqeeli, Ali; Al Jawadi, Ammar; Foote, Nancy; Baron, Emmanuel; Albustanji, Ashraf

    2015-07-01

    Our aim was to assess the long-term results, complications, and factors associated with failure of mandibular reconstructions among wounded Iraqi civilians with mandibular defects. Success was measured by the quality of bony union, and assessed radiographically and by physical examination. Failures were defined as loss of most or all of the bone graft, or inability to control infection. During the 6-year period (2006-2011), 35 Iraqi patients (30 men and 5 women, mean age 33 years, range 15-57) had residual mandibular defects reconstructed by iliac crest bone grafts. The causes were bullets (n=29), blasts (n=3), and shrapnel (n=3). The size of the defect was more than 5cm in 19 cases. Along the mandible the defect was lateral (n=14), central/lateral (n=5), lateral/central/lateral in continuity (n=6), and central in continuity (n=10). The mean time from injury to operation was 548 days (range 45-3814). All but 2 patients had infected lesions on admission. Bony fixation was ensured by locking reconstruction plates (n=27), non-locking reconstruction plates (n=6), and miniplates (n=2). Complications were associated with the reconstruction plate in 2 cases, and donor-site morbidity in 5. After a mean follow-up of 17 months (range 6-54), bony union was achieved in 28 (80%). The quality of the bone was adequate for dental implants in 23 cases (66%). Our results suggest that war-related mandibular defects can be reconstructed with non-vascularised bone grafts by multistage procedures with good results, provided that the soft tissues are in good condition, infection is controlled, and the method of fixation is appropriate. Further studies are needed to assess the role of vascularised free flaps in similar conditions. PMID:22748406

  16. Mandibular advancement device for obstructive sleep apnea: An overview.

    PubMed

    Jayesh, S Raghavendra; Bhat, Wasim Manzoor

    2015-04-01

    This paper presents an overview of mandibular advancement device (MAD). The primary purpose of MAD is to move the mandible forwards relative to maxilla in ordered to widen the airway to prevent to closure. PMID:26015718

  17. 21 CFR 872.3960 - Mandibular condyle prosthesis.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...3960 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices § 872.3960 Mandibular condyle prosthesis. (a) Identification....

  18. Post operative pain relief through intermittent mandibular nerve block.

    PubMed

    Sawhney, Chhavi; Agrawal, Pramendra; Soni, Kapil Dev

    2011-01-01

    Mandibular nerve block is often performed for diagnostic, therapeutic and anesthetic purposes for surgery involving mandibular region. Advantages of a nerve block include excellent pain relief and avoidance of the side effects associated with the use of opiods or Non-steroidal anti-inflammatory drug (NSAIDs). A patient with maxillo facial trauma was scheduled for open reduction and internal fixation of right parasymphyseal mandibular fracture. The mandibular nerve was approached using the lateral extraoral approach with an 18-gauge i.v. cannula under general anesthesia. He received 4 ml boluses of 0.25% plain bupivacaine for intraoperative analgesia and 12 hourly for 48 h post operatively. VAS scores remained less than 4 through out observation period. The only side effect was numbness of ipsilateral lower jaw line, which subsided after local anesthetic administration was discontinued. Patient was discharged after four days. PMID:22442616

  19. Mandibular advancement device for obstructive sleep apnea: An overview

    PubMed Central

    Jayesh, S. Raghavendra; Bhat, Wasim Manzoor

    2015-01-01

    This paper presents an overview of mandibular advancement device (MAD). The primary purpose of MAD is to move the mandible forwards relative to maxilla in ordered to widen the airway to prevent to closure. PMID:26015718

  20. Endodontic management of middle mesial canal of the mandibular molar.

    PubMed

    Sundaresh, K J; Srinivasan, Raghu; Mallikarjuna, Rachappa; Rajalbandi, Sandeep

    2013-01-01

    Thorough knowledge of root canal morphology and unusual anatomy of the tooth is critical for successful endodontic treatment. Although the most common configuration is two roots and three root canals, mandibular molars might have many different combinations. In the literature, it is less described about three mesial canals and two distal canals in mandibular second molars, indicating a rare anatomical configuration. A case of unusual root canal morphology is presented to demonstrate anatomical variations in mandibular molars. Endodontic therapy was performed in a mandibular second molar with five separate canals, three mesial and two distal. This report points out the importance of looking for additional canals and unusual canal morphology, because knowledge of their existence might occasionally enable clinicians to treat a case successfully that otherwise might have ended in failure. In conclusion, every attempt should be made to find and treat all root canals of a tooth. PMID:23349182

  1. Endodontic management of middle mesial canal of the mandibular molar

    PubMed Central

    Sundaresh, K J; Srinivasan, Raghu; Mallikarjuna, Rachappa; Rajalbandi, Sandeep

    2013-01-01

    Thorough knowledge of root canal morphology and unusual anatomy of the tooth is critical for successful endodontic treatment. Although the most common configuration is two roots and three root canals, mandibular molars might have many different combinations. In the literature, it is less described about three mesial canals and two distal canals in mandibular second molars, indicating a rare anatomical configuration. A case of unusual root canal morphology is presented to demonstrate anatomical variations in mandibular molars. Endodontic therapy was performed in a mandibular second molar with five separate canals, three mesial and two distal. This report points out the importance of looking for additional canals and unusual canal morphology, because knowledge of their existence might occasionally enable clinicians to treat a case successfully that otherwise might have ended in failure. In conclusion, every attempt should be made to find and treat all root canals of a tooth. PMID:23349182

  2. Reliability of Panoramic Radiographs in the Localization of Mandibular Foramen

    PubMed Central

    Patil, Karthikeya; Guledgud, Mahima V

    2015-01-01

    Objective The present study evaluated the reliability and accuracy of panoramic radiographs in the localization of mandibular foramen. Materials and Methods Twenty five Indian dry human adult mandibles constituted the study material. Ten measurements were carried on each of them to evaluate the location of mandibular foramen with respect to adjacent anatomic landmarks. Panoramic radiographs were then made of the mandibles. Same distances were measured on the traced images of the radiographs. Paired t-test and Pearson’s correlation test were applied to evaluate the accuracy and reliability of panoramic radiographs in localization of mandibular foramen. Results The mean distances measured on dry mandibles and panoramic radiographs showed statistically significant difference (p<0.05). There was strong positive correlation between the measurements on dry mandible and panoramic radiographs. Conclusion The panoramic radiographs can serve as a guide in locating the anterosuperior point of mandibular foramen on panoramic radiographs.

  3. Orthodontic fixation of mandibular fracture: a case report.

    PubMed

    McKeown, H F; Sandler, P J

    1998-01-01

    The present case illustrates a nonsurgical method of fixing a minimally displaced mandibular fracture with use of an easily prepared orthodontic appliance. This method offers several advantages for both the attending staff and the patient. PMID:10196820

  4. Intraosseous mandibular artero-venous malformations: case report.

    PubMed

    Siniscalchi, Enrico Nastro; Minutoli, Fabio; Catalfamo, Luciano; Romano, Fabio; Longo, Marcello; De Ponte, Francesco Saverio

    2009-03-01

    Intraosseous mandibular artero-venous malformations (AVMs) are rare (5% of all vascular malformations) but of great clinical importance. They can lead to dental emergencies and may cause disfigurement, morbidity, and even death. We describe the radiological appearance and the endovascular treatment of a rare high-flow vascular malformation of the mandibular body resembling a dental cyst, embolized by Guglielmi's detachable coils (GDC). PMID:19027310

  5. Relationship of the lingual frenum to the mandibular central incisors

    PubMed Central

    Gupta, Swati; Garg, Sanchit; Tandan, Amrit; Dwivedi, Ravi; Gupta, Narendra Kumar; Agarwal, Garima

    2015-01-01

    Clinical implication The purpose of this study is to record the vertical distance between anterior attachment of lingual frenum and incisal edge of mandibular central incisors in dentulous subjects and then determine the mean vertical distance and to suggest guidelines for positioning of mandibular central incisors in complete dentures. Method In this study, 150 dentulous subjects (75 males and 75 females) were chosen based on predecided inclusion criteria. A mandibular cast was obtained from irreversible hydrocolloid impression in modified stock trays for each subject. All subjects were instructed to elevate the tongue while the impressions were made. The vertical distance between the anterior attachment of the lingual frenum and incisal edges of mandibular central incisors was measured on the casts and then the values were statistically analyzed. Result The distance between anterior attachment of lingual frenum (AALF) mesioincisal edge of mandibular central incisor (CI) in male, female and total (male + female) subjects was measured. In males it ranged from 7.3 to 8.9 mm with mean (±SD) 8.29 ± 0.36 mm while in females it ranged from 7.1 to 9.0 mm with mean (±SD) 8.21 ± 0.38 mm. Conclusion It is believed that the application of this anatomic relation can provide a reliable point for arranging and checking the position of the mandibular central incisors for complete dentures in patients with class I ridge relationship. PMID:25853047

  6. Ten-year experience in oral implant rehabilitation of cancer patients: treatment concept and proposed criteria for success.

    PubMed

    Weischer, T; Mohr, C

    1999-01-01

    Between 1988 and 1997, 18 irradiated patients (group 1, 83 implants) and 22 nonirradiated patients (group 2, 92 implants) received resection of the cancer-involved mandible and floor of the mouth and subsequently underwent mandibular rehabilitation with endosseous implants. Implant-supported prostheses were placed in 26 patients, while 13 patients received implant-tissue-supported prostheses. Between 1988 and 1991, patients were restored with implant-tissue-supported prostheses (based on 2 to 4 implants). This strategy was later changed because of the development of denture-related lesions. Since 1992, group 1 patients have been restored exclusively with implant-supported prostheses on 5 to 6 implants; group 2 patients have been rehabilitated alternatively with implant-tissue-supported prostheses on 4 implants. Special criteria for determining the success of implant-supported maxillofacial prostheses were developed. With a mean follow-up period of 37 months, 160 implants (91%) were clinically osseointegrated. Both types of restorations provided sufficient oral rehabilitation. However, only completely implant-supported prostheses avoided soft tissue ulcers. The cumulative success rate was approximately 75% after 7 years for group 1 patients and about 86% after 10 years for group 2 patients. The success rates for implants placed after the change in strategy were approximately 86% (group 1) and 94% (group 2) after 5 years. Based on these experiences, it is suggested that irradiated patients should be restored with exclusively implant-supported prostheses, without any mucosal contact. PMID:10453667

  7. Bridges supported by free-standing implants versus bridges supported by tooth and implant. A five-year prospective study.

    PubMed

    Olsson, M; Gunne, J; Astrand, P; Borg, K

    1995-06-01

    The clinical question at issue, whether it is possible to combine implants and natural teeth via fixed bridges, is of current interest. The treatment of the subjects of this prospective study was performed between June 1984 and December 1986. This article presents the 5-year results of the study. The consecutive patient material comprised 23 patients with Applegate Kennedy Class I residual dentition in the mandible and a complete maxillary denture. All 23 patients were provided with implants ad modum Brånemark in each mandibular quadrant. One side was randomized to rehabilitation with fixed bridge between the distal tooth of the residual dentition and an implant; the other side received a free-standang bridge on 2 implants. The fixture survival rate was 88%. No difference was found between the two sides. Bridge stability was 89% for the implant bridges and 91% for the combination bridges. The change in marginal bone level at the implants was small during the 5-year follow up period (on average 0.1-0.3 mm) and with no difference between the two sides. In conclusion, it was not possible to demonstrate any higher risk of implant or prosthetic failure for tooth-implant fixed bridges compared with implant-supported bridges. PMID:7578781

  8. Geriatric slim implants for complete denture wearers: clinical aspects and perspectives

    PubMed Central

    Huard, Cedric; Bessadet, Marion; Nicolas, Emmanuel; Veyrune, Jean-Luc

    2013-01-01

    Background Advances made in prevention have helped postpone complete edentulism in older patients. However, in the elderly, the physiological state reduces patients’ ability to adapt to oral rehabilitation and degrades the patient’s oral condition. Consequently, elderly edentulous subjects avoid many types of foods, which can lead to substantial nutritional consequences. Complete dentures retained by implants are, currently, the treatment of reference in prosthodontic mandibular rehabilitation. Indeed, the mandibular symphysis generally tolerates implantation, even when the mandible is strongly resorbed. However, in the elderly, implant rehabilitation is compromised by the complexity of the surgical protocol and possible postoperative complications. In this context, the use of geriatric “slim implants” (GSI) offers an interesting alternative. Methods In the present study, the surgical and prosthetic procedures for the use of GSI in a French dental hospital are presented. The objective was the stabilization of a complete mandibular denture in an elderly person, with the immediate implantation of four GSI. Results The operating procedure was found to be less invasive, less expensive, simpler, and more efficient than the conventional procedure. Conclusion The result strongly suggests that this protocol could be used systematically to treat complete edentulism in very elderly patients. Long-term monitoring and the evaluation of the reliability of this type of rehabilitation should be undertaken. PMID:24009432

  9. Interdisciplinary treatment of a nonsyndromic oligodontia patient with implant-anchored orthodontics.

    PubMed

    Kuroda, Shingo; Iwata, Mitsuhiro; Tamamura, Nagato; Ganzorig, Khaliunaa; Hichijo, Natsuko; Tomita, Yuko; Tanaka, Eiji

    2014-04-01

    We successfully treated a nonsyndromic oligodontia patient with implant-anchored orthodontics and prosthetic restorations. A woman, age 18 years 11 months, had a straight profile and a skeletal Class I jaw-base relationship but had spaced arches because of 7 congenitally missing teeth. After leveling and alignment of the dentition, a titanium miniscrew was temporarily placed at the distal alveolus of the mandibular right first premolar, and the posterior teeth were mesialized to reduce the restorative spaces. After determination of the incisor positions, 3 dental implants were respectively inserted at the sites of the maxillary canines and the mandibular left lateral incisor with guided bone regeneration procedures. Then, screw-retained temporary prostheses were delivered after subepithelial connective tissue grafting and used for molar mesialization as absolute anchorage. After 36 months of active orthodontic treatment, an acceptable occlusion was achieved, both functionally and esthetically, with the 3 dental implants. The maxillary and mandibular molars were mesialized, but the changes of incisor position were minimal. As a result, a proper facial profile was maintained, and an attractive smile was achieved. The resultant occlusion was stable throughout a 3-year retention period. In conclusion, interdisciplinary treatment combined with orthodontics, implant surgery, and prosthodontics was useful for a nonsyndromic oligodontia patient. Especially, the new strategy-implant-anchored orthodontics-can facilitate the treatment more simply with greater predictability. PMID:24680022

  10. Control of human mandibular posture during locomotion

    PubMed Central

    Miles, Timothy S; Flavel, Stanley C; Nordstrom, Michael A

    2004-01-01

    Mandibular movements and masseter muscle activity were measured in humans during hopping, walking and running to determine whether reflexes contribute to the maintenance of jaw position during locomotion. In initial experiments, subjects hopped so that they landed either on their toes or on their heel. Landing on the toes provoked only small mandibular movements and no reflex responses in the masseter electromyogram (EMG). Landing on the heels with the jaw muscles relaxed caused the mandible to move vertically downwards relative to the maxilla, and evoked a brisk reflex response in the masseter at monosynaptic latency. Neither this relative movement of the mandible nor the reflex was seen when the teeth were clenched: hence the reflex is not the result of vestibular activation during head movement. The same variables were measured in a second series of experiments while subjects stood, walked and ran at various speeds and at various inclinations on a treadmill. During walking, the vertical movements of the head and therefore the mandible were slow and small, and there was no tonic masseter EMG or gait-related activity in the jaw-closing muscles. When subjects ran, the vertical head and jaw movement depended on the running speed and the inclination of the treadmill. Landing on the heels induced larger movements than landing on the toes. About 10 ms after each foot-strike, the mandible moved downwards relative to the maxilla, thereby stretching the jaw-closing muscles and activating them at segmental reflex latency. This caused the mandible to move back upwards. The strength of the reflex response was related to the speed and amplitude of the vertical jaw movement following landing. It is concluded that, during walking, the small, slow movements of the mandible relative to the maxilla are subthreshold for stretch reflexes in the jaw muscles: i.e. the mandible is supported by visco-elasticity of the soft tissues in the masticatory system. However, the brisker downward movements of the mandible after heel-landing during hopping and running evoke segmental reflex responses which contribute to the active maintenance of the posture of the mandible. This is a unique demonstration of how a stretch reflex operates to maintain posture under entirely natural conditions. PMID:14678503

  11. Implant ethics

    PubMed Central

    Hansson, S

    2005-01-01

    Implant ethics is defined here as the study of ethical aspects of the lasting introduction of technological devices into the human body. Whereas technological implants relieve us of some of the ethical problems connected with transplantation, other difficulties arise that are in need of careful analysis. A systematic approach to implant ethics is proposed. The major specific problems are identified as those concerning end of life issues (turning off devices), enhancement of human capabilities beyond normal levels, mental changes and personal identity, and cultural effects. PMID:16131553

  12. Long-term evaluation of single crystal sapphire implants as abutments in fixed prosthodontics.

    PubMed

    Fartash, B; Arvidson, K

    1997-02-01

    49 patients participated in a prospective study of treatment of total or partial edentulism with fixed prosthodontics supported by Bioceram sapphire implants. 15 patients were treated for maxillary or mandibular edentulism, and 7 for a missing maxillary anterior tooth. The remaining 27 patients, with Applegate-Kennedy Class I-IV residual dentitions, were treated with fixed bridges supported by free-standing implants, or bridges supported by teeth and implants. Implant success, prosthesis stability, radiographic marginal bone level as well as parameters for peri-implant health were evaluated. The study began in 1982, and clinical treatment of the last patients was completed in 1988, i.e., a follow-up period ranging from 7 to 13 years. Of the patients treated for total mandibular edentulism, one implant fractured after 6 years in situ. The bone implant score (BIS) values for those implants were at the time for the bridge cementation 63.5 +/- 1.4 and at 1, 2, 3 and 5 year follow-ups 62.1 +/- 1.4, 61.9 +/- 1.5, 61.5 +/- 1.6, and 60.95 +/- 1.3, respectively. The success rate was 100%, 100% and 97.7% for the mandible at 3, 5 and 10 years, respectively. Of the 7 edentulous patients treated with maxillary fixed bridges, 6 implants in 1 patient had to be removed after 1 year in service. Another 2 patients lost all their implants, 6 each, after 36 months. 6 implants in the 4th patient did not fulfil the criteria for success and were rated as failures at the four year follow-up. The success rate was thus 58.1%, 44.2% and 44.2% for the maxilla at 3, 5 and 10 year follow-ups, respectively. Of the 7 patients in whom single missing teeth were replaced, 1 implant in the premolar region was lost during the 1st year post-operatively, but no other complications or changes in BIS were observed. Of the 27 patients treated for partial edentulism (56 implants total) 1 implant, of a 4-unit free standing maxillary bridge fractured after 6 years and was later replaced. There were no statistically significant differences in BIS changes for the implants when used as abutments for partial maxillary or mandibular edentulism. The cumulative success rates for the implants in the partially maxilla were 96.3, 92.6 and 92.6 at the 3, 5 and 10 years respectively and 100% in the mandible over the whole period. PMID:9586457

  13. Prevalence and pattern of mandibular fracture in Central India

    PubMed Central

    Barde, Dhananjay; Mudhol, Anupama; Madan, Ramnik

    2014-01-01

    Introduction: The etiology and pattern of mandibular fracture vary considerably among different study populations. Despite many reports about the incidence, diagnosis and treatment of mandibular fracture there is limited knowledge about the specific type or pattern of mandibular fractures in South Asian countries. This study attempts to delineate predictable patterns of fracture based on patient demographics and mechanism of injury in central part of India. Materials and Methods: The medical records of patients with mandibular fractures treated over a 3 years period were identified and analyzed based on age, sex, mechanism of trauma, seasonal variation, drug/alcohol abuse, number and anatomic location. Results: We reviewed 464 patients having mandibular fractures with age ranging from 7 to 89 years. Male (343, 79%) to female (91, 21%) ratio was 3.7:1, significantly higher for males. The highest incidence (37.5%) of mandibular fractures was in the age group of 21–30 years. The main cause was road traffic accidents (RTAs, 68.8%) followed by falls (16.8%), assaults (11%) and other reasons (3.8%). Parasymphyseal fractures were the most frequent 331 (41.1%), followed by condyle (135) and angle (124) fractures in occurrence. Mandibular angle fractures were found mostly to be associated with assault victims. Conclusion: The mechanism of injury correlates significantly with the anatomic location of fracture and knowledge of these associations should guide the surgeons for appropriate and timely management. Because RTAs are most frequent, good traffic sense needs to be imbibed and developed by the government as well as the public. PMID:25937725

  14. Mandibular osteosarcoma in a nutria (Myocastor coypus).

    PubMed

    Johnson, James G; Kim, Kenneth; Serio, Jacqueline; Paulsen, Daniel; Rademacher, Nathalie; Pirie, Gordon

    2014-09-01

    A four-year-old neutered male nutria (Myocastor coypus) was presented for a one-day history of lethargy and anorexia. A right-sided facial swelling and loose right mandibular fourth molar that exuded caseous exudate from the root were noted; however, the animal continued to decline despite removal of the affected tooth and antibiotic and anti-inflammatory therapy. Radiographs showed a lytic proliferative bony lesion on the right mandible that appeared to expand in size over the course of a week. Due to its declining clinical condition and poor response to therapy, the animal was euthanized. Necropsy revealed an invasive bony neoplasm of the right mandible, histologically consistent with an osteosarcoma, that was invading the mandible and dental arcade, likely contributing to tooth root infection and osteomyelitis. Endocardiosis of the tricuspid valve was incidentally found as well with early cardiac remodeling of the right ventricle. This is the first report of an osteosarcoma and endocardiosis in a nutria. PMID:25314853

  15. On the reversibility of mandibular symphyseal fusion.

    PubMed

    Scott, Jeremiah E; Lack, Justin B; Ravosa, Matthew J

    2012-09-01

    Experimental and comparative studies suggest that a major determinant of increased ossification of the mandibular symphysis is elevated masticatory stress related to a mechanically challenging diet. However, the morphology of this joint tracks variation in dietary properties in only some mammalian clades. Extant anthropoid primates are a notable exception: synostosis is ubiquitous in this speciose group, despite its great age and diverse array of feeding adaptations. One possible explanation for this pattern is that, once synostosis evolves, reversion to a lesser degree of fusion is unlikely or even constrained. If correct, this has important implications for functional and phylogenetic analyses of the mammalian feeding apparatus. To test this hypothesis, we generated a molecular tree for 76 vespertilionoid and noctilionoid chiropterans using Bayesian phylogenetic analysis and examined character evolution using parsimony and likelihood ancestral-state reconstructions along with the binary state speciation and extinction (BiSSE) model. Results indicate that reversals have occurred within Vespertilionoidea. In contrast, noctilionoids exhibit an anthropoid-like pattern, which suggests that more detailed comparisons of the functional and developmental bases for fusion in these bat clades may provide insight into why fusion is maintained in some lineages but not in others. Potential functional and developmental explanations for the lack of reversal are discussed. PMID:22946814

  16. Histrelin Implant

    MedlinePLUS

    ... used to treat the symptoms associated with advanced prostate cancer. Histrelin implant (Supprelin LA) is used to ... to use certain tests, such as ultrasound or MRI scans (radiology techniques designed to show the images ...

  17. Relationship between mandibular condyle and angle fractures and the presence of mandibular third molars

    PubMed Central

    Mah, Deuk-Hyun; Moon, Seong-Yong; Oh, Ji-Su; You, Jae-Seek

    2015-01-01

    Objectives We retrospectively evaluated the impact of mandibular third molars on the occurrence of angle and condyle fractures. Materials and Methods This was a retrospective investigation using patient records and radiographs. The sample set consisted of 440 patients with mandibular fractures. Eruption space, depth and angulation of the third molar were measured. Results Of the 144 angle fracture patients, 130 patients had third molars and 14 patients did not. The ratio of angle fractures when a third molar was present (1.26 : 1) was greater than when no third molar was present (0.19 : 1; odds ratio, 6.58; P<0.001). Of the 141 condyle fractures patients, the third molar was present in 84 patients and absent in 57 patients. The ratio of condyle fractures when a third molar was present (0.56 : 1) was lower than when no third molar was present (1.90 : 1; odds ratio, 0.30; P<0.001). Conclusion The increased ratio of angle fractures with third molars and the ratio of condyle fractures without a third molar were statistically significant. The occurrence of angle and condyle fractures was more affected by the continuity of the cortical bone at the angle than by the depth of a third molar. These results demonstrate that a third molar can be a determining factor in angle and condyle fractures. PMID:25741462

  18. Danger: implants.

    PubMed

    Findlay, S; Podolsky, D

    1992-08-24

    The superheated debate over breast implants awakened a sleeping giant of an issue clouding "medical devices"--the government's clumsy nomenclature for any medical product that is not a drug, from breast implants and artificial hips to X-ray machines and surgical thread. Some 130 categories of high-risk devices are in use with little or no proof of safety, reliability or effectiveness. All appeared before 1976, the year that the Food and Drug Administration got the authority to regulate such products. Under activist chief David Kessler and with added clout from a 1990 law, the FDA plans to scrutinize the entire 130-item list. Five will get special attention starting early next year: saline-filled breast implants, inflatable penile implants, testicular implants, heart-bypass pumps and cranial stimulators. U.S. News has looked at all five devices, using FDA data obtained through the Freedom of Information Act. In-depth computer analysis suggested that penile implants deserve closer examination. Why is clear from the following report. PMID:10171242

  19. Update on patterns of mandibular fracture in Tasmania, Australia.

    PubMed

    Verma, Shreya; Chambers, Ian

    2015-01-01

    Mandibular fractures often present to hospital, so if we understand trends in patterns of fractures and their demographics it may help us to deliver a better service, and prevent these injuries. Here, we compare current data on mandibular fractures in Tasmania with data from 15 years ago, and with current world trends. Patients who presented to the Royal Hobart Hospital with fractured mandibles were audited, and the data analysed and compared with those from a previous study. About 37 fractured mandibles presented to hospital each year. Most patients were men aged 20-30 years old. Ninety-seven of the 159 fractures (61%) were secondary to assault, 27 (17%) were the result of sport, and 24 (15%) followed falls. Road crashes contributed only 5% of mandibular fractures. Sixty-six patients (60%) were intoxicated at the time of injury. The angle of the mandible was the most common site of fracture and open reduction and internal fixation was the treatment of choice. There have been important changes in mandibular fracture patterns in Tasmania in the last 15 years. There was a rise in alcohol-related interpersonal violence, and men were most commonly involved. There was also a decrease in mandibular fractures caused by road crashes, which suggests an improvement in road safety. PMID:25453253

  20. Implants in partially edentulous patients. A longitudinal study of bridges supported by both implants and natural teeth.

    PubMed

    Gunne, J; Astrand, P; Ahlén, K; Borg, K; Olsson, M

    1992-06-01

    The aim of the study was to compare the outcome of bridges supported by implants with bridges supported by a combination of implants and natural teeth abutments. The study comprised 23 patients with Applegate Kennedy Class I dentition in the mandible and a full upper denture. Implants ad modum Brånemark were inserted in the posterior areas of both mandibular quadrants. On one side, a bridge supported by 2 implants was constructed (Type I) and on the other side, a bridge supported by 1 tooth (mostly the canine or first premolar) and 1 implant was made (Type II). A total of 46 bridges were made and during the 3-year follow-up period, 4 Type I and 2 Type II bridges were lost. 8 out of 69 implants were lost during the 3-year follow-up, resulting in an implant survival rate of 88.4%. Marginal bone loss, one of several parameters, was evaluated on standardized intraoral radiographs. This was performed during the 1st and 2nd year of function and the total mean bone loss from loading was 0.46 mm and 0.56 mm, respectively. The bone loss during the 2nd year of function was significantly less, adjacent to implants supporting Type II bridges, than adjacent to implants supporting Type I bridges. Summarily, no disadvantages of combining of teeth and implants in the same bridge were found in this study. On the contrary, the slightly lower marginal bone loss adjacent to implants in Type II bridges may indicate that the bone reactions could be more favorable when bridges are connected to both implants and teeth. PMID:15900668

  1. Early radiographic diagnosis of peri-implantitis enhances the outcome of peri-implantitis treatment: a 5-year retrospective study after non-surgical treatment

    PubMed Central

    Chang, Hee-Yung; Park, Shin-Young; Kim, Jin-Ah; Kim, Young-Kyun

    2015-01-01

    Purpose This retrospective study evaluated the relationship between the timing of peri-implantitis diagnosis and marginal bone level after a 5-year follow-up of non-surgical peri-implantitis treatment. Methods Thirty-three patients (69 implants) were given peri-implantitis diagnosis in 2008-2009 in Seoul National University Bundang Hospital. Among them, 31 implants from 16 patients were included in this study. They were treated non-surgically in this hospital, and came for regular maintenance visits for at least 5 years after peri-implantitis treatment. Radiographic marginal bone levels at each interval were measured and statistical analysis was performed. Results Timing of peri-implantitis was one of the significant factors affecting initial bone loss and total bone loss not additional bone after peri-implantitis diagnosis. Patients with cardiovascular disease and diabetic mellitus were positively influenced on both initial bone loss and total bone loss. Patients who needed periodontal treatment after implant placement showed a negative effect on bone loss compared to those who needed periodontal treatment before implant placement during entire periods. Implant location also significantly influenced on amounts of bone loss. Mandibular implants showed less bone loss than maxillary implants. Among surgical factors, combined use of autogenous and xenogenic bone graft materials showed a negative effect on bone loss compared to autogenous bone graft materials. Use of membrane negatively affected on initial bone loss but positively on additional bone loss and total bone loss. Thread exposure showed positive effects on initial bone loss and total bone loss. Conclusions Early peri-implantitis diagnosis led to early non-surgical intervention for peri-implantitis treatment, which resulted in the maintenance of the bone level as well as preservation of the implant. Graphical Abstract

  2. Case presentation of florid cemento-osseous dysplasia with concomitant cemento-ossifying fibroma discovered during implant explantation.

    PubMed

    Gerlach, Robert C; Dixon, Douglas R; Goksel, Tamer; Castle, James T; Henry, Walter A

    2013-03-01

    A 39-year-old African American woman presented for treatment of a symptomatic mandibular right first molar with a large, periapical radiolucency. After initial attempts at endodontic therapy, this tooth was ultimately extracted owing to unabated symptoms. The extraction site underwent ridge preservation grafting, implant placement, and restoration. After 26 months of implant function, the patient returned with clinical symptoms of pain, buccal swelling, and the sensation of a "loose" implant. This case report details a diagnosis of 2 distinct disease entities associated with the implant site, a cemento-ossifying fibroma and florid cemento-osseous dysplasia of the mandible. This diagnosis was determined from clinical, surgical, radiographic, and histopathologic evidence after biopsy and removal of the previously osseointegrated implant following postinsertion failure by fibrous encapsulation. Before implant therapy, it is essential to conduct a thorough radiographic evaluation of any dental arch with suspected bony lesions to prevent implant failure. PMID:22858018

  3. Using a Cochlear Implant

    MedlinePLUS

    ... Vision Loss Using a Cochlear Implant Using a Cochlear Implant Note: This video may take several seconds to ... Cochlear Implant Video (Quicktime) Transcript of Using a Cochlear Implant Video NARRATOR: Mary, a woman with short gray ...

  4. Implantable Medical Devices

    MedlinePLUS

    Implantable Medical Devices Updated:Oct 23,2014 Implantable Medical Devices - 2 types 1. Rhythm control ICD -- Implantable cardioverter-defibrillator ( ... medical treatment. 2. Support of the Circulation Implantable Medical Devices Left Ventricular Assist Device (Also known as ...

  5. Mandibular asymmetry: a three-dimensional quantification of bilateral condyles

    PubMed Central

    2013-01-01

    Introduction The shape and volume of the condyle is considered to play an important role in the pathogenesis of the mandibular deviation. Curvature analysis is informative for objectively assess whether the shape of the condyles matches that of the glenoid fossa. In this study, a three-dimensional (3-D) quantification of bilateral asymmetrical condyles was firstly conducted to identify the specific role of 3-D condylar configuration for mandibular asymmetry. Methods 55 adult patients, 26 males (26?±?5 yrs) and 29 females (26?±?5 yrs), diagnosed with mandibular asymmetry were included. The examination of deviation of chin point, deviation of dental midlines, inclination of occlusal plane, and depth of the mandibular occlusal plane were conducted. After the clinical investigation, computed tomography images from the patients were used to reconstruct the 3-D mandibular models. Then the condylar volume, surface size, surface curvature and bone mineral density were evaluated independently for each patient on non-deviated and deviated sides of temporomandibular joint. Results Both the condylar surface size and volume were significantly larger on deviated side (surface size: 1666.14?±?318.3 mm2, volume: 1981.5?±?418.3 mm3). The anterior slope of the condyle was flatter (0.12?±?0.06) and the posterior slope (0.39?±?0.08) was prominently convex on the deviated side. The corresponding bone mineral density values were 523.01 ±118.1 HU and 549.07 ±120. 6 HU on anterior and posterior slopes. Conclusions The incongruence presented on the deviated side resulted in a reduction in contact areas and, thus, an increase in contact stresses and changes of bone density. All aforementioned results suggest that the difference existing between deviated and non-deviated condyles correlates with facial asymmetrical development. In mandibular asymmetry patients, the 3-D morphology of condyle on deviated side differ from the non-deviated side, which indicates the association between asymmetrical jaw function and joint remodeling. PMID:24354862

  6. Mandibular talon cusps: A Systematic review and data analysis

    PubMed Central

    Panampally, George-Kurian; Chen, Yong; Tian, Tian

    2014-01-01

    Objectives: The purpose of the present study was to evaluate mandibular talon cusps distribution from the comprehensive literature search and proposal of new classification Material and Methods: The study was a review of articles published in the English language from January 1960 to December 2013. The PubMed/MEDLINE/Google Scholor databases were searched electronically using ‘talon cusp’, ‘dens evaginatus’, ‘anterior teeth’, mandible, ‘primary dentition’ and ‘ permanent dentition’ as search terms in various combinations. The citation lists from the included references were subsequently examined, and a hand search was also performed in an attempt to identify additional reports. The distribution, characteristics, common tooth type, associated dental anomaly and proposal of new classification have been included in final data analysis. Descriptive statistics were carried out using Chi square test (SPSS, version 17). Results: Overall 37 citations were retrieved from the literature where one was prevalence studies and rest were case reports among those two were duplication. Total 35 articles with 43 patients were reported on mandibular talon cusps. Males were predominantly affected than females (p<0.05). Eight cases (19%) were reported in archeological skulls 81% were clinical reports. Forty cases (93%) were reported in permanent dentition while 7% cases in primary dentition. Lingual mandibular talon are more common than facial type in permanent dentition facial talons (p<0.05). Seven cases (18%) were bilaterally involved. Double tooth (45%) was commonly associated with mandibular talons. Most of the cases reported from Asia and asia derived populations. Conclusions: Central incisor is the most common tooth type that effected by talon cusp in permanent dentition and lateral incisor is in primary dentition. Lingual talons are common in mandible. Double tooth common dental anomaly associated with mandibular talon cusp. Most of the case reported from Asia. Talon cusps should be classified as facial, lingual, and facial and lingual types. Key words:Double tooth, permanent dentition, primary dentition, mandibular arch, Talon cusp. PMID:25593665

  7. [Mandibular fractures in sports. Retrospective study of 48 cases].

    PubMed

    Paoli, J R; Fabié, L; Dodart, L; Lauwers, F; Boutault, F; Fabié, M

    1999-12-01

    We present a retrospective study of 48 isolated mandibular fractures related to athletic activities. We studied patient age, sex, sport involved, mandibular location of the fracture and the therapeutic implication. The sex ratio was 4/1 and mean age 24 years. Rugby and cross-country biking were the more frequently involved sports (79%). We recall preventive measures. Miniplate osteosynthesis was used as often as possible in order to avoid intermaxillary fixation (IMF) (40%) or to limit the duration of IMF. This allowed early return to sport activities. PMID:10672650

  8. Nonodontogenic mandibular lesions: differentiation based on CT attenuation

    PubMed Central

    Özgür, An?l; Kara, Engin; Arpac?, Rabia; Arpac?, Taner; Esen, Kaan; Kara, Taylan; Duce, Meltem Nass; Apayd?n, Feramuz Demir

    2014-01-01

    Mandibular lesions are classified as odontogenic and nonodontogenic based on the cell of origin. Odontogenic lesions are frequently encountered at head and neck imaging. However, several nonodontogenic pathologies may also involve mandible and present further diagnostic dilemma. Awareness of the imaging features of nonodontogenic lesions is crucial in order to guide clinicians in proper patient management. Computed tomography (CT) may provide key information to narrow diagnostic considerations. Nonodontogenic mandibular lesions may have lytic, sclerotic, ground-glass, or mixed lytic and sclerotic appearances on CT. In this article, our aim is to present various nonodontogenic lesions of the mandible by categorizing them according to their attenuations on CT. PMID:25297390

  9. Ion Implant

    NSDL National Science Digital Library

    This website includes an animation which illustrates the ion implant process. Objective: Name the three common dopants used in implantation processes and explain the process of generating an ion beam from source to wafer. You can find this animation under the heading "Process & Equipment III." This simulation is from Module 026 of the Process & Equipment III Cluster of the MATEC Module Library (MML). To view other clusters or for more information about the MML visit http://matec.org/ps/library3/process_I.shtmlKey

  10. Trigeminocardiac Reflex by Mandibular Extension on Rat Pial Microcirculation: Role of Nitric Oxide

    PubMed Central

    Lapi, Dominga; Federighi, Giuseppe; Fantozzi, M. Paola; del Seppia, Cristina; Ghione, Sergio; Colantuoni, Antonio; Scuri, Rossana

    2014-01-01

    In the present study we have extended our previous findings about the effects of 10 minutes of passive mandibular extension in anesthetized Wistar rats. By prolonging the observation time to 3 hours, we showed that 10 minutes mandibular extension caused a significant reduction of the mean arterial blood pressure and heart rate respect to baseline values, which persisted up to 160 minutes after mandibular extension. These effects were accompanied by a characteristic biphasic response of pial arterioles: during mandibular extension, pial arterioles constricted and after mandibular extension dilated for the whole observation period. Interestingly, the administration of the opioid receptor antagonist naloxone abolished the vasoconstriction observed during mandibular extension, while the administration of N?-Nitro-L-arginine methyl ester, a nitric oxide synthase inhibitor, abolished the vasodilation observed after mandibular extension. Either drug did not affect the reduction of mean arterial blood pressure and heart rate induced by mandibular extension. By qRT-PCR, we also showed that neuronal nitric oxide synthase gene expression was significantly increased compared with baseline conditions during and after mandibular extension and endothelial nitric oxide synthase gene expression markedly increased at 2 hours after mandibular extension. Finally, western blotting detected a significant increase in neuronal and endothelial nitric oxide synthase protein expression. In conclusion mandibular extension caused complex effects on pial microcirculation involving opioid receptor activation and nitric oxide release by both neurons and endothelial vascular cells at different times. PMID:25551566

  11. Cochlear Implants

    MedlinePLUS

    ... during an optimal period to develop speech and language skills. A growing body of research, much of it funded by the NIDCD, has shown that when these children receive a cochlear implant ... a young age develop language skills at a rate comparable to children with ...

  12. Ultrastructure of the platypus and echidna mandibular glands.

    PubMed

    Krause, W J

    2011-10-01

    The secretory units of the platypus and echidna mandibular glands consist of a single serous cell type. Secretory granules within the cells of the platypus mandibular gland stained intensely with the periodic acid-Schiff staining procedure but failed to stain with Alcian Blue, suggesting the granules contained neutral glycoproteins. Secretory granules within the mandibular glands of the echidna failed to stain with the methods used indicating little if any glycoprotein was associated with the secretory granules. Ultrastructurally, secretory granules of the platypus mandibular gland were electron dense with a central core of less electron-dense material and were membrane bound. In contrast, those of the echidna presented a lamellated appearance and also were limited by a membrane. These secretory granules appeared to form as a result of concentric layering of lamellae within cisternae of the Golgi membranes. The intralobular ductal system of the platypus was more extensively developed than that of the echidna. The striated ducts of both species were characterized by elaborate infoldings of the basolateral plasmalemma and an abundance of associated mitochondria. PMID:21671995

  13. Osteochondroma of bilateral mandibular condyle: a case report

    PubMed Central

    Zhou, Qin; Yang, Chi; Chen, Min-Jie

    2015-01-01

    Osteochondroma represents the largest group of benign tumors of bone, which usually develops in long bones and relatively uncommon in the craniofacial region. The condyle and coronoid tip are the most common sites of occurrence in the mandible, but both sides of condyle involved has never been reported. Here, we describe a case of osteochondroma arising from the bilateral mandibular condyle. PMID:25932269

  14. Investigation of midfacial and mandibular morphology: Strain tensor analysis

    Microsoft Academic Search

    2003-01-01

    The method of strain tensor (ST) analysis efficiently demonstrates the morphological differences in skeletal jaw growth and provides more information for orthodontic diagnosis and orthopedic therapy of jaw disharmonies. The purpose of this study was to investigate midfacial and mandibular size and shape differences in a sample of normal Class I molar occlusion and Class III malocclusion. Fifty Chinese boys

  15. Bilateral temporomandibular joint dislocation with locked mandibular impaction.

    PubMed

    Hynes, Sally L; Jansen, Leigh A; Brown, D Ross; Courtemanche, Douglas J; Boyle, James C

    2012-02-01

    Bilateral anterior temporomandibular joint dislocation is very rare, with only 2 reported cases published. In the present report, we describe a healthy 25-year-old man from Haida Gwaii, in British Columbia, Canada, who was transferred to our tertiary trauma center with life-threatening complications of a bilateral anterior temporomandibular joint dislocation with locked mandibular impaction. PMID:22260912

  16. Panoramic radiographs do not accurately detect curvature of or close association with the mandibular canal of mandibular third molar roots

    Microsoft Academic Search

    S. Thomas Deahl

    2003-01-01

    Original ArticleBell GW, Rodgers JM, Grime RJ, Edwards KL, Hahn MR, Dorman ML, et al. The accuracy of dental panoramic tomographs in determining the root morphology of mandibular third molar teeth before surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95(1):119–25.

  17. Dissolution behavior and early bone apposition of calcium phosphate-coated machined implants

    PubMed Central

    Hwang, Ji-Wan; Lee, Eun-Ung; Lee, Jung-Seok; Jung, Ui-Won; Lee, In-Seop

    2013-01-01

    Purpose Calcium phosphate (CaP)-coated implants promote osseointegration and survival rate. The aim of this study was to (1) analyze the dissolution behavior of the residual CaP particles of removed implants and (2) evaluate bone apposition of CaP-coated machined surface implants at the early healing phase. Methods Mandibular premolars were extracted from five dogs. After eight weeks, the implants were placed according to drilling protocols: a nonmobile implant (NI) group and rotational implant (RI) group. For CaP dissolution behavior analysis, 8 implants were removed after 0, 1, 2, and 4 weeks. The surface morphology and deposition of the coatings were observed. For bone apposition analysis, block sections were obtained after 1-, 2-, and 4-week healing periods and the specimens were analyzed. Results Calcium and phosphorus were detected in the implants that were removed immediately after insertion, and the other implants were composed mainly of titanium. There were no notable differences between the NI and RI groups in terms of the healing process. The bone-to-implant contact and bone density in the RI group showed a remarkable increase after 2 weeks of healing. Conclusions It can be speculated that the CaP coating dissolves early in the healing phase and chemically induces early bone formation regardless of the primary stability. PMID:24455442

  18. Developing a New Dental Implant Design and Comparing its Biomechanical Features with Four Designs

    PubMed Central

    Rismanchian, Mansour; Birang, Reza; Shahmoradi, Mahdi; Talebi, Hassan; Zare, Reza Jabar

    2010-01-01

    Background: As various implant geometries present different biomechanical behaviors, the purpose of this work was to study stress distribution around tapered and cylindrical threaded implant geometries using three-dimensional finite element stress analysis. Methods: Seven implant models were constructed using Computer Assisted Designing system. After digitized models of mandibular section, the crowns were created. They were combined with implant models, which were previously imported into CATIA software. The combined solid model was transferred to ABAQOUS to create a finite element meshed model which was later analyzed regarding the highest maximum and minimum principal stresses of bone. Results: For all models, the highest stresses of cortical bone were located at the crestal cortical bone around the implant. Threaded implants, triangular thread form and taper body form showed a higher peak of tensile and compressive stress than non-threaded implants, square thread form and straight body form, respectively. A taper implant with triangular threads, which is doubled in the cervical portion of the body, had a significantly lower peak of tensile and compressive stress in the cortical bone than straight/taper triangular or square threaded implant forms. Conclusion: For the investigation of bone implant interfacial stress, the non-bonded state should be studied too. Confirmative clinical and biological studies are required in order to benefit from the results of this study. PMID:22013460

  19. Reasons for mini-implants failure: choosing installation site should be valued!

    PubMed Central

    Consolaro, Alberto; Romano, Fábio Lourenço

    2014-01-01

    Mini-implant loss is often associated with physical and mechanical aspects that result from choosing an inappropriate placement site. It is worth highlighting that: a) Interdental alveolar bone crests are flexible and deformable. For this reason, they may not offer the ideal absolute anchorage. The more cervical the structures, the more delicate they are, thus offering less physical support for mini-implant placement; b) Alveolar bone crests of triangular shape are more deformable, whereas those of rectangular shape are more flexible; c) The bases of the alveolar processes of the maxilla and the mandible are not flexible, for this reason, they are more likely to receive mini-implants; d) The more cervical a mini-implant is placed, the higher the risk of loss; the more apical a mini-implant is placed, the better its prognosis will be; e) 3D evaluations play a major role in planning the use of mini-implants. Based on the aforementioned considerations, the hypotheses about mini-implant loss are as follows: 1) Deflection of maxillary and mandibular alveolar processes when mini-implants are more cervically placed; 2) Mini-implants placed too near the periodontal ligament, with normal intra-alveolar tooth movement; 3) Low bone density, low thickness and low alveolar bone volume; 4) Low alveolar cortical bone thickness; 5) Excessive pressure inducing trabecular bone microfracture; 6) Sites of higher anatomical weakness in the mandible and the maxilla; 7) Thicker gingival tissue not considered when choosing the mini-implant. PMID:24945511

  20. DETERMINATION OF YOUNG'S MODULUS OF MANDIBULAR BONE USING INVERSE ANALYSIS

    E-print Network

    Boyer, Edmond

    (2010) Pages 630-637" DOI : 10.1016/j.medengphy.2010.03.009 #12;2 1 Introduction Dental implants for the simulation of biomechanical systems and dental implants (Chuong et al., 2005; Savoldelli et al., 2008 of both the mandible and implants. Numerous studies have been conducted on the mechanical behaviour

  1. Influence of Implant Surface Topography and Loading Condition on Stress Distribution in Bone Around Implants: A Comparative 3D FEA.

    PubMed

    Savadi, Ravindra C; Agarwal, Jatin; Agarwal, Rolly Shrivastava; Rangarajan, V

    2011-12-01

    A three-dimensional Finite Element Method was used to study the influence of porous coated surface topography of an implant on stress and strain distribution pattern in the cortical and cancellous bone during axial and non-axial loading. Two implants, one with porous surface topography and one with smooth surface were embedded in separate geometric models of posterior mandibular region which was generated using a CT scan data. Material properties and boundary conditions were applied. Load of 100 and 50 N were applied on to the abutment from axial and non-axial directions respectively. Porous surface topography appeared to distribute stress in a more uniform pattern around the implant with near absence of stress in the apical region of implant. Smooth surfaced implant showed high punching stress at the apex of the implant. The porous coated interface was considered to simulate the shock absorbing behavior of periodontal ligament of natural dentition. Maximum amount of stress concentration was observed in the cortical bone which plays a major role in the dissipation of the stress. PMID:23204731

  2. Three-dimensional analysis of mandibular growth and tooth eruption

    PubMed Central

    Krarup, S; Darvann, TA; Larsen, P; Marsh, JL; Kreiborg, S

    2005-01-01

    Normal and abnormal jaw growth and tooth eruption are topics of great importance for several dental and medical disciplines. Thus far, clinical studies on these topics have used two-dimensional (2D) radiographic techniques. The purpose of the present study was to analyse normal mandibular growth and tooth eruption in three dimensions based on computer tomography (CT) scans, extending the principles of mandibular growth analysis proposed by Björk in 1969 from two to three dimensions. As longitudinal CT data from normal children are not available (for ethical reasons), CT data from children with Apert syndrome were employed, because it has been shown that the mandible in Apert syndrome is unaffected by the malformation, and these children often have several craniofacial CT scans performed during childhood for planning of cranial and midface surgery and for follow-up after surgery. A total of 49 datasets from ten children with Apert syndrome were available for study. The number of datasets from each individual ranged from three to seven. The first CT scan in each of the ten series was carried out before 1 year of age, and the ages for the 49 scans ranged from 1 week to 14.5 years. The mandible and the teeth were segmented and iso-surfaces generated. Landmarks were placed on the surface of the mandible, along the mandibular canals, the inner contour of the cortical plate at the lower border of the symphysis menti, and on the teeth. Superimposition of the mandibles in the longitudinal series was performed using the symphysis menti and the mandibular canals as suggested by Björk. The study supported the findings of stability of the symphysis menti and the mandibular canals as seen in profile view previously reported by Björk & Skieller in 1983. However, the mandibular canals were, actually, relocated laterally during growth. Furthermore, the position of tooth buds remained relatively stable inside the jaw until root formation started. Eruption paths of canines and premolars were vertical, whereas molars erupted in a lingual direction. The 3D method would seem to offer new insight into jaw growth and tooth eruption, but further studies are needed. PMID:16313399

  3. The expandable mammary implant.

    PubMed

    Becker, H

    1987-04-01

    An expandable saline-gel implant having a detachable injection dome is described. The implant functions initially as a tissue expander. Once the correct size has been obtained, the injection dome is removed, leaving the implant in position. PMID:3823256

  4. Severe skeletal Class III malocclusion treated with 2-stage orthognathic surgery with a mandibular step osteotomy.

    PubMed

    Choi, Sung-Hwan; Kang, Da-Young; Kim, Young-Hoon; Hwang, Chung-Ju

    2014-04-01

    To reduce a large amount of mandibular setback and to prevent pharyngeal airway space narrowing when correcting a severe anteroposterior skeletal discrepancy, a mandibular step osteotomy is often combined with 2-stage orthognathic surgery. This case report describes a successful 2-stage orthognathic treatment combined with a mandibular step osteotomy. A 20-year-old man had severe mandibular protrusion, facial asymmetry, and macroglossia. Phase 1 surgery included the mandibular step osteotomy and a partial glossectomy; then we performed phase 2 surgery with a 2-piece LeFort I segmental osteotomy and a bilateral intraoral vertical ramus osteotomy to correct the patient's mandibular protrusion and facial asymmetry. The total treatment period was 30 months, and the final result was improvement of the patient's facial appearance. PMID:24680021

  5. Skeletal stability following mandibular advancement with and without advancement genioplasty.

    PubMed

    van der Linden, C; van der Linden, W J; Reyneke, J P

    2015-05-01

    The correction of most cases of skeletal class II mandibular deficiency requires surgical advancement of the mandible for treatment of the malocclusion. Often genioplasty is included in the procedure to improve the soft tissue profile. Long-term skeletal stability is an important goal for the surgeon and orthodontist following bilateral sagittal split osteotomy (BSSO) and is influenced by the muscles attached to the mandible. Following the surgical advancement of the mandible, the suprahyoid muscle complex is stretched and even more so when the procedure is combined with surgical advancement of the chin. This retrospective comparative study determined the long-term skeletal stability of patients who had undergone surgical advancement of the mandible by means of BSSO with an advancement genioplasty, compared to those who had undergone mandibular advancement surgery (BSSO) without an advancement genioplasty. This study concluded that the postoperative hard tissue relapse following BSSO advancement, with or without genioplasty, was clinically insignificant. PMID:25592706

  6. Functional anatomy of the temporo-mandibular joint (II).

    PubMed

    Sava, Anca; Scutariu, Monica

    2012-01-01

    Jaw movement is analyzed as an action between two rigid components jointed together in a particular way, the movable mandible against the stabilized cranium. Opening and closing movements are symmetrical; that is, both sides of the cranio-mandibular articulation are making the same movements. Protrusive and retrusive movements may also be symmetrical. The mandibular muscles determine all the complicated postures and-movements of the jaw. Their behavior can be greatly clarified by restating certain fundamentals crucial to purposive muscular activity. The joint derives its arterial supply from the superficial temporal artery and the maxillary artery. Branches of the auriculo-temporal and masseteric nerves and postganglionic sympathetic nerves supply the tissues associated with the capsular ligament and the looser posterior bilaminar extension of the disc. PMID:23700914

  7. Treatment of displaced mandibular condylar fracture with botulinum toxin A.

    PubMed

    Akbay, Ercan; Cevik, Cengiz; Damlar, Ibrahim; Altan, Ahmet

    2014-04-01

    The aim of this case report is to discuss the effect on condylar reduction of botulinum toxin A treatment used in a child with displaced fracture at condylar neck of mandible. A 3-years old boy was admitted to our clinic for incomplete fracture of mandibular symphysis and displaced condylar fracture at the left side. An asymmetrical occlusal splint with intermaxillary fixation was used instead of open reduction and internal fixation because of incomplete fracture of symphysis and possible complications of condyle surgery. However, it was observed that condylar angulation persisted despite this procedure. Thus, botulinum toxin A was administered to masseter, temporalis and pterygoideus medialis muscles. At the end of first month, it was seen that mandibular condyle was almost completely recovered and that fusion was achieved. In conclusion, Botulinum A toxin injection aiming the suppression of masticatory muscle strength facilitates the reduction in the conservative management of displaced condyle in pediatric patients. PMID:24156980

  8. Free greater omental flap for treatment of mandibular osteoradionecrosis

    SciTech Connect

    Moran, W.J.; Panje, W.R.

    1987-04-01

    Osteoradionecrosis can involve the mandible following radical irradiation for treatment of oral cavity cancer. The radionecrosis of the mandible is often associated with severe intractable pain, local or extensive deformity, including pathologic fracture, orocutaneous fistula formation, and frequent loss of function. Treatment has ranged from analgesia and antibiotics to hyperbaric oxygen treatments to local or extensive sequestrectomies with partial or total mandibulectomy and restoration of tissue losses with unirradiated tissue. To our knowledge, this is the first report of the successful use of a free greater omental flap for immediate treatment of mandibular osteoradionecrosis and concomitant reconstruction. We found the omentum to be an excellent vascular bed that rapidly resolved the osteoradionecrosis and pain, promoted healing, and restored mandibular function with minimal discomfort to the patient.

  9. Transalveolar repositioning of an impacted immature permanent mandibular canine.

    PubMed

    Ozdemir-Ozenen, Didem; Guler, Nurhan; Sungurtekin-Ekci, Elif; Sandalli, Nuket

    2015-01-01

    The purpose of this case report is to discuss the four-year follow-up of a transalveolar transplantation of an impacted immature permanent mandibular left canine. A nine year-old-boy was referred to the dental school because of a mandibular swelling associated with the impacted canine. Under local anesthesia, the tooth was extracted and transplanted in its own space, followed by a two-week orthodontic fixation. The radiographic examination two months later revealed the presence of external inflammatory root resorption, which was treated with an apexification. The overall status of the transplanted tooth and the surrounding hard and soft tissues four years post-treatment indicates a successful outcome. PMID:25514261

  10. Conservative orthodontic treatment of mandibular bilateral condyle fracture.

    PubMed

    Gašpar, Goran; Brakus, Ivan; Kova?i?, Ivan

    2014-09-01

    Maxillofacial trauma is rare in children younger than the age of 5 years (range 0.6%-1.2%), and they can require different clinical treatment strategies compared with fractures in the adult population because of concerns regarding mandibular growth and development of dentition. A 5-year-old girl with a history of falling from a bicycle 7 hours earlier was referred to the department of oral and maxillofacial surgery. Multislice computed tomographic examination demonstrated a bilateral fracture of the mandibular condyle neck associated with minimal fracture of the alveolar ridge of the maxilla. The multislice computed tomographic scan also demonstrated dislocation on the right condyle neck and, on the left side, a medial inclination of approximately 45 degrees associated with greenstick fracture of the right parasymphysis region. In this particular case, orthodontic rubber elastics in combination with fixed orthodontic brackets provided good results in the treatment of bilateral condyle neck fractures associated with greenstick fracture of parasymphysis. PMID:25098573

  11. The relationship of tinnitus to craniocervical mandibular disorders.

    PubMed

    Gelb, H; Gelb, M L; Wagner, M L

    1997-04-01

    Patients with craniocervical mandibular (TMD) disorders can present with tinnitus as a primary or secondary complaint. The embryology and functional anatomy of the middle ear, temporomandibular joint, muscles of mastication and associated tendons, ligaments, blood vessels, nerves and lymphatics was found to be helpful in establishing etiologic concepts which relate tinnitus to these temporomandibular disorders. In addition to etiologic concepts, treatment modalities are described. The authors relate their experiences as well as those of others with different patient populations. PMID:9586516

  12. Extrusion of impacted mandibular second molar using removable appliance

    PubMed Central

    Karthikeyan, M. K.; Prabhakar, Ramachandran; Saravanan, R.; Vikram, N. Raj; Kumar, R. Vinoth; Prasath, R. Eshwara

    2014-01-01

    The purpose of this article is to review the principles of case management of impacted mandibular molars and to illustrate their potential to respond well to treatment. Although the scope of treatment may be influenced by the patient's age, past dental history, severity of impaction, dentoalveolar development, and root form, the case reports demonstrate the inherent potential for good treatment outcome even in the most unfavorable circumstances. PMID:25210378

  13. A Review of Mandibular Fractures in a Craniomaxillofacial Trauma Centre

    Microsoft Academic Search

    A G Tay; V K L Yeow; B K Tan; K Sng; M H S Huang; C L Foo

    This report is a retrospective review of 74 cases of mandibular fractures managed in a craniomaxillofacial trauma centre betwee n January 1994 and May 1998. Demographic data revealed that 85% of the patient population were male, with a mean age of 27.5 years. The commonest causes of injury were motor vehicle accidents (48.6%), followed by assault (16.2%) and accidental falls

  14. Chloride channels regulate chondrogenesis in chicken mandibular mesenchymal cells

    Microsoft Academic Search

    Meiyu Tian; Yinzhong Duan; Xiaohong Duan

    2010-01-01

    Voltage gated chloride channels (ClCs) play an important role in the regulation of intracellular pH and cell volume homeostasis. Mutations of these genes result in genetic diseases with abnormal bone deformation and body size, indicating that ClCs may have a role in chondrogenesis. In the present study, we isolated chicken mandibular mesenchymal cells (CMMC) from Hamburg–Hamilton (HH) stage 26 chick

  15. Rare, simultaneous, multiple, and recurrent mandibular bone cysts.

    PubMed

    Mupparapu, Muralidhar; Milles, Maano; Singer, Steven R; Rinaggio, Joseph

    2008-04-01

    Simple bone cysts, also referred to as traumatic bone cysts, are benign connective tissue-lined cavities occurring most commonly in young people. Most of the time, they occur as solitary radiolucencies. In the jaws, they also have been reported to occur concurrently with benign fibro-osseous lesions. The radiographic appearance of simple bone cysts could be confused with other jaw cysts and benign tumors. This case report presents a patient who had 3 separate lesions simultaneously within the mandible. The right mandibular lesion presented as a multilocular radiolucency. The 2 left mandibular lesions were periapical, with mixed radiodensities and radiographically mimicked lesions of focal or periapical cemento-osseous dysplasia. More aggressive benign lesions of the jaw were initially included in the differential diagnosis, as well. A biopsy revealed the diagnosis of simple bone cysts in all 3 locations. Minimal surgical management resulted in complete recovery of these osseous defects only to recur in 2 years on the mandibular left premolar-molar region. A new biopsy confirmed that the lesion was a recurrent simple bone cyst. Simultaneous presence of benign cemento-osseous dysplasia was also considered, as it is known to coexist with the simple bone cysts. PMID:19081903

  16. Papillary squamous cell carcinoma of the mandibular gingiva

    PubMed Central

    Terada, Tadashi

    2012-01-01

    Papillary squamous cell carcinoma (PSCC) has rarely been reported in the oral cavity. Herein reported is a case of PSCC in the mandibular gum. A 70-year-old man consulted our hospital because of a papillary tumor in the left mandibular gum. Physical examination revealed an exophytic papillary tumor of the left mandibular gum, and an excision of the tumor was performed. Grossly, the tumor was exophytic and papillary, and measured 1 x 1 x 0.8 cm. Microscopically, the tumor showed exophytic papillary proliferation with fibrovascular cores and consisted of atypical squamous epithelial cells. The tumor cells showed hyperchromasia, nuclear atypia, mitotic figures, apoptotic bodies, cancer pearls, and individual keratinization. Mild stromal invasion was seen. Immunohistochemically, the tumor cells were positive for pancytokeratin AE1/3, pancytokeratin CAM5.2, p63, p53, and Ki-67 (labeling index=40%), but negative for human papilloma virus (HPV). HPV in situ hybridization revealed no signals. Therefore, PSCC was diagnosed. The lateral and vertical margins are negative for tumor cell. The pathological diagnosis was PSCC. The patient was healthy and free from tumor three months after the operation. PMID:22977668

  17. The impact of a modified cutting flute implant design on osseointegration.

    PubMed

    Jimbo, R; Tovar, N; Marin, C; Teixeira, H S; Anchieta, R B; Silveira, L M; Janal, M N; Shibli, J A; Coelho, P G

    2014-07-01

    Information concerning the effects of the implant cutting flute design on initial stability and its influence on osseointegration in vivo is limited. This study evaluated the early effects of implants with a specific cutting flute design placed in the sheep mandible. Forty-eight dental implants with two different macro-geometries (24 with a specific cutting flute design - Blossom group; 24 with a self-tapping design - DT group) were inserted into the mandibular bodies of six sheep; the maximum insertion torque was recorded. Samples were retrieved and processed for histomorphometric analysis after 3 and 6 weeks. The mean insertion torque was lower for Blossom implants (P<0.001). No differences in histomorphometric results were observed between the groups. At 3 weeks, P=0.58 for bone-to-implant contact (BIC) and P=0.52 for bone area fraction occupied (BAFO); at 6 weeks, P=0.55 for BIC and P=0.45 for BAFO. While no histomorphometric differences were observed, ground sections showed different healing patterns between the implants, with better peri-implant bone organization around those with the specific cutting flute design (Blossom group). Implants with the modified cutting flute design had a significantly reduced insertion torque compared to the DT implants with a traditional cutting thread, and resulted in a different healing pattern. PMID:24583140

  18. Sexual dimorphism of the internal mandibular chamber in Fayum Pliohyracidae (Mammalia)

    USGS Publications Warehouse

    de Blieux, D.D.; Baumrind, M.R.; Simons, E.L.; Chatrath, P.S.; Meyer, G.E.; Attia, Y.S.

    2006-01-01

    An internal mandibular fenestra and chamber are found in many fossil hyracoids. The internal mandibular fenestra is located on the lingual surface of the mandibular corpus and opens into a chamber within the mandible. The mandibular chamber is maximally developed in late Eocene Thyrohyrax meyeri and early Oligocene Thyrohyrax domorictus from the Fayum Province of Egypt. The function of this chamber is unknown as it is not found in extant hyraxes, nor is it known to occur in any other mammal. In Thyrohyrax, this feature appears to be sexually dimorphic because it is confined to roughly one half of the specimens that otherwise cannot be separated by dental characteristics or measurements. It has been suggested that the chamber is found in females based on the presumed distribution of this character in other fossil hyracoids. Fossils from Fayum Quarry L-41, preserving the sexually dimorphic anterior dentition, show that, in Thyrohyrax meyeri and Thyrohyrax domorictus, the internal mandibular chamber is found in males. In Thyrohyrax litholagus, an internal mandibular fenestra and inflated mandibular chamber occurs in males whereas females show the variable presence of an internal mandibular fossa or fenestra but lack an expanded chamber. Other genera show differing patterns of sexual variation in which some Fayum hyracoids have an internal mandibular fenestra in both sexes but with the greatest development of the mandibular chamber occurring in males. We review functions proposed for the internal mandibular chamber and suggest that it housed a laryngeal air sac that may have had a vocal function by acting as a resonating chamber. ?? 2006 by the Society of Vertebrate Paleontology.

  19. FRACTURE OF ABUTMENT SCREW SUPPORTING A CEMENTED IMPLANT-RETAINED PROSTHESIS WITH EXTERNAL HEXAGON CONNECTION: A CASE REPORT WITH SEM EVALUATION

    PubMed Central

    Santos, Mariana Diniz Bisi; Pfeifer, Arthur Braga; Silva, Marcos Rogério Pupo; Sendyk, Claudio Luiz; Sendyk, WIlson Roberto

    2007-01-01

    One of the causes of implant failures in cemented implant-retained prostheses is the fracture of abutment screw or UCLA abutment. This article reports a case of simultaneous fracture of two UCLA abutments screws occurring in an implant-supported prosthesis placed in the mandibular molar region. The fractured structures were examined under scanning electron microscopy to investigate the probable causes of the failure, which were not related to failures on materials or fabrication of the screws, but rather were due to shear forces. The misfit in cemented prostheses may be the most likely cause of shear force generation. PMID:19089120

  20. Immediate Loading of One-Piece Implants in Conjunction with a Modified Technique of Inferior Alveolar Nerve Lateralization: 10 Years Follow-Up

    PubMed Central

    Eldibany, Riham; Rodriguez, Joaquin G.

    2014-01-01

    This report describes a treatment modification for a patient presented with severely resorbed bilateral edentulous posterior mandible and mobility of the anterior teeth. There was less than 8?mm of bone between the crest of the alveolar ridge and the mandibular canal as revealed by radiographic examination. A modified technique for inferior alveolar nerve lateralization (IANL) in conjunction with ridge expansion was performed using threaded bone expanders, which allowed for better primary stability and placing longer implants. A total of four postextraction implants were in the anterior region of the mandible. The mandible received a total of nine one-piece implants to allow for immediate nonfunctional loading. The definitive ceramometallic prosthesis was delivered 3 months postoperatively. The 10 years clinical and radiographic assessment showed minimal bone resorption around osseointegrated implants. One-piece implants showed great success rate and minimal bone resorption following the modified technique of IANL and immediate implantation. PMID:24624258

  1. Influence of cervical preflaring on determinationof apical file size in mandibular molars: SEM analysis

    Microsoft Academic Search

    Marcia da Silva Schmitz; Roberto Santos; Alexandre Capelli; Marcos Jacobovitz; Júlio César Emboava Spanó; Jesus Djalma Pécora

    2008-01-01

    This study investigated the influence of cervical preflaring with different rotary instruments on determination of the initial apical file (IAF) in mesiobuccal roots of mandibular molars. Fifty human mandibular molars whose mesial roots presented two clearly separated apical foramens (mesiobuccal and mesiolingual) were used. After standard access opening and removal of pulp tissue, the working length (WL) was determined at

  2. Orthognathic surgery versus orthodontic camouflage in the treatment of mandibular deficiency

    Microsoft Academic Search

    Myron R. Tucker

    1995-01-01

    Surgical correction of Class II malocclusions, when associated with mandibular deficiency, often has improved results with combined orthodontic and surgical correction compared with orthodontic treatment alone. Strong consideration of surgical correction of mandibular deficiency should be based on the following questions: 1.1) Do the patient's goals for treatment place a high priority on improvement in facial esthetics? As a corollary,

  3. A rare report of mandibular facial talon cusp and its management

    PubMed Central

    Nuvvula, Sivakumar; Gaddam, Kumar Raja; Jayachandra, Bhumireddy; Mallineni, Sreekanth Kumar

    2014-01-01

    Talon cusp is an uncommon dental anomaly showing morphologically well delineated, accessory cusp-like structure projecting from cingulum to the incisal edge of anterior teeth. This anomaly is rare in the mandibular dentition and rarer on the facial aspect. A case of this infrequent entity of mandibular facial talon cusp and its management is reported here. PMID:25298658

  4. Asymmetric muscle function in patients with developmental mandibular asymmetry.

    PubMed

    Dong, Y; Wang, X M; Wang, M Q; Widmalm, S E

    2008-01-01

    The aim was to test the hypothesis that developmental mandibular asymmetry is associated with increased asymmetry in muscle activity. Patients with mandibular condylar and/or ramus hyperplasia having unilateral cross-bite were compared with healthy subjects with normal occlusion. Muscle activity was recorded with surface electrodes in the masseter, suprahyoid, sternocleidomastoid muscle (SCM) and upper trapezius areas during jaw opening-closing-clenching, head-neck flexion-extension, and elevation-lowering of shoulders. Root mean square (RMS) and mean power frequency (MPF) values were calculated and analysed using anova and t-tests with P < 0.05 chosen as significance level. The SCM and masseter muscles showed co-activation during jaw and head movements, significantly more asymmetric in the patients than in the healthy subjects. The RMS and MPF values were higher in the patients than in the controls in the SCM and suprahyoid areas on both sides during jaw opening-closing movement. The results indicate that the ability to perform symmetric jaw and neck muscle activities is disturbed in patients with developmental mandibular asymmetry. This is of clinical interest because asymmetric activity may be an etiologic factor in temporomandibular joint and cervical pain. The results support that co-activation occurs between jaw and neck muscles during voluntary jaw opening and indicate that postural antigravity reflex activity occurs in the masseter area during head extension. Further studies, where EMG recordings are made from the DMA patients at early stages are motivated to verify activity sources and test if the asymmetric activity is associated with muscle and joint pain in the jaw and cervical areas. PMID:18190358

  5. Interaction of bone-dental implant with new ultra low modulus alloy using a numerical approach.

    PubMed

    Piotrowski, B; Baptista, A A; Patoor, E; Bravetti, P; Eberhardt, A; Laheurte, P

    2014-05-01

    Although mechanical stress is known as being a significant factor in bone remodeling, most implants are still made using materials that have a higher elastic stiffness than that of bones. Load transfer between the implant and the surrounding bones is much detrimental, and osteoporosis is often a consequence of such mechanical mismatch. The concept of mechanical biocompatibility has now been considered for more than a decade. However, it is limited by the choice of materials, mainly Ti-based alloys whose elastic properties are still too far from cortical bone. We have suggested using a bulk material in relation with the development of a new beta titanium-based alloy. Titanium is a much suitable biocompatible metal, and beta-titanium alloys such as metastable TiNb exhibit a very low apparent elastic modulus related to the presence of an orthorhombic martensite. The purpose of the present work has been to investigate the interaction that occurs between the dental implants and the cortical bone. 3D finite element models have been adopted to analyze the behavior of the bone-implant system depending on the elastic properties of the implant, different types of implant geometry, friction force, and loading condition. The geometry of the bone has been adopted from a mandibular incisor and the surrounding bone. Occlusal static forces have been applied to the implants, and their effects on the bone-metal implant interface region have been assessed and compared with a cortical bone/bone implant configuration. This work has shown that the low modulus implant induces a stress distribution closer to the actual physiological phenomenon, together with a better stress jump along the bone implant interface, regardless of the implant design. PMID:24656363

  6. Endodontic Treatment of a Mandibular Second Premolar with Type IV Wiene's Root Canal: A Case Report

    PubMed Central

    Chalil, Noushad Matavan; Kini, Shravan; Jose, Sunil; Narayanan, Arun; Salahudeen, Shahnas; Peedikayil, Faizal C.

    2014-01-01

    This case report describes an endodontic treatment of a mandibular second premolar with type IV root canal. A 26-year-old male patient reported pain in right mandibular second premolar. Clinical examination showed a large carious lesion with pulp exposure. Radiographs showed minimal periapical changes and slight widening of periodontal ligament space. Mandibular second premolars usually have one canal. The mandibular second premolar may present large number of anatomic variations. The clinician should be aware of the configuration of the pulp system. This case presents the diagnosis and clinical management of a mandibular second premolar with two distinct canals in the apical third of root (Type IV Wiene's canal configuration), drawing particular attention to tactile examination of all the canal walls and obturating it with calamus 3D obturation system. PMID:24711930

  7. Endodontic Treatment of a Mandibular Second Premolar with Type IV Wiene's Root Canal: A Case Report.

    PubMed

    Chalil, Noushad Matavan; Kini, Shravan; Jose, Sunil; Narayanan, Arun; Salahudeen, Shahnas; Peedikayil, Faizal C

    2014-01-01

    This case report describes an endodontic treatment of a mandibular second premolar with type IV root canal. A 26-year-old male patient reported pain in right mandibular second premolar. Clinical examination showed a large carious lesion with pulp exposure. Radiographs showed minimal periapical changes and slight widening of periodontal ligament space. Mandibular second premolars usually have one canal. The mandibular second premolar may present large number of anatomic variations. The clinician should be aware of the configuration of the pulp system. This case presents the diagnosis and clinical management of a mandibular second premolar with two distinct canals in the apical third of root (Type IV Wiene's canal configuration), drawing particular attention to tactile examination of all the canal walls and obturating it with calamus 3D obturation system. PMID:24711930

  8. Treatment of Ectopic Mandibular Second Permanent Molar with Elastic Separators

    PubMed Central

    Rajesh, R.; Naveen, V.; Amit, S.; Baroudi, Kusai; Sampath Reddy, C.; Namineni, Srinivas

    2014-01-01

    Ectopic eruption is a developmental disturbance in which the tooth fails to follow its normal eruption pathway. Ectopic eruption of the second molar is relatively rare. This paper presents the case of thirteen-year-old male with an ectopic mandibular second permanent molar. The condition was corrected with surgical exposure and placement of elastic separators. This case report lays emphasis on the practice of basic methods to obtain acceptable results rather than extensive surgical or orthodontic corrections. It is advised that ectopic teeth should not be neglected especially when it concerns developing caries and malocclusion. PMID:25050182

  9. Unilateral single-rooted primary mandibular first molar.

    PubMed

    Chaudhari, Purva; Mallikarjuna, Rachappa; Swadas, Milan; Dave, Bhavna

    2013-01-01

    A 4-year-old boy reported food lodgement and pain in the lower left back tooth region. On examination, a deeply carious tooth with food lodgement was seen. On oral examination, numbers of teeth were found to be carious and required restorations and endodontic treatments according to radiographic evaluation. Radiograph of mandibular left first deciduous molar revealed an unusual morphology of root. It was single-rooted and presented with Vertucci's class I canal. The tooth was treated by pulpectomy followed by a stainless steel crown. All other carious teeth were treated as planned. PMID:23893279

  10. Unilateral single-rooted primary mandibular first molar

    PubMed Central

    Chaudhari, Purva; Mallikarjuna, Rachappa; Swadas, Milan; Dave, Bhavna

    2013-01-01

    A 4-year-old boy reported food lodgement and pain in the lower left back tooth region. On examination, a deeply carious tooth with food lodgement was seen. On oral examination, numbers of teeth were found to be carious and required restorations and endodontic treatments according to radiographic evaluation. Radiograph of mandibular left first deciduous molar revealed an unusual morphology of root. It was single-rooted and presented with Vertucci's class I canal. The tooth was treated by pulpectomy followed by a stainless steel crown. All other carious teeth were treated as planned. PMID:23893279

  11. The retromandibular transparotid approach to mandibular subcondylar fractures.

    PubMed

    Yang, L; Patil, P M

    2012-04-01

    The aim of this study was to evaluate the safety, utility and morbidity associated with the treatment of mandibular subcondylar fractures using the retromandibular transparotid approach and to evaluate the stability of a single 2mm miniplate fixation system for such fractures. Forty-two cases with 48 mandibular subcondylar fractures were analysed prospectively for 12 months and evaluated for functional results, scar, postoperative complications and stability of fixation. There were three cases of suboptimal occlusal status, two cases of haematoma that were drained and resolved, eight patients with facial nerve weakness which resolved in a few weeks, and three cases of salivary fistulae that resolved after treatment. All cases showed stable osteosyntheses. Maximal postoperative interincisal distance was 32-61 mm (mean 44 mm). Four patients had deflection on opening, while clicking on opening or chewing was observed in five patients. The postoperative scars were well accepted by all patients. The results of this study suggest that a retromandibular approach will facilitate accurate reduction and fixation of subcondylar fragments with a good cosmetic result and minimal complications. A single 2 mm miniplate fixation provides stable results. PMID:22169168

  12. The use of mandibular body distraction in hemifacial microsomia

    PubMed Central

    Sakamoto, Yoshiaki; Nakajima, Hideo; Ogata, Hisao; Kishi, Kazuo

    2013-01-01

    Objective: The goals of treatment for hemifacial microsomia include horizontalization of occlusal plane and acquisition of facial symmetry. Although horizontalization of occlusal plane can be easily achieved, facial symmetry, particularly in relation to mandibular contour, can be difficult to attain. Soft tissue is generally reconstructed to correct facial asymmetry, and no studies have described correction of facial asymmetry through skeletal reconstruction. Case: A 12-year-old girl presented with grade IIb right-sided hemifacial microsomia. She was treated using Nakajima's angle-variable internal distraction (NAVID) system for mandibular body distraction. Results: Following treatment, appropriate facial symmetry was achieved, and the patient was extremely satisfied with the results. Conclusions: Thus, we successfully treated the present patient by our novel method involving distraction osteogenesis. This method was effective and useful for several reasons including; the changes were not accompanied by postoperative tissue absorption, donor sites were not involved, and the treatment outcome could be reevaluated by adjusting distraction while the patient's appearance was being remodeled. PMID:24205479

  13. Mandibular fossa morphology in the Ngandong and Sambungmacan fossil hominids.

    PubMed

    Durband, Arthur C

    2008-10-01

    There has been debate in recent years concerning the significance of the mandibular fossa morphology in the Ngandong and Sambungmacan hominids. These fossils lack a postglenoid process and their squamotympanic fissure runs along the apex of the fossa for its entire length. This configuration differs from that seen in other fossil and modern humans, which have a prominent postglenoid process and a squamotympanic fissure that takes a more posterior course that does not lie in the apex of the fossa. Some recent studies have suggested that the Ngandong and Sambungmacan hominids are not unique in their expression of these characteristics, and that they can also be found in other fossil crania from Africa and Indonesia. The present study reexamines these morphologies in an effort to better understand their distribution in the hominid fossil record. The results confirm that the lack of a prominent postglenoid process in combination with a squamotympanic fissure that lies wholly in the apex of the mandibular fossa along its entire length is indeed autapomorphic for the Ngandong and Sambungmacan fossils. This finding, in conjunction with work on other nonmetric features in these hominids, suggests that at least two hominid morphs, possibly representing separate species, were present on Java during the Pleistocene. In addition, if this apparent autapomorphy is confirmed, then it is also unlikely that the Ngandong hominids contributed to the gene pool of modern humans. PMID:18521904

  14. Mandibular fractures treated with maxillomandibular fixation screws (MMFS method).

    PubMed

    Imazawa, Takashi; Komuro, Yuzo; Inoue, Masahiro; Yanai, Akira

    2006-05-01

    The purpose of the treatment of mandibular fractures is to restore proper dental occlusion and stable temporomandibular joint movement, as well as the reduction of the displaced fracture. Consideration must be given to the selection of the most appropriate surgical and rehabilitation methods in such patients. Typical surgical methods for the treatment of mandibular fractures include the arch bar method or plating at the location of the fracture combined with fixing the mandible to the maxilla using the arch bar method. However arch bars and circumdental wires, which require teeth for fixation, damage teeth and periodontal tissue, and tend to be uncomfortable for patients during the fixation period. Moreover, daily maintenance of oral hygiene is difficult for patients with an arch bar. Surgeons are also exposed to the risk of blood-transmitted diseases through skin punctures by wires when affixing these devices. For these reasons, we chose to study the potential of the MMFS method, which is thought to lessen all of the following problems: tissue damage, operating time, patient discomfort, and possible exposure to percutaneous infectious disease due to puncture of gloves and skin by the wires. We demonstrated the utility of the MMFS method in the present study. PMID:16770195

  15. Primary B-lymphoblastic lymphoma of gallbladder involving mandibular bone.

    PubMed

    Kim, Hee-Jun; Lee, Tae Jin; Choi, Yoo Shin

    2014-06-01

    We report the case of a 75-year-old man who presented for evaluation of painless hematuria persisting for more than 1 month. At the time of presentation, the patient did not report any systemic symptoms and had no fever, weight loss, or dysuria. Computed tomography showed several enhancing, sessile polyps in the gall bladder (1.5 cm or smaller). There was no associated stone or biliary dilation. Since no other abnormality was evident, we performed laparoscopic cholecystectomy. He was diagnosed as having B-cell lymphoblastic lymphoma (B-LBL) after surgical resection of the gall bladder (GB). As the left mandibular swelling was developed after the diagnosis of the B-LBL involving GB, facial magnetic resonance imaging (MRI) was added to the imaging scan. Facial MRI revealed mass formation in the left mandible, left medial pterygoid, masticator, and buccinator muscles. The biopsy samples from the mandibular bone were also diagnosed as B-LBL. The definitive pathological diagnosis was B-LBL, stage IV. Systemic chemotherapy was done with subsequent response in size of the left mandible mass. PMID:24789124

  16. Incidence of mandibular fractures in Eastern part of Libya.

    PubMed

    Elgehani, Rafa-Abdelsalam; Orafi, Maraai-Idris

    2009-10-01

    The objective of this retrospective study is to evaluate the incidence of mandibular fractures in the eastern part of Libya and to present our experience in treating this type of facial fracture. We analyzed factors such as the incidence of age, sex, time distribution, cause and site of the fracture and the associated injuries in 493 patients presenting a total of 666 mandibular fractures. These patients were treated at Al-Jala Trauma Hospital, Benghazi-Libya between 2000 and 2006. The results were obtained from 432 males and 61 females, for which the ages ranged from 8 months to 72 years. The maximum number of the patients was recorded in 2004, and the busiest month was May. The most common cause of fracture was road traffic accidents and the most common site was the parasymphysis. Among those treated with closed reduction were 241 patients, whereas 201 patients were treated with open reduction. In conclusion, we found that the results were similar to most studies from developing countries and were in contrast to other studies. This may be due factors such as geography, socioeconomic trends, religion, road traffic legislation and seasons, which differ from one country to another. The period during which there was an embargo in Libya also appears to have affected the results. PMID:19680213

  17. [Biomaterials in cochlear implants].

    PubMed

    Stöver, T; Lenarz, T

    2009-05-01

    Cochlear implants (CI) represent the "gold standard" for the treatment of congenitally deaf children and postlingually deafened adults. Thus, cochlear implantation is a success story of new bionic prosthesis development. Owing to routine application of cochlear implants in adults but also in very young children (below the age of one), high demands are placed on the implants. This is especially true for biocompatibility aspects of surface materials of implant parts which are in contact with the human body. In addition, there are various mechanical requirements which certain components of the implants must fulfil, such as flexibility of the electrode array and mechanical resistance of the implant housing. Due to the close contact of the implant to the middle ear mucosa and because the electrode array is positioned in the perilymphatic space via cochleostomy, there is a potential risk of bacterial transferral along the electrode array into the cochlea. Various requirements that have to be fulfilled by cochlear implants, such as biocompatibility, electrode micromechanics, and although a very high level of technical standards has been carried out there is still demand for the improvement of implants as well as of the materials used for manufacturing, ultimately leading to increased implant performance. General considerations of material aspects related to cochlear implants as well as potential future perspectives of implant development will be discussed. PMID:19353453

  18. Mandibular ramus: An indicator for sex determination - A digital radiographic study

    PubMed Central

    Indira, Annamalai Ponnuswamy; Markande, Archana; David, Maria P

    2012-01-01

    Background: The identification of skeletal remains is of paramount importance in medico-legal investigations. The skeletal components most often investigated for gender determination are the pelvis and skull, with the mandible being a practical element to analyze sexual dimorphism in the fragmented bones. Presence of a dense layer of compact bone makes it very durable and well preserved than many other bones. Mandibular ramus can be used to differentiate between sexes and it also expresses strong univariate sexual dimorphism. When skeleton sex determination is considered, metric analyses on the radiographs are often found to be of superior value owing to their objectivity, accuracy, and reproducibility. Aims and Objectives: (1) To measure, compare, and evaluate the various measurements of mandibular ramus as observed on orthopantomographs. (2) To assess the usefulness of mandibular ramus as an aid in sex determination. Materials and Methods: A retrospective study was conducted using orthopantomographs of 50 males and 50 females, which were taken using Kodak 8000C Digital Panoramic and Cephalometric System (73 kVp, 12 mA, 13.9 s). Mandibular ramus measurements were carried out using Master View 3.0 software. The measurements of the mandibular ramus were subjected to discriminant function analysis. Results: We observed each variable of the mandibular ramus to be a significant predictor in classifying a given sample (P < 0.001). Conclusion: This study on mandibular ramus measurements using orthopantomograph shows strong evidence suggesting that the ramus can be used for gender determination for forensic analysis. PMID:23741142

  19. A no bleed implant

    Microsoft Academic Search

    Robert A. Ersek; Jose Alberto Navarro; Dora Zsofia Nemeth; George Sas

    1993-01-01

    Breast implants have evolved from the original saline-filled, smooth-surfaced silicone rubber bag to silicone gel-filled smooth-walled sacs to a combination of a silicone gel-filled bag within a saline-filled sac, and, most recently, a reversed, double-lumen implant with a saline bag inside of a gel-filled bag. Texture-surfaced implants were first used in 1970 when the standard silicone gelfilled implant was covered

  20. Bone regeneration with self-assembling peptide nanofiber scaffolds in tissue engineering for osseointegration of dental implants.

    PubMed

    Kohgo, Tomoyuki; Yamada, Yoichi; Ito, Kenji; Yajima, Akihiro; Yoshimi, Ryoko; Okabe, Kazuto; Baba, Shunsuke; Ueda, Minoru

    2011-01-01

    The aim of this study was to evaluate the correlation between the osseointegration of dental implants and tissue-engineered bone using a nanofiber scaffold, PuraMatrix (PM). The first molar and all premolars in the mandibular regions of dogs were extracted, and three bone defects were prepared with a trephine bur on both sides of the mandible after 4 weeks. The experimental groups were as follows: (1) PM, (2) PM and dog mesenchymal stem cells (dMSCs), (3) PM, dMSCs, and platelet-rich plasma, and (4) control (defect only). Implants were placed in the prepared areas 8 weeks later and were assessed by histologic and histomorphometric analyses (bone-to-implant contact [BIC]). The BICs for groups 1, 2, 3, and 4 were 40.77%, 50.35%, 55.64%, and 30.57%, respectively. The findings indicate that PM may be useful as a scaffold for bone regeneration around dental implants. PMID:21837298

  1. Cochlear Implants for Children.

    ERIC Educational Resources Information Center

    Hasenstab, M. Suzanne; Laughton, Joan

    1991-01-01

    The use of cochlear implants in children with profound bilateral hearing loss is discussed, focusing on how a cochlear implant works; steps in a cochlear implant program (evaluation, surgery, programing, and training); and rehabilitation procedures involved in auditory development and speech development. (JDD)

  2. Treating dental crowding with mandibular incisor extraction in an Angle Class I patient.

    PubMed

    Machado, Gislana Braga

    2015-01-01

    Mandibular dental crowding often encourages patients to seek orthodontic treatment. The orthodontist should decide between protrusion of incisors or decrease in dental volume so as to achieve proper alignment and leveling. The present study reports the treatment of an Angle Class I malocclusion adolescent female brachyfacial patient with severe mandibular dental crowding, increased curve of Spee and deep overbite. The patient was treated with extraction of a mandibular incisor. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) as a requirement for the title of certified by the BBO. PMID:26154463

  3. The effect of human amniotic fluid on mandibular distraction osteogenesis.

    PubMed

    Gokce, S M; Karacayli, U; Nalcaci, R; Avunduk, M C; Özgöçmen, M; Karasahin, E; Gokce, H S

    2015-03-01

    The aim of this study was to evaluate the effects of local administration of human amniotic fluid (HAF) on newly formed bone obtained by mandibular distraction osteogenesis (DO) with histomorphometry. A unilateral mandibular osteotomy at the left corpus was performed in 32 adult male rabbits. After a 5-day latency period, the left mandibles were lengthened by mandibular DO over 5 days, at a rate of 1mm/day, via a custom-made distractor. After the distraction, the rabbits were divided randomly into four groups: 0.3 ml HAF was injected into the distraction gap followed by 21 (group 1) or 45 (group 2) days of consolidation; or 0.3 ml normal saline (NS) was administered followed by 21 (group 3) or 45 (group 4) days of consolidation. Mandibles were removed at the end of the consolidation period and investigated histomorphometrically. The newly formed bone area (NFBA) and number of fibroblasts increased significantly in the HAF groups compared to the NS groups (NFBA: group 1 vs. group 3, P<0.05; group 2 vs. group 4, P<0.01; fibroblasts: group 1 vs. group 3, and group 2 vs. group 4, P<0.05), and also in both 45-day consolidation groups compared to the 21-day consolidation groups (NFBA: group 1 vs. group 2, and group 3 vs. group 4, P<0.001; fibroblasts: group 1 vs. group 2, and group 3 vs. group 4, P<0.01). Additionally, the numbers of osteoblasts and capillaries were increased significantly at 45 days of consolidation compared to 21 days in both the HAF and NS groups (osteoblasts: group 1 vs. group 2, P<0.01; group 3 vs. group 4, P<0.05; capillaries: group 1 vs. group 2, and group 3 vs. group 4, P<0.01). Histomorphometric analysis demonstrated that local HAF administration effectively accelerated bone formation. Thus, a HAF injection procedure could improve new bone formation around the bone in maxillofacial operations such as DO. PMID:25457823

  4. Mandibular osteomyelitis due to Pseudomonas aeruginosa. Case report.

    PubMed

    Pappalardo, S; Tanteri, L; Brutto, D; Marescalco, M; Carlino, V; Consolo, G; Mauro, M; Cappello, V

    2008-06-01

    Osteomyelitis is a relatively frequent bacterial infection of the jaw bones. This report describes a case of mandibular osteomyelitis in a surgical site after enucleation of a follicular cyst and extraction of the associated tooth. This case is unusual because maxillary osteomyelitis generally results from polymicrobial infection. In our patient, however, laboratory analysis identified Pseudomonas aeruginosa as the etiologic agent, an opportunistic pathogen normally found on moist surfaces and vegetation. Notorious for its antibiotic multiresistance, P. aeruginosa is increasingly recognized as a serious problem in hospitalized patients. Isolation of the responsible microbe permitted specific antibiotic treatment with a 10-day course of ciprofloxacin (250 mg/12 h), which fully cleared the infection. PMID:18617880

  5. [Orthognathic mandibular osteotomy and condyle positioning: update and innovation].

    PubMed

    Laurentjoye, Mathieu; Charton, Jérôme; Boileau, Marie-José

    2015-03-01

    The temporomandibular joints function in synergy with the dental occlusion within the manducatory system. Orthodontists and surgeons must take into account the condylar position since any problem related to positioning of the condyle could result in occlusal disorders including relapse and the risk of occurrence, decompensation or worsening of temporomandibular dysfunction. We wanted to answer three questions: What is the position of the condyle following orthognathic surgery? What benefit is there in repositioning the condyle? What means are available to check condylar position? Finally, in the light of the answers, we describe an innovative occlusal and condylar positioning device for mandibular osteotomies based on computer-assisted surgical planning techniques. It consists of a three-dimensional, printed guide enabling surgeons to position the condyles as desired. It is accurate, simple, reproducible, independent of operator experience as well as rapid and economical. PMID:25888044

  6. MultiModality Surgical and Hyperbaric Management of Mandibular Osteoradionecrosis

    SciTech Connect

    Freiberger, John J., E-mail: freib002@mc.duke.ed [Department of Anesthesiology, Duke University Medical Center, Durham, NC (United States); Center for Hyperbaric Medicine and Environmental Physiology, Duke University Medical Center, Durham, NC (United States); Yoo, David S. [Department of Radiation Oncology, Duke University Medical Center, Durham, NC (United States); Lisle Dear, Guy de [Department of Anesthesiology, Duke University Medical Center, Durham, NC (United States); Center for Hyperbaric Medicine and Environmental Physiology, Duke University Medical Center, Durham, NC (United States); McGraw, Thomas A. [Department of Oral and Maxillofacial Surgery, Duke University Medical Center, Durham, NC (United States); Blakey, George H. [Department of Radiation Oncology, Duke University Medical Center, Durham, NC (United States); Department of Oral and Maxillofacial Surgery, School of Dentistry, University of North Carolina, Chapel Hill, NC (United States); Padilla Burgos, Rebecca; Kraft, Kevin [Department of Anesthesiology, Duke University Medical Center, Durham, NC (United States); Center for Hyperbaric Medicine and Environmental Physiology, Duke University Medical Center, Durham, NC (United States); Nelson, John W. [Department of Radiation Oncology, Duke University Medical Center, Durham, NC (United States); Moon, Richard E. [Department of Anesthesiology, Duke University Medical Center, Durham, NC (United States); Center for Hyperbaric Medicine and Environmental Physiology, Duke University Medical Center, Durham, NC (United States); Piantadosi, Claude A. [Department of Anesthesiology, Duke University Medical Center, Durham, NC (United States); Center for Hyperbaric Medicine and Environmental Physiology, Duke University Medical Center, Durham, NC (United States); Department of Medicine, Duke University Medical Center, Durham, NC (United States)

    2009-11-01

    Purpose: To elucidate long-term outcomes in 65 consecutive patients meeting a uniform definition of mandibular osteoradionecrosis (ORN) treated with multimodality therapy including hyperbaric oxygen (HBO). Methods and Materials: Pretreatment, post-treatment and long-term follow-up of mandibular lesions with exposed bone were ranked by a systematic review of medical records and patient telephone calls. The ranking system was based on lesion diameter and number plus disease progression. Changes from pretreatment to post-treatment and follow-up were analyzed by Wilcoxon signed-rank tests. Improved wound survival, measured by time to relapse, defined as any less favorable rank after HBO treatment, was assessed by Kaplan-Meier analysis. Results: In all, 57 cases (88%) resolved or improved by lesion grade or progression and evolution criteria after HBO (p < 0.001). Four patients healed before surgery after HBO alone. Of 57 patients who experienced improvement, 41 had failed previous nonmultimodality therapy for 3 months and 26 for 6 months or more. A total of 43 patients were eligible for time-to-relapse survival analysis. Healing or improvement lasted a mean duration of 86.1 months (95% confidence interval [95% CI], 64.0-108.2) in nonsmokers (n = 20) vs. 15.8 months (95% CI, 8.4-23.2) in smokers (n = 14) versus 24.2 months (95% CI, 15.2-33.2) in patients with recurrent cancer (n = 9) (p = 0.002 by the log-rank method). Conclusions: Multimodality therapy using HBO is effective for ORN when less intensive therapies have failed. Although the healing rate in similarly affected patients not treated with HBO is unknown, the improvements seen with peri-operative HBO were durable provided that the patients remained cancer free and abstained from smoking.

  7. Central chondrosarcoma of a pediatric mandibular condyle: A case report and review

    PubMed Central

    Kumar Reddy, D. Sathya; Kishore Kumar, R. V.; Gali, Rajasekhar; Kannubaddy, Sridhar Reddy; Rao, Mallikarjuna; Akheel, Mohammad

    2014-01-01

    Chondrosarcoma of mandibular condyle is an extremely rare clinical entity with only 18 cases reported till date. We report a rare case of central myxoid chondrosarcoma in a 7 year old male child with a complaint of slow growing bony hard swelling of left mandibular condyle. Panoramic radiography and CT scan revealed a 5×3cm osteosclerotic and osteolytic lesion with cortical perforation on the medial side of the left mandibular condyle with a cortical expansion of lateral side. Segmental mandibulectomy with disarticulation of the left condyle was done. To the best of our knowledge it is the first case of chondrosarcoma of the paediatric mandibular condyle to be reported. The etiopathogenesis, clinical, radiological diagnosis and various treatment modalities of chondrosarcoma are discussed PMID:24987606

  8. Massive Lingual and Sublingual Haematoma following Postextractive Flapless Implant Placement in the Anterior Mandible

    PubMed Central

    Limongelli, Luisa; Crincoli, Vito

    2015-01-01

    Dental implants placement in the anterior mandible with flap or flapless technique is a routine procedure and is considered to be safe. However, serious life-threatening complications may occur. We report the first case of massive lingual and sublingual haematoma following postextractive implant placement in the anterior mandible with flapless technique. A 45-year-old female patient underwent placement of four immediately postextractive implants in the anterior mandible using flapless technique. During the procedure, the patient referred intense acute pain and worsening sign of airway obstruction, dysphagia, dyspnea, and speech difficulties. Bimanual compression of the mouth floor, lingual surface of the mandible, and submental skin was maintained for approximately 25 minutes in order to stop the bleeding. Computerized tomography highlighted the massive lingual and sublingual haematoma. The symptoms and signs had almost completely resolved in the next 48 hours. The prevention of these complications is mandatory with clinical and CT analyses, in order to highlight mandibular atrophy and to select carefully the correct length and angulation of bone drilling and to keep more attention to the flapless technique considering the elevation of a lingual mucoperiosteal flap to access the mandibular contour intraoperatively and to protect the sublingual soft tissues and vasculature in high risk cases. PMID:26075110

  9. Treatment of Two Canals in All Mandibular Incisor Teeth in the Same Patient

    PubMed Central

    Kokane, Vandana B.; Patil, Swapnil N.; Gunwal, Mohit K.; Kubde, Rajesh; Atre, Swaraj

    2014-01-01

    The main reason for unfavourable outcome in endodontic treatment of mandibular incisor is the inability to detect the presence of second canal. Pain even after extirpation of complete pulp tissue from root canal of vital teeth is the main indication of hidden canals. The present case report is also on pain because of another neglected canal in all mandibular incisors in the same patient. PMID:25478246

  10. Vertical Skeletal and Facial Profile Changes after Surgical Correction of Mandibular Prognathism

    Microsoft Academic Search

    Yueh-Tse Lee; Min-Chin Chen; Huei-Lin Chen; Chou Bing Wu

    Background: Mandibular prognathism is often corrected by surgical orthodontics. Correction of the sagittal facial profile has received wide attention. However, vertical changes remained undefined and thus, were investigated. Methods: Subjects included 18 patients with mandibular prognathism who had surgical correction (S group, mean age: 20.1± 3.2 years) and 18 patients with Class I malocclusion (C group, mean age: 21.2± 3.6

  11. Implant Supported Distal Extension over Denture Retained by Two Types of Attachments. A Comparative Radiographic Study by Cone Beam Computed Tomography

    PubMed Central

    Mahrous, Ahmed I; Aldawash, Hussien A; Soliman, Tarek A; Banasr, Fahad H; Abdelwahed, Ahmed

    2015-01-01

    Background: This study was conducted to compare and evaluate the effect of two different attachments (locator attachment and ball and socket [B&S] attachment) on implants and natural abutments supporting structures, in cases of limited inter-arch spaces in mandibular Kennedy Class I implant supported removable partial over dentures by measuring the bone height changes through the cone beam radiographic technology. Materials and Methods: Two implants were positioned in the first or second molar area following the two-stage surgical protocol. Two equal groups were divided ten for each: Group I: Sides were the placed implants restored by the locator attachment. Group II: The other sides, implants were restored by B&S attachment. Evaluation of the implants and main abutments supporting structures of each group was done at the time of removable partial over denture insertion, 6, 12 and 18 months by measuring the bone height changes using cone beam computed tomography. Results: Implants with locator attachment showed marginal bone height better effects on implants and main abutments supporting structures. Conclusion: Implants restored by locator attachment shows better effects on bone of both main natural abutments and implant than those restored with ball and socket. PMID:26028894

  12. TRANSMIGRATION OF MANDIBULAR SECOND PREMOLAR IN A PATIENT WITH CLEFT LIP AND PALATE – CASE REPORT

    PubMed Central

    Alves, Daniel Berretta Moreira; Pedrosa, Ésio Fortaleza Nascimento Chaves; Andreo, Jesus Carlos; de Carvalho, Izabel Maria Marchi; Rodrigues, Antonio de Castro

    2008-01-01

    Disturbances involving abnormalities in tooth eruption are named ectopia. Transmigration is the name assigned to ectopia in the presence of teeth in areas distant from the alveolar process. Initial angulation of the tooth bud of the second premolar and premature loss of permanent mandibular 1st molars can influence the distal migration of the second premolar. Some studies have observed that ectopic teeth can be found in a variety of places around the oral cavity and also in other areas of the human body. There are records of teeth in the maxillary sinus, mandibular condyle, coronoid process, mandibular angle, orbit, palate, mentum and also the skin. The prevalence of tooth abnormalities is higher in children with cleft lip and palate compared to children without clefts. This paper presents a case report of migration of the mandibular left second premolar in a patient attending the Hospital for Rehabilitation of Craniofacial Anomalies of the University of São Paulo (HRAC/USP), Brazil. Migration of the mandibular left 2nd premolar was confirmed by 8 panoramic and 1 periapical radiographs obtained during patient's treatment between 1978 and 2002, which were available in the files of the Department of Dental Radiology of HRAC/USP. It can be assumed that distal migration of the mandibular left 2nd premolar is not associated with presence of cleft lip and palate; observation of these two events in a same patient is rare, since no similar reported cases were found in the literature. PMID:19089235

  13. The Influence of a Mandibular Advancement Plate on Polysomnography in Different Grades of Obstructive Sleep Apnea

    PubMed Central

    Mattila, Pauli; Huuskonen, Usko; Oikarinen, Kyösti; Sándor, George K.

    2015-01-01

    ABSTRACT Objectives The purpose of this study was to investigate the effect of a mandibular advancement device on different grades of obstructive sleep apnea using a relatively simple test for the apnea-hypopnea index to determine if a mandibular device will be effective. Material and Methods A total of 68 patients with obstructive sleep apnea syndrome (OSAS) including, 31 with mild, 23 with moderate and 14 with severe OSAS were treated with a mandibular advancement device (MAD) and monitored with polysomnography. Results 25 of the 31 mild, 15 of the 23 moderate and 2 of the 14 severe OSAS patients were cured of their OSAS if a post treatment apnea-hypopnea index of less than 5 is regarded as cured. The odds ratios for success with MAD therapy are 3 for women over men, 14.9 for mild obstructive sleep apnea, 5.42 for moderate obstructive sleep apnea if severe obstructive sleep apnea is assigned an odds ratio of 1. Conclusions The use of the apnea-hypopnea index alone is useful in mild and moderate disease to predict the effectiveness of mandibular advancement device. Treatment with a mandibular advancement device is very effective in treating mild and moderate obstructive sleep apnea. Conservative treatment with a mandibular advancement device can be successful in less severe grades of sleep apnea and may be an alternative for non-surgical patients with severe obstructive sleep apnea intolerant of Continuous Positive Airway Pressure management. PMID:25937875

  14. [Development of a computerized three-dimension system for displaying and analyzing mandibular helical axis pathways].

    PubMed

    Chen, Li; Zhang, Hao; Feng, Hailan; Zhang, Fengjun

    2014-12-01

    This paper is aimed to develop a computerized three dimensional system for displaying and analyzing mandibular helical axis pathways. Mandibular movements were recorded using a six-degrees-of-freedom ultrasonic jaw movement recording device. The three-dimensional digital models of the midface and the mandible were reconstructed and segmented from CT skull images. The digital models were then transformed to the coordinate system of mandibular motion data by using an optical measuring system. The system was programmed on the base of the Visualization ToolKit and Open Scene Graphics Library. According to the motion data, transformation matrices were calculated to simulate mandibular movements. Meanwhile, mandibular helical axis pathways were calculated and displayed three dimensionally by means of an eigenvalues method. The following parameters of mandibular helical axis were calculated: the rotation around instantaneous helical axis, the translation along it, its spatial orientation, its position and distance relative to any special reference point. These parameters could be exported to describe comprehensively the whole mandiblular movements. It could be concluded that our system would contribute to the study of mandiblular helical axis pathways. PMID:25868236

  15. Enlargement of mandibular canal without hypesthesia caused by extranodal non-Hodgkin’s lymphomaA case report

    Microsoft Academic Search

    Tetsushi Yamada; Yoshimasa Kitagawa; Toshiyuki Ogasawara; Sachiko Yamamoto; Yasuo Ishii; Yoshimasa Urasaki

    2000-01-01

    A rare condition of enlargement of the mandibular canal caused by an extra-nodal non-Hodgkin’s lymphoma in a 59-year-old Japanese woman was reported. The patient had a swelling of the hard palate and protrusion of both ocular bulbs, which had been present for 10 years. A panoramic radiograph revealed that the right mandibular canal was widely enlarged, extending from the mandibular

  16. Guided tissue regeneration around dental implants in immediate extraction sockets: comparison of resorbable and nonresorbable membranes.

    PubMed

    Mao, C; Sato, J; Matsuura, M; Seto, K

    1997-09-01

    This study was performed to compare the efficacy of guided tissue regeneration (GTR) around dental implants immediately placed into extraction sockets by resorbable of nonresorbable membranes. Mandibular P2, P3, and P4 of four adult beagle dogs were extracted bilaterally, and buccal standard defects were created and measured. Eighteen commercially pure titanium Steri-Oss implant fixtures were placed into the fresh extraction sockets. Four implants were untreated controls, four implants received polytetrafluoroethylene (e-PTFE, Gore-Tex) membranes, five implants received collagen membranes (ParaGuide), and five implants received polyglactin 910 mesh (Vicryl). After 14 weeks, clinical measurements were taken and the dogs were sacrificed and all specimens retrieved for histologic and histomorphometric evaluation. The average gain in bone height was 2.1 mm for untreated control sites, 3.3 mm for Gore-Tex sites, 3.8 mm for collagen sites, and 1.3 mm for polyglactin 910 sites. The greatest gain in bone height and volume was seen for two sites that received Gore-Tex membranes and remained covered for the entire evaluation interval. The results of this study indicate that Gore-Tex and collagen membrane produced good results for GTR around implants immediately placed into extraction sockets. Since collagen membrane does not cause obvious infection and does not need the surgical reentry for membrane removal, it can be a valid alternative to Gore-Tex membrane to improve bone regeneration around dental implants, while polyglactin 910 mesh seems not suitable to be used as GTR membrane in immediate implantation for its high infection rate. PMID:11360628

  17. Who Is an Implant Candidate?

    MedlinePLUS

    ... interested in replacing a missing tooth or teeth, dental implants may be an option for you. Most people ... restorative dentist will make the crowns, bridges or dentures that the implant or implants will support. Your ...

  18. Tensile Mechanical Properties of Swine Cortical Mandibular Bone

    PubMed Central

    Brosh, Tamar; Rozitsky, Doron; Geron, Silvia; Pilo, Raphael

    2014-01-01

    Temporary orthodontic mini implants serve as anchorage devices in orthodontic treatments. Often, they are inserted in the jaw bones, between the roots of the teeth. The stability of the mini implants within the bone is one of the major factors affecting their success and, consequently, that of the orthodontic treatment. Bone mechanical properties are important for implant stability. The aim of this study was to determine the tensile properties of the alveolar and basal mandible bones in a swine model. The diametral compression test was employed to study the properties in two orthogonal directions: mesio-distal and occluso-gingival. Small cylindrical cortical bone specimens (2.6 mm diameter, 1.5 mm thickness) were obtained from 7 mandibles using a trephine drill. The sites included different locations (anterior and posterior) and aspects (buccal and lingual) for a total of 16 specimens from each mandible. The load-displacement curves were continuously monitored while loading half of the specimens in the oclluso-gingival direction and half in the mesio-distal direction. The stiffness was calculated from the linear portion of the curve. The mesio-distal direction was 31% stiffer than the occluso-gingival direction. The basal bone was 40% stiffer than the alveolar bone. The posterior zone was 46% stiffer than the anterior zone. The lingual aspect was stiffer than the buccal aspect. Although bone specimens do not behave as brittle materials, the diametral compression test can be adequately used for determining tensile behavior when only small bone specimens can be obtained. In conclusion, to obtain maximal orthodontic mini implant stability, the force components on the implants should be oriented mostly in the mesio-distal direction. PMID:25463971

  19. Tensile mechanical properties of swine cortical mandibular bone.

    PubMed

    Brosh, Tamar; Rozitsky, Doron; Geron, Silvia; Pilo, Raphael

    2014-01-01

    Temporary orthodontic mini implants serve as anchorage devices in orthodontic treatments. Often, they are inserted in the jaw bones, between the roots of the teeth. The stability of the mini implants within the bone is one of the major factors affecting their success and, consequently, that of the orthodontic treatment. Bone mechanical properties are important for implant stability. The aim of this study was to determine the tensile properties of the alveolar and basal mandible bones in a swine model. The diametral compression test was employed to study the properties in two orthogonal directions: mesio-distal and occluso-gingival. Small cylindrical cortical bone specimens (2.6 mm diameter, 1.5 mm thickness) were obtained from 7 mandibles using a trephine drill. The sites included different locations (anterior and posterior) and aspects (buccal and lingual) for a total of 16 specimens from each mandible. The load-displacement curves were continuously monitored while loading half of the specimens in the oclluso-gingival direction and half in the mesio-distal direction. The stiffness was calculated from the linear portion of the curve. The mesio-distal direction was 31% stiffer than the occluso-gingival direction. The basal bone was 40% stiffer than the alveolar bone. The posterior zone was 46% stiffer than the anterior zone. The lingual aspect was stiffer than the buccal aspect. Although bone specimens do not behave as brittle materials, the diametral compression test can be adequately used for determining tensile behavior when only small bone specimens can be obtained. In conclusion, to obtain maximal orthodontic mini implant stability, the force components on the implants should be oriented mostly in the mesio-distal direction. PMID:25463971

  20. Occlusal morphology of permanent mandibular first and second molars in Gujarati population

    PubMed Central

    Dholia, Bhavik; Manjunatha, Bhari Sharanesha

    2015-01-01

    Background: Dental identification has been used since long time for disaster victim identification protocol. There is a difference of opinion regarding whether ethnicity influences dental morphology or not. Few studies have shown the associations between these dental features and crown traits in humans using quantitative methods. The present study is an attempt to find correlation of occlusal morphology of Gujarati population with forensic Odontology. Aim: To study different occlusal morphology of permanent mandibular first and second molars in Gujarati Population. Materials and Methods: This study comprised of a total of 100 participants of Gujarati origin, selected by random sampling method. Total number of cusps and groove patterns of mandibular first and second molar were examined clinically and photographs of the same were taken. A descriptive statistics, Chi-square test and Student t-test were used for analysis of data. Results: Mandibular first molar with 5 cusps in 71%, 4 cusps in 18% and 6 cusps in 11% were noted in the study. Mandibular first molars with “+” groove pattern in 39.5% and “Y” groove pattern in 60.5% were recorded. Mandibular second molar with 5 cusps in 6.5% and 4 cusps in 93.5% were recorded in the study. Mandibular second molars with “+” groove pattern in 93.5% and “Y” groove pattern in 6.5% were recorded. Conclusion: The most common occlusal morphology in permanent mandibular first molar is “5 cusp” and “Y” groove pattern in about 47% and for second molar is “4 cusp” and “+” groove pattern in 88.5% of Gujarati population. It may be concluded that variation in degree of expression and frequency of teeth in dentitions of different populations is different, which may help in forensic identification. PMID:26005303

  1. Tricalcium phosphate-based biocomposites for mandibular bone regeneration-A histological study in sheep.

    PubMed

    Russmueller, G; Moser, D; Spassova, E; Plasenzotti, R; Poeschl, P W; Seemann, R; Becker, S; Pirklbauer, K; Eder-Czembirek, C; Czembirek, C; Perisanidis, C; Ewers, R; Schopper, C

    2015-06-01

    The present study investigated the suitability of three different absorbable biocomposites for the repair of critical sized bone defects created at the mandibular angle of adult sheep. Each biocomposite was composed of a three-dimensional individualized polylactide scaffold, containing a tricalcium phosphate biomaterial (chronOS(®)). Either autologous bone marrow (chOS/BoneMarrow) or coagulation factor XIII (chOS/FactorXIII) was added to the biomaterial for osteopromotion. Venous whole blood (chOS/Blood) added to the biomaterial served as a control. A total of 18 adult sheep were used for implantation studies, subdivided into three groups of six animals each. After 12 weeks of observation, the animals were sacrificed and the mandibles were retrieved for qualitative and quantitative histologic assessment within three regions of interest (transitional zone, center, and periphery) throughout the biocomposites. Successful bone regeneration was defined by the absence of scaffold deformation and the presence of new bone formation within the biocomposites. In histomorphometry, only chOS/BoneMarrow showed elevated area fractions of newly formed bone in all regions of interest (transitional zone 50.7 ± 7.5, center 31.9 ± 9.3, periphery 23.1 ± 13.5). This led to preservation of the macroscopic scaffold structure in all specimens. Zero hurdle regression confirmed this by validating the factor biocomposite as significant (p < 0.001) for regeneration success. In our experiment, chOS/BoneMarrow was the only biocomposite passing the hurdle of regeneration in all three regions of interest. In contrast, bone formation was less pronounced and uniform in chOS/FactorXIII and chOS/blood-containing specimens. In these groups, scaffolds showed obvious to significant deformation. Overall, autologous bone marrow showed the most promising results in our experimental setting. As opposed to reports in the literature, we could not confirm the suitability of coagulation factor XIII to promote bone formation, since bone formation rates were comparable only to those of the control venous blood. PMID:25937475

  2. Deferoxamine enhances bone regeneration in mandibular distraction osteogenesis

    PubMed Central

    Farberg, Aaron S.; Sarhaddi, Deniz; Donneys, Alexis; Deshpande, Sagar S.; Buchman, Steven R.

    2015-01-01

    Background Distraction osteogenesis (DO) is a powerful reconstructive technique for bone growth and repair. An angiogenic means to enhance the efficacy of this metabolically demanding procedure would be beneficial in expanding its therapeutic potential. We posit that the angiogenic effect of Deferoxamine (DFO), an iron chelator that has been shown to increase angiogenesis, will improve bone regeneration via augmentations in quality and quantity of bone and bone producing cells. Methods Two groups of rats (n=12) underwent surgical external fixation and subsequent distraction. During the distraction stage, the experimental DFO group (n=5) was treated with injections into the distraction gap. After 28 days of consolidation, mandibles were harvested and prepared for histological analysis. Results We found a proliferation of osteocytes in the DFO treated group when compared to the regenerate (RG) of the control group. DFO effected a significant increase in osteocytes, as well as increase in bone volume fraction with subsequent decreased osteoid volume fraction. The data also demonstrated no significant difference in empty lacunae. Conclusions Our study demonstrates the effectiveness of DFO treatment to enhance the number of osteocytes within the RG in a murine mandibular DO model. Maintenance of full lacunae supports our findings of a robust cellular response to DFO therapy. These results suggest that the angiogenic capabilities of DFO translate into an increase in number of bone forming cells in the RG. DFO may have utility in optimizing bone formation in DO and lead to superior reconstructive capabilities for craniofacial surgeons in the future. PMID:24572857

  3. Histological and clinical comparisons of guided tissue regeneration on dehisced hydroxylapatite-coated and titanium endosseous implant surfaces: a pilot study.

    PubMed

    Zablotsky, M; Meffert, R; Caudill, R; Evans, G

    1991-01-01

    Fifty-six endosseous cylindrical implants were placed in dog mandibles 12 weeks after the extraction of all mandibular premolars and first molars. Eight implants, four coated with 50 microns of hydroxylapatite (HA) and four grit-blasted and titanium-surfaced, were placed in each dog. Ideal implant placement sites were modified by creating standardized 3 x 5-mm facial dehiscence defects. Half the dehiscences were treated with a modified expanded polytetrafluoroethylene (PTFE) membrane; the remainder served as controls. After 8 weeks of healing, the animals were sacrificed and measurements made to determine the percentage of dehiscence repair. The HA-coated implants had a mean defect fill of 95.17% and the grit-blasted implants had a percent fill of 82.8% in the guided tissue regeneration (GTR) test group; the control implants demonstrated a mean fill of 55% and 39% in the HA-coated and grit-blasted implants, respectively. Significant differences (P less than .05) were noted between both test groups and the titanium control group, and between the HA test and HA control groups. Histologic evaluation showed significantly greater repair associated with HA-coated implants, as well as significant bone loss associated with clinically exposed membranes. It was concluded that within the limitations of this study, guided tissue regeneration is a viable option in treating defects associated with dental implants. PMID:1667524

  4. Bone Morphometric Evaluation around Immediately Placed Implants Covered with Porcine-Derived Pericardium Membrane: An Experimental Study in Dogs

    PubMed Central

    Jimbo, Ryo; Marin, Charles; Witek, Lukasz; Suzuki, Marcelo; Tovar, Nick; Chesnoiu-Matei, Ioana; Dragan, Irina Florentina; Coelho, Paulo G.

    2012-01-01

    Objective. To investigate whether porcine-derived bioresorbable pericardium membrane coverage enhances the osseointegration around implants placed in fresh extraction sockets. Study Design. Twenty-four commercially available endosseous implants were placed in the fresh extraction sockets of the mandibular first molar of mature beagles (n = 6). On one side, implants and osteotomy sites were covered with porcine-derived bioresorbable pericardium membranes, whereas on the other side, no membranes were used. After 6 weeks, samples were retrieved and were histologically processed for histomorphometric analysis. Results. The histological observation showed that bone loss and soft tissue migration in the coronal region of the implant were evident for the control group, whereas bone fill was evident up to the neck of the implant for the membrane-covered group. Bone-to-implant contact was significantly higher for the membrane-covered group compared to the control group, 75% and 45% (P < 0.02), respectively. Conclusion. The experimental membranes proved to regenerate bone around implants placed in fresh extraction sockets without soft tissue intrusion. PMID:23227052

  5. Bioceramics for implant coatings

    Microsoft Academic Search

    Allison A Campbell

    2003-01-01

    During the past century, synthetic materials and devices have been developed to the point at which they can be used successfully to replace and\\/or restore function to diseased or damaged tissues. In the field of orthopedics, the use of metal implants has significantly improved the quality of life for countless individuals. Critical factors for implant success include proper design, material

  6. Chemotherapeutics in implant dentistry.

    PubMed

    Zablotsky, M H

    1993-01-01

    Adjunctive treatment with various chemotherapeutic regimens in implant dentistry are reviewed along with the indications for specific approaches. The use of systemic antibiotics, topical antimicrobials, and various mechanical modalities are discussed in relation to patient maintenance and the repair of ailing implants. PMID:8358373

  7. Batteryless implanted echosonometer

    NASA Technical Reports Server (NTRS)

    Kojima, G. K.

    1977-01-01

    Miniature ultrasonic echosonometer implanted within laboratory animals obtains energy from RF power oscillator that is electronically transduced via induction loop to power receiving loop located just under animal's skin. Method of powering device offers significant advantages over those in which battery is part of implanted package.

  8. Multichannel implantable telemetry system

    NASA Technical Reports Server (NTRS)

    Fryer, T. B.; Mccutcheon, E. P.; Sandler, H.; Freund, W.

    1977-01-01

    Multiplexed biotelemetry system for animal research combines several power-saving features. Implantable sensor measures up to eight parameters simultaneously, including blood flow. Microamp transistors, switching circuits, and CMOS technology are used to lower power requirements. However, when blood flow is monitored, these measures are insufficient to reduce power enough for long-term operation from implantable primary battery.

  9. Variations of the mandibular shape in extant hominoids: Generic, specific, and subspecific quantification using elliptical fourier analysis in lateral view.

    PubMed

    Schmittbuhl, Matthieu; Rieger, Jean; Le Minor, Jean-Marie; Schaaf, André; Guy, Franck

    2007-01-01

    While a number of studies have documented the mandibular variations in hominoids, few focused on evaluating the variation of the whole outline of this structure. Using an efficient morphometrical approach, i.e. elliptical Fourier analysis, mandibular outlines in lateral view from 578 adult hominoids representing the genera Hylobates, Pongo, Gorilla, Pan, and Homo were quantified and compared. This study confirms that elliptical Fourier analysis provides an accurate characterization of the shape of the mandibular profile. Differences in mandibular shape between hominoid genera, species, subspecies, and to a lesser extent between sexes were demonstrated. Mandibles in great apes and hylobatids subspecies were generally less distinct from each other than were species. However, the magnitudes of differences among subspecies of Gorilla and Pongo approached or exceeded those between Pan troglodytes and P. paniscus. The powerful discrimination between taxa from the genus down to subspecific level associated to the relatively low level of intrageneric mandibular polymorphism in great apes provides strong evidences in support of the taxonomic utility of the shape of the mandibular profile in hominoids. In addition, morphological affinities between Pongo and Pan and the clear distinction between Homo and Pan suggest that the mandibular outline is a poor estimate of phylogenetic relationships in great apes and humans. The sexual dimorphism in mandibular shape exhibits two patterns of expression: a high degree of dimorphism in Gorilla, Pongo, and H. s. syndactylus and a relatively low one in modern humans and Pan. Besides, degree of mandibular shape dimorphism can vary considerably among closely related subspecies as observed in gorillas, arguing against the use of mandibular shape dimorphism patterns as characters in phylogenetic analyses. However, the quantification of the mandibular shape and of the variations among hominoids provides an interesting comparative framework that is likely to supply further arguments for a better understanding of the patterns of differentiation between living hominoids. PMID:17063462

  10. Selfprotective smart orthopedic implants.

    PubMed

    Parvizi, Javad; Antoci, Valentin; Hickok, Noreen J; Shapiro, Irving M

    2007-01-01

    In this review, we discuss current advances leading to an exciting change in implant design for orthopedic surgery. The initial biomaterial approaches in implant design are being replaced by cellular-molecular interactions and nanoscale chemistry. New designs address implant complications, particularly loosening and infection. For infection, local delivery systems are an important first step in the process. Selfprotective 'smart' devices are an example of the next generation of orthopedic implants. If proven to be effective, antibiotics or other active molecules that are tethered to the implant surface through a permanent covalent bond and tethering of antibiotics or other biofactors are likely to transform the practice of orthopedic surgery and other medical specialties. This new technology has the potential to eliminate periprosthetic infection, a major and growing problem in orthopedic practice. PMID:17187471

  11. Endodontic treatment of mandibular molars with atypical root canal anatomy: reports of 4 cases.

    PubMed

    Chauhan, Raju; Singh, Shweta

    2015-01-01

    The variations in root canal anatomy of multirooted teeth represent a continuous challenge to endodontic diagnosis and treatment. Although the most common configuration of mandibular molars is one containing 2 roots and 3 root canals, there are many different combinations. Very rarely, an additional third (supernumerary) root is seen. When it is located distolingually to the main distal root, this third root is called radix entomolaris (RE), and when it is located mesiobuccally to the mesial root, it is called radix paramolaris (RP). Variations of root canal systems need not always be in the form of extra roots or extra canals. Single roots with single canals can also occur. A general dentist should be aware of these unusual root canal morphologies in mandibular molars for the success of endodontic treatment. These case reports describe the root canal treatment of a case of RE in the mandibular first molar, 2 rare cases of RP (1 each in the mandibular first and second molars), and a mandibular second molar with a single root and root canal. PMID:25945768

  12. A Combination Appliance for Obstructive Sleep Apnea: The Effectiveness of Mandibular Advancement and Tongue Retention

    PubMed Central

    Dort, Leslie; Remmers, John

    2012-01-01

    Study Objectives: The purpose of this study was to determine if subjects with moderate-to-severe obstructive sleep apnea would experience increasing treatment effect when a tongue retention component was added to a mandibular repositioning appliance. Design: Cohort study. Setting: Sleep clinic. Patients: Forty-four sequentially recruited patients with moderate-to-severe obstructive sleep apnea. Interventions: Subjects were sleep tested at 4 treatment stages of oral appliance therapy. The 4 stages were: 6-mm mandibular protrusion, 8-mm protrusion, 6-mm protrusion with a tongue retention bulb, and 8-mm protrusion with a tongue retention bulb. Measurements and Results: Forty-one of 44 subjects completed the protocol. There was a decrease in mean respiratory disturbance index from 33.5 events/h at baseline to 18.1 events/h at stage 4 (p = 0.001). Mean Epworth Sleepiness Scale (ESS) decreased from 12.3 at baseline to 9.0 at stage 4 (p = 0.0001. Conclusions: A combined approach utilizing both mandibular protrusion and tongue retention can provide effective treatment for moderate-to-severe obstructive sleep apnea. The addition of a tongue bulb may provide further treatment effect when mandibular protrusion is limited. Appliance designs that allow for convenient combination therapy need to be developed for this purpose. Citation: Dort L; Remmers J. A combination appliance for obstructive sleep apnea: the effectiveness of mandibular advancement and tongue retention. J Clin Sleep Med 2012;8(3):265-269. PMID:22701383

  13. Development of an experimental optoelectronic device to study the amplitude of mandibular movements.

    PubMed

    Missaka, Reinaldo; Adachi, Lena Katekawa; Tamaki, Regina; Shinkai, Rosemary Sadami Arai; Campos, Tomie Nakakuki de; Horikawa, Oswaldo

    2008-01-01

    This study aimed to present a wireless mandibular motion tracking device and optoelectronic data acquisition system developed to analyze the real-time spatial motion of the entire mandible during mouth opening and closing with no restriction of any movement. The procedures were divided into three phases: confection of a kinematic arch, dynamic digital video image acquisition, and image processing and analysis by using graphic computation. Four sequences of jaw opening/closing movements were recorded in lateral view: two from the maximum intercuspation (MIC) and the other two from a forced mandibular retruded position. Jaw motion was recorded by a digital video camera and processed as spatial coordinates corresponding to the position variation of the markers in the kinematic arch. The results showed that the method was capable of recording and processing the dynamics of the mandibular movements during jaw opening/closing using pixel-magnitude points. The mandible showed points with less displacement located near the temporomandibular joint during the opening/closing movements from the mandibular retruded position. When the jaw movements were recorded from MIC, these points were located near the mandibular foramen. PMID:18622485

  14. Combination of natural teeth and osseointegrated implants as prosthesis abutments: a 2-year longitudinal study.

    PubMed

    Astrand, P; Borg, K; Gunne, J; Olsson, M

    1991-01-01

    Twenty-three patients with Kennedy Class I mandibular dentition were supplied with prostheses in the posterior parts of the mandible. On one side they were given a prosthesis supported by two implants (prosthesis Type I) and on the other side they received a prosthesis supported by one implant and one natural tooth (prosthesis Type II). Sixty-nine fixtures were inserted and 46 prostheses constructed. Eight of the fixtures were lost during the observation period. The failure rate of the implants was about the same in the two types of prostheses; five fixtures belonged to prostheses Type I (10.9%) and two fixtures belonged to prostheses Type II (8.7%), while one fixture was lost prior to loading. From a theoretical point of view, the combination of a tooth and an osseointegrated implant should encounter problems with regard to the difference in bone anchorage and there should be a risk of biomechanical complications. However, the results of this study did not indicate any disadvantages in connecting teeth and implants in the same restoration. PMID:1813398

  15. Displacement of dental implants into the focal osteoporotic bone marrow defect: a report of three cases

    PubMed Central

    Lee, Sang-Chil; Jeong, Chang-Hwa; Im, Ho-Yong; Kim, Seong-Young; Ryu, Jae-Young; Yeom, Hak-Yeol

    2013-01-01

    Focal osteoporotic bone marrow defect (FOBMD) is a radiolucent area corresponding to the presence of hematopoietic tissue rarely found in the jaws. FOBMD is most commonly located in the mandibular edentulous posterior area of a middle-aged female. From November 2011 to November 2012, we experienced three cases involving removal of implants that had accidentally fallen into the FOBMD area. All patients happened to be female, with a mean age of 54 years (range: 51-60 years). One case involved hypoesthesia of the lower lip and chin, while two cases healed without any complication. Displacement of an implant into the FOBMD area is an unusual event, which occurs rarely during placement of a dental fixture. The purpose of this study was to report on three cases of FOBMD and to provide a review of related literature. PMID:24471025

  16. Root Canal Morphology of Permanent Three-rooted Mandibular First Molars: Part II—Measurement of Root Canal Curvatures

    Microsoft Academic Search

    Yongchun Gu; Qun Lu; Ping Wang; Longxing Ni

    2010-01-01

    IntroductionThe distolingual (DL) roots of three-rooted mandibular molars often challenge clinicians during root canal therapy. This study investigated canal curvatures in permanent three-rooted mandibular first molars by using micro–computed tomography (micro-CT) scans.

  17. Loss of molar occlusion and mandibular morphology in adults in an ancient human population consuming a coarse diet.

    PubMed

    Mays, Simon A

    2013-11-01

    The purpose of the study is to investigate the link between number of molar teeth retained in occlusion and mandibular morphology in adults in an ancient, high dental wear human population. The study material comprises skeletons from Mediaeval Wharram Percy, England (N = 50 female, 69 male adults). It was hypothesized that adults retaining fewer occluding molars would show reduction in mandibular dimensions, particularly in the ascending ramus and gonial regions where the main muscles of mastication have their insertions. Molar occlusal status is assessed using the concept of functional units. Mandibular morphology is assessed using a suite of ten linear measurements plus the mandibular angle. Results show no evidence for any association between number of molars retained in occlusion and mandibular angle. There was an association between mandibular size and number of molars retained in occlusion, with smaller mandibular dimensions in those retaining fewer occluding molars. Some measurements were affected more than others so that there was also some shape alteration. Alteration of mandibular dimensions was more clearly demonstrable in females than in males. Only in females could significant reduction in the ascending ramus and gonial regions be demonstrated. Reasons for the apparent difference in response to loss of molar occlusion between male and female mandibles are unclear, but sex differences in bony metabolism mediated by hormonal factors may be implicated. Results suggest that care should be exercised when including mandibles from individuals showing loss of molar occlusion in morphological studies. PMID:24104725

  18. Repair of a mandibular defect with a free vascularized coccygeal vertebra transfer in a dog.

    PubMed

    Yeh, L S; Hou, S M

    1994-01-01

    Bilateral mandibular defects in a male mongrel dog were repaired. On the left side, a free vascularized coccygeal bone graft that included the median caudal artery and caudal vein was used to correct the defect. On the right side, the defect was bridged with a bone plate and screws. For further immobilization, the muzzle was temporarily taped for 3 weeks and a pharyngostomy tube was used for nutritional support. The dog was able to eat dry commercial food satisfactorily within 2 months of surgery despite mild malocclusion. Radiographs taken 2 months and 18 months postoperatively showed bony union with graft hypertrophy in the left mandible, whereas the right mandibular defect showed protracted nonunion. The results indicate that vascularized coccygeal vertebra transfer provides an alternative for the management of canine mandibular defects. PMID:8091631

  19. Iatrogenic mandibular fractures following removal of impacted third molars: an analysis of 130 cases.

    PubMed

    Ethunandan, M; Shanahan, D; Patel, M

    2012-02-01

    Immediate and late mandibular fractures are a rare complication of third molar removal. We analysed 130 cases of mandibular fractures following removal of impacted third molars reported in the literature, including four managed in the maxillofacial unit and identified potential risk factors. Its occurrence is likely to be multi-factorial, with age, gender, angulation, laterality, extent and degree of impaction and associated pathologies contributing to the risk of fracture. Postoperative fractures were more common than intra-operative fractures (2.7:1) and occurred most frequently in the second and third weeks (57%). A 'cracking' noise was the most frequent presentation (77%). Intra-operative fractures were more frequent among females (M:F - 1:1.3), and differed from postoperative fractures (M:F - 3.9:1). This study analyses the results, providing suggestions to minimise the risk and to manage a mandibular fracture following removal of a third molar. PMID:22361547

  20. An Evaluation of Pathologic Changes in the Follicle of Impacted Mandibular Third Molars

    PubMed Central

    Tambuwala, Aruna Azhar; Oswal, Rakesh Gulabchand; Desale, Rushikesh Suresh; Oswal, Nitin Prakash; Mall, Prashant Edwin; Sayed, Aatif Riyaz; Pujari, Aniket Tarachand

    2015-01-01

    Background: The purpose of this study was to evaluate the early pathologic changes in the follicular tissue of completely impacted mandibular third molar. Materials and Methods: 52 patients, between 18 and 52 years of age of which 25 were males and 27 were females, were selected. They had impacted mandibular third molars, which were indicated for extraction. After extraction, the follicle was sent for a histopathological evaluation to two different oral pathologists. Results: The results showed that 80.8% of the specimen had normal follicles. 11.5% specimen suggested cystic changes while 7.7% suggested infected follicle. Conclusion: It is desirable to consider prophylactic removal of impacted mandibular third molar presenting at a younger age, whereas their removal remains an enigma for the older age group and should only be considered appropriate in those cases where frank causes for its removal are established. PMID:25954073

  1. A prospective clinical evaluation of mandibular lingual retainer survival.

    PubMed

    Taner, Tülin; Aksu, Muge

    2012-08-01

    Bonded retainers are considered reliable, independent of patient co-operation, and highly efficient. However, most studies regarding the survival of retainers are retrospective. The aims of this investigation were to prospectively evaluate the failure rate of bonded lingual retainers, the influence of direct or indirect bonding procedures on survival, and to determine the distribution of failures over a 6 month period. Mandibular lingual retainers were bonded in 66 patients. Thirty-two retainers were bonded using a direct method and 34 by an indirect method. There were 23 females and 9 males (mean age 15.96 ± 3.21 years) in the direct group and 29 females and 5 males (mean age 19.44 ± 6.79 years) in the indirect group. A 0.016 × 0.022 inch Bond-a-Braid retainer wire (eight-braided, flattened, stainless steel dead soft wire) was used with Transbond LR. Following bonding, the patients were observed monthly. A chi-square test was used to analyse the influence of the direct and indirect procedures on survival rate.Twenty-five retainers failed. The failure rate was 46.9 per cent with the direct method and 29.4 per cent with the indirect method. The difference between the methods was not statistically significant. The total failure rate was 37.9 per cent. The highest failure rate was seen in the first month. Seven patients had repeated failures. The failure rate was higher in the right quadrant. The total survival rate was 62.1 per cent. PMID:21508264

  2. Chloride channels regulate chondrogenesis in chicken mandibular mesenchymal cells.

    PubMed

    Tian, Meiyu; Duan, Yinzhong; Duan, Xiaohong

    2010-12-01

    Voltage gated chloride channels (ClCs) play an important role in the regulation of intracellular pH and cell volume homeostasis. Mutations of these genes result in genetic diseases with abnormal bone deformation and body size, indicating that ClCs may have a role in chondrogenesis. In the present study, we isolated chicken mandibular mesenchymal cells (CMMC) from Hamburg-Hamilton (HH) stage 26 chick embryos and induced chondrocyte maturation by using ascorbic acid and ?-glycerophosphate (AA-BGP). We also determined the effect of the chloride channel inhibitor NPPB [5-nitro-2-(3-phenylpropylamino) benzoic acid] on regulation of growth, differentiation, and gene expression in these cells using MTT and real-time PCR assays. We found that CLCN1 and CLCN3-7 mRNA were expressed in CMMC and NPPB reduced expression of CLCN3, CLCN5, and CLCN7 mRNA in these cells. At the same time, NPPB inhibited the growth of the CMMC, but had no effect on the mRNA level of cyclin D1 and cyclin E (P>0.05) with/without AA-BGP treatment. AA-BGP increased markers for early chondrocyte differentiation including type II collagen, aggrecan (P<0.01) and Sox9 (P<0.05), whilst had no effect on the late chondrocyte differentiation marker type X collagen. NPPB antagonized AA-BGP-induced expression of type II collagen and aggrecan (P<0.05). Furthermore, NPPB downregulated type X collagen (P<0.05) with/without AA-BGP treatment. We conclude that abundant chloride channel genes in CMMC play important roles in regulating chondrocyte proliferation and differentiation. Type X collagen might function as a target of chloride channel inhibitors during the differentiation process. PMID:20832772

  3. Inexpensive cochlear implant device.

    PubMed

    Kanchanarak, C; Siriratwatanakul, N; Boonyanukul, S; Saeng-in, A; Krairojananan, T

    1991-12-01

    We have developed a cochlear implant (CI) device modified from the House/3M cochlear implant device. The cost of raw materials was about $25. We used a new and simple technique for coating the implanted coil. We modified the circuit and removed the amplitude-modulated circuit. With this modification, the device uses less electricity and fewer transistors. There are slightly more than 3,000 patients using CI devices all over the world. Millions of profoundly deaf patients are poor and cannot afford the CI device that is now commercially available. Any university with well-trained otolaryngologists and physicists or electrical engineers can perform this technique. PMID:1746846

  4. Reconstruction of mandibular defects - clinical retrospective research over a 10-year period -

    PubMed Central

    2011-01-01

    Backround Functional and cosmetic defects in the maxillofacial region are caused by various ailments and these defects are addressed according to their need. Simplicity of procedure, intact facial function and esthetic outcome with the least possible donor site morbidity are the minimum requirements of a good reconstruction. Oro-mandibular reconstruction, although a challenge for the head and neck reconstructive surgeon, is now reliable and highly successful with excellent long-term functional and aesthetic outcomes with the use of autogenous bone grafts. Reconstruction of trauma- or mandibular oncologic defects with bony free flaps is considered the gold standard. However the the optimal reconstruction of mandibular defects is still controversial in regards to reconstructive options which include the donor site selection and the timing of surgery. The purpose of this study was to determine the outcome of different osseous reconstruction options using autogenous bone grafts for mandibular reconstructions. Methods This study was carried out on 178 patients with mandibular bone defects. They were reconstructed with autogenous bone grafts from different donor sites. At post operative visits they were evaluated for functional and cosmetic results. Results The success rate found in this study was around 90%. Only 7.6% of the cases showed poor results regarding facial contours and mouth opening. All other patients were satisfied with their cosmesis and mouth opening at the recipient sites was in the normal range during last follow-up visits. Donor sites were primarily closed in all cases and there was no hypertrophic scar. Conclusion Based on this study, autogenous bone grafts are a reliable treatment modality for the reconstruction of mandibular bone defects with predictable aesthetic and functional outcomes. As the free vascularized fibular flap has the least resorption and failure rate, it should be the first choice for most cases of mandiblular reconstruction. PMID:21527038

  5. Risk Factors and Dose-Effect Relationship for Mandibular Osteoradionecrosis in Oral and Oropharyngeal Cancer Patients

    SciTech Connect

    Lee, Ik Jae; Koom, Woong Sub [Department of Radiation Oncology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Lee, Chang Geol, E-mail: cglee1023@yuhs.a [Department of Radiation Oncology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Kim, Yong Bae; Yoo, Sei Whan; Keum, Ki Chang; Kim, Gwi Eon [Department of Radiation Oncology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Choi, Eun Chang [Department of Otolaryngology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Cha, In Ho [Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul (Korea, Republic of)

    2009-11-15

    Purpose: To analyze risk factors and the dose-effect relationship for osteoradionecrosis (ORN) of the mandible after radiotherapy of oral and oropharyngeal cancers. Materials and Methods: One-hundred ninety-eight patients with oral (45%) and oropharyngeal cancer (55%) who had received external radiotherapy between 1990 and 2000 were retrospectively reviewed. All patients had a dental evaluation before radiotherapy. The median radiation dose was 60 Gy (range, 16-75 Gy), and the median biologically effective dose for late effects (BED{sub late}) in bone was 114 Gy{sub 2} (range, 30-167 Gy{sub 2}). Results: The frequency of ORN was 13 patients (6.6%). Among patients with mandibular surgery, eight had ORN at the surgical site. Among patients without mandibular surgery, five patients had ORN on the molar area of the mandible. The median time to ORN was 22 months (range, 1-69 months). Univariate analysis revealed that mandibular surgery and Co-60 were significant risk factors for ORN (p = 0.01 and 0.04, respectively). In multivariate analysis, mandibular surgery was the most important factor (p = 0.001). High radiation doses over BED 102.6 Gy{sub 2} (conventional dose of 54 Gy at 1.8 Gy/fraction) were also a significant factor for ORN (p = 0.008) and showed a positive dose-effect relationship in logistic regression (p = 0.04) for patients who had undergone mandibular surgery. Conclusions: Mandibular surgery was the most significant risk factor for ORN of mandible in oral and oropharyngeal cancers patients. A BED of 102.6 Gy{sub 2} or higher to the mandible also significantly increases the risk of ORN.

  6. DEALING WITH DENTAL IMPLANT FAILURES

    PubMed Central

    Levin, Liran

    2008-01-01

    An implant-supported restoration offers a predictable treatment for tooth replacement. Reported success rates for dental implants are high. Nevertheless, failures that mandate immediate implant removal do occur. The consequences of implant removal jeopardize the clinician's efforts to accomplish satisfactory function and esthetics. For the patient, this usually involves further cost and additional procedures. The aim of this paper is to describe different methods and treatment modalities to deal with dental implant failure. The main topics for discussion include identifying the failing implant, implants replacing failed implants at the exact site, and the use of other restorative options. When an implant fails, a tailor made treatment plan should be provided to each patient according to all relevant variables. Patients should be informed regarding all possible treatment modalities following implant failure and give their consent to the most appropriate treatment option for them. PMID:19089213

  7. Subway mandibular buccal defect blocked with two part prosthesis unified by Earth magnets.

    PubMed

    Punjani, Shikha; Arora, Aman; Upadhyaya, Viram

    2013-03-01

    This clinical report describes the fabrication of a two-piece obturator used to close the mandibular buccal defect. Two-piece obturator prosthesis was fabricated with clear heat cure acrylic resin to be used during the healing period following the marsupialization of odontogenic keratocyst which had lead to the loss of portions of the mandibular buccal region. The prosthesis fabricated in two parts was joined by the rare earth magnets. Retention was increased by lining the prosthesis with tissue conditioner material engaging the undercut. PMID:24431709

  8. Simulating certain aspects of hypogravity: Effects on the mandibular incisors of suspended rats (PULEH model)

    NASA Technical Reports Server (NTRS)

    Simmons, D. J.; Winter, F.; Morey-Holton, E. R.

    1984-01-01

    The effect of a hypogravity simulating model on the rate of mandibular incisor formation, dentinogenesis and, amelogenesis in laboratory rats was studied. The model is the partial unloading by elevating the hindquarters. In this system, rat hindquarters are elevated 30 to 40 deg from the cage floors to completely unload the hindlimbs, but the animals are free to move about using their forelimbs. This model replicates the fluid sift changes which occur during the weightlessness of spaceflight and produces an osteopenia in the weight bearing skeletons. The histogenesis and/or mineralization rates of the mandibular incisor during the first 19d of PULEH in young growing rats are recorded.

  9. Multiple long-standing massive oral mandibular granuloma gravidarum (pregnancy tumour)

    PubMed Central

    Rihani, Farouk Bassam; Ersheidat, Ala’ Ahmad; Alsmadi, Hasan Faiz; Al-Nahar, Lina A

    2013-01-01

    Oral granuloma gravidarum (OGG) is a distinct clinical entity used to describe pyogenic granuloma developing mainly on the gingiva of pregnant women, possibly propagated by gingival high levels of active progesterone and poor oral hygiene. We report herein a 41-year-old woman presented 7?months after childbirth with two painless masses of OGG in mandibular gingiva that developed at the end of first trimester and increased gradually in size even after delivery. Surgical excisional biopsy was performed under general anaesthesia with extraction of periodontally involved mandibular anterior teeth. Proper oral hygiene in pregnant women is mandatory to prevent such oral condition. PMID:23813519

  10. A rare case of transmigration of mandibular canine associated with an odontoma

    PubMed Central

    Madiraju, G S; Srinivasa Rao, Kolasani; Singamaneni, Vijaykumar

    2013-01-01

    Transmigration or intraosseous migration of mandibular canine is a very rare phenomenon. Specific aetiology and mechanism of transmigration is still unclear. Majority of these transmigrated canines are impacted, asymptomatic and involve the left mandible. This article describes a rare case of transmigrated mandibular right permanent canine associated with a retained deciduous right canine and an odontoma in a 25-year-old man with a follow-up of 3?years. The present case report also highlights the importance of early diagnosis and periodic monitoring of impacted teeth with panoramic radiography to avoid the occurrence of any associated pathologies and further allow interceptive treatment for possible better results. PMID:23814002

  11. Ion implantation at elevated temperatures

    SciTech Connect

    Lam, N.Q.; Leaf, G.K.

    1985-11-01

    A kinetic model has been developed to investigate the synergistic effects of radiation-enhanced diffusion, radiation-induced segregation and preferential sputtering on the spatial redistribution of implanted solutes during implantation at elevated temperatures. Sample calculations were performed for Al and Si ions implanted into Ni. With the present model, the influence of various implantation parameters on the evolution of implant concentration profiles could be examined in detail.

  12. Implant treatment planning: endodontic considerations.

    PubMed

    Simonian, Krikor; Frydman, Alon; Verdugo, Fernando; Roges, Rafael; Kar, Kian

    2014-12-01

    Implants are a predictable and effective method for replacing missing teeth. Some clinicians have advocated extraction and replacement of compromised but treatable teeth on the assumption that implants will outperform endodontically and/or periodontally treated teeth. However, evidence shows that conventional therapy is as effective as implant treatment. With data on implants developing complications long term and a lack of predictable treatment for peri-implantitis, retaining and restoring the natural dentition should be the first choice when possible. PMID:25928961

  13. Corrosion of surgical implants.

    PubMed

    Traisnel, M; le Maguer, D; Hildebrand, H F; Iost, A

    1990-01-01

    Corrosion on orthopaedic implants has been studied. Twelve intramedullary nails and twelve osteosynthesis plates were implanted up to eight and thirteen years, respectively. Analysis of biological fluids from all patients was carried out and revealed high concentrations of nickel and chromium that correlated to the implantation time. All implants were corroded by both crevice and intergranular corrosion. Intergranular corrosion is related to mechanical and heating treatments. Crevice-like corrosion is probably enhanced by sulphur present in amino-acids. Electronic probe analysis shows the reaction study between both sulphur and nickel and sulphur and chromium. These results are compared to the metal distribution in body fluids. After a certain incubation time the corrosion accelerates as is characteristic for crevice-like corrosion processes. Studies of the distribution rate of two Ni-Fe-Cr dental alloys in a cell culture system give similar results: metal-ion release increases with the exposure time. PMID:10147509

  14. Cochlear implantation update.

    PubMed

    Francis, Howard W; Niparko, John K

    2003-04-01

    Cochlear implantation is recognized as a valuable intervention with important implications for the acquisition of speech perception and verbal language in children with severe to profound hearing impairment. Auditory rehabilitation, language intervention, and close coordination between parents, schools, and the implant center are necessary to maximize efficacy. Early identification of hearing loss, early hearing aid use and language intervention, and cochlear implantation by 2 years of age are positive predictors for language acquisition that can approach the levels of normal-hearing children. There are early indications that increased access to mainstream education and gains in quality of life are long-term benefits that render cochlear implantation a cost-effective intervention. PMID:12809327

  15. [Osteosynthesis using absorbable implants].

    PubMed

    Arva, G; Fröhlich, P

    1994-01-01

    Authors report on one case of malleolar synthesis with the use of biodegradable implants. The advantages of the resorbing osteosynthesis materials and the possible complications are described. PMID:8162144

  16. Negative-ion implantation

    SciTech Connect

    Ishikawa, Junzo [Kyoto Univ., Yoshida, Kyoto (Japan). Dept. of Electronics

    1995-12-31

    Negative-ion implantation is a promising technique for forthcoming ULSI (more than 256 M bits) fabrication and TFT (for color LCD) fabrication, since the surface charging voltage of insulated electrodes or insulators implanted by negative ions is found to saturate within so few as several volts, no breakdown of insulators would be expected without a charge neutralizer in these fabrication processes. Scatter-less negative-ion implantation into powders is also possible. For this purpose an rf-plasma-sputter type heavy negative-ion source was developed, which can deliver several milliamperes of various kinds of negative ion currents such as boron, phosphor, silicon, carbon, copper, oxygen, etc. A medium current negative-ion implanter with a small version of this type of ion source has been developed.

  17. Implant-Supported Bridge

    MedlinePLUS

    ... made by the dental lab. Porcelain-fused-to-metal bridge The restoration (the part that looks like ... porcelain attached and fused to a framework of metal. The Implant Process The time it takes to ...

  18. Defibrillator Function and Implantation

    Microsoft Academic Search

    Robert E. Eckart; Jane Chen; Laurence M. Epstein

    The development of the implantable cardioverter-defibrillator (ICD) is primarily the result of pioneering work by Michel Mirowski.\\u000a First-generation devices consisted of a large generator placed in an abdominal pocket capable only of high-energy shocks.\\u000a In the 25 years since the first implantation in humans (1), advances in technology have resulted in significantly smaller\\u000a devices, with sophisticated detection algorithms and tiered

  19. Histopathology of ossicular implants.

    PubMed

    Merchant, S N; Nadol, J B

    1994-08-01

    Ossicular and cortical bone grafts maintain their morphologic structure for long periods of time and show varying amounts of replacement of nonviable bone by new bone through a slow process of creeping substitution. Cartilage grafts develop chondromalacia, lose stiffness, and tend to be resorbed over time. Plastipore prostheses elicit foreign body giant cell responses with microscopic biodegradation of the implants. There is a great need for the study of well-documented human temporal bone cases with in situ ossicular implants. PMID:7984378

  20. Biocompatible implant surface treatments.

    PubMed

    Pattanaik, Bikash; Pawar, Sudhir; Pattanaik, Seema

    2012-01-01

    Surface plays a crucial role in biological interactions. Surface treatments have been applied to metallic biomaterials in order to improve their wear properties, corrosion resistance, and biocompatibility. A systematic review was performed on studies investigating the effects of implant surface treatments on biocompatibility. We searched the literature using PubMed, electronic databases from 1990 to 2009. Key words such as implant surface topography, surface roughness, surface treatment, surface characteristics, and surface coatings were used. The search was restricted to English language articles published from 1990 to December 2009. Additionally, a manual search in the major dental implant journals was performed. When considering studies, clinical studies were preferred followed by histological human studies, animal studies, and in vitro studies. A total of 115 articles were selected after elimination: clinical studies, 24; human histomorphometric studies, 11; animal histomorphometric studies, 46; in vitro studies, 34. The following observations were made in this review: · The focus has shifted from surface roughness to surface chemistry and a combination of chemical manipulations on the porous structure. More investigations are done regarding surface coatings. · Bone response to almost all the surface treatments was favorable. · Future trend is focused on the development of osteogenic implant surfaces. Limitation of this study is that we tried to give a broader overview related to implant surface treatments. It does not give any conclusion regarding the best biocompatible implant surface treatment investigated till date. Unfortunately, the eventually selected studies were too heterogeneous for inference of data. PMID:23059581

  1. Bupivacaine Mandibular Nerve Block Affects Intraoperative Blood Pressure and Heart Rate in a Yucatan Miniature Swine Mandibular Condylectomy Model: A Pilot Study

    PubMed Central

    Bova, Jonathan F.; da Cunha, Anderson F.; Stout, Rhett W.; Bhumiratana, Sarindr; Alfi, David M.; Eisig, Sidney B.; Vunjak-Novakovic, Gordana; Lopez, Mandi J.

    2015-01-01

    Purpose/Aim The primary objective was to evaluate the effect of a bupivacaine mandibular nerve block on intraoperative blood pressure (BP) and heart rate (HR) in response to surgical stimulation and the need for systemic analgesics postoperatively. We hypothesized that a mandibular nerve block would decrease the need for systemic analgesics both intraoperatively and postoperatively. Materials and Methods Fourteen adult male Yucatan pigs were purchased. Pigs were chemically restrained with ketamine, midazolam, and dexmedetomidine and anesthesia was maintained with isoflurane inhalant anesthesia. Pigs were randomized to receive a mandibular block with either bupivacaine (bupivacaine group) or saline (control group). A nerve stimulator was used for administration of the block with observation of masseter muscle twitch to indicate the injection site. Invasive BP and HR were measured with the aid of an arterial catheter in eight pigs. A rescue analgesic protocol consisting of fentanyl and lidocaine was administered if HR or BP values increased 20% from baseline. Postoperative pain was quantified with a customized ethogram. HR and BP were evaluated at base line, pre-rescue, 10 and 20 min post-rescue. Results Pre-rescue mean BP was significantly increased (p = .001) for the bupivacaine group. Mean intraoperative HR was significantly lower (p = .044) in the bupivacaine versus saline group. All other parameters were not significant. Conclusion Addition of a mandibular nerve block to the anesthetic regimen in the miniature pig condylectomy model may improve variations in intraoperative BP and HR. This study establishes the foundation for future studies with larger animal numbers to confirm these preliminary findings. PMID:25394295

  2. Fully Implantable Blood Pressure System: Implantation Experiences

    Microsoft Academic Search

    U. Urban; R. Ballan; H. Fassbender; P. Fuerst; T. Goettsche; B. Bender; R. Becker; W. Mokwa; H. K. Trieu; P. Osypka; R. Glocker; U. Steinseifer; T. Schmitz-Rode

    \\u000a Hypertension is an important risk factor for vascular diseases (arteriosclerosis), renal and heart insufficiency. In Germany,\\u000a approximately 10 million people suffer from hypertension. 10% of the people affected are difficult to medicate. Furthermore,\\u000a 10% of this group are candidates for long term monitoring. Therefore a fully implantable and telemetrically controlled blood\\u000a pressure system is presented to realize a comfortable long

  3. Treatment of chronic mandibular dislocations by eminectomy: Follow-up of 10 cases and literature review

    Microsoft Academic Search

    Gabriela-Granja Porto; José-Pacheco-Martins-Ribeiro Neto; César-Freire de Melo Vasconcelos

    Introduction: Temporomandibular joint (TMJ) dislocation is defined as an excessive forward movement of the condyle beyond the articular eminence, with complete separation of the articular surfaces and fixation in that position. Objectives: To report ten cases treated by eminectomy for chronic mandibular dislocations, to evaluate the results of these surgeries and make a critical review of the literature. Methods: The

  4. Endodontic management of a mandibular second molar with radix entomolaris: a case report.

    PubMed

    Hannah, Rosaline; Kandaswamy, Deivanayagam; Jayaprakash, Nachimuthu

    2014-05-01

    The presence of radix entomolaris (RE) in a mandibular first molar is a common occurrence in certain ethnic groups, but the presence of RE in a mandibular second molar is a rare occurrence. In the present case, RE was identified from preoperative radiographs and confirmed using cone-beam computed tomography (CBCT). The access cavity was modified to locate the RE. Cleaning and shaping were performed with nickel-titanium rotary instruments. Obturation was completed with gutta-percha cones using AH Plus (Dentsply Detrey GmbH) as sealer. From the CBCT axial images, the RE was determined to have a Type III curvature by the De Moor classification, Type B separate RE by the Carlsen and Alexandersen classification, and radiographically, a Type i image by the Wang classification. The presence of RE in the mandibular second molar makes it essential to anticipate and treat the distolingual root canal. This case report highlights the usefulness of CBCT for assessing RE in the mandibular second molar, which can help the clinician in making a confirmatory diagnosis and assessing the morphology of the root canal. PMID:24790927

  5. Radiographic Investigation of Frequency and Degree of Canal Curvatures in Chinese Mandibular Permanent Incisors

    Microsoft Academic Search

    Qing-hua Zheng; Xue-dong Zhou; Ying Jiang; Tuo-qi Sun; Cheng-xia Liu; Hui Xue; Ding-ming Huang

    2009-01-01

    Accurate knowledge of root canal curvature is a critical factor in successful root canal procedures. The objective of this study was to determine the degree of root canal curvature and the frequency of curvature identified in different radiographic views in permanent incisors from a Chinese population. The curvature of canals from 299 permanent mandibular incisors was investigated by measuring the

  6. Mandibular Corpus Strain in Primates: Further Evidence for a Functional Link Between Symphyseal Fusion

    E-print Network

    mastication. Unlike an earlier study (Hylander [1979b] J. Morphol. 160:223­240), we are unable to estimate; functional morphology; jaw-adductor muscle force; mastication; primates ABSTRACT Previous work indicates-strain patterns during forceful mastication. Moreover, we have also recorded mandibular bone strain patterns

  7. Analysis of human mandibular mechanics based on screw theory and in vivo data

    Microsoft Academic Search

    J. A Gal; L. M Gallo; S Palla; G Murray; I Klineberg

    2004-01-01

    In this paper the mechanics of human mandibular function is described in terms of the associated screws. The two distinct, yet related features of jaw mechanics, involving the motion itself as well as the forces, are both functions of the anatomical constraints, namely the contact areas that exist within the temporomandibular joint, and the forces of the muscles and tendons

  8. Computer Aided Surgery Virtual 3D Planning and Guidance of Mandibular

    E-print Network

    Salisbury, Kenneth

    Computer Aided Surgery Virtual 3D Planning and Guidance of Mandibular Distraction Osteogenesis retrospective study To be published in Computer Aided Surgery, 2006. #12;Meehan et al.: Virtual 3D Planning of head and neck tumors require reconstructive surgery for rehabilitation. Due to the complex anatomy

  9. Structural Characterization of the Mandibular Condyle in Human Fetuses: Light and Electron Microscopy Studies

    Microsoft Academic Search

    Y. Ben-Ami; D. Lewinson; M. Silbermann

    1992-01-01

    Mandibular condyles from 18- to 20-week-old human fetuses were examined in the light and electron microscope with particular attention to intratissue organization and extracellular matrix. In the human fetus the condyle has been divided into five layers: (1) the most superficial, articular layer, (2) chondroprogenitor cell layer, (3) condroblast cell layer, (4) nonmineralized hypertrophic cell layer, and (5) mineralized hypertrophic

  10. Evaluation of the Accuracy of Computer-Guided Mandibular Fracture Reduction.

    PubMed

    El-Gengehi, Mostafa; Seif, Sameh A

    2015-07-01

    The aim of the current study was to evaluate the accuracy of computer-guided mandibular fracture reduction. A total of 24 patients with fractured mandible were included in the current study. A preoperative cone beam computed tomography (CBCT) scan was performed on all of the patients. Based on CBCT, three-dimensional reconstruction and virtual reduction of the mandibular fracture segments were done and a virtual bone borne surgical guide was designed and exported as Standard Tessellation Language file. A physical guide was then fabricated using a three-dimensional printing machine. Open reduction and internal fixation was done for all of the patients and the fracture segments were anatomically reduced with the aid of the custom-fabricated surgical guide. Postoperative CBCT was performed after 7 days and results of which were compared with the virtually reduced preoperative mandibular models. Comparison of values of lingula-sagittal plane, inferior border-sagittal plane, and anteroposterior measurements revealed no statistically significant differences between the virtual and the clinically reduced CBCT models. Based on the results of the current study, computer-based surgical guide aid in obtaining accurate anatomical reduction of the displaced mandibular fractured segments. Moreover, the computer-based surgical guides were found to be beneficial in reducing fractures of completely and partially edentulous mandibles. PMID:26163841

  11. Alveolar ridge augmentation by combining autogenous mandibular bone grafts and non-resorbable membranes.

    PubMed

    Donos, Nikolaos; Kostopoulos, Lambros; Karring, Thorkild

    2002-04-01

    The aim of the present study was to evaluate the effect of using mandibular cortical bone grafts covered with e-PTFE membranes for maxillary alveolar ridge augmentation, in comparison with the use of mandibular cortical grafts alone. The experiment was carried out in 20 rats. At one side of the maxillary jaw, the edentulous alveolar ridge between the incisor and the first molar was augmented by means of an autogenous mandibular bone graft, which was fixed with a titanium microimplant and covered with a Teflon membrane. The contralateral side, serving as control, was treated the same way, except for the placement of a membrane. Histological analysis at 15, 30, 60 and 90 days after surgery demonstrated that, in situations where the membrane was not exposed to the oral cavity during healing, the mandibular bone grafts presented no resorption and were in continuity with the maxillary bone at the recipient site. In situations where the membrane had become exposed, however, the bone grafts presented extensive resorption and lack of continuity with the bone at the recipient site. These latter findings were similar to those made at the non-membrane-treated side. The results indicate that the volume of autogenous bone graft used for alveolar ridge augmentation can be retained by covering the graft with a membrane, provided that the membrane is properly adapted and is kept covered with mucosa during healing. PMID:11952739

  12. Factors associated with the efficacy of mandibular advancing device treatment in adult OSA patients.

    PubMed

    Milano, Francesca; Billi, Maria Celeste; Marra, Francesca; Sorrenti, Giovanni; Gracco, Antonio; Bonetti, Giulio A

    2013-09-01

    The aim of this study was to evaluate the anthropometric, demographic, occlusal and cephalometric characteristics of a group of adult obstructive sleep apnea (OSA) patients treated with mandibular advancement devices (MADs) and to determine the factors associated with treatment efficacy. Twenty-three consecutive patients with mild to severe OSA (polysomnographically diagnosed [T0]) were recruited for this prospective study; they were treated with a Silensor(®) appliance, and a polysomnographic exam with the MAD in situ was performed 2 to 3 months later (T1) to evaluate MAD's efficacy. Based on apnea-hypopnea index (AHI) differences between the T0 and T1 values, patients were classified into two groups: completely recovered and not completely recovered patients. The differences in anthropometric, demographic, occlusal and cephalometric parameters between the two groups were analyzed, and significant parameters verified. The sample showed these prevalent characteristics: deep bite, crossbite, tooth wear, dental and skeletal Class II, mesofacial mandibular vertical growth pattern, low position of the hyoid bone, longer soft palate length. The transverse diameters of upper maxilla had the greatest impact on T0 AHI. The factors associated with MAD efficacy were: age under 55 years, distance between the hyoid bone and the mandibular plane (H-MP) less than 20 mm, divergence of mandibular vertical growth pattern (SN^MP) less than 29°. PMID:23867336

  13. Material properties of mandibular cortical bone in the American alligator, Alligator mississippiensis

    E-print Network

    Material properties of mandibular cortical bone in the American alligator, Alligator of cortical bone in the mandible of juvenile Alligator mississippiensis obtained by using an ultrasonic wave Alligator bone specimens obtained from the lingual and facial surfaces of 4 fresh Alligator mandibles

  14. Comparison of mandibular bone density and radiomorphometric indices in wearers of complete or removable partial dentures

    Microsoft Academic Search

    Dubravka Knezovi?-Zlatari?; Asja ?elebi?

    2005-01-01

    Objectives. To examine bone mineral density (BMD) and linear radiomorphometric parameters of the mandible in elderly patients with different types of dentures. Methods. Patients had mandibular complete dentures (CDs) or Kennedy Class I removable partial dentures (RPDs) in the mandible; all patients had CDs in the maxilla. The age and sex distributions of patients with CDs and of those with

  15. Central giant cell granuloma of the mandibular condyle: a case report and review of the literature.

    PubMed

    Jadu, F M; Pharoah, M J; Lee, L; Baker, G I; Allidina, A

    2011-01-01

    Central giant cell granuloma (CGCG) is a benign intraosseous lesion. The true nature of this lesion is controversial and remains unknown; the three competing theories are that it could be a reactive lesion, a developmental anomaly or a benign neoplasm. Furthermore, the actual aetiology of CGCG is still unclear, although inflammation, haemorrhage and local trauma have all been suggested; it has also been hypothesized that CGCG may have a genetic aetiology. Lesions central to the mandibular condylar head are very rare, with only three documented cases in the English language literature, none of which elaborates on the CT features. In this case report, a 31-year-old male patient complaining of a left pre-auricular mass underwent radiographic investigation. CT images revealed a lesion central to the mandibular condyle and demonstrated features that were highly suggestive of CGCG. The patient underwent surgical curettage, and the subsequent histopathological examination confirmed the diagnosis of CGCG. 3 years after the procedure the patient presented with a recurrence and underwent complete resection of the mandibular condyle with immediate reconstruction. This report presents CT characteristics of a rare occurrence of CGCG of the mandibular condyle, compares it with other published cases and poses the question of the role of radiology in predicting the degree of aggressive behaviour of these lesions before surgery. PMID:21159917

  16. Mandibular fractures in British military personnel secondary to blast trauma sustained in Iraq and Afghanistan

    Microsoft Academic Search

    J. Breeze; A. J. Gibbons; N. C. Hunt; A. M. Monaghan; I. Gibb; A. Hepper; M. Midwinter

    Blast trauma is the primary cause of maxillofacial injury sustained by British service personnel on deployment, and the mandible is the maxillofacial structure most likely to be injured in combat, but there are few reports about the effect of blast trauma on it. The Joint Theatre Trauma Registry identified all mandibular fractures sustained by British servicemen secondary to blast injury

  17. Temporary uniocular blindness and ophthalmoplegia associated with a mandibular block injection. A case report

    Microsoft Academic Search

    Gary J. Wilkie

    2000-01-01

    A mandibular block injection produced temporary uniocular blindness, total ophthalmoplegia, m y d r i a s i s , and ptosis of the eyelid, with diplopia developing as the sight returned. These effects lasted 25-30 minutes. The explanation offered as to the cause of the anaesthetic phenomenon is an intra-arterial injection into the maxillary artery with backflow of anaesthetic

  18. Dentures

    MedlinePLUS

    ... advancements in dental implants. By establishing two implanted attachments to the lower jaw, an overdenture is able ... traditional dentures is the limited amount of bone loss where the implants are placed, making the procedure ...

  19. Classification of impacted mandibular third molars on cone-beam CT images

    PubMed Central

    Maglione, Michele; Bazzocchi, Gabriele

    2015-01-01

    Background Neurological involvement is a serious complication associated to the surgical removal of impacted mandibular third molars and the radiological investigation is the first mandatory step to assess the risk of a possible post-operative injury to the inferior alveolar nerve (IAN). The aim of this study was to introduce a new radiological classification that could be normally used in clinical practice to assess the relationship between an impacted third molar and mandibular canal on cone beam CT (CBCT) images. Material and Methods CBCT images of 80 patients (133 mandibular third molars) were independently studied by three members of the surgical team to draw a classification that could describe all the possible relationships between third molar and IAN on the cross-sectional images. Subsequently, the study population was subdivided according to this classification. The SPSS software, version 15.0 (SPSS® Inc., Chicago, Illinois, USA) was used for the statistical analysis. Results Eight different classes were proposed (classes 0-7) and six of them (classes 1-6) were subdivided in two subtypes (subtypes A-B). The distribution of classes showed a prevalence of buccal or apical course of the mandibular canal followed by lingual position and inter-radicular one. No differences have resulted in terms of anatomic relationship between males and females apart from a higher risk of real contact without corticalization of the canal when the IAN had a lingual course for female group. Younger patients showed an increased rate of direct contact with a reduced calibre of the canal and/or without corticalization. Conclusions The use of this classification could be a valid support in clinical practice to obtain a common language among operators in order to define the possible relationships between an impacted third molar and the mandibular canal on CBCT images. Key words:CBCT, classification, inferior alveolar nerve, third molars.

  20. Predictive factors for premature loss of Martin 2.7 mandibular reconstruction plates.

    PubMed

    van der Rijt, E E M; Noorlag, R; Koole, R; Abbink, J H; Rosenberg, A J W P

    2015-02-01

    Mandibular reconstruction with a plate, with or without a vascularised free (bone) flap, is commonly used to treat patients with a segmental mandibular defect. Common complications are loosening of the osteosynthesis screws, malposition, intraoral or extraoral exposure, or infection. To define prognostic factors for premature loss of such plates and improve future planning, we designed a retrospective study of all patients operated on between 2005 and 2011 for reconstruction of a mandibular segmental defect with a reconstruction plate with or without a free vascularised (bone) flap. Prognostic factors collected from medical records were the patient's age, sex, and American Society of Anesthesiologists (ASA) grade; treatment with radiotherapy; whether they had diabetes or smoked; the site of the mandibular defect; whether there was a dental occlusion; the number of screws used on each side, and the use of a free vascularised (bone) flap; and whether the diagnosis was of oral cancer, benign tumour, or trauma. One hundred patients were included, 79 with oral cancer, 19 with benign tumours, and 2 with trauma. In 20 patients the Martin 2.7 reconstruction plate failed. Diabetes and smoking were significant prognostic factors for premature loss of the reconstruction plate with a hazard ratio of 2.95 (95% CI 1.068-8.172), p value=0.04, for diabetes, and 2.42 (95% CI 1.006-5.824), p value=0.05, for smoking. Smokers and diabetic patients have a higher risk of failure after mandibular reconstruction with a 2.7 reconstruction plate. PMID:25468318

  1. Regional variation of bone tissue properties at the human mandibular condyle.

    PubMed

    Kim, Do-Gyoon; Jeong, Yong-Hoon; Kosel, Erin; Agnew, Amanda M; McComb, David W; Bodnyk, Kyle; Hart, Richard T; Kim, Min Kyung; Han, Sang Yeun; Johnston, William M

    2015-08-01

    The temporomandibular joint (TMJ) bears different types of static and dynamic loading during occlusion and mastication. As such, characteristics of mandibular condylar bone tissue play an important role in determining the mechanical stability of the TMJ under the macro-level loading. Thus, the objective of this study was to examine regional variation of the elastic, plastic, and viscoelastic mechanical properties of human mandibular condylar bone tissue using nanoindentation. Cortical and trabecular bone were dissected from mandibular condyles of human cadavers (9 males, 54-96 years). These specimens were scanned using microcomputed tomography to obtain bone tissue mineral distribution. Then, nanoindentation was conducted on the surface of the same specimens in hydration. Plastic hardness (H) at a peak load, viscoelastic creep (Creep/Pmax), viscosity (?), and tangent delta (tan ?) during a 30 second hold period, and elastic modulus (E) during unloading were obtained by a cycle of indentation at the same site of bone tissue. The tissue mineral and nanoindentation parameters were analyzed for the periosteal and endosteal cortex, and trabecular bone regions of the mandibular condyle. The more mineralized periosteal cortex had higher mean values of elastic modulus, plastic hardness, and viscosity but lower viscoelastic creep and tan ? than the less mineralized trabecular bone of the mandibular condyle. These characteristics of bone tissue suggest that the periosteal cortex tissue may have more effective properties to resist elastic, plastic, and viscoelastic deformation under static loading, and the trabecular bone tissue to absorb and dissipate time-dependent viscoelastic loading energy at the TMJ during static occlusion and dynamic mastication. PMID:25913634

  2. Reconstruction of Mandibular Defects Using Nonvascularized Autogenous Bone Graft in Nigerians

    PubMed Central

    Ndukwe, Kizito Chioma; Aregbesola, Stephen Babatunde; Ikem, Innocent Chinedu; Ugboko, Vincent I; Adebiyi, Kehinde Emmanuel; Fatusi, Olawunmi Adedoyin; Owotade, Foluso John; Braimah, Ramat Oyebunmi

    2014-01-01

    Objectives: The aim of this study is to evaluate the success rate and complications of mandibular reconstruction with nonvascularized bone graft in Ile-Ife, Nigeria. Patients and Methods: A total of 25 patients who underwent reconstruction of mandibular discontinuity defects between January 2003 and February 2012, at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife constituted the study sample. Relevant information was retrieved from the patients’ records. This information include patients’ demographics (age and sex) as well as the type of mandibular defect, cause of the defect, type of mandibular resection done, source of the bone graft used, and the method of graft immobilization. Morbidity associated with the graft procedures were assessed by retrieving information on graft failures, length of hospital stay following surgery, rehabilitation device used and associated graft donor and recipient site complications. Result: There were 12 males and 13 females with a male:female ratio was 1:1.1. The age of the patients ranged from 13 to 73 years with a mean age for males 32.7 ± standard deviation (SD) 12.9 and for females 35.0 ± SD 17.1. Jaw defect was caused by resection for tumours and other jaw pathologies in 92% of cases. Complete symphyseal involvement defect was the most common defect recorded 11 (44%). Reconstruction with nonvascularized rib graft accounted for 68% of cases while iliac crest graft was used in 32% of the patients. Successful take of the grafts was recorded in 22 patients while three cases failed. Wound dehiscence (two patients) and postoperative wound infection (eight patients) were the most common complications recorded. Conclusion: The use of nonvascularized graft is still relevant in the reconstruction of large mandibular defects caused by surgical ablation of benign conditions in Nigerians. Precise surgical planning and execution, extended antibiotic therapy, and meticulous postoperative care contributed to the good outcome. PMID:25191100

  3. Positron implantation in solids

    SciTech Connect

    Ghosh, V.J.; Lynn, K.G.; Welch, D.O.

    1993-12-31

    The Monte Carlo technique for modeling positron prior to annihilation and electron implantation in semi-infinite metals is described. Particle implantation is modelled as a multistep process, a series of collisions with the atoms of the host material. In elastic collisions with neutral atoms there is no transfer of energy. The particle loses energy by several different channels, excitation of the electron gas, ionization of the ion cores, or, at low energies, by phonon excitation. These competing scattering mechanisms have been incorporated into the Monte Carlo framework and several different models are being used. Brief descriptions of these Monte Carlo schemes, as well as an analytic model for positron implantation are included. Results of the Monte Carlo simulations are presented and compared with expermental data. Problems associated with modeling positron implantation are discuss and the need for more expermental data on energy-loss in different materials is stressed. Positron implantation in multilayers of different metals is briefly described and extensions of this work to include a study of multilayers and heterostructures is suggested.

  4. Continuous mandibular distraction osteogenesis using superelastic shape memory alloy (SMA).

    PubMed

    Idelsohn, S; Peña, J; Lacroix, D; Planell, J A; Gil, F J; Arcas, A

    2004-04-01

    Distraction osteogenesis is a well-established method of endogenous tissue engineering. It is a biological process of bone neo-formation between segments subjected to tension. The concept of this study was to investigate the distraction osteogenesis with a device capable of creating a permanent and constant force during the whole process as if a very large number of small elongations were applied constantly. The mechanical testing of the device used to produce the constant force and the in vivo analysis of the bone growth after it was implanted in rabbits are presented on this work. The device consists of a NiTi coil spring, superelastic at body temperature, in order to have a stress plateau during the austenitic retransformation during the unloading. The in vivo analysis was made on six female rabbits of 12 months old. A segmental mandibulectomy at the horizontal arm of the mandible and a corticotomy at 5mm distant from the gap were made. Next, following a latency period of five days, the SMA springs were implanted to induce the bone neo-formation. The displacement at the unloading plateau shows that it is necessary to have longer springs or to use several (available commercially) in series in order to fulfil the requirements of a human distraction. The temperature variations induced changes in the spring force. However, when the temperature returns to 37 degrees C the distraction force recovers near the initial level and does so completely when the distraction process continues. For the in vivo study, all six rabbits successfully completed the distraction. The radiographies showed the gap as distraction advanced. A continuity in the newly formed bone with similar transversal and horizontal dimensions than the original bone can be observed on the histologies. In conclusion, the application of a constant force on distraction osteogenesis, using SMA springs, may be a successful alternative to the conventional gradual distraction. PMID:15332632

  5. Management of pain and sublingual hematoma caused by suture irritation after implant surgery: A clinical report.

    PubMed

    Bidra, Avinash S

    2015-05-01

    Hematoma in the sublingual region is an adverse consequence of implant surgery in the mandibular posterior region. Improved knowledge and understanding of the anatomy as well as the use of advanced radiographic imaging have all contributed to minimizing adverse surgical complications in this region. Delayed sublingual hematoma caused by suture irritation after implant surgery has not previously been reported. This article describes the management of a patient with a delayed sublingual hematoma after implant surgery in the posterior mandible had been performed. No evidence of encroachment of the vascular structures was noted at the time of implant surgery. However, at a 48-hour follow-up, the patient presented with severe pain and irritation of the sublingual mucosa, along with extravasation and a collection of blood in the sublingual region. Based on the patient's symptoms and clinical signs, the source of the problem was determined to be the stiff tags of polypropylene suture, which had been used to attain primary closure of the surgical flaps. The situation was conservatively and successfully managed by the use of a custom soft tissue guard to protect the patient's sublingual mucosa and the tongue from the stiff suture tags. Various suture materials and measures for preventing and managing similar situations are discussed in this article. PMID:25749082

  6. Improved osseointegration in ion implantation-treated dental implants

    Microsoft Academic Search

    I Braceras; J. I Alava; J. I Oñate; M Brizuela; A Garcia-Luis; N Garagorri; J. L Viviente; M. A de Maeztu

    2002-01-01

    Implants for knee, hip and dental part replacement are becoming increasingly used in surgery. Unfortunately, their use is sometimes accompanied by failure due to infection, inflammation, integration problems with the surrounding tissues or bone, and implant failure due to mishandling. Surface treatment, such as ion implantation, has been identified as a good candidate to modify the surface properties of the

  7. Ion implantation in silicate glasses

    SciTech Connect

    Arnold, G.W.

    1993-12-01

    This review examines the effects of ion implantation on the physical properties of silicate glasses, the compositional modifications that can be brought about, and the use of metal implants to form colloidal nanosize particles for increasing the nonlinear refractive index.

  8. Rehabilitation using single stage implants

    PubMed Central

    Mohamed, Jumshad B.; Sudarsan, Sabitha; Arun, K. V.; Shivakumar, B.

    2009-01-01

    Implant related prosthesis has become an integral part of rehabilitation of edentulous areas. Single stage implant placement has become popular because of its ease of use and fairly predictable results. In this paper, we present a series of cases of single stage implants being used to rehabilitate different clinical situations. All the implants placed have been successfully restored and followed up for up to one year. PMID:20376239

  9. Hydroxylapatite Otologic Implants

    SciTech Connect

    McMillan, A.D.; Lauf, R.J.; Beale, B.; Johnson, R.

    2000-01-01

    A Cooperative Research and Development Agreement (CRADA) between Lockheed Martin Energy Research Corporation (LMER) and Smith and Nephew Richards Inc. of Bartlett, TN, was initiated in March 1997. The original completion date for the Agreement was March 25, 1998. The purpose of this work is to develop and commercialize net shape forming methods for directly creating dense hydroxylapatite (HA) ceramic otologic implants. The project includes three tasks: (1) modification of existing gelcasting formulations to accommodate HA slurries; (2) demonstration of gelcasting to fabricate green HA ceramic components of a size and shape appropriate to otologic implants: and (3) sintering and evaluation of the HA components.

  10. Implantable Heart Aid

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Medrad utilized NASA's Apollo technology to develop a new device called the AID implantable automatic pulse generator which monitors the heart continuously, recognizes the onset of ventricular fibrillation and delivers a corrective electrical shock. AID pulse generator is, in effect, a miniaturized version of the defibrillator used by emergency squads and hospitals to restore rhythmic heartbeat after fibrillation, but has the unique advantage of being permanently available to the patient at risk. Once implanted, it needs no specially trained personnel or additional equipment. AID system consists of a microcomputer, a power source and two electrodes which sense heart activity.

  11. Developmental neuroplasticity after cochlear implantation

    E-print Network

    Allen, Jont

    Developmental neuroplasticity after cochlear implantation Andrej Kral1,2 and Anu Sharma3 1. Cochlear implants bypass cochlear damage by directly stimulating the auditory nerve and brain, making, and mechanistic constraints on, sensi- tive periods for cochlear implantation and describe the effects

  12. Treatment of peri-implantitis and the failing implant.

    PubMed

    Robertson, Kevin; Shahbazian, Timothy; MacLeod, Stephen

    2015-04-01

    Appropriate treatment of implants is becoming increasingly important for the general dentist as the number of implants placed per year continues to increase. Early diagnosis of peri-implantitis is imperative; initiating the correct treatment protocol depends on a proper diagnosis. Several risk factors exist for the development of peri-implantitis, which can guide patient selection and treatment planning. Treatment of peri-implantitis should be tailored to the severity of the lesion (as outlined by the cumulative interceptive supportive treatment protocol), ranging from mechanical debridement to explantation. Several surgical and nonsurgical treatment alternatives exist. There is little consensus on superior treatment methods. PMID:25835797

  13. Virgin queen mandibular gland signals of Apis mellifera capensis change with age and affect honeybee worker responses.

    PubMed

    Wossler, Theresa C; Jones, Georgina E; Allsopp, Michael H; Hepburn, Randall

    2006-05-01

    The mandibular gland secretions of Apis mellifera capensis virgin queens were analyzed by gas chromatography-mass spectroscopy. Changes in the patterns of the mandibular gland volatiles of A. m. capensis virgin queens were followed from emergence until 14-d old. Ontogenetic changes in the mandibular gland secretions were largely quantitative in nature, delineating the age categories (global R = 0.612, P = 0.001), except for 7- and 14-d-old queens, which cannot be separated on their mandibular gland profiles (P = 0.2). (E)-9-Oxodec-2-enoic acid (9ODA) contributes most and most consistently to the dissimilarity between groups as well as the similarity within groups. Worker reactions to introduced virgin queens of various ages were recorded. Workers showed a significant increase in hostile reactions as queens aged (r = 0.615, N = 20, P < 0.05). Consequently, worker reactions and relative 9ODA production exhibit a positive queen age-dependent response. PMID:16739022

  14. Mandibular Branch of the Facial Nerve in Wistar Rats: New Experimental Model to Assess Facial Nerve Regeneration

    PubMed Central

    Bento, Ricardo Ferreira; Salomone, Raquel; Nascimento, Silvia Bona do; Ferreira, Ricardo Jose Rodriguez; Silva, Ciro Ferreira da; Costa, Heloisa Juliana Zabeu Rossi

    2014-01-01

    Introduction?The ideal animal model for nerve regeneration studies is the object of controversy, because all models described by the literature have advantages and disadvantages. Objective?To describe the histologic and functional patterns of the mandibular branch of the facial nerve of Wistar rats to create a new experimental model of facial nerve regeneration. Methods?Forty-two male rats were submitted to a nerve conduction test of the mandibular branch to obtain the compound muscle action potential. Twelve of these rats had the mandibular branch surgically removed and submitted to histologic analysis (number, partial density, and axonal diameter) of the proximal and distal segments. Results?There was no statistically significant difference in the functional and histologic variables studied. Conclusion?These new histologic and functional standards of the mandibular branch of the facial nerve of rats establish an objective, easy, and greatly reproducible model for future facial nerve regeneration studies. PMID:25992106

  15. Clinical application of micro-implant anchorage in initial orthodontic retraction.

    PubMed

    Wahabuddin, Shaji; Mascarenhas, Rohan; Iqbal, Mahamad; Husain, Akhter

    2015-02-01

    Micro-implant is a device that is temporarily fixed to bone for the purpose of enhancing orthodontic anchorage either by supporting the teeth of the reactive unit or by obviating the need for the reactive unit altogether, and which is subsequently removed after use. The purpose of this study was to evaluate the clinical efficiency of micro-implants in reinforcing anchorage during the initial retraction of anterior teeth, check the rate of initial retraction for 8 weeks, and assess the stability of micro-implants during this period. Eighteen micro-implants were placed (10 in the maxilla and 8 in the mandible) and immediately loaded with 200-250 g of force using 9-mm closed coil Nitinol springs. The amount of space closure was measured every 2 weeks until the eighth week. Cephalometric measurements were made at the end of the study to evaluate anchor loss, if any. Micro-implant stability was also assessed. The rate of initial retraction in the maxilla at the end of 8 weeks was 1.65 mm/quadrant and 1.51 mm/quadrant in the mandible. The amount of retraction on the left side of the arches was 1.66 mm/quadrant and 1.49 mm/quadrant on the right side. The average initial retraction for both arches per month was 0.78 mm. An anchor loss of 0.1 mm (0.06%) was observed in the maxilla while no mandibular anchor loss was recorded. The rate of initial retraction observed in the maxilla was more than that achieved in the mandible. Initial retraction was also more on the left side of the arches. There was no anchor loss in the mandible. The micro-implant-reinforced anchorage was helpful in minimizing anchor loss and accepted heavy traction forces but did not bring about a faster rate of retraction. PMID:23573806

  16. Bilateral Poly Implant Prothèse Implant Rupture: An Uncommon Presentation

    PubMed Central

    Mallon, Peter; Ganachaud, François; Malhaire, Caroline; Brunel, Raphael; Sigal-Zafrani, Brigitte; Feron, Jean-Guillaume; Couturaud, Benoit; Fitoussi, Alfred

    2013-01-01

    Summary: A woman in her 50s underwent delayed bilateral Poly Implant Prothèse implant reconstruction following mastectomy for breast cancer. Symptoms of implant rupture developed 43 months after surgery with an erythematous rash on her trunk. The rash then spread to her reconstructed breast mounds. Initial ultrasound scan and magnetic resonance imaging were normal; however, subsequent magnetic resonance imaging demonstrated left implant rupture only. In theater, following removal of both implants, both were found to be ruptured. The rash on her trunk resolved within 3 weeks in the postoperative period. Chemical analyses of silicone in both implants confirmed a nonauthorized silicone source; in addition, the chemical structure was significantly different between the left and right implant, perhaps explaining the variation in presentation. PMID:25289223

  17. Stability of skeletal Class III malocclusion after combined maxillary and mandibular procedures.

    PubMed

    Costa, F; Robiony, M; Sembronio, S; Polini, F; Politi, M

    2001-01-01

    The aim of this study was to evaluate the skeletal stability and time course of postoperative changes after surgical correction of skeletal Class III malocclusion. Combined maxillary and mandibular procedures were performed in 40 consecutive patients. Bilateral sagittal split osteotomy stabilized with wire osteosynthesis for mandibular setback and low-level Le Fort I osteotomy stabilized with plates and screws for maxillary advancement were performed. Maxillomandibular fixation (MMF) was in place for 6 weeks. Lateral cephalograms were taken before surgery, immediately postoperatively, 8 weeks after surgery, and 1 year postoperatively. Patients were divided into 2 groups according to vertical maxillary movement at surgery: a maxilla-up group with upward movement of the posterior nasal spine of 2 mm or more (group 1, n = 22), and a minimal vertical change group with less than 2 mm of vertical repositioning (group 2, n = 18). The results indicate that surgical correction of Class III malocclusion with combined maxillary and mandibular osteotomies appears to be fairly stable. One year postsurgery, maxillary stability was excellent, with a mean horizontal relapse at point A that represented 10.7% of maxillary advancement in group 1 and 13.4% in group 2. In the vertical plane, maxillary stability was also excellent, with a mean of 0.18 mm of superior repositioning at point A for group 1 and 1.19 mm for group 2. The mandible relapsed a mean of 2.97 mm horizontally at pogonion in group 1 (62% of mandibular setback) and 3.41 mm (49.7% of setback) in group 2. Bilateral sagittal split osteotomy with wire osteosynthesis and MMF was not as stable as maxillary advancement and accounted for most of the total horizontal relapse (almost 85%) observed. A trend to relapse was observed for maxillary advancement greater than 6 mm, while the single variable accounting for mandibular relapse in group 1 was the amount of surgical setback. Clockwise rotation of the ascending ramus at surgery was not correlated with mandibular relapse in relation to the type of fixation performed and therefore does not seem to be responsible for relapse. PMID:12387609

  18. Elementary Implantable Force Sensor

    PubMed Central

    Wachs, Rebecca A.; Ellstein, David; Drazan, John; Healey, Colleen P.; Uhl, Richard L.; Connor, Kenneth A.

    2014-01-01

    Implementing implantable sensors which are robust enough to maintain long term functionality inside the body remains a significant challenge. The ideal implantable sensing system is one which is simple and robust; free from batteries, telemetry, and complex electronics. We have developed an elementary implantable sensor for orthopaedic smart implants. The sensor requires no telemetry and no batteries to communicate wirelessly. It has no on-board signal conditioning electronics. The sensor itself has no electrical connections and thus does not require a hermetic package. The sensor is an elementary L-C resonator which can function as a simple force transducer by using a solid dielectric material of known stiffness between two parallel Archimedean coils. The operating characteristics of the sensors are predicted using a simplified, lumped circuit model. We have demonstrated sensor functionality both in air and in saline. Our preliminary data indicate that the sensor can be reasonably well modeled as a lumped circuit to predict its response to loading. PMID:24883335

  19. Semiconductor Ion Implanters

    NASA Astrophysics Data System (ADS)

    MacKinnon, Barry A.; Ruffell, John P.

    2011-06-01

    In 1953 the Raytheon CK722 transistor was priced at 7.60. Based upon this, an Intel Xeon Quad Core processor containing 820,000,000 transistors should list at 6.2 billion! Particle accelerator technology plays an important part in the remarkable story of why that Intel product can be purchased today for a few hundred dollars. Most people of the mid twentieth century would be astonished at the ubiquity of semiconductors in the products we now buy and use every day. Though relatively expensive in the nineteen fifties they now exist in a wide range of items from high-end multicore microprocessors like the Intel product to disposable items containing `only' hundreds or thousands like RFID chips and talking greeting cards. This historical development has been fueled by continuous advancement of the several individual technologies involved in the production of semiconductor devices including Ion Implantation and the charged particle beamlines at the heart of implant machines. In the course of its 40 year development, the worldwide implanter industry has reached annual sales levels around 2B, installed thousands of dedicated machines and directly employs thousands of workers. It represents in all these measures, as much and possibly more than any other industrial application of particle accelerator technology. This presentation discusses the history of implanter development. It touches on some of the people involved and on some of the developmental changes and challenges imposed as the requirements of the semiconductor industry evolved.

  20. Biomimetic implant coatings

    Microsoft Academic Search

    E. Eisenbarth; D. Velten; J. Breme

    2007-01-01

    Biomaterials and tissue engineering technologies are becoming increasingly important in biomedical practice, particularly as the population ages. Cellular responses depend on topographical properties of the biomaterial at the nanometer scale. Structures on biomaterial surfaces are used as powerful tools to influence or even control interactions between implants and the biological system [Kawahara, H., Soeda, Y., Niwa, K., Takahashi, M., Kawahara,

  1. [Cochlear implants and tinnitus].

    PubMed

    Olze, H

    2015-04-01

    The cochlear implant became a very successful method of hearing rehabilitation for patients with profound sensorineural hearing loss. The benefits of the CI extend beyond the medical success and positively influence social and psychosocial areas, reflected by an improved HRQoL. Furthermore, variety of studies demonstrated that the tinnitus severity improves in 46-95?% of cases following the cochlear implantation. However, the parameters investigated in such studies are not always standardized or addressed by validated questionnaires, which explains the high outcome variation between the studies. The relationships between HRQoL and tinnitus distress before and after cochlear implantation have not been well studied. Nevertheless, it is believed that the improvement in HRQoL following CI affects particularly tinnitus.However, an existing tinnitus can also worsen or occur for the first time after the surgery. Since neither tinnitus frequency nor tinnitus loudness correlate with the tinnitus-induced distress, the measurement of HRQoL, distress factors, stress reactions and psychiatric comorbidities appears to be the meaningful assessment of positive or negative effects of CI on tinnitus.Initial studies demonstrated that also patients with unilateral hearing loss may benefit from CI supply, as shown by an improvement in HRQoL and reduction of tinnitus-induced distress. For those patients, who despite CI implantation experience severe tinnitus, there is an option of tinnitus-specific CI-fitting and tinnitus-specific therapy with psychosomatic and psychological approaches, and- in addition- a treatment of possible mental comorbidities. PMID:25862623

  2. Implantable Impedance Plethysmography

    PubMed Central

    Theodor, Michael; Ruh, Dominic; Ocker, Martin; Spether, Dominik; Förster, Katharina; Heilmann, Claudia; Beyersdorf, Friedhelm; Manoli, Yiannos; Zappe, Hans; Seifert, Andreas

    2014-01-01

    We demonstrate by theory, as well as by ex vivo and in vivo measurements that impedance plethysmography, applied extravascularly directly on large arteries, is a viable method for monitoring various cardiovascular parameters, such as blood pressure, with high accuracy. The sensor is designed as an implant to monitor cardiac events and arteriosclerotic progression over the long term. PMID:25123467

  3. Implantable Drug Dispenser

    NASA Technical Reports Server (NTRS)

    Collins, E. R. J.

    1983-01-01

    Drugs such as insulin are injected as needed directly into bloodstream by compact implantable dispensing unit. Two vapor cavities produce opposing forces on drug-chamber diaphragm. Heaters in cavities allow control of direction and rate of motion of bellows. Dispensing capsule fitted with coil so batteries can be recharged by induction.

  4. Implantable electrical device

    NASA Technical Reports Server (NTRS)

    Jhabvala, M. D. (inventor)

    1982-01-01

    A fully implantable and self contained device is disclosed composed of a flexible electrode array for surrounding damaged nerves and a signal generator for driving the electrode array with periodic electrical impulses of nanoampere magnitude to induce regeneration of the damaged nerves.

  5. Ion implantation of semiconductors

    Microsoft Academic Search

    J. S. Williams

    1998-01-01

    Ion implantation was first applied to semiconductors over 30 years ago as a means of introducing controllable concentrations of n- and p-type dopants at precise depths below the surface. It is now an indispensable process in the manufacture of integrated circuits. This review gives a brief and selected overview of ion beam modification of semiconductors, treating both fundamental and technological

  6. Implantable biohybrid artificial organs

    Microsoft Academic Search

    Clark K. Colton

    1995-01-01

    Biohybrid artificial organs encompass all devices which substitute for an organ or tissue function and incorporate both synthetic materials and living cells. This review concerns implantable immunoisolation devices in which the tissue is protected from immune rejection by enclosure within a semipermeable membrane. Two critical areas are discussed in detail: (i) Device design and performance as it relates to maintenance

  7. Peritoneal trophoblastic implant.

    PubMed

    Rachagan, S P; Kutty, K; Govindan, K S

    1997-09-01

    A case of persistent trophoblastic tissue on the pelvic peritoneum is presented. While most cases are secondary to conservative surgery for tubal ectopic pregnancy, primary implantation can also occur as highlighted by this case. A brief pathophysiology of the condition is presented. The importance of monitoring the serum for beta subunit human chorionic gonadotrophin (HCG) is emphasised. PMID:10968101

  8. Remote actuated valve implant

    DOEpatents

    McKnight, Timothy E; Johnson, Anthony; Moise, Jr., Kenneth J; Ericson, Milton Nance; Baba, Justin S; Wilgen, John B; Evans, III, Boyd McCutchen

    2014-02-25

    Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

  9. Prosthodontic management of implant therapy.

    PubMed

    Thalji, Ghadeer; Bryington, Matthew; De Kok, Ingeborg J; Cooper, Lyndon F

    2014-01-01

    Implant-supported dental restorations can be screw-retained, cement-retained, or a combination of both, whereby a metal superstructure is screwed to the implants and crowns are individually cemented to the metal frame. Each treatment modality has advantages and disadvantages. The use of computer-aided design/computer-assisted manufacture technologies for the manufacture of implant superstructures has proved to be advantageous in the quality of materials, precision of the milled superstructures, and passive fit. Maintenance and recall evaluations are an essential component of implant therapy. The longevity of implant restorations is limited by their biological and prosthetic maintenance requirements. PMID:24286654

  10. The influence of abutment surface roughness on plaque accumulation and peri-implant mucositis.

    PubMed

    Bollen, C M; Papaioanno, W; Van Eldere, J; Schepers, E; Quirynen, M; van Steenberghe, D

    1996-09-01

    Bacterial adhesion to intra-oral, hard surfaces is firmly influenced by the surface roughness to these structures. Previous studies showed a remarkable higher subgingival bacterial load on rough surfaces when compared to smooth sites. More recently, the additional effect of a further smoothening of intra-oral hard surfaces on clinical and microbiological parameters was examined in a short-term experiment. The results indicated that a reduction in surface roughness below R(a) = 0.2 microns, the so-called "thresholds R(a)", had no further effect on the quantitative/qualitative microbiological adhesion or colonisation, neither supra- nor subgingivally. This study aims to examine the long-term effects of smoothening intra-oral hard transgingival surfaces. In 6 patients expecting an overdenture in the lower jaw, supported by endosseus titanium implants, 2 different abutments (transmucosal part of the implant): a standard machined titanium (R(a) = 0.2 microns) and one highly polished and made of a ceramic material (R(a) = 0.06 microns) were randomly installed. After 3 months of intra-oral exposure, supra- and subgingival plaque samples from both abutments were compared with each other by means of differential phase-contrast microscopy (DPCM). Clinical periodontal parameters (probing depth, gingival recession, bleeding upon probing and Periotest-value) were recorded around each abutment. After 12 months, the supra- and subgingival samples were additionally cultured in aerobic, CO2-enriched and anaerobic conditions. The same clinical parameters as at the 3-month interval were recorded after 12 months. At 3 months, spirochetes and motile organisms were only detected subgingivally around the titanium abutments. After 12 months, however, both abutment-types harboured equal proportions of spirochetes and motile organisms, both supra- and subgingivally. The microbial culturing (month 12) failed to detect large inter-abutment differences. The differences in number of colony- forming units (aerobic and anaerobic) were within one division of a logarithmic scale. The aerobic culture data showed a higher proportion of Gram-negative organisms in the subgingival flora of the rougher abutments. From the group of potentially "pathogenic" bacteria, only Prevotella intermedia and Fusobacterium nucleatum were detected for anaerobic culturing and again the inter-abutment differences were negligible. Clinically, the smoothest abutment showed a slightly higher increase in probing depth between months 3 and 12, and more bleeding on probing. The present results confirm the findings of our previous short-term study, indicating that a further reduction of the surface roughness, below a certain "threshold R(a)" (0.2 microns), has no major impact on the supra- and subgingival microbial composition. PMID:9151584

  11. Lidocaine Concentration in Mandibular Bone After Subperiosteal Infiltration Anesthesia Decreases With Elevation of Periosteal Flap and Irrigation With Saline

    PubMed Central

    Ogawa, Sachie; Watanabe, Masahiro; Kawaai, Hiroyoshi; Tada, Hitoshi; Yamazaki, Shinya

    2014-01-01

    It has been reported that the action of infiltration anesthesia on the jawbone is attenuated significantly by elevation of the periosteal flap with saline irrigation in clinical studies; however, the reason is unclear. Therefore, the lidocaine concentration in mandibular bone after subperiosteal infiltration anesthesia was measured under several surgical conditions. The subjects were 48 rabbits. Infiltration anesthesia by 0.5 mL of 2% lidocaine with 1?:?80,000 epinephrine (adrenaline) was injected into the right mandibular angle and left mandibular body, respectively. Under several surgical conditions (presence or absence of periosteal flap, and presence or absence of saline irrigation), both mandibular bone samples were removed at a fixed time after subperiosteal infiltration anesthesia. The lidocaine concentration in each mandibular bone sample was measured by high-performance liquid chromatography. As a result, elevation of the periosteal flap with saline irrigation significantly decreased the lidocaine concentration in the mandibular bone. It is suggested that the anesthetic in the bone was washed out by saline irrigation. Therefore, supplemental conduction and/or general anesthesia should be utilized for long operations that include elevation of the periosteal flap with saline irrigation. PMID:24932978

  12. [Complications after cosmetic iris implantation].

    PubMed

    Jonsson, N J; Sahlmüller, M C; Ruokonen, P C; Torun, N; Rieck, P

    2011-05-01

    We report the case of a 37-year-old patient with ocular complications associated with the implantation of cosmetic iris implants. Implantation of silicone iris implants for the purpose of changing iris colour has been performed since 2004. Diaphragms are implanted in the anterior chamber. Up to now only little information exists about side effects of this method. In the literature severe ocular complications shortly after cosmetic iris implantation are reported in single cases. In our case 5 months after surgery optic nerve damage caused by elevated intraocular pressure (IOP) was diagnosed. Nuclear opacity of both lenses and a decreased number of corneal endothelial cells were observed at the first visit. Because of recurrent IOP elevation despite maximum antiglaucoma therapy, explantation of the iris implants was required. Damage to the trabecular meshwork, opacity of the lenses as well as the reduced number of endothelial cells are permanent and will probably lead to further complications like corneal decompensation and progressing glaucoma. PMID:21344246

  13. Furcation canals of the maxillary fourth premolar and the mandibular first molar teeth in cats.

    PubMed

    Negro, Viviana B; Hernández, Sabás Z; Maresca, Beatriz M; Lorenzo, Cesar E

    2004-03-01

    The furcation region morphology was evaluated in 103 mature feline carnassial teeth (54 maxillary fourth premolar and 49 mandibular first molar teeth). Patent furcation canals were present in 27.2% of teeth. No significant difference (p = 0.88) in distribution of this anatomical variation was found between maxillary fourth premolar and mandibular first molar teeth. The mean width of these furcation canals was 104.0 microns with two-thirds of the canals having a buccal orientation. The presence of furcation canals could be a factor in the etiopathogenesis of feline dental resorptive lesions, as well as a characteristic to be considered in the diagnosis, prognosis, and treatment of endodontic or periodontic-endodontic lesions in cat teeth. PMID:15108397

  14. Endodontic treatment of a mandibular first molar with 8 canals: a case report.

    PubMed

    Arora, Ankit; Acharya, Shashi Rashmi; Sharma, Padmaja

    2015-02-01

    Presented here is a case where 8 canals were located in a mandibular first molar. A patient with continuing pain in mandibular left first molar even after completion of biomechanical preparation was referred by a dentist. Following basic laws of the pulp chamber floor anatomy, 8 canals were located in three steps with 4 canals in each root. In both of the roots, 4 separate canals commenced which joined into two canals and exited as two separate foramina. At 6 mon follow-up visit, the tooth was found to be asymptomatic and revealed normal radiographic periapical area. The case stresses on the fact that understanding the laws of pulp chamber anatomy and complying with them while attempting to locate additional canals can prevent missing canals. PMID:25671216

  15. Non-syndromic occurrence of true generalized microdontia with mandibular mesiodens - a rare case

    PubMed Central

    2011-01-01

    Abnormalities in size of teeth and number of teeth are occasionally recorded in clinical cases. True generalized microdontia is rare case in which all the teeth are smaller than normal. Mesiodens is commonly located in maxilary central incisor region and uncommon in the mandible. In the present case a 12 year-old boy was healthy; normal in appearance and the medical history was noncontributory. The patient was examined and found to have permanent teeth that were smaller than those of the average adult teeth. The true generalized microdontia was accompanied by mandibular mesiodens. This is a unique case report of non-syndromic association of mandibular hyperdontia with true generalized microdontia. PMID:22035324

  16. Avoidance of implicit hazards: the realignment of maxillary and mandibular arches in comminuted and facial fractures.

    PubMed

    Hönig, J F; Merten, H A; Wiltfang, J

    1998-11-01

    The authors introduce an attempt to elevate the problem of proper realignment of the maxillary and mandibular arches to achieve an exact transversal width of the lower third of the face with an index of the sum of the maxillary and mandibular central incisors, together with a new Artex-Callotte System (Karl Storz GmbH, Tuttlingen, Germany). This allows individual and anatomically correct restoration of the dental arches. This is especially helpful if either a large number of teeth or portions of dental alveolar processes have been lost in comminuted panfacial fractures. In addition, a sequential, step-management concept of comminuted panfacial fractures is described and illustrated. The goals of treatment with this method are to reestablish the midfacial height and projection and the occlusion, and reestablish the integrity of the nose, the orbit, and the transversal dimension of the lower jaw. This simple method is not yet well appreciated. PMID:10029763

  17. Intra-articular fracture of the mandibular condyle: a case report.

    PubMed

    Yura, Shinya; Ohga, Noritaka; Ooi, Kazuhiro; Izumiyama, Yuri

    2012-07-01

    The authors describe a case of intra-articular fracture of the left mandibular condyle, successfully treated by the pumping technique in the upper and lower joint cavities, and show arthroscopic findings in these cavities. The patient was a 15-year-old boy whose maximum mouth opening was 30 mm. Computed tomography revealed a left intra-articular sagittal fracture of the condylar head. Aspiration of the hematoma in the upper and lower joint spaces was performed with ten pumping actions. In the upper and lower joint spaces, arthroscopic examination revealed the disappearance of the hematoma. The patient continued opening, protrusive, and lateral excursive exercises. One month after the surgery, the maximal interincisal distance was improved to 45 mm with straight opening. In the case presented, mouth-opening exercises, along with the pumping technique for treatment of an intraarticular fracture of the mandibular condyle, allowed satisfactory and stable results in the improvement of limited mouth movement. PMID:22916676

  18. Endodontic Retreatment of a Mandibular Second Molar with four Separate Roots: A Case Report.

    PubMed

    Idris, Mohamed; Sakkir, Nasil; Kj, Nandakishore; Kini, Annapurna

    2014-03-01

    Aberrations in the root canal anatomy are a commonly occurring phenomenon. Although the mandibular second molar is commonly a bi-rooted tooth with an uncomplicated endodontic anatomy, variations have to be considered every time endodontic therapy is performed. This case report describes the non-surgical endodontic retreatment performed on a mandibular second molar with four seperate roots and canals. ProTaper Universal rotary nickel-titanium instruments (Dentsply Maillefer, Ballaigues, Switzerland) for treatment and retreatment were used to remove the old gutta percha and to clean and shape all root canals, followed by the complete obturation of root canal system. Post-operative CBCT scan was taken to confirm the quality of the performed treatment. PMID:24783160

  19. Mandibular metastasis as an initial manifestation of hepatocellular carcinoma: A report of two cases

    PubMed Central

    DU, CHUNHUA; FENG, YUANYONG; LI, NINGYI; WANG, KE; WANG, SHUANGYI; GAO, ZHENHUA

    2015-01-01

    The present study reports two cases of mandibular metastasis from hepatocellular carcinoma (HCC), including the clinical presentation, and computed tomography (CT), histopathology and immunohistochemistry results. Space-occupying lesions occurred unilaterally as an initial mandibular manifestation. HCC metastasis was confirmed by post-surgical examination, and the primary tumor was found using CT scans. Hepatitis B virus infection history and positive results of hepatitis B surface antigen, hepatitis B e-antibody, hepatitis B core antibody and hepatitis B virus pre-S1 antigen further supported the pathogenesis of HCC. Based on the clinical findings, the characteristics of the CT scans and the histopathology and immunohistochemistry results, the mechanisms of HCC metastasis and its management are also discussed. PMID:25663884

  20. Technique of mandibular salivary gland biopsy in river otters (Lutra canadensis).

    PubMed

    Tocidlowski, M E; Harms, C A; Sumner, P W; Stoskopf, M K

    1999-06-01

    A Franklin-Silverman biopsy needle was used to obtain 2-5- x 1-2-mm mandibular salivary gland tissue samples percutaneously from nine North American river otters (Lutra canadensis). The samples were suitable for fluorescent antibody or polymerase chain reaction rabies testing. Ninety-two percent (11/12) of the biopsy procedures yielded histologically confirmed salivary gland tissue, and the remaining biopsy yielded adipose tissue. No complications were noted after 5-21 days. PMID:10484141

  1. Endodontic and Clinical Considerations in the Management of Variable Anatomy in Mandibular Premolars: A Literature Review

    PubMed Central

    Hammo, Mohammad

    2014-01-01

    Mandibular premolars are known to have numerous anatomic variations of their roots and root canals, which are a challenge to treat endodontically. The paper reviews literature to detail the various clinically relevant anatomic considerations with detailed techniques and methods to successfully manage these anomalies. An emphasis and detailed description of every step of treatment including preoperative diagnosis, intraoperative identification and management, and surgical endodontic considerations for the successful management of these complex cases have been included. PMID:24895584

  2. Feasibility of preoperative planning using anatomical facsimile models for mandibular reconstruction

    PubMed Central

    Toro, Corrado; Robiony, Massimo; Costa, Fabio; Zerman, Nicoletta; Politi, Massimo

    2007-01-01

    Background Functional and aesthetic mandibular reconstruction after ablative tumor surgery continues to be a challenge even after the introduction of microvascular bone transfer. Complex microvascular reconstruction of the resection site requires accurate preoperative planning. In the recent past, bone graft and fixation plates had to be reshaped during the operation by trial and error, often a time-consuming procedure. This paper outlines the possibilities and advantages of the clinical application of anatomical facsimile models in the preoperative planning of complex mandibular reconstructions after tumor resections. Methods From 2003 to 2005, in the Department of Maxillofacial Surgery of the University of Udine, a protocol was applied with the preoperative realization of stereolithographic models for all the patients who underwent mandibular reconstruction with microvascular flaps. 24 stereolithographic models were realized prior to surgery before emimandibulectomy or segmental mandibulectomy. The titanium plates to be used for fixation were chosen and bent on the model preoperatively. The geometrical information of the virtual mandibular resections and of the stereolithographic models were used to choose the ideal flap and to contour the flap into an ideal neomandible when it was still pedicled before harvesting. Results Good functional and aesthetic results were achieved. The surgical time was decreased on average by about 1.5 hours compared to the same surgical kind of procedures performed, in the same institution by the same surgical team, without the aforesaid protocol of planning. Conclusion Producing virtual and stereolithographic models, and using them for preoperative planning substantially reduces operative time and difficulty of the operation during microvascular reconstruction of the mandible. PMID:17224060

  3. Spatial relationships between lingual nerve and mandibular ramus: original study method, clinical and educational applications

    Microsoft Academic Search

    Olivier Trost; Apolline Kazemi; Nicolas Cheynel; Mehdi Benkhadra; Pierre Soichot; Gabriel Malka; Pierre Trouilloud

    2009-01-01

    Lingual nerve damage complicating oral surgery would sometimes require electrographic exploration. Nevertheless, direct recording\\u000a of conduction in lingual nerve requires its puncture at the foramen ovale. This method is too dangerous to be practiced routinely\\u000a in these diagnostic indications. The aim of our study was to assess spatial relationships between lingual nerve and mandibular\\u000a ramus in the infratemporal fossa using

  4. Effect of biphosphonates on abnormal mandibular growth of rats intoxicated with uranium.

    PubMed

    Ubios, A M; Braun, E M; Cabrini, R L

    1998-12-01

    Intoxication with uranium induces severe alterations in kidneys and in acute intoxications inhibits bone formation and bone growth. Administered at high doses, uranium leads to death, an event that can be prevented by the administration of ethane-1-hydroxy-1,1 biphosphonate (EHBP), which would presumably exert its effect via its chelating properties. Based on this information, the aim of the present study was to determine the best therapeutic method for treatment using biphosphonates to prevent mandibular growth alterations in animals that survive uranyl nitrate poisoning. Seven groups of Wistar rats weighing 14 g were used as follows: I, untreated control; II, one intraperitoneal injection (IPI) of 2 mg Kg(-1) of body weight of uranyl nitrate (238U). In groups III to VII animals were intoxicated as in Group II and in addition were given a single injection of 10 mg Kg(-1) of ethane-1-hydroxy-1, 1-biphosphonate (EHBP), or 3-amine-1, 1-hydroxypropylene-1, 1 biphosphonate (APD) as follows; Group III, IPI of EHBP given immediately after poisoning (0 h); IV, IPI of EHBP given at 24 h; V, subcutaneous injection (SCI) of EHBP at 0 h; VI, SCI of EHBP at 48 h; VII SCI of APD at 0 h. Survivors were killed on the sixtieth day. Body weight increase, survival rate, and biometric parameters of mandibular growth (Eratalay's method) were studied. Student's "t" test was used for statistical analysis. On day 60 there was only one survivor in Group II and none in Group IV. All animals in the other groups survived. Mandibular growth parameters showed the worst results in Group VII and the best in Group V for which no difference with the controls was observed. These results show that a single subcutaneous injection of EHBP given immediately after uranium poisoning, apart from preventing death, is capable of preventing undesirable alterations in mandibular growth. PMID:9827507

  5. Production and transmission of honey bee queen ( Apis mellifera L.) mandibular gland pheromone

    Microsoft Academic Search

    Ken Naumann; Mark L. Winston; Keith N. Slessor; Glenn D. Prestwich; Francis X. Webster

    1991-01-01

    The social cohesiveness of eusocial insect colonies is maintained primarily through the utilization of pheromones. In this study we quantitatively elucidated the production, secretion, and transmission of 9-keto2(E)-decenoic acid (9-ODA), one of the components of the mandibular gland pheromone of the honey bee queen Apis mellifera; this is the only identified primer pheromone complex in the eusocial insects. Mated queens

  6. [Diagnosis of the temporomandibular joint dysfunction by graphic reconstruction of mandibular movements].

    PubMed

    Arutiunov, S D; Khvatov, I L; Arutiunov, D S; Nabiev, N V; Tuturov, N S

    2003-01-01

    A total of 974 patients with suspected abnormalities of the temporomandibular joint (TMJ) were examined; diseases were detected in 371 patients. The test group consisted of 40 patients, control group of 18 patients. Analysis of the results of graphic recording of mandibular movements and clinical x-ray data in patients of the main and control groups helped develop the strategy for the diagnosis of TMJ dysfunction, based on the functional methods of examination (oral functionography and non-oral axiography). PMID:12666547

  7. Complex sleep apnea unmasked by the use of a mandibular advancement device

    Microsoft Academic Search

    Tomasz J. Ku?niar; Ružica Kova?evi?-Ristanovi?; Thomas Freedom

    2011-01-01

    According to most accepted definitions, complex sleep apnea syndrome (CompSAS) is described as an emergence of central apneas\\u000a in a patient with obstructive sleep apnea (OSA) upon introduction of continuous positive airway pressure therapy (CPAP). We\\u000a present two patients who developed comparable central apnea activity when treated with either a CPAP device or a mandibular\\u000a advancement device. As similar findings

  8. All the Mandibular Incisors with Double Canals in a Single Patient: A Rare Case

    PubMed Central

    Daokar, Sadashiv G; Kalekar (Yadao), Anita S; Ghunawat, Dhananjay B; Kakde, Deepak D

    2015-01-01

    Single rooted tooth are considered to be the easiest for root canal treatment. The literature has documented cases with single rooted tooth showing more than single canal. Understanding of root canal morphology thus is an important aspect to be considered for successful endodontic treatment. The case presented here shows a rare entity of having double canals in all the mandibular incisors in a single patient. PMID:25859107

  9. The effect of raising the bite without mandibular protrusion on obstructive sleep apnoea.

    PubMed

    Nikolopoulou, M; Naeije, M; Aarab, G; Hamburger, H L; Visscher, C M; Lobbezoo, F

    2011-09-01

    It has recently been suggested that wearing a maxillary occlusal splint (i.e. a hard acrylic resin dental appliance that covers the occlusal surfaces of the maxillary dentition and that is being indicated for the treatment of, e.g. temporomandibular pain) may be associated with a risk of aggravating obstructive sleep apnoea (OSA). The present study tested the hypothesis that raising the bite without mandibular protrusion in OSA patients is associated with an increase in the apnoea-hypopnoea index (AHI). Eighteen OSA patients (13 men; 49·5 ± 8·1 years old) received a mandibular advancement device in 0% protrusion of the mandible (0%MAD). The MAD caused a bite rise of 6 mm as measured interincisally. Polysomnographic recordings were obtained at baseline and with the 0%MAD in situ. No statistically significant difference in AHI was noted between the baseline night and the 0%MAD night. However, nine patients had an aggravation in AHI during the night they used the 0%MAD. Taking into account the previously established smallest detectable difference of 12·8 in AHI, the AHI increased in only two of the patients. The outcomes of this study suggest that an increased jaw gape without mandibular protrusion might be associated with a risk of aggravation of OSA for some, but not for all OSA patients. Dental practitioners should be aware of this possible association when treating patients with oral devices that raise the bite. PMID:21463349

  10. Masticatory mandibular movements for different foods textures related to onomatopoetic words.

    PubMed

    Nakajima, J; Hideshima, M; Takahashi, M; Taniguchi, H; Ohyama, T

    2001-12-01

    This study aimed to investigate the effects of different sensory-evaluated food textures on masticatory movements, and to identify meaningful factors that correspond to different food textures. Masticatory movements of three healthy subjects were evaluated with a jaw movement tracking device using five different test foods: almond, hard and light rice crackers, apple, and chewing gum. The movements of the incisor point, working and non-working condyle and the entire mandible at the occlusal phase in the horizontal plane were analyzed. For harder foods, the incisor entered the intercuspal position from a rear and lateral, the working condyle showed anterior and noticeable medial movements as the entire mandible translated posteriorly and medially. For soft foods, the incisor movements were nearly coincidental with the lateral border movements, and the mandible rotated towards the inner side near the working condyle. Although the overall paths of the mandibular movements are individually different, it appeared that jaw movement at the final closure is particular to the food texture. From the standpoint of mandibular movements, it is suggested that masticatory movements during the occlusal phase in the horizontal plane is useful for revealing the relationship between mandibular movements and food textures that were evaluated with onomatopoetic words. PMID:12160249

  11. Application of Crestal Anesthesia for Treatment of Class I Caries in Posterior Mandibular Teeth

    PubMed Central

    Taheri Talesh, Koroush; Solahaye Kahnamouii, Shiva

    2011-01-01

    Background and aims Current infiltration techniques for achieving anesthesia in dental procedures are not applicable in posterior mandibular region because of its dense cortical bone. The aim of this study was to evaluate the efficacy of a specific infiltration anesthesia in posterior mandibular teeth instead of inferior alveolar nerve block for restorative procedures. Materials and methods Crestal anesthesia (CA) was assessed both clinically and by computed tomography scan for its efficacy and side effects. A combination of an opaque material (Ultravist) and 2% lidocaine was used to trace the anesthetic solution. The combination was primarily injected in the gingival tissue of rabbit and was followed-up regularly for two weeks to assess any possible injury. After confirming its safety, a combination of these materials was injected to volunteers to assess efficacy and diffusion route. A total of 154 patients (77 female, 77 male) with matched bilateral posterior teeth in mandible were selected randomly and an IANB and CA were performed randomly and separately in different sessions for the contra lateral teeth. The onset of anesthesia, anesthesia duration, pain, blood pressure, pulse rate, and consumed volume of anesthetic solution was recorded for each technique. Data were analyzed using paired t-test. Results There were no significant differences in clinical attachment loss, pocket depth, bone level, plaque index, and free gingival margin between the two flaps (p>0.05). Conclusion CA could be considered as a reliable and safe primary injection in posterior mandibular teeth for restorative treatments. PMID:23019502

  12. Automated scheme for measuring mandibular cortical thickness on dental panoramic radiographs for osteoporosis screening

    NASA Astrophysics Data System (ADS)

    Matsumoto, T.; Hayashi, T.; Hara, T.; Katsumata, A.; Muramatsu, C.; Zhou, X.; Iida, Y.; Matsuoka, M.; Katagi, Ki.; Fujita, H.

    2012-03-01

    Findings of dental panoramic radiographs (DPRs) have shown that the mandibular cortical thickness (MCT) was significantly correlated with osteoporosis. Identifying asymptomatic patients with osteoporosis through dental examinations may bring a supplemental benefit for the patients. However, most of the DPRs are used for only diagnosing dental conditions by dentists in their routine clinical work. The aim of this study was to develop a computeraided diagnosis scheme that automatically measures MCT to assist dentists in screening osteoporosis. First, the inferior border of mandibular bone was detected by use of an active contour method. Second, the locations of mental foramina were estimated on the basis of the inferior border of mandibular bone. Finally, MCT was measured on the basis of the grayscale profile analysis. One hundred DPRs were used to evaluate our proposed scheme. Experimental results showed that the sensitivity and specificity for identifying osteoporotic patients were 92.6 % and 100 %, respectively. We conducted multiclinic trials, in which 223 cases have been obtained and processed in about a month. Our scheme succeeded in detecting all cases of suspected osteoporosis. Therefore, our scheme may have a potential to identify osteoporotic patients at an early stage.

  13. Reattachment of fractured teeth fragments in mandibular incisors: a case report

    PubMed Central

    Yousef, Mohammed K

    2015-01-01

    The majority of dental trauma involves anterior teeth, especially the maxillary central incisors. A mandibular incisor fracture with or without pulp tissue involvement is considerably less common. Different approaches for treating these fractured teeth have been reported in the literature. The type of treatment rendered depends mainly on the extent of fracture, pulp involvement, radicular fracture, biologic width infringement or violation, and presence of the fractured piece. This case report illustrates reattachment of fractured fragments on two mandibular incisors without pulp exposure using a new proposed reattachment method using a combination of two different types of composite materials together with an orthodontic lingual retention wire. An 8-year-old female patient presented with fractured mandibular left incisors (Ellis class II fracture). Broken pieces were saved and brought in a closed container in water. Periapical radiographs revealed no evidence of pulpal involvement in either tooth and no periapical radiolucency was noticed. Fractured fragments and the broken teeth were prepared with circumferential bevels. Reattachment of the fractured fragments were done using two types of composite resin materials and a lingual orthodontic retention wire was also used. The patient was recalled after 8 months to follow up both teeth. Clinical examination revealed excellent composite restorations covering the fracture lines. PMID:25897267

  14. Mandibular morphology in two archaeological human skeletal samples from northwest Europe with different masticatory regimes.

    PubMed

    Mays, S

    2015-06-01

    Mandibular morphology, assessed osteometrically, is studied in two historic human skeletal series (N=64 individuals) from northwest Europe, one from Zwolle, the Netherlands (19th century CE), the other from Wharram Percy, England (10th-19th century). Both groups show greater dental wear than modern Western populations, but the rate of wear is greater at Wharram Percy than at Zwolle, suggesting a more vigorous masticatory regime. The aim is to evaluate any differences in mandibular morphology between the two groups that might relate to the inferred difference in biomechanical loading upon the chewing apparatus consequent upon the different physical properties of the diets consumed. Results indicate that the mandibles from Zwolle are generally smaller than those from Wharram Percy, especially in the gonial and ramus region and in the height of the post-canine corpus. These differences are consistent with those predicted on biomechanical grounds. That clear differences were observed in two samples whose masticatory regimes were distinct but not very different is an indication of the sensitivity of mandibular morphology to biomechanical input, and supports its value for investigating differences in physical properties of diets in palaeopopulations. PMID:25724125

  15. How to improve retromandibular transmasseteric anteroparotid approach for mandibular condylar fractures: our clinical experience.

    PubMed

    Salgarelli, A C; Anesi, A; Bellini, P; Pollastri, G; Tanza, D; Barberini, S; Chiarini, L

    2013-04-01

    Fractures of the mandibular condyle are common and account for 25-35% of all mandibular fractures reported in the literature. Even with the development of a consensus on the preference for open reduction and internal fixation of these fractures, the clinician is still faced with a dilemma concerning the optimal approach to the ramus-condyle unit. Limited access and injury to the facial nerve are the most common problems. The most commonly used extraoral approaches are the submandibular, retromandibular and preauricular methods. In this study, we propose a modified cosmetic preauricular incision with a short end in the neck, to improve the transmasseteric anteroparotid (TMAP) approach previously described by Wilson et al. in 2005. We retrospectively analysed 13 patients treated in our department for mandibular condylar fractures. Post-operative complications, occlusal status, interincisal opening and joint tenderness were evaluated at 3 months after surgery. The wider skin incision described here provides a convenient approach for open reduction and rigid internal fixation, and good results were obtained. The follow-up ranged from 6 to 40 months. PMID:23395651

  16. Histological and histomorphometric investigation of the condylar cartilage of juvenile pigs after anterior mandibular displacement.

    PubMed

    Proff, Peter; Gedrange, Tomas; Franke, Reiner; Schubert, Harald; Fanghänel, Jochen; Miehe, Bärbel; Harzer, Winfried

    2007-01-01

    The condylar cartilage of the mandible is considered a secondary growth center and represents a joint cartilage different from other cartilage structures regarding its histological structure, its histochemical and immunohistochemical properties and its growth pattern. This study aimed to histologically and histomorphometrically investigate the condylar cartilage after anterior mandibular displacement similar to functional orthopedic treatment. A total of 12 pigs (sus scrofa domesticus) aged 10 weeks were divided into an experimental group and a control group comprising 6 animals each. The experimental animals were provided bilaterally with synthetic occlusal build-ups in the posterior area which induced anterior displacement of the mandible in terminal occlusion. After 4 weeks, the temporomandibular structures were removed en bloc and the condylar cartilage was analyzed histologically and histomorphometrically. As a result, the experimental animals displayed a significantly increased total cartilage thickness of the posterocranial mandibular condyle which was primarily caused by an increase in thickness of the hypertrophic and chondogenic layers. Similarly, the proliferative layer showed a significant increase, whereas significant differences in thickness were absent in the articular layer. Increased cell proliferation was not observed in the experimental animals as compared to the controls. The changes found in the condylar cartilage area suggest that the zonal structure of the condylar cartilage may be modified by an altered spatial relationship between the mandibular condyle and the glenoid fossa. PMID:17534034

  17. Reattachment of fractured teeth fragments in mandibular incisors: a case report.

    PubMed

    Yousef, Mohammed K

    2015-01-01

    The majority of dental trauma involves anterior teeth, especially the maxillary central incisors. A mandibular incisor fracture with or without pulp tissue involvement is considerably less common. Different approaches for treating these fractured teeth have been reported in the literature. The type of treatment rendered depends mainly on the extent of fracture, pulp involvement, radicular fracture, biologic width infringement or violation, and presence of the fractured piece. This case report illustrates reattachment of fractured fragments on two mandibular incisors without pulp exposure using a new proposed reattachment method using a combination of two different types of composite materials together with an orthodontic lingual retention wire. An 8-year-old female patient presented with fractured mandibular left incisors (Ellis class II fracture). Broken pieces were saved and brought in a closed container in water. Periapical radiographs revealed no evidence of pulpal involvement in either tooth and no periapical radiolucency was noticed. Fractured fragments and the broken teeth were prepared with circumferential bevels. Reattachment of the fractured fragments were done using two types of composite resin materials and a lingual orthodontic retention wire was also used. The patient was recalled after 8 months to follow up both teeth. Clinical examination revealed excellent composite restorations covering the fracture lines. PMID:25897267

  18. Coherent and incoherent scatterings for measurement of mandibular bone density and stable iodine content of tissue

    PubMed Central

    Sharma, Amandeep; Singh, Mohinderpal; Singh, Bhajan; Sandhu, Balvir S.

    2009-01-01

    The aim of present study is to investigate the feasibility of gamma ray scattering for measurements of mandibular bone density and stable iodine content of tissue. Scattered spectra from solutions of K2HPO4 in distilled water (a phantom simulating the mandibular bone) and KI in distilled water filled in a thin plastic vial (a phantom simulating the kinetics of thyroid iodine) are recorded for 59.54 and 145 keV incident gamma rays, respectively. A high-purity germanium detector is placed at various angular positions to record the scattered spectra originating from interactions of incident gamma rays with the phantom. The measured intensity ratio of coherent to incoherent scattered gamma rays, corrected for photo-peak efficiency of HPGe detector, absorption of gamma rays in air column present between phantom and detector, and self-absorption in the phantom, is found to be increasing linearly with increase in concentration of K2HPO4 and KI in distilled water within experimental estimated error of <6%. The regression lines, obtained from experimental data for intensity ratio, provide the bone density and stable iodine contents of thyroid. The present non-destructive technique has the potential for a measure of mandibular bone density and stable iodine contents of thyroid. PMID:20098568

  19. Comparison of Mandibular Phenotypic and Genetic Integration between Baboon and Mouse

    PubMed Central

    Roseman, Charles C.; Rogers, Jeffrey; Cheverud, James M.; Richtsmeier, Joan T.

    2011-01-01

    In this study we compare patterns of mandibular integration between mice and baboons using both phenotypic and quantitative genetic data. Specifically, we test how well each species fits with the mosaic model of mandibular integration suggested by Atchley and Hall (Biol Rev Camb Philos Soc 66:101–157, 1991) based on developmental modules. We hypothesize that patterns of integration will be similar for mice and baboons and that both species will show strong integration within developmental modules and weaker integration between modules. Corresponding landmark data were collected from the hemi-mandibles of an advanced intercross mouse sample (N = 1239) and mandibles from a baboon sample of known pedigree from the Southwest Foundation for Biomedical Research (N = 430). We used four methods of analysis to quantify and compare the degree of mandibular integration between species including two methods based on a priori assumptions, and two a posteriori analyses. We found that patterns of integration are broadly similar for baboon and mouse mandibles, with both species displaying a modular pattern of integration. While there is a general trend of similarity in integration patterns between species, there were some marked differences. Mice are strongly correlated among distances within the coronoid process and the incisive alveolar region, whereas baboons are strongly integrated within the condylar process. We discuss the potential evolutionary implications of the similar patterns of integration between these species with an emphasis on the role of modularity. PMID:22212926

  20. Magnesium-enriched hydroxyapatite as bone filler in an ameloblastoma mandibular defect.

    PubMed

    Grigolato, Roberto; Pizzi, Natalia; Brotto, Maria C; Corrocher, Giovanni; Desando, Giovanna; Grigolo, Brunella

    2015-01-01

    The aim of this study was to evaluate the clinical performance of a magnesium-enriched hydroxyapatite biomaterial used as bone substitute in a case of mandibular ameloblastoma treated with conservative surgery. A 63 year old male patient was treated for an ameloblastoma in the anterior mandibular profile. After tissue excision, the bone defect was filled with a synthetic hydroxyapatite biomaterial enriched with magnesium ions, in order to promote bone tissue regeneration and obtain a good aesthetic result. Twenty-five months after surgery, due to ameloblastoma recurrence in an area adjacent to the previously treated one, the patient underwent to a further surgery. In that occasion the surgeon performed a biopsy in the initially treated area, in order to investigate the nature of the newly-formed tissue and to evaluate the bone regenerative potential of this biomaterial by clinical, radiographic and histological analyses. The clinical, radiographic and histological evaluations showed various characteristics of bone remodeling stage with an ongoing osteogenic formation and a good osteo-integration. In conclusion, magnesium-enriched hydroxyapatite used as bone substitute in a mandibular defect due to ameloblastoma excision showed an effective bone regeneration at 25 months follow-up, demonstrating an excellent biocompatibility and a high osteo-integration property. PMID:25784998

  1. Interrami intraoral fixation technique for severe mandibular rifle fragmented bullet injury management.

    PubMed

    Shuker, Sabri T

    2013-07-01

    Interrami intraoral Kirschner wire fixation technique is presented for the reduction, stabilization, and immobilization of a pulverized and avulsed lower jaw caused by rifle fragmented bullet injuries. This indirect mandibular war injury fixation technique was tolerated by the patients and tissue more than any indirect external fixation. In addition, it is easier than open reduction using large bone plates for disrupted ballistics mandibular injury defects. An interrami intraoral fixation is appropriate for severely disrupted mandibular hard and soft tissues, and has been adapted in cases of mass casualties and limited resources. Benefits of use include limited hospital beds and fewer follow-up visits. Rifle fragmented bullet injuries need more attention for several reasons: not only because of the higher mortality and devastating nature of the injuries, but also because these injuries are responsible for an unreported type of bullet biomechanism wounding in the craniofacial region. In turn, this necessitates specialized victim management. The survival rates depend on immediate proper execution of airway, breathing, and circulation, which become more complicated as it relates to airway compromise and oropharyngeal hemorrhage resuscitation. Survival is predicated on the implementation of feasible, sensible, life-saving techniques that are applied at the appropriate time. PMID:23851763

  2. Remotely Controlled Mandibular Protrusion during Sleep Predicts Therapeutic Success with Oral Appliances in Patients with Obstructive Sleep Apnea

    PubMed Central

    Remmers, John; Charkhandeh, Shouresh; Grosse, Joshua; Topor, Zbigniew; Brant, Rollin; Santosham, Peter; Bruehlmann, Sabina

    2013-01-01

    Study Objectives: The present study addresses the need for a validated tool that prospectively identifies favorable candidates for oral appliance therapy in treatment of obstructive sleep apnea. The objective of the study was to evaluate the ability of a mandibular titration study, performed with a remotely controlled mandibular positioner (RCMP), to predict treatment outcome with a mandibular repositioning appliance (MRA) and to predict an effective target protrusive position (ETPP). Design: A prospective, blinded, outcome study. Setting: Standard clinical care with tests performed in the polysomnographic laboratory. Participants: Consecutive patients (n = 67) recruited from a sleep center or a dental practice using broad inclusion criteria (age 21-80 years; AHI > 10/h; BMI < 40 kg/m2). Interventions: Therapeutic outcome with a mandibular protruding oral appliance was predicted following a mandibular protrusive titration study in the polysomnographic laboratory using a remotely controlled positioner and prospectively established predictive rules. An ETPP was also prospectively determined for participants predicted to be therapeutically successful with MRA therapy. All participants were blindly treated with a MRA, at either the predicted ETPP or a sham position, and therapeutic outcome was compared against prediction. Measurements and Results: At the final protrusive position, standard predictive parameters (sensitivity, specificity, positive and negative predictive values) showed statistically significant predictive accuracy (P < 0.05) in the range of 83% to 94%. The predicted ETPP provided an efficacious protrusive position in 87% of participants predicted to be therapeutically successful with MRA therapy (P < 0.05). Conclusions: Using prospectively established rules for interpreting the polysomnographic data, the mandibular titration study predicted mandibular repositioning appliance therapeutic outcome with significant accuracy, particularly with regard to accurately predicting therapeutic success. As well, among the participants predicted to be therapeutically successful with mandibular repositioning appliance therapy, the effective target protrusive position provided efficacious mandibular protrusion in the majority. Citation: Remmers J; Charkhandeh S; Grosse J; Topor Z; Brant R; Santosham P; Bruehlmann S. Remotely controlled mandibular protrusion during sleep predicts therapeutic success with oral appliances in patients with obstructive sleep apnea. SLEEP 2013;36(10):1517-1525. PMID:24082311

  3. Bone Substitutes for Peri-Implant Defects of Postextraction Implants

    PubMed Central

    Santos, Pâmela Letícia; Gulinelli, Jéssica Lemos; Telles, Cristino da Silva; Betoni Júnior, Walter; Chiacchio Buchignani, Vivian; Queiroz, Thallita Pereira

    2013-01-01

    Placement of implants in fresh sockets is an alternative to try to reduce physiological resorption of alveolar ridge after tooth extraction. This surgery can be used to preserve the bone architecture and also accelerate the restorative procedure. However, the diastasis observed between bone and implant may influence osseointegration. So, autogenous bone graft and/or biomaterials have been used to fill this gap. Considering the importance of bone repair for treatment with implants placed immediately after tooth extraction, this study aimed to present a literature review about biomaterials surrounding immediate dental implants. The search included 56 articles published from 1969 to 2012. The results were based on data analysis and discussion. It was observed that implant fixation immediately after extraction is a reliable alternative to reduce the treatment length of prosthetic restoration. In general, the biomaterial should be used to increase bone/implant contact and enhance osseointegration. PMID:24454377

  4. Iatrogenic tumor implantation

    Microsoft Academic Search

    Ying Ma; Ping Bai

    2008-01-01

    Iatrogenic tumor implantation is a condition that results from various medical procedures used during diagnosis or treatment\\u000a of a malignancy. It involves desquamation and dissemination of tumor cells that develop into a local recurrence or distant\\u000a metastasis from the tumor under treatment. The main clinical feature of the condition is nodules at the operation’s porous\\u000a channel or incision, which is

  5. Ion Implant Pinball Game

    NSDL National Science Digital Library

    The magnetic force of the ions can be compared to a pinball machine with three different masses. If the same impulse is applied to each ball, only the one with the ideal mass will "hit" the target. The objective is to describe how the mass affects implantation. This simulation is from Module 026 of the Process & Equipment III Cluster of the MATEC Module Library (MML).

  6. Miniature implantable ultrasonic echosonometer

    NASA Technical Reports Server (NTRS)

    Kojima, G. K. (inventor)

    1978-01-01

    A miniature echosonometer adapted for implantation in the interior of an animal for imaging the internal structure of a organ, tissue or vessel is presented. The echosonometer includes a receiver/transmitter circuit which is coupled to an ultrasonic transducer. Power is coupled to the echosonometer by electromagnetic induction through the animal's skin. Imaging signals from the echosonometer are electromagnetically transmitted through the animal's skin to an external readout apparatus.

  7. Immunogenicity of collagenous implants.

    PubMed

    Meade, K R; Silver, F H

    1990-04-01

    Collagenous biomaterials have been used in our laboratory for treatment of decubitus ulcers, tendon/ligament repair and nerve regeneration. Results of previous studies suggest that implants containing bovine type I collagen enhance repair and regeneration of connective tissue found in different organs. The purpose of this paper is to evaluate the immunological response to type I collagen that is cross-linked using either glutaraldehyde or cyanamide treatment. Humoral and cell mediated responses to type I collagen are evaluated in a rabbit model. Results obtained in this study suggest that antibody levels and cell-mediated response to type I collagen are highest in animals exposed to uncross-linked implant materials and these responses are increased by booster injections of the antigen. Antibody titres to cross-linked collagen are significantly lower than those observed for uncross-linked material. Extensive implant cross-linking does not totally eliminate the humoral response and may lead to a cell-mediated reaction. PMID:2350554

  8. [Neurotology and cochlear implants].

    PubMed

    Merchan, M A

    2015-05-01

    In this review we analyse cochlear implantation in terms of the fundamental aspects of the functioning of the auditory system. Concepts concerning neuronal plasticity applied to electrical stimulation in perinatal and adult deep hypoacusis are reviewed, and the latest scientific bases that justify early implantation following screening for congenital deafness are discussed. Finally, this review aims to serve as an example of the importance of fostering the sub-specialty of neurotology in our milieu, with the aim of bridging some of the gaps between specialties and thus improving both the knowledge in the field of research on auditory pathologies and in the screening of patients. The objectives of this review, targeted above all towards specialists in the field of otorhinolaryngology, are to analyse some significant neurological foundations in order to reach a better understanding of the clinical events that condition the indications and the rehabilitation of patients with cochlear implants, as well as to use this means to foster the growth of the sub-specialty of neurotology. PMID:25912703

  9. Metallic orthopaedic implants and airport metal detectors

    Microsoft Academic Search

    S. Kamineni; S. Legge; H. Ware

    2002-01-01

    Airport security can detect in vivo metallic implants. We hypothesized that a soft tissue shield and fast transit through archway detectors would decrease implant detectability, whereas greater implant mass would increase detectability. Twelve patients with 8 orthopaedic implants in vivo and 60 trauma and arthroplasty implants in vitro were subjected to standard airport security measures at Stanstead Airport (British Airports

  10. Variability of Hydroxyapatite-Coated Dental Implants

    Microsoft Academic Search

    Karlis A. Gross; Chris C. Berndt

    Uniformity, surface roughness, and chemical phase structure are all important features of implant coatings. While the first two variables are important for implant placement, the phase structure affects implant fixation. This study examined the coating morphology and the amount, size, and distribution of crystalline regions of press-fit and screw-type dental implants. Implants obtained from five commercial vendors were sectioned sagitally,

  11. Foreign Body Reactions to Plastic Implants

    Microsoft Academic Search

    David E. Ocumpaugh; Henry L. Lee

    1970-01-01

    There are three types of foreign body reactions to plastic implants: 1) reactions due to physical characteristics of the implant, 2) reactions due directly to chemical properties of the implant, and 3) immune reactions. Responses which vary with the physical properties of the implant are epithelial encapsulation of the plastic, epithelial keratinization in cutaneous implants, thickening of the connective tissue

  12. Mandibular Fractures at Veer Chandra Singh Garhwali Government Medical Science and Research Institute, Garhwal Region, Uttarakhand, India: A Retrospective Study

    PubMed Central

    Mittal, G; Mittal, SR

    2013-01-01

    Background: Mandibular fractures constitute a substantial proportion of cases of maxillofacial trauma. Demographic data related to mandibular fractures are difficult to evaluate because of many variables associated with the studies. The information is as diverse as the countries and the people who inhabit them. Aim: This is a retrospective study designed to determine the site distribution, associated fracture and causes of mandibular fractures in patients presenting to the trauma centre of Veer Chandra Singh Garhwali Government Medical Science and Research Institute, Uttarakhand, India. Materials and Methods: Records of 121 patients with confirmed mandibular fractures presenting over a three year period (i.e., 1st January 2008 to 31st December 2010). Data obtained from record included age, sex, site of fracture and causes. Results: There were 48/121 (39.6%) males and 73/121 (60.3%) females. The most predominant age group of fracture was found to be 21-30 (53/121-43.8%) followed by 11-20 (25/121-20.6%). In this study history of fall was the most common cause of mandibular fracture (66/121-54.5%), followed by road traffic accidents (45/121-37.1%), fights and assault (08/121-6.6%) and industrial accidents (02/121-1.6%). In our study most of the patients suffered from fracture in the parasymphysis (35/139-25.1%) and angle region (32/139-23.0%) followed by body (30/139-21.5%), condyle (21/139-15.1%), symphysis (19/139-13.7%), and ramus (02/121-1.4%) area. Conclusion: In this study mandibular fractures were more prevalent in females especially during the second and third decade of life. History of fall was the most predominant cause of mandibular fracture. The most frequently affected sites were parasymphysis and angle. PMID:23919182

  13. Hydroxyapatite coatings in implant dentistry.

    PubMed

    Zablotsky, M H

    1992-01-01

    Hydroxyapatite coatings have shown promise due to the enhanced integration of osseous tissues to coated implant surfaces. When compared with healing around commercially pure or titanium alloy implant surfaces, hydroxyapatite-coated implants appear to be superior in sites which are compromised in either quantity or quality of bone. In spite of these encouraging findings, the long-term stability of the hydroxyapatite/bone interface has been challenged. Microbiologically, the hydroxyapatite-coated implant surface may be at an increased risk to bacterial plaque. However, after 8 years of clinical utilization, the hydroxyapatite-coated implant surface has not been shown to be predisposed to increased long-term failure. Available research as it pertains to this controversial area of implant dentistry is reviewed. PMID:1298500

  14. Digital image correlation analysis of the load transfer by implant-supported restorations.

    PubMed

    Tiossi, Rodrigo; Lin, Lianshan; Rodrigues, Renata C S; Heo, Young C; Conrad, Heather J; de Mattos, Maria da Gloria C; Ribeiro, Ricardo F; Fok, Alex S L

    2011-04-01

    This study compared splinted and non-splinted implant-supported prosthesis with and without a distal proximal contact using a digital image correlation method. An epoxy resin model was made with acrylic resin replicas of a mandibular first premolar and second molar and with threaded implants replacing the second premolar and first molar. Splinted and non-splinted metal-ceramic screw-retained crowns were fabricated and loaded with and without the presence of the second molar. A single-camera measuring system was used to record the in-plane deformation on the model surface at a frequency of 1.0Hz under a load from 0 to 250N. The images were then analyzed with specialist software to determine the direct (horizontal) and shear strains along the model. Not splinting the crowns resulted in higher stress transfer to the supporting implants when the second molar replica was absent. The presence of a second molar and an effective interproximal contact contributed to lower stress transfer to the supporting structures even for non-splinted restorations. Shear strains were higher in the region between the molars when the second molar was absent, regardless of splinting. The opposite was found for the region between the implants, which had higher shear strain values when the second molar was present. When an effective distal contact is absent, non-splinted implant-supported restorations introduce higher direct strains to the supporting structures under loading. Shear strains appear to be dependent also on the region within the model, with different regions showing different trends in strain changes in the absence of an effective distal contact. PMID:21377159

  15. The Effect of Dose Rate and Implant Temperature on Transient Enhanced Diffusion in B Implanted Si

    E-print Network

    Florida, University of

    1361 The Effect of Dose Rate and Implant Temperature on Transient Enhanced Diffusion in B Implanted of ion implantation dose rate and implant temperature on the transientenhanceddiffusion that there is no measurable effect of dose rate or implant temperature on TED of boron implanted silicon for any of the damage

  16. Implant biomaterials: A comprehensive review.

    PubMed

    Saini, Monika; Singh, Yashpal; Arora, Pooja; Arora, Vipin; Jain, Krati

    2015-01-16

    Appropriate selection of the implant biomaterial is a key factor for long term success of implants. The biologic environment does not accept completely any material so to optimize biologic performance, implants should be selected to reduce the negative biologic response while maintaining adequate function. Every clinician should always gain a thorough knowledge about the different biomaterials used for the dental implants. This article makes an effort to summarize various dental bio-materials which were used in the past and as well as the latest material used now. PMID:25610850

  17. Language outcomes after cochlear implantation.

    PubMed

    Ganek, Hillary; McConkey Robbins, Amy; Niparko, John K

    2012-02-01

    This article presents a focused review of language, speech, and comprehension outcomes in children with cochlear implants. Language acquisition with early-age implants and later-age implants are discussed, along with literacy and comprehension skills. A wide range of language outcomes is possible for children with cochlear implants, but many can achieve listening and spoken language skills at the same rate as their hearing peers. Appropriate auditory rehabilitation and parental guidance is vital for the development of listening and spoken language skills. PMID:22115689

  18. Implant biomaterials: A comprehensive review

    PubMed Central

    Saini, Monika; Singh, Yashpal; Arora, Pooja; Arora, Vipin; Jain, Krati

    2015-01-01

    Appropriate selection of the implant biomaterial is a key factor for long term success of implants. The biologic environment does not accept completely any material so to optimize biologic performance, implants should be selected to reduce the negative biologic response while maintaining adequate function. Every clinician should always gain a thorough knowledge about the different biomaterials used for the dental implants. This article makes an effort to summarize various dental bio-materials which were used in the past and as well as the latest material used now. PMID:25610850

  19. Short implants: A systematic review

    PubMed Central

    Karthikeyan, I.; Desai, Shrikar R.; Singh, Rika

    2012-01-01

    Background: Short implants are manufactured for use in atrophic regions of the jaws. Although many studies report on short implants as ?10 mm length with considerable success, the literature regarding survival rate of ?7 mm is sparse. Purpose: The purpose of this study was to systematically evaluate the publications concerning short dental implants defined as an implant with a length of ?7 mm placed in the maxilla or in the mandible. Materials and Methods: A Medline and manual search was conducted to identify studies concerning short dental implants of length ?7 mm published between 1991 and 2011. The articles included in this study report data on implant length ?7 mm, such as demographic variables, implant type, location in jaws, observation time, prostheses and complications. Results: The 28 included studies represent one randomized controlled trial, 12 prospective studies and 10 retrospective studies. The survival rate of short implant was found to be increased from 80% to 90% gradually, with recent articles showing 100%. Conclusion: When severe atrophy of jaws was encountered, short and wide implants can be placed successfully. PMID:23162320

  20. Treatment of traumatic dislocation of the mandibular condyle into the cranial fossa: development of a probable treatment algorithm.

    PubMed

    He, Y; Zhang, Y; Li, Z-L; An, J-G; Yi, Z-Q; Bao, S-D

    2015-07-01

    This study summarizes our experience of treating three rare cases of traumatic superior dislocation of the mandibular condyle into the cranial fossa and provides a potential treatment algorithm. Between the years 2002 and 2012, three patients with traumatic superior dislocation of the mandibular condyle into the cranial fossa were admitted to our department. After evaluating the interval from injury to treatment, the associated facial injuries including neurological complications, and the computed tomography imaging findings, an individualized treatment plan was developed for each patient. One patient underwent closed reduction under general anaesthesia. Two patients underwent open reduction with craniotomy and glenoid fossa reconstruction. All three patients were followed up for 1 year. Mouth opening and occlusal function recovered well, but all patients had mandibular deviation during mouth opening. Closed reduction under general anaesthesia, open surgical reduction with craniotomy, and mandibular condylotomy are the three main treatment methods for traumatic superior dislocation of the mandibular condyle into the cranial fossa. The treatment method should be selected on the basis of the interval from injury to treatment, associated facial injuries including neurological complications, and computed tomography imaging findings. PMID:25670388

  1. Effect of Tooth Preparation on Microleakage of Stainless Steel Crowns Placed on Primary Mandibular First Molars with Reduced Mesiodistal Dimension

    PubMed Central

    Ramazani, Nahid; Ranjbar, Mina

    2015-01-01

    Objectives: Incomplete adaptation of stainless steel crown margins leads to microleakage. The aim of this study was to evaluate the effect of tooth preparation on microleakage of stainless steel crowns (SSCs) placed on mesiodistally reduced primary mandibular first molars. Materials and Methods: In this In vitro study, 60 primary mandibular first molars with reduced mesiodistal dimension were selected. Pulp cavities were filled with amalgam and occlusal surfaces were reduced. The samples were randomly divided into two groups (groups P and BLP). Standard preparation was done in group P with only proximal reduction. In group BLP, after reducing the proximal undercuts, buccal and lingual surfaces were slightly reduced. Occlusal one-third of the buccal surfaces was beveled in both groups. Then, the SSCs of the primary maxillary and mandibular first molars were fitted and cemented in P and BLP groups, respectively. After immersing the samples into deionized water, thermo-cycling, and immersion in 2% basic fuchsin, the samples were sectioned buccolingually. The mesial halves were evaluated microscopically for microleakage in both buccal and lingual margins. Data were analyzed using Mann-Whitney U test in SPSS 19 at the significant level of 0.05. Results: There was a significant difference in microleakage of the buccal margin (P=0.003); whereas, the difference observed in the lingual margin was not significant (P=0.54). Conclusion: We suggest reduction of buccal and lingual surfaces of mesiodistally reduced primary mandibular first molars and placing lower (mandibular) crowns. PMID:26005450

  2. Evaluation of skeletal and dental age using third molar calcification, condylar height and length of the mandibular body

    PubMed Central

    Kedarisetty, Sunil Gupta; Rao, Guttikonda Venkateswara; Rayapudi, Naveen; Korlepara, Rajani

    2015-01-01

    Aim: To identify the most reliable method for age estimation among three variables, that is, condylar height, length of mandibular body and third molar calcification by Demirjian's method. Materials and Methods: Orthopantomograms and lateral cephalograms of 60 patients with equal gender ratio were included in the study, among each gender 15 subjects were below 18 years and 15 subjects were above 18 years. Lateral cephalograms were traced, height of condyle and mandibular body are measured manually on the tracing paper, OPG's were observed on radiographic illuminator and maturity score of third molar calcification was noted according to Demirjian's method. All the measurements were subjected to statistical analysis. Results: The results obtained are of no significant difference between estimated age and actual age with all three parameters (P > 0.9780 condylar height, P > 0.9515 length of mandibular body, P > 0.8611 third molar calcification). Among these three, length of mandibular body shows least standard error test (i.e. 0.188). Conclusion: Although all three parameters can be used for age estimation, length of mandibular body is more reliable followed by height of condyle and third molar calcification. PMID:26005300

  3. Focus on Implantation Implantation mechanisms: insights from the sheep

    Microsoft Academic Search

    Thomas E Spencer; Greg A Johnson; Fuller W Bazer; Robert C Burghardt

    Implantation in all mammals involves shedding of the zona pellucida, followed by orientation, apposition, attachment and adhesion of the blastocyst to the endometrium. Endometrial invasion does not occur in domestic ruminants; thus, definitive implantation is achieved by adhesion of the mononuclear trophoblast cells to the endometrial lumenal epithelium (LE) and formation of syncytia by the fusion of trophoblast binucleate cells

  4. [Light and scanning electronmicroscopic studies of border surfaces of aluminum oxide-ceramic implants in the dog mandible].

    PubMed

    Krempien, B; Schulte, W; Kleineikenscheidt, H; Lindner, K; Schareyka, R; Heimke, G

    1978-05-01

    The mandibular bone of beagles as well as foxhounds and the border surfaces in the area of implants of dense Al2O3 ceramic were examined by scan electron microscope and optically in undecalcified preparations 4 and 6 months after the start of the experiment. All implants healed without foreign body or inflammatory reaction and exhibited a firm contact with the newly-formed surrounding osseous tissue. The border surface was always formed by osseous tissue and bone marrow and not by connective tissue. The bony border surface presented a casting of the structure proper of the ceramics as well as orderly remodelling. The tooth implants which had in part been under strain for a long time were surrounded by newly formed osteoid bone and supported by bone trabeculi. In the immediate proximity of the surface of the ceramic vital osteophites were found. The gum which was placed in a groove of the step implants showed firm epithelial covering and orderly fibrous texture. PMID:274294

  5. Bimaxillary protrusion with an atrophic alveolar defect: orthodontics, autogenous chin-block graft, soft tissue augmentation, and an implant.

    PubMed

    Chiu, Grace S C; Chang, Chris H N; Roberts, W Eugene

    2015-01-01

    Bimaxillary protrusion in a 28-year-old woman was complicated by multiple missing, restoratively compromised, or hopeless teeth. The maxillary right central incisor had a history of avulsion and replantation that subsequently evolved into generalized external root resorption with Class III mobility and severe loss of the supporting periodontium. This complex malocclusion had a discrepancy index of 21, and 8 additional points were scored for the atrophic dental implant site (maxillary right central incisor). The comprehensive treatment plan included extraction of 4 teeth (both maxillary first premolars, the maxillary right central incisor, and the mandibular right first molar), orthodontic closure of all spaces except for the future implant site (maxillary right central incisor), augmentation of the alveolar defect with an autogenous chin-block graft, enhancement of the gingival biotype with a connective tissue graft, and an implant-supported prosthesis. Orthodontists must understand the limitations of bone grafts. Augmented alveolar defects are slow to completely turn over to living bone, so they are usually good sites for implants but respond poorly to orthodontic space closure. However, postsurgical orthodontic treatment is often indicated to optimally finish the esthetic zone before placing the final prosthesis. The latter was effectively performed for this patient, resulting in a total treatment time of about 36 months for comprehensive interdisciplinary care. An excellent functional and esthetic result was achieved. PMID:25533077

  6. An Unusual Bone Loss Around Implants

    PubMed Central

    Rokn, Amir Reza; Sajedinejad, Neda; Yousefyfakhr, Hosnieh; Badri, Samare

    2013-01-01

    Pre-implant disease is an inflammatory process that affects the surrounding tissues of a functional osseointegrated implant. It is usually the result of a disequilibrium between the micro-flora and the defense system. This case reports a 57-year-old man with unusual bone loss around dental implants. This was an unusual case of peri-implantitis that occurred only in the implants on one side of the mouth although they were all unloaded implants. PMID:24396359

  7. Implantable medical sensor system

    DOEpatents

    Darrow, Christopher B. (Pleasanton, CA); Satcher, Jr., Joe H. (Modesto, CA); Lane, Stephen M. (Oakland, CA); Lee, Abraham P. (Walnut Creek, CA); Wang, Amy W. (Berkeley, CA)

    2001-01-01

    An implantable chemical sensor system for medical applications is described which permits selective recognition of an analyte using an expandable biocompatible sensor, such as a polymer, that undergoes a dimensional change in the presence of the analyte. The expandable polymer is incorporated into an electronic circuit component that changes its properties (e.g., frequency) when the polymer changes dimension. As the circuit changes its characteristics, an external interrogator transmits a signal transdermally to the transducer, and the concentration of the analyte is determined from the measured changes in the circuit. This invention may be used for minimally invasive monitoring of blood glucose levels in diabetic patients.

  8. Broad beam ion implanter

    DOEpatents

    Leung, Ka-Ngo (Hercules, CA)

    1996-01-01

    An ion implantation device for creating a large diameter, homogeneous, ion beam is described, as well as a method for creating same, wherein the device is characterized by extraction of a diverging ion beam and its conversion by ion beam optics to an essentially parallel ion beam. The device comprises a plasma or ion source, an anode and exit aperture, an extraction electrode, a divergence-limiting electrode and an acceleration electrode, as well as the means for connecting a voltage supply to the electrodes.

  9. Bone cement implantation syndrome.

    PubMed

    Razuin, R; Effat, O; Shahidan, M N; Shama, D V; Miswan, M F M

    2013-06-01

    Bone cement implantation syndrome (BCIS) is characterized by hypoxia, hypotension, cardiac arrhythmias, increased pulmonary vascular resistance and cardiac arrest. It is a known cause of morbidity and mortality in patients undergoing cemented orthopaedic surgeries. The rarity of the condition as well as absence of a proper definition has contributed to under-reporting of cases. We report a 59-year-old woman who sustained fracture of the neck of her left femur and underwent an elective hybrid total hip replacement surgery. She collapsed during surgery and was revived only to succumb to death twelve hours later. Post mortem findings showed multiorgan disseminated microembolization of bone marrow and amorphous cement material. PMID:23817399

  10. Broad beam ion implanter

    DOEpatents

    Leung, K.N.

    1996-10-08

    An ion implantation device for creating a large diameter, homogeneous, ion beam is described, as well as a method for creating same, wherein the device is characterized by extraction of a diverging ion beam and its conversion by ion beam optics to an essentially parallel ion beam. The device comprises a plasma or ion source, an anode and exit aperture, an extraction electrode, a divergence-limiting electrode and an acceleration electrode, as well as the means for connecting a voltage supply to the electrodes. 6 figs.

  11. Regenerative Surgical Treatment of Peri-implantitis

    ClinicalTrials.gov

    2015-07-16

    Failure of Dental Implant Due to Infection; Infection; Inflammation; Peri-implantitis; Bacterial Infections; Bleeding of Subgingival Space; Molecular Sequence Variation; Periodontal Diseases; Mouth Diseases

  12. Vestibular function and cochlear implant.

    PubMed

    Robard, Laetitia; Hitier, Martin; Lebas, Catherine; Moreau, Sylvain

    2015-03-01

    Vestibular lesions are found after cochlear implantation in 23-100 % of cases. The objectives of this study were to evaluate the vestibular function before and after implantation while focusing its feasibility. This prospective study included 35 patients, mean age 49 years. Each patient enjoyed a vestibular balance before and after implantation in a median period of 5 months compared to surgery. Vestibular evaluations were performed using vestibular-evoked myogenic potentials (VEMP) and videonystagmography. Before implantation, the VEMPs were bilateral in 73 % of cases. They are modified after implantation for 13 patients, including 12 missing or reduced potentials on implanted side (p = 0.0015). Caloric tests found themselves a significant decrease in the reflectivity of the ear implanted (p < 0.0001). Vestibular symptoms were independent of changes on vestibular tests. No relation was found between the occurrence of post-operative vestibular symptoms and the results of the vestibular investigations. However, the achievement of these exams is not easy especially for children and only part of the vestibule is tested. In conclusion, the vestibular assessments help to choose the side of implantation, assess the pre-operative vestibular condition and assess and locate vestibular lesions induced. Further tests should enable a complete vestibular assessment. PMID:24737055

  13. Cochlear Implants: More? And Better?

    ERIC Educational Resources Information Center

    Carroll, Cathryn

    1995-01-01

    Summarizes a discussion on cochlear implants from a National Institutes of Health conference. Reviews the cited benefits of the implants in children. Gives comments on research on the language performance of children who are deaf or hearing impaired in oral programs versus those in total communication programs, as well as dissenting opinions on…

  14. Immunology of Silicone Breast Implants

    Microsoft Academic Search

    Nir Kossovsky; Charles J. Freiman

    1994-01-01

    Understanding the immunology of silicone breast implants, at present, consists of reconciling an increasingly large body of data with an older, established, but otherwise unsubstantiated theory. Despite the variety of silicone breast implants, there are nevertheless certain phenomena that occur with all silicone gel-filled devices. Recent clinical findings suggest that in some patients, silicone will act as an adjuvant on

  15. A Novel Approach for Restoration of Hemisectioned Mandibular Second Molar with Modified Tunnel Restoration: A Case Report

    PubMed Central

    Varma K, Madhu; Satish R, Kalyan; Kumar M, Sita Rama; Sajjan, Girija S

    2014-01-01

    Hemisection refers to sectioning of a mandibular molar into two halves followed by removal of the diseased root and its coronal portion. Hemisection of a mandibular molar may be a suitable treatment option when the decay is restricted to one root and the other root is healthy. The retained root is endodontically treated and the furcation area is made self-cleansable. Retained tooth structure is restored as premolar which helps to reduce the masticatory load. Hemisection of mandibular molar was often referred to as premolarization. Studies showed that the remaining coronal structure influenced the fracture resistance of endodontically treated maxillary first premolars. Clinical experience showed the viability of tunnel restoration as an alternative to class II conventional cavity preparation in initial proximal lesion. This article discusses a case that presents the novel technique involved in restoration of the remaining hemisected tooth using modified tunnel restoration. PMID:25478460

  16. Correction of Angle Class II division 1 malocclusion with a mandibular protraction appliances and multiloop edgewise archwire technique.

    PubMed

    Freitas, Benedito; Freitas, Heloiza; Dos Santos, Pedro César F; Janson, Guilherme

    2014-09-01

    A Brazilian girl aged 14 years and 9 months presented with a chief complaint of protrusive teeth. She had a convex facial profile, extreme overjet, deep bite, lack of passive lip seal, acute nasolabial angle, and retrognathic mandible. Intraorally, she showed maxillary diastemas, slight mandibular incisor crowding, a small maxillary arch, 13-mm overjet, and 4-mm overbite. After the diagnosis of severe Angle Class II division 1 malocclusion, a mandibular protraction appliance was placed to correct the Class II relationships and multiloop edgewise archwires were used for finishing. Follow-up examinations revealed an improved facial profile, normal overjet and overbite, and good intercuspation. The patient was satisfied with her occlusion, smile, and facial appearance. The excellent results suggest that orthodontic camouflage by using a mandibular protraction appliance in combination with the multiloop edgewise archwire technique is an effective option for correcting Class II malocclusions in patients who refuse orthognathic surgery. PMID:25309867

  17. Construction of a cDNA library for miniature pig mandibular deciduous molars

    PubMed Central

    2014-01-01

    Background The miniature pig provides an excellent experimental model for tooth morphogenesis because its diphyodont and heterodont dentition resembles that of humans. However, little information is available on the process of tooth development or the exact molecular mechanisms controlling tooth development in miniature pigs or humans. Thus, the analysis of gene expression related to each stage of tooth development is very important. Results In our study, after serial sections were made, the development of the crown of the miniature pigs’ mandibular deciduous molar could be divided into five main phases: dental lamina stage (E33-E35), bud stage (E35-E40), cap stage (E40-E50), early bell stage (E50-E60), and late bell stage (E60-E65). Total RNA was isolated from the tooth germ of miniature pig embryos at E35, E45, E50, and E60, and a cDNA library was constructed. Then, we identified cDNA sequences on a large scale screen for cDNA profiles in the developing mandibular deciduous molars (E35, E45, E50, and E60) of miniature pigs using Illumina Solexa deep sequencing. Microarray assay was used to detect the expression of genes. Lastly, through Unigene sequence analysis and cDNA expression pattern analysis at E45 and E60, we found that 12 up-regulated and 15 down-regulated genes during the four periods are highly conserved genes homologous with known Homo sapiens genes. Furthermore, there were 6 down-regulated and 2 up-regulated genes in the miniature pig that were highly homologous to Homo sapiens genes compared with those in the mouse. Conclusion Our results not only identify the specific transcriptome and cDNA profile in developing mandibular deciduous molars of the miniature pig, but also provide useful information for investigating the molecular mechanism of tooth development in the miniature pig. PMID:24750690

  18. Analysis of human mandibular mechanics based on screw theory and in vivo data.

    PubMed

    Gal, J A; Gallo, L M; Palla, S; Murray, G; Klineberg, I

    2004-09-01

    In this paper the mechanics of human mandibular function is described in terms of the associated screws. The two distinct, yet related features of jaw mechanics, involving the motion itself as well as the forces, are both functions of the anatomical constraints, namely the contact areas that exist within the temporomandibular joint, and the forces of the muscles and tendons that allow motion to occur. The relationships that exist between these two aspects of jaw-motion are identified in this paper showing that muscle forces can be uniquely represented in terms of the action screw. This new approach to analyzing the mechanics of jaw-motion also incorporates the previously studied motion screw or helical axis. A consistent dynamic model is formulated where the action screw is used to represent the action of the closing muscle forces while the moment arms of the muscle forces are determined about the motion screw representing mandibular kinematics. The action screw formulation is verified using in vivo motion data and MR image information for a single asymptomatic subject. The results confirm the feasibility of the method and its application in dental research. A general increase in the mechanical advantage of most muscles, in the distance between action and motion screws as well as in the expended energy towards the end of the jaw-closing phase was observed. Asymmetries in the distribution of muscle force magnitudes appeared to influence the resultant force and moment of the action screw but had little effect on its spatial location. The method presented is intended to facilitate understanding of mandibular function and dysfunction. PMID:15275848

  19. A specialized motion capture system for real-time analysis of mandibular movements using infrared cameras

    PubMed Central

    2013-01-01

    Background In the last years, several methods and devices have been proposed to record the human mandibular movements, since they provide quantitative parameters that support the diagnosis and treatment of temporomandibular disorders. The techniques currently employed suffer from a number of drawbacks including high price, unnatural to use, lack of support for real-time analysis and mandibular movements recording as a pure rotation. In this paper, we propose a specialized optical motion capture system, which causes a minimum obstruction and can support 3D mandibular movement analysis in real-time. Methods We used three infrared cameras together with nine reflective markers that were placed at key points of the face. Some classical techniques are suggested to conduct the camera calibration and three-dimensional reconstruction and we propose some specialized algorithms to automatically recognize our set of markers and track them along a motion capture session. Results To test the system, we developed a prototype software and performed a clinical experiment in a group of 22 subjects. They were instructed to execute several movements for the functional evaluation of the mandible while the system was employed to record them. The acquired parameters and the reconstructed trajectories were used to confirm the typical function of temporomandibular joint in some subjects and to highlight its abnormal behavior in others. Conclusions The proposed system is an alternative to the existing optical, mechanical, electromagnetic and ultrasonic-based methods, and intends to address some drawbacks of currently available solutions. Its main goal is to assist specialists in diagnostic and treatment of temporomandibular disorders, since simple visual inspection may not be sufficient for a precise assessment of temporomandibular joint and associated muscles. PMID:23433470

  20. Why the Long Face? The Mechanics of Mandibular Symphysis Proportions in Crocodiles

    PubMed Central

    Walmsley, Christopher W.; Smits, Peter D.; Quayle, Michelle R.; McCurry, Matthew R.; Richards, Heather S.; Oldfield, Christopher C.; Wroe, Stephen; Clausen, Phillip D.; McHenry, Colin R.

    2013-01-01

    Background Crocodilians exhibit a spectrum of rostral shape from long snouted (longirostrine), through to short snouted (brevirostrine) morphologies. The proportional length of the mandibular symphysis correlates consistently with rostral shape, forming as much as 50% of the mandible’s length in longirostrine forms, but 10% in brevirostrine crocodilians. Here we analyse the structural consequences of an elongate mandibular symphysis in relation to feeding behaviours. Methods/Principal Findings Simple beam and high resolution Finite Element (FE) models of seven species of crocodile were analysed under loads simulating biting, shaking and twisting. Using beam theory, we statistically compared multiple hypotheses of which morphological variables should control the biomechanical response. Brevi- and mesorostrine morphologies were found to consistently outperform longirostrine types when subject to equivalent biting, shaking and twisting loads. The best predictors of performance for biting and twisting loads in FE models were overall length and symphyseal length respectively; for shaking loads symphyseal length and a multivariate measurement of shape (PC1– which is strongly but not exclusively correlated with symphyseal length) were equally good predictors. Linear measurements were better predictors than multivariate measurements of shape in biting and twisting loads. For both biting and shaking loads but not for twisting, simple beam models agree with best performance predictors in FE models. Conclusions/Significance Combining beam and FE modelling allows a priori hypotheses about the importance of morphological traits on biomechanics to be statistically tested. Short mandibular symphyses perform well under loads used for feeding upon large prey, but elongate symphyses incur high strains under equivalent loads, underlining the structural constraints to prey size in the longirostrine morphotype. The biomechanics of the crocodilian mandible are largely consistent with beam theory and can be predicted from simple morphological measurements, suggesting that crocodilians are a useful model for investigating the palaeobiomechanics of other aquatic tetrapods. PMID:23342027

  1. Biometric study of the prefurcation area of human mandibular first molars.

    PubMed

    Barboza, Carlos Alberto; Rodrigues, Diogo Moreira; Petersen, Rodrigo; Trisão, Gilson Coutinho; Barboza, Eliane Porto

    2014-01-01

    This study analyzed the length of the root trunk (RT) as well as the width and depth of the prefurcation area (PFA) of human mandibular first molars. Ninety-six human mandibular first molars that were extracted after being observed to be in poor condition both clinically and radiographically were used in this study. A contour-measuring instrument was used, and profiles of the buccal and lingual root surfaces of these teeth were traced on a millimeter-scaled paper. The profiles were recorded from the cementoenamel junction, millimeter by millimeter, up to the entrance of the furcation of each tooth. The width and depth of the PFA as well as the length of the RT were studied. After statistical analysis it was concluded that the mean widths of the PFA on the buccal and lingual surfaces were 3.68 ± 0.66 and 3.48 ± 0.51 mm, respectively; mean depths of the PFA on the buccal and lingual surfaces were 0.89 ± 0.42 and 0.82 ± 0.28 mm, respectively; and mean lengths of the RT on the buccal and lingual surfaces were 3.07 ± 0.82 and 3.54 ± 0.73 mm. Of the samples, the lengths of the RT and the PFA were coincident in 39.58% on the buccal surface and in 46.87% on the lingual surface. There is a concavity (PFA) in the RT region of all mandibular first molars, showing larger width and depth on the buccal surface. The RT was longer on the lingual surface in comparison with the buccal surface. PMID:25411742

  2. Labyrinthectomy with cochlear implantation.

    PubMed

    Zwolan, T A; Shepard, N T; Niparko, J K

    1993-05-01

    Numerous reports indicate that the cochlea remains responsive to electrical stimulation following labyrinthectomy. We report a case of a 47-year-old woman with a severe to profound sensorineural hearing loss from birth, who developed episodic vertigo with symptoms suggestive of delayed onset endolymphatic hydrops. Following 8 months of failed medical and vestibular rehabilitation management, a right-sided labyrinthectomy combined with cochlear implantation was performed without complication. Postoperatively the patient was free of vertigo. Attempts to activate the patient's device between 4 to 12 weeks after surgery were unsuccessful as stimulation of the electrodes resulted in discomfort. However, all 20 electrodes elicited comfortable hearing sensations 16 weeks postsurgery. One year after the successful activation, the patient demonstrated improved sound awareness and speech recognition with the implant when compared with preoperative performance with a hearing aid. This case study suggests that electrical detection thresholds with prosthetic stimulation may be unstable in the recently labyrinthectomized ear but supports and extends prior observations of preserved cochlear responsiveness after labyrinthectomy. PMID:8372917

  3. Comparison of the efficacy of two anesthetic techniques of mandibular primary first molar: A randomized clinical trial

    PubMed Central

    Tudeshchoie, Davood Ghasemi; Rozbahany, Neda Ahmadi; Hajiahmadi, Maryam; Jabarifar, Ebrahim

    2013-01-01

    Background: The most common technique to anesthetize mandibular primary teeth is inferior alveolar (I.A) nerve block injection which induces a relatively sustained anesthesia and in turn may potentially traumatize soft-tissues. Therefore, the need of having an alternative technique of anesthesia with a shorter term but the same efficacy is reasonable. The aim of this study was a comparison of the efficacy of two anesthetic techniques of mandibular primary first molar. Materials and Methods: In this randomized crossover clinical trial, 40 children with ages ranged from 5 years to 8 years whose mandibular primary first molars were eligible for pulpotomy, were selected and divided randomly into two groups. The right and left mandibular first molars of group A were anesthetized with infiltration and I. A nerve block techniques in the first and second sessions respectively. The left and right mandibular first molars of group B were anesthetized with I.A nerve block and infiltration techniques in the first and second sessions respectively. The severity of pain were measured and recorded according to sound-eye-motor scale by a certain person. Data was analyzed using Wilcoxon Signed Rank and Mann-Whitney U tests (P > 0.05). Results: The severity of pain was lower in infiltration technique versus I.A nerve block. There were no significant differences between the severities of pain on pulpal exposure of two techniques. Conclusion: It seems that infiltration technique is more favorable to anesthetize the mandibular primary first molar compared to I.A nerve block. PMID:24348619

  4. The association between dental mineralization and mandibular form: a study combining additive conjoint measurement and geometric morphometrics.

    PubMed

    Coquerelle, Michael; Bayle, Priscilla; Bookstein, Fred L; Braga, José; Halazonetis, Demetrios J; Katina, Stanislav; Weber, Gerhard W

    2010-01-01

    Studies have suggested that dental development substantially influences the variation of mandibular morphology and growth in primates. As a contribution to the methodology of such studies, we introduce a novel approach to quantifying the covariation between teeth and mandible. This was done showing fluctuations in the magnitude of this covariation within a sample of modern human mandibles at different postnatal ages. Dense CT- derived mandibular surface meshes of 73 females and 71 males, ranging in age from birth to adulthood, were processed by methods of geometric morphometrics. Each specimen's deciduous and permanent teeth were rated for mineralization stage. Form-space principal component analysis of the morphometric data was used to produce a single metric variable that best explains mandibular-form variation. This variable was then used to quantify the developing teeth, all together, through the use of the additive conjoint measurement method. This new metric variable corresponds to the dental prediction of the mandibular-form variation. Finally, we examine the covariation of the two over the full range of mineralization stages. We found a strikingly tight association between mandibular form and dental maturation up through the full emergence of the deciduous dentition (about age 2 years), followed by an equally striking decline in that association in later developmental stages, particularly for girls. The onset of the decline of the teeth-mandible relationship coincides with the onset time of the adult-like pattern of mastication and speech. The increasingly functional diversity may lead to more independence between dental development and mandibular growth than during the first two years. PMID:20834054

  5. Solitary eosinophilic granuloma of mandibular condyle: literature review and report of a rare case.

    PubMed

    Guruprasad, Yadavalli; Chauhan, Dinesh Singh

    2015-03-01

    Solitary eosinophilic granuloma (EG) is traditionally included as 1 of the 3 clinical manifestations of the histiocytosis-X group of diseases, which also encompasses Hand-Schuller-Christian disease and Letterer-Siwe disease. EG is the most common lesion in the spectrum of disorders under the classification of Langerhans cell histiocytosis. EG represents the monostotic form of the disease with the head and neck region representing the most common site of initial presentation. We report a rare case of solitary EG involving mandibular condyle in a 49-year-old male patient, which is the first reported case in Indian literature. PMID:25861187

  6. Staged orthodontic movement of mesiolinguoversion of the mandibular canine tooth in a dog.

    PubMed

    Kim, Chun-Geun; Lee, So-Young; Park, Hee-Myung

    2015-01-01

    A 10 mo old Sapsaree dog presented for evaluation and treatment of malocclusion causing palatal trauma. A class III malocclusion with mesiolinguoversion of the 404 and enamel hypoplasia was diagnosed based on oral examination. It was decided to attempt orthodontic correction of the mesiolinguoverted tooth using an elastic chain and inclined bite plane technique with crown restoration of the enamel hypoplasia teeth. One year after the orthodontic correction and composite removal, the mesiolinguoverted right mandibular canine tooth was moved to an acceptable location within the dental arch and the locally discolored right maxillary canine tooth was vital. PMID:25415215

  7. Mandibular Central Mucoepidermoid Carcinoma: A Case Report and Review of the Literature

    PubMed Central

    Sepúlveda, Ilson; Frelinghuysen, Michael; Platin, Enrique; Spencer, M. Loreto; Compan, Alvaro; Munzenmayer, Juan; Ulloa, David

    2014-01-01

    We report the case of a patient whose main complaint was swelling on the right side of the mandible when he presented to the Ear, Nose and Throat (ENT) Service. Imaging studies revealed a large homogeneous, multilocular, expansive lesion in the body of the right mandibular ramus. The lesion was poorly enhanced following intravenous contrast injection. The patient was treated with hemimandibular surgical resection, fibula free flap reconstruction and adjuvant radiotherapy. Currently, the patient is disease free and free of posttreatment complications. PMID:25493087

  8. Secretion by the mandibular gland of the red kangaroo ( Macropus rufus ) during isoprenaline infusion

    Microsoft Academic Search

    A. M. Beal

    1989-01-01

    Intracarotid infusion of isoprenaline, either alone or in combination with acetylcholine infusion was used to stimulate salivation by the mandibular glands of anaesthetized red kangaroos. Isoprenaline alone (0.20–1.25 ?mol·kg-1·min-1) elicited flow rates ranging from 0.014 to 0.239 ml·min-1 (1.21–28.1 µl·g gland-1·min-1). Salivary concentrations of sodium, chloride, phosphate and urea were negatively correlated with flow, whereas potassium, calcium, magnesium, hydrogen ion,

  9. Modified lingual split technique for extraction of impacted mandibular third molars.

    PubMed

    Lewis, J E

    1980-08-01

    Critical evaluation of existing chisel and bur techniques for removal of impacted mandibular third molars reveals a high incidence of complications. Both approaches require creation of a buccal defect immediately distal to the second molar for the insertion of an elevator, which may cause pocketing to occur postoperatively. The method described here minimizes periosteal reflection, almost completely avoids loss of bone, and effectively reduces the use of rotary instrumentation. The planning of the soft tissue flaps and bony cuts assists in primary wound closure, obliteration of dead space, and reduction of postoperative morbidity. PMID:6930459

  10. Mandibular resection for removal of oral tumors in 30 dogs and 6 cats.

    PubMed

    Bradley, R L; MacEwen, E G; Loar, A S

    1984-02-15

    In 30 dogs and 6 cats with oral tumors involving the mandible or soft tissues adjacent to the mandible, the tumors were removed by mandibular resection. The most common tumors in the dog were malignant melanoma (10 cases; 33%) and squamous cell carcinoma (8 cases; 27%). The most common tumor in the cat was the squamous cell carcinoma (5 cases; 83%). Thirteen dogs (43%) were evaluated as locally tumor-free at a median follow-up of 15.4 months. Local recurrence of tumor and/or metastasis was evident in another 10 dogs (33%). Four of the 6 tumors in the cat recurred within 8 months. PMID:6698878

  11. Transoral versus extraoral approach for mandibular angle fractures: A comparative study

    PubMed Central

    Devireddy, Sathya Kumar; Kishore Kumar, R. V.; Gali, Rajasekhar; Kanubaddy, Sridhar Reddy; Dasari, Mallikarjuna Rao; Akheel, Mohammad

    2014-01-01

    Introduction: Mandibular fractures represent approximately two-thirds of all the maxillofacial fractures (nearly 70%) out of which fractures of mandibular angle represent for 26-35%. Aim of the Study: The aim of this study is to compare the transoral and extraoral (submandibular) approaches for fixation of mandibular angle fractures. Objectives of Study: The objectives of the following study are to evaluate ease of accessibility, time taken for the procedure, ease of anatomic reduction and complications. Materials and Methods: A prospective study was carried out in 30 patients reporting to the Department of Oral and Maxillofacial surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh during the period of months from November 2011 to August 2013 who were randomly divided in two groups based on computer generated simple randomization chart. Group I patients underwent transoral reduction and fixation and Group II patients underwent extraoral reduction and fixation. The ease of accessibility was analysed by visual analogue scale by the operating surgeon, time taken from incision to closure with digital clock, difficulty level index of surgeon based on the time taken for the procedure and approach related complications. Results: The ease of accessibility in Group I was good in 53.3% while in Group II patients approached extraorally it was good in 86.7%. Group I patients approached transorally showed a mean of 49.7 min while that of Group II patients approached extraorally showed a mean of 73.4 min. Group I had a minimum difficulty level index in 60%, moderate difficulty level in 33.3% and severe difficulty level in 6.7% while Group II had a minimum and moderate difficulty level in 46.7% and severe difficulty level in 6.7%. There was 1 (6.7%) complication reported in each group. Conclusion: The statistical analysis of this study concludes that fracture line starting anterior to mandibular third molar and ending at anteroinferior border of the insertion of the masseter muscle or posterior body of mandible can be approached transorally. Fracture line starting posterior or distal to the third molar or posterior to the insertion of the masseter muscle to the angle of the mandible or fracture line extending high in the ramus, extraoral approach provides a better choice for reduction and fixation of the fractured segments with restoration of anatomical and functional occlusion. PMID:25593420

  12. A Retrospective Analysis of Ruptured Breast Implants

    PubMed Central

    Baek, Woo Yeol; Lew, Dae Hyun

    2014-01-01

    Background Rupture is an important complication of breast implants. Before cohesive gel silicone implants, rupture rates of both saline and silicone breast implants were over 10%. Through an analysis of ruptured implants, we can determine the various factors related to ruptured implants. Methods We performed a retrospective review of 72 implants that were removed for implant rupture between 2005 and 2014 at a single institution. The following data were collected: type of implants (saline or silicone), duration of implantation, type of implant shell, degree of capsular contracture, associated symptoms, cause of rupture, diagnostic tools, and management. Results Forty-five Saline implants and 27 silicone implants were used. Rupture was diagnosed at a mean of 5.6 and 12 years after insertion of saline and silicone implants, respectively. There was no association between shell type and risk of rupture. Spontaneous was the most common reason for the rupture. Rupture management was implant change (39 case), microfat graft (2 case), removal only (14 case), and follow-up loss (17 case). Conclusions Saline implants have a shorter average duration of rupture, but diagnosis is easier and safer, leading to fewer complications. Previous-generation silicone implants required frequent follow-up observation, and it is recommended that they be changed to a cohesive gel implant before hidden rupture occurs. PMID:25396188

  13. Relationship between the tonic elevator mandibular activity and the vertical dimension during the states of vigilance and hypnosis.

    PubMed

    Manns, A; Zuazola, R V; Sirhan, R M; Quiroz, M; Rocabado, M

    1990-04-01

    The variation of the tonic EMG elevator mandibular activity was studied as well as the consequent variation of the vertical dimension in two different experimental states: those of vigilance and hypnosis. In the state of vigilance, normal values of tonic EMG activity were recorded and a space of inocclusion (X = 2.22 mm) coincident with the postural mandibular position. Under hypnosis a significant reduction of the tonic EMG activity was observed (43 to 50%), together with a great increase of the inocclusion space (X = 8.90 mm). PMID:2073696

  14. Cochlear Implantation in Extraordinary Cases

    PubMed Central

    Çelenk, Fatih; Cevizci, Ra?it; Alt?nyay, ?enay; Bayaz?t, Y?ld?r?m Ahmet

    2015-01-01

    Background: Although cochlear implantation has been almost a standard otological procedure worldwide, it may still create a dilemma for the surgeon in some unusual instances such as Seckel syndrome, aural atresia and posterior fossa arachnoid cyst. Case Report: Three extraordinary cases of cochlear implantation were reported. The first case was a case of Seckel syndrome with a cardiac pacemaker due to complete atrioventricular block. The second case had posterior fossa arachnoid cyst that had retrosigmoid cyst removal and cochlear implantation simultaneously. The last case had cochlear implantation in the ear with congenital aural atresia. All cases could be implanted successfully with full electrode insertion and good audiological outcome. Delayed facial paralysis that occurred in the patient with arachnoid cyst resolved spontaneously. Conclusion: This study addressed the efficiency of cochlear implantation in cases of Seckel syndrome, complete atrioventricular block managed with cardiac pacemaker, congenital aural atresia and posterior fossa arachnoid cyst. In addition, the retrosigmoid approach and cochlear implantation can be performed simultaneously. PMID:26167347

  15. Nitinol Surfaces for Implantation

    NASA Astrophysics Data System (ADS)

    Shabalovskaya, Svetlana; Rondelli, Gianni; Rettenmayr, Markus

    2009-08-01

    Nitinol, a group of nearly equiatomic Ni-Ti alloys, steadily conquers new areas of application. Because of the need to keep a low profile of miniature implant devices, and considering the lack of compatibility between Nitinol superelasticity and the mechanical properties of traditional coatings, bare surfaces are of interest. In this article, an overview of our studies of bare Nitinol surfaces is presented, and the performance of coated surfaces is outlined. Together dense and porous Nitinol offer a wide array of surface topographies, suitable for attachment and migration of biological cells and tissue ingrowth. Native Nitinol surface oxides vary from amorphous to crystalline and exhibit semiconducting properties associated with better blood compatibility. Nitinol surfaces are analyzed with regard to high and lasting nickel release in vitro. Surface oxide thickness and Nitinol intermetallic particulates are discussed in relation to corrosion resistance and mechanical performance of the material.

  16. Microsystems Technology for Retinal Implants

    NASA Astrophysics Data System (ADS)

    Weiland, James

    2005-03-01

    The retinal prosthesis is targeted to treat age-related macular degeneration, retinitis pigmentosa, and other outer retinal degenerations. Simulations of artificial vision have predicted that 600-1000 individual pixels will be needed if a retinal prosthesis is to restore function such as reading large print and face recognition. An implantable device with this many electrode contacts will require microsystems technology as part of its design. An implantable retinal prosthesis will consist of several subsystems including an electrode array and hermetic packaging. Microsystems and microtechnology approaches are being investigated as possible solutions for these design problems. Flexible polydimethylsiloxane (PDMS) substrate electrode arrays and silicon micromachined electrode arrays are under development. Inactive PDMS electrodes have been implanted in 3 dogs to assess mechanical biocompatibility. 3 dogs were followed for 6 months. The implanted was securely fastened to the retina with a single retinal tack. No post-operative complications were evident. The array remained within 100 microns of the retinal surface. Histological evaluation showed a well preserved retina underneath the electrode array. A silicon device with electrodes suspended on micromachined springs has been implanted in 4 dogs (2 acute implants, 2 chronic implants). The device, though large, could be inserted into the eye and positioned on the retina. Histological analysis of the retina from the spring electrode implants showed that spring mounted posts penetrated the retina, thus the device will be redesigned to reduce the strength of the springs. These initial implants will provide information for the designers to make the next generation silicon device. We conclude that microsystems technology has the potential to make possible a retinal prosthesis with 1000 individual contacts in close proximity to the retina.

  17. Introduction to cochlear implants Philipos C. Loizou

    E-print Network

    Allen, Jont

    1 Introduction to cochlear implants Philipos C. Loizou For centuries, people believed that only speech. Today, a prosthetic device, called cochlear implant, can be implanted in the inner ear and can to the development of a successful cochlear implant. After all, it is important to know how a normal auditory system

  18. Cochlear Implants in Prelingually Deaf Children.

    ERIC Educational Resources Information Center

    Rose, Darrell E.; And Others

    1996-01-01

    Survey respondents from 45 residential and day schools for the deaf found that, of 151 prelingually deaf children who had received cochlear implants, 71 were no longer using the implant. Numerous comments by respondents indicated their discouragement with the results of the implants. Children still using the implants were concentrated in three…

  19. Implantable biomedical devices: Wireless powering and communication

    Microsoft Academic Search

    Anatoly Yakovlev; Sanghoek Kim; Ada Poon

    2012-01-01

    In recent years, there has been major progress on implantable biomedical systems that support most of the functionalities of wireless implantable devices. Nevertheless, these devices remain mostly restricted to research, in part due to limited miniaturization, power supply constraints, and lack of a reliable interface between implants and external devices. This article provides a tutorial on the design of implantable

  20. Boron and nitrogen implantation of steels

    Microsoft Academic Search

    K. T. Kern; K. C. Walter; A. J. Griffin; Y. Lu; M. Nastasi; W. K. Scarborough; J. R. Tesmer; S. Fayeulle

    1997-01-01

    Samples of four steels with varying chromium content were implanted with boron and seperately with nitrogen. Implantation energy was 75 keV in all cases. Implantation profiles were modeled using TRIM and determined experimentally by ion beam analysis. Boron ion sources leading to improved ion beams will be discussed. Material characterization included tribology and nano-indentation. Implanted materials showed improvements in wear

  1. Epidemiology and treatment outcome of surgically treated mandibular condyle fractures. A five years retrospective study.

    PubMed

    Zrounba, Hugues; Lutz, Jean-Christophe; Zink, Simone; Wilk, Astrid

    2014-09-01

    Surgical management of mandibular condyle fractures is still controversial. Although it provides better outcome than closed treatment questions still remain about the surgical approach and the osteosynthesis devices to be used. Between 2005 and 2010, we managed 168 mandibular condyle fractures with open treatment. Two surgical approaches were used in this study, a pre-auricular and a high submandibular approach (one or the other or as a combined approach). Internal fixation was performed using TCP(®) plates (Medartis, Basel, Switzerland) or with two lag screws (15 and 17 mm). Delta plates were used in 15 cases (8.9%). We report the epidemiology of these fractures and the outcomes of the surgical treatment. We assessed the complications related to the surgical procedure and those related to the osteosynthesis material. The facial nerve related complication rate was very low and the osteosynthesis materials used proved to be strong enough to realize a stable fixation. The two approaches used in this study appeared to be safe with good aesthetic results. Most of the surgical procedure failures occurred in high subcondylar fractures especially when bilateral. PMID:24485271

  2. Characterization of an injectable, degradable polymer for mechanical stabilization of mandibular fractures.

    PubMed

    Henslee, Allan M; Yoon, Diana M; Lu, Benjamin Y; Yu, Joseph; Arango, Andrew A; Marruffo, Liann P; Seng, Luke; Anver, Tamir D; Ather, Hunaiza; Nair, Manitha B; Piper, Sean O; Demian, Nagi; Wong, Mark E K; Kasper, F Kurtis; Mikos, Antonios G

    2015-04-01

    This study investigated the use of injectable poly(propylene fumarate) (PPF) formulations for mandibular fracture stabilization applications. A full factorial design with main effects analysis was employed to evaluate the effects of the PPF:N-vinyl pyrrolidone (NVP, crosslinking agent) ratio and dimethyl toluidine (DMT, accelerator) concentration on key physicochemical properties including setting time, maximum temperature, mechanical properties, sol fraction, and swelling ratio. Additionally, the effects of formulation crosslinking time on the mechanical and swelling properties were investigated. The results showed that increasing the PPF:NVP ratio from 3:1 to 4:1 or decreasing the DMT concentration from 0.05 to 0.01 v/w % significantly decreased all mechanical properties as well as significantly increased the sol fraction and swelling ratio. Also, increasing the crosslinking time at 37°C from 1 to 7 days significantly increased all mechanical properties and decreased both the sol fraction and swelling ratio. This study further showed that the flexural stiffness of ex vivo stabilized rabbit mandibles increased from 1.7?±?0.3 N/mm with a traditional mini-plate fixator to 14.5?±?4.1 N/mm for the 4:1 (0.05 v/w % DMT) PPF formulation at day 1. Overall, the formulations tested in this study were found to have properties suitable for potential further consideration in mandibular fracture fixation applications. PMID:24934595

  3. Tinnitus in patients with temporo-mandibular joint disorder: Proposal for a new treatment protocol.

    PubMed

    Attanasio, Giuseppe; Leonardi, Alessandra; Arangio, Paolo; Minni, Antonio; Covelli, Edoardo; Pucci, Resi; Russo, Francesca Yoshie; De Seta, Elio; Di Paolo, Carlo; Cascone, Piero

    2015-06-01

    The present study was designed to verify the correlation between tinnitus and temporomandibular joint dysfunction.86 consecutive patients were enrolled in the study, all affected by subjective tinnitus without hearing impairment, from both genders, age between 18 and 60 years old. The final number of patients included in the study was 55. All patients received a temporo-mandibular joint examination. All the patients were asked to rate the severity of their symptoms before and after treatment using a VAS scale and the Tinnitus Handicap Inventory (THI) and they followed a standardized protocol for the investigation of tinnitus. All the subjects were monitored by the same researcher and they underwent the same splint treatment. The comparison between pre- and posttreatment phase scores showed in patients with predisposition of TMD and with TMD a statistically significant decrease of THI and VAS values. The characteristics of tinnitus and the degree of response to treatment confirmed the relationship between tinnitus and TMD. The authors believe that, when the most common causes of tinnitus, such as otologic disorders and neurological diseases are excluded, it is correct to evaluate the functionality of the temporo-mandibular joint and eventually treat its pathology to obtain tinnitus improvement or even resolution. PMID:25868942

  4. Primary and secondary closure technique following removal of impacted mandibular third molars: A comparative study

    PubMed Central

    Chaudhary, Manoj; Singh, Manpreet; Singh, Sanjay; Singh, S. P.; Kaur, Gagandeep

    2012-01-01

    Aim: The purpose of this study was to evaluate and compare the post operative healing, using primary versus second closure techniques after impacted mandibular third molar removal. Materials and Methods: The study consisted of twelve patients, Seven males and five females under 30 years of age were divided into two groups as Group A and Group B in the randomized fashion. In the Group A, closure was done by primary intention and in the Group B, by secondary closure. A comparison between both groups was done with a follow-up period of 6 h to 6 days with regards to postoperative pain and swelling. Results: The statistical analysis (analysis of variance for repeated measures, P < 0.05) showed that pain was greater in Group A, although it decreased over time similarly in the two groups. Pain and swelling was less severe with secondary healing than with primary healing. Conclusion: The outcome of this study suggested that secondary closure technique is better than primary closure technique for removal of impacted mandibular third molar with regards to postoperative pain and swelling. PMID:23251051

  5. Remotely controlled mandibular positioner predicts efficacy of oral appliances in sleep apnea.

    PubMed

    Tsai, Willis H; Vazquez, Juan-Carlos; Oshima, Tsutomu; Dort, Leslie; Roycroft, Brian; Lowe, Alan A; Hajduk, Eric; Remmers, John E

    2004-08-15

    Anterior mandibular positioners (AMPs) have become increasingly popular as alternatives to continuous positive airway pressure for the treatment of obstructive sleep apnea. However, widespread acceptance of AMP is limited by an efficacy rate of 50-80% and an inability to predict which patients will respond to therapy. We evaluated 23 patients with obstructive sleep apnea (respiratory disturbance index [RDI] >/= 15 h(-1)) with a remotely controlled mandibular positioner (RCMP), a temporary oral appliance that can advance or retract the mandible in a process analogous to changing the mask pressure during a continuous positive airway pressure titration study. We hypothesized that the elimination of respiratory events and significant nocturnal oxygen desaturation during an RCMP overnight study would predict AMP efficacy, as defined by an absolute reduction in RDI to less than 15 h(-1), a relative reduction in RDI of more than 30% from baseline, and a subjective improvement in symptoms. AMP compliance was 82%, and therapeutic efficacy was 53%. Among compliant patients, the positive and negative predictive value of an RCMP study in predicting AMP treatment success was 90% and 89%, respectively. An overnight RCMP study is highly predictive of AMP response. PMID:15105166

  6. [Anesthetic management of a patient with osteogenesis imperfecta combined with mandibular defect].

    PubMed

    Tsukamoto, Masanori; Hirokawa, Jun; Sako, Saori; Fujiwara, Shigeki; Yokoyama, Takeshi

    2014-06-01

    Osteogenesis imperfecta (OI) is a rare hereditary disorder characterized by an excessive tendency to bone fractures and retarded growth. We report an anesthetic management of the patient with OI who has the history of vertebral bone fracture by coughing. A 44-year-old female underwent mandibular resection and reconstruction with a metal instrument due to ossifying fibroma 35 years ago. Since then, she had undergone mandibular resection and shaving the instrument several times because of recurrence of the tumor and/or fracture of the instrument. This time, some parts of the instrument were removed under general anesthesia since it had exposed from the skin. Difficulty in mask ventilation and intubation was predicted due to the defect of mandible and some muscles supporting the tongue and the pharynx. Awake fiber-optic nasotracheal intubation, therefore, was performed in consideration of airway obstruction. Dexmedetomidine was administered to reduce the risk of bone fracture in addition to low doses of midazolam and fentanyl. Considering incomplete respiration after extubation, the tracheal tube was extubated after inserting the tube exchanger into the trachea through the tube. The tube exchanger was pulled out after confirming spontaneous respiration and upper airway patency. The patient was cooperative, and respiratory and hemodynamic conditions were stable throughout. PMID:24979864

  7. Volumetric fibular transfer planning with shape-based indicators in mandibular reconstruction.

    PubMed

    Nakao, Megumi; Hosokawa, Mamoru; Imai, Yuichiro; Ueda, Nobuhiro; Hatanaka, Toshihide; Kirita, Tadaaki; Matsuda, Tetsuya

    2015-03-01

    In preoperative planning for mandibular reconstructive surgery, it is necessary to determine the osteotomy lines for fibular shaping and the proper placement of fibular segments in the mandible. Although virtual surgical planning has been utilized in preoperative decision making, current software designs require manual operation and a trial-and-error process to refine the reconstruction plan. We have developed volumetric fibular transfer simulation software that can quickly design a preoperative plan based on direct volume manipulation and quantitative comparison with the patient's original mandible. We propose three quantitative shape indicators-volume ratio, contour error, and maximum projection-for symmetrical lesions of the mandible, and have implemented a parallel computation algorithm for the semiautomatic placement of fibular segments. Using this virtual planning software, we conducted a retrospective study of the computed tomography data from nine patients. We found that combining direct volume manipulation with real-time local search of placement improved the applicability of the planning system to optimize mandibular reconstruction. PMID:24801875

  8. Mandibular Canine Dimorphism in Establishing Sex Identity in the Lebanese Population

    PubMed Central

    Ayoub, Fouad; Shamseddine, Loubna; Rifai, Mohamad; Diab, Randa; Zaarour, Ibrahim; Rouhana, Georges

    2014-01-01

    Background and Objective. In forensic investigations, mandibular canines provide excellent materials to identify gender since they are more likely to survive disasters. The objective of this study was to investigate gender dimorphism by comparing the mesiodistal width of mandibular permanent canines and intercanine distance in a group of Lebanese population. Methods. Participants consisted of undergraduate students from the School of Dentistry, Lebanese University, for two academic years who fulfilled the inclusion criteria. Canine widths and intercanine distance were measured by one operator directly on dental casts using a digital caliper. Results. One hundred thirty-three Lebanese dental students (54 males and 69 females) aged 18–25 were included in the study. The intercanine distance was significantly greater in males (P value < 0.0001). The right and the left canine widths were significantly greater in males than in females (P value < 0.0001). However, no significant difference was found between left and right canines for males (P value > 0.05) and females (P value > 0.05). The mean width of canine was greater than 7.188 mm for males. Conclusion. The parameters measured in the present study are of great help in sex identification in forensic investigations in the Lebanese adult population. PMID:24672548

  9. Long-term outcome assessment of closed treatment of mandibular fractures.

    PubMed

    Fayazi, Sara; Bayat, Mohammad; Bayat-Movahed, Saeed; Sadr-Eshkevari, Pooyan; Rashad, Ashkan

    2013-05-01

    Mandibular fractures are among the most common trauma injuries of the craniomaxillofacial region. This study evaluated the late results of mandibles fractures treated with arch bar. Forty-nine patients were examined clinically and by questionnaires for late results of arch bar treatment. Demographic data (age, sex, etc), trigeminal nerve sensation (Weber test), temporomandibular joint evaluation, masticatory muscle function, and occlusion were recorded. The data were analyzed by ? test using Sigma Stat 2.0 software. Fifty-one percent of the patients with angular fractures complained of sensory disturbances. Condylar and angular fractures demonstrated higher levels of pain. According to Pearson ? test, a statistically significant relation between angular fracture and tenderness of the internal pterygoid muscles (P = 0.047), angular fracture and cross-bite (P = 0.021), parasymphysial fracture and pain upon wind blowing (P = 0.026), and body fracture and mastication discomfort (P = 0.038) was found. In closed reduction therapy, fracture location of the mandible seems to be more likely correlated in producing particular long-term complications. Regular follow-ups for functional treatments and physiotherapy of chewing muscles and temporomandibular joint, along with removal of occlusal abnormalities, should be considered following arch bar reduction of mandibular fractures. PMID:23714869

  10. Three-Dimensional Evaluation of Mandibular Bone Regenerated By Bone Transport Distraction Osteogenesis

    PubMed Central

    Kontogiorgos, Elias; Elsalanty, Mohammed E.; Zapata, Uriel; Zakhary, Ibrahim; Nagy, William W.; Dechow, Paul C.; Opperman, Lynne A.

    2011-01-01

    The purpose of this study was to evaluate the structure and material properties of native mandibular bone and those of early regenerate bone, produced by bone transport distraction osteogenesis. Ten adult foxhounds were divided into two groups of five animals each. In all animals, a 3- to 4-cm defect was created on one side of the mandible. A bone transport reconstruction plate, consisting of a reconstruction plate with an attached intraoral transport unit, was utilized to stabilize the mandible and regenerate bone at a rate of 1 mm/day. After the distraction period was finished, the animals were killed at 6 and 12 weeks of consolidation. Micro-computed tomography was used to assess the morphometric and structural indices of regenerate bone and matching bone from the unoperated contralateral side. Significant new bone was formed within the defect in the 6- and 12-week groups. Significant differences (P ? 0.05) between mandibular regenerated and native bone were found in regard to bone volume fraction, mineral density, bone surface ratio, trabecular thickness, trabecular separation, and connectivity density, which increased from 12 to 18 weeks of consolidation. We showed that regenerated bone is still mineralizing and that native bone appears denser because of a thick outer layer of cortical bone that is not yet formed in the regenerate. However, the regenerate showed a significantly higher number of thicker trabeculae. PMID:21556698

  11. Effects of Decreased Occlusal Loading during Growth on the Mandibular Bone Characteristics

    PubMed Central

    Hichijo, Natsuko; Tanaka, Eiji; Kawai, Nobuhiko; van Ruijven, Leo J.; Langenbach, Geerling E. J.

    2015-01-01

    Background Bone mass and mineralization are largely influenced by loading. The purpose of this study was to evaluate the reaction of the entire mandibular bone in response to decreased load during growth. It is hypothesized that decreased muscular loading will lead to bone changes as seen during disuse, i.e. loss of bone mass. Methods and Findings Ten 21-day-old Wistar strain male rats were divided into two groups (each n=5) and fed on either a hard- or soft-diet for 11 weeks. Micro-computed tomography was used for the investigation of bone mineralization, bone volume, bone volume fraction (BV/TV) and morphological analysis. Mandibular mineralization patterns were very consistent, showing a lower degree of mineralization in the ramus than in the corpus. In the soft-diet group, mineralization below the molars was significantly increased (p<0.05) compared to the hard diet group. Also, bone volume and BV/TV of the condyle and the masseter attachment were decreased in the soft-diet group (p<0.05). Morphological analysis showed inhibited growth of the ramus in the soft-diet group (p<0.05). Conclusion Decreased loading by a soft diet causes significant changes in the mandible. However, these changes are very region-specific, probably depending on the alterations in the local loading regime. The results suggest that muscle activity during growth is very important for bone quality and morphology. PMID:26062027

  12. Morphometric study of the root anatomy in furcation area of mandibular first molars

    PubMed Central

    MARCACCINI, Andréa Marcia; PAVANELO, Ângela; NOGUEIRA, Andressa Vilas Boas; de SOUZA, João Antonio Chaves; PORCIÚNCULA, Hélio Ferraz; CIRELLI, Joni Augusto

    2012-01-01

    Furcation involvement in periodontal disease has been a challenge for the dentist. Objective The aim of this study was to investigate root dimensions in the furcation area of 233 mandibular first molars. Material and Methods Digital photomicrographs were used to obtain the following measurements on the buccal and lingual surfaces of each tooth: root trunk height (RT), horizontal interadicular distance obtained 1 mm (D1) and 2 mm (D2) below the fornix and interadicular angle (IA). Results Mean± standard deviation of buccal and lingual furcation measurements were, respectively, 1.37±0.78 mm and 2.04±0.89 mm for RT; 0.86±0.39 mm and 0.71±0.42 mm for D1; 1.50±0.48 mm and 1.38±0.48 mm for D2; 41.68±13.20º and 37.78±13.18º for IA. Statistically significant differences were found between all measured parameters for buccal and lingual sides (p<0.05, paired t test). Conclusions In conclusion, the lingual furcation of mandibular first molars presented narrower entrance and longer root trunk than the buccal furcation, suggesting more limitation for instrumentation and worse prognosis to lingual furcation involvements in comparison to buccal lesions. PMID:22437682

  13. Mandibular canine dimorphism in establishing sex identity in the lebanese population.

    PubMed

    Ayoub, Fouad; Shamseddine, Loubna; Rifai, Mohamad; Cassia, Antoine; Diab, Randa; Zaarour, Ibrahim; Saadeh, Maria; Rouhana, Georges

    2014-01-01

    Background and Objective. In forensic investigations, mandibular canines provide excellent materials to identify gender since they are more likely to survive disasters. The objective of this study was to investigate gender dimorphism by comparing the mesiodistal width of mandibular permanent canines and intercanine distance in a group of Lebanese population. Methods. Participants consisted of undergraduate students from the School of Dentistry, Lebanese University, for two academic years who fulfilled the inclusion criteria. Canine widths and intercanine distance were measured by one operator directly on dental casts using a digital caliper. Results. One hundred thirty-three Lebanese dental students (54 males and 69 females) aged 18-25 were included in the study. The intercanine distance was significantly greater in males (P value < 0.0001). The right and the left canine widths were significantly greater in males than in females (P value < 0.0001). However, no significant difference was found between left and right canines for males (P value > 0.05) and females (P value > 0.05). The mean width of canine was greater than 7.188 mm for males. Conclusion. The parameters measured in the present study are of great help in sex identification in forensic investigations in the Lebanese adult population. PMID:24672548

  14. Panorametry: suggestion of a method for mandibular measurements on panoramic radiographs

    PubMed Central

    Puricelli, Edela

    2009-01-01

    Background Orthopantomography (panoramic radiography) has been used for the study of measurements involving particularly the prediction of the eruption of impacted lower third molars and analyses of measurements of the ramus and head of mandible. The discrepancies involved with the projection of this radiographic image has stimulated the search for further ways to use it, particularly in orthodontic treatments and oral and maxillofacial surgeries. The author proposes a graphimetric method for the mandible, based on panoramic radiography. The results are expressed in linear and angular measurements, aiming at bilateral comparisons as well as the determination of the proportion of skeletal and dental structures, individually and among themselves as a whole. The method has been named Panorametry, and allows measurement of the mandible (Mandibular Panorametry) or the posterior mandibular teeth (Dental Panorametry). When combining mandible and maxilla, it should be referred to as Total Panorametry. It may also be used, in the future, with Cone Beam computed tomography (CT) images, and in this case it may be mentioned as CT Panorametry. PMID:19852787

  15. Afferent and Efferent Aspects of Mandibular Sensorimotor Control in Adults who Stutter

    PubMed Central

    Daliri, Ayoub; Prokopenko, Roman A.; Max, Ludo

    2013-01-01

    Purpose Individuals who stutter show sensorimotor deficiencies in speech and nonspeech movements. For the mandibular system, we dissociated the sense of kinesthesia from the efferent control component to examine whether kinesthetic integrity itself is compromised in stuttering or whether deficiencies occur only when generating motor commands. Method We investigated 11 stuttering and 11 nonstuttering adults’ kinesthetic sensitivity threshold and kinesthetic accuracy for passive jaw movements as well as their minimal displacement threshold and positioning accuracy for active jaw movements. We also investigated the correlation with an anatomical index of jaw size. Results The groups showed no statistically significant differences on sensory measures for passive jaw movements. Although some stuttering individuals performed more poorly than any nonstuttering participants on the active movement tasks, between-group differences for active movements were also not statistically significant. Unlike fluent speakers, however, the stuttering group showed a statistically significant correlation between mandibular size and performance in the active and passive near-threshold tasks. Conclusions Previously reported minimal movement differences were not replicated. Instead, stuttering individuals’ performance varied with anatomical properties. These correlational results are consistent with the hypothesis that stuttering participants generate and perceive movements based on less accurate internal models of the involved neuromechanical systems. PMID:23816664

  16. Sharp mandibular bone irregularities after lower third molar extraction: Incidence, clinical features and risk factors

    PubMed Central

    Alves-Pereira, Daniela; Valmaseda-Castellón, Eduard; Laskin, Daniel M.; Berini-Aytés, Leonardo; Gay-Escoda, Cosme

    2013-01-01

    Objectives: The purpose of this study was to determine the incidence and clinical symptoms associated with sharp mandibular bone irregularities (SMBI) after lower third molar extraction and to identify possible risk factors for this complication. Study Design: A mixed study design was used. A retrospective cohort study of 1432 lower third molar extractions was done to determine the incidence of SMBI and a retrospective case-control study was done to determine potential demographic and etiologic factors by comparing those patients with postoperative SMBI with controls. Results: Twelve SMBI were found (0.84%). Age was the most important risk factor for this complication. The operated side and the presence of an associated radiolucent image were also significantly related to the development of mandibular bone irregularities. The depth of impaction of the tooth might also be an important factor since erupted or nearly erupted third molars were more frequent in the SMBI group. Conclusions: SMBI are a rare postoperative complication after lower third molar removal. Older patients having left side lower third molars removed are more likely to develop this problem. The treatment should be the removal of the irregularity when the patient is symptomatic. Key words:Third molar, postoperative complication, bone irregularities, age. PMID:23524429

  17. Functional morphology of the mangabey mandibular corpus: relationship to dental specializations and feeding behavior.

    PubMed

    Daegling, David J; McGraw, W Scott

    2007-09-01

    Recent molecular and morphological surveys suggest that mangabeys do not represent a monophyletic group. Specifically, Cercocebus is the sister taxon of Mandrillus, whereas Lophocebus forms an unresolved trichotomy with Papio and Theropithecus. The Cercocebus-Mandrillus clade is characterized by skeletal and dental adaptations related to acquisition and processing of hard-object foods that resist decomposition for months on the forest floor. Although species of both mangabey genera can be described as frugivorous seed predators with a strong reliance on hard-object foods, a growing body of evidence indicates that Cercocebus (terrestrial) and Lophocebus (arboreal) mangabeys differ in the hardness of the seeds they consume and the manner in which seeds are processed. The taxa are also distinguished on the basis of dental morphology. Given the purported differences in feeding behaviors of the two mangabey genera, we consider whether there are predictable biomechanical consequences of these behaviors that are reflected in mandibular corpus dimensions. In addition, we present metric data summarizing functional aspects of mangabey mandibular corpus morphology. Mangabey genera are generally not distinguished by differences in relative corpus size, either in postcanine or symphyseal regions. Distinct symphyseal scaling patterns characterize the Papio-Lophocebus clade and the Mandrillus-Cercocebus clade, while the postcanine corpus scales similarly between them. The hypothesis that preferential use of the incisors vs. premolars to initially process these foods results in distinct stress environments is weakly supported, given circumstantial evidence that the relative importance of bending vs. torsion may differ between Cercocebus and Lophocebus. PMID:17503450

  18. Analysis of the retroauricular transmeatal approach: a novel transfacial access to the mandibular skeleton.

    PubMed

    Arcuri, Francesco; Brucoli, Matteo; Benech, Arnaldo

    2012-03-01

    In 2005 experimental work was published about the successful surgical management of fractures of the condylar head through a retroauricular approach. There were two reports in German, and later publications have not mentioned this route to open reduction and internal fixation of such fractures. The approach was studied in Germany but was poorly described and illustrated; later reports in English do not mention this route to the mandible. The aim of this study was to illustrate the retroauricular transmeatal approach, and briefly to review current surgical approaches to the mandibular skeleton and their technical variants. We exposed the mandibular skeleton by a retroauricular transmeatal route with transection of the external ear, dissection of the parotid gland, isolation of the retromandibular vein, and protection of the frontal branch of the facial nerve and the auriculotemporal nerve within the substance of the anteriorly retracted flap. Although we cannot draw any significant conclusions, the retroauricular transmeatal approach ensures extremely low risk of injury to the facial nerve, and leaves an invisible scar. The morbidity is low in terms of facial nerve lesions, vascular injuries, aesthetic deformity, auditory stenosis, salivary fistulas, sialocele and Frey syndrome. We think that further prospective clinical trials are needed better to assess and eventually develop this approach. PMID:21924804

  19. Soft tissue surgery for implants.

    PubMed

    Batal, Hussam; Yavari, Amir; Mehra, Pushkar

    2015-04-01

    Adequate quality and quantity of soft tissue plays an integral part in the esthetic outcome of dental implants. Adequate band of attached tissue decreases the incidence of mucositis and improves hygiene around implants. This article discusses a variety of techniques for soft tissue augmentation. Soft tissue grafting can be achieved at various stages of implant therapy. Epithelial connective tissue grafts are commonly used to increase the band of attached tissue. Subepithelial connective tissue grafts are great for increasing soft tissue thickness and improving the gingival biotype. PMID:25835804

  20. Properties of implanted PET by W ion using MEVVA implantation

    Microsoft Academic Search

    Wu. Yuguang; Zhang Tonghe; Liu Andong; Zhang Xu; Zhou Gu

    2003-01-01

    Polyethylene terephthalane (PET) has been modified with W ions from a metal vapour arc source (MEVVA). W ions were implanted at 136keV to doses ranging from 5×1015 to 2×1017\\/cm2. The surface of the implanted PET darkened with increasing ion dose, when the metal ion dose is greater than 1×1017cm?2 the colour changed to metallic bright. The surface resistance obviously decreases

  1. Tribological properties of nitrogen implanted and boron implanted steels

    Microsoft Academic Search

    K. T. Kern; K. C. Walter; A. J. Jr. Griffin; H. Kung; Y. Lu; M. Nastasi; J. R. Tesmer; S. Fayeulle

    1996-01-01

    Samples of a steel with high chrome content was implanted separately with 75 keV nitrogen ions and with 75 keV boron ions. Implanted doses of each ion species were 2-, 4-, and 8 à 10¹⁷\\/cm². Retained doses were measured using resonant non-Rutherford Backscattering Spectrometry. Tribological properties were determined using a pin-on-disk test with a 6-mm diameter ruby pin with a

  2. Surface modification by negative-ion implantation

    Microsoft Academic Search

    Junzo Ishikawa; Hiroshi Tsuji; Yasuhito Gotoh

    2009-01-01

    We have developed a negative-ion implantation technique for surface modification of materials together with the development of high-intensity negative-ion sources and negative-ion implanters. In the negative-ion implantation, we have the advantage of a nearly “charge-up-free” property for the implanted surface of insulators or insulated materials. The charging voltage on the implanted surface is no greater than plus or minus a

  3. Foreign Body Reaction to Cochlear Implant

    Microsoft Academic Search

    Jona Kronenberg; Michael Wolf; Lela Migirov; Yisgav Shapira; Sarit Aviel-Ronen; Minka Hildesheimer

    2001-01-01

    Two cases of foreign body reaction to a cochlear implant are described. A Nucleus-22 cochlear implant encased in silicone rubber was implanted in both. The first is a 66-year-old patient with idiopathic hearing loss. A year following the procedure, a fistulous tract developed over the implant with a typical histological foreign body reaction. The implant was removed and another Nucleus-22

  4. Computer-Assisted Mandibular Reconstruction using a Patient-Specific Reconstruction Plate Fabricated with Computer-Aided Design and Manufacturing Techniques

    PubMed Central

    Wilde, Frank; Cornelius, Carl-Peter; Schramm, Alexander

    2014-01-01

    We investigated the workflow of computer-assisted mandibular reconstruction that was performed with a patient-specific mandibular reconstruction plate fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) techniques and a fibula flap. We assessed the feasibility of this technique from virtual planning to the completion of surgery. Computed tomography (CT) scans of a cadaveric skull and fibula were obtained for the virtual simulation of mandibular resection and reconstruction using ProPlan CMF software (Materialise®/DePuy Synthes®). The virtual model of the reconstructed mandible provided the basis for the computer-aided design of a patient-specific reconstruction plate that was milled from titanium using a five-axis milling machine and CAM techniques. CAD/CAM techniques were used for producing resection guides for mandibular resection and cutting guides for harvesting a fibula flap. Mandibular reconstruction was simulated in a cadaveric wet laboratory. No problems were encountered during the procedure. The plate was fixed accurately to the residual bone without difficulty. The fibula segments were attached to the plate rapidly and reliably. The fusion of preoperative and postoperative CT datasets demonstrated high reconstruction precision. Computer-assisted mandibular reconstruction with CAD/CAM-fabricated patient-specific reconstruction plates appears to be a promising approach for mandibular reconstruction. Clinical trials are required to determine whether these promising results can be translated into successful practice and what further developments are needed. PMID:25045420

  5. An In-Vivo Correlation Analysis of the Distance Between Lingual Frenal Attachment and Mandibular Incisal Edge Position as an Aid in Establishing Mandibular Occlusal Plane in South Indian Population

    PubMed Central

    Balasubramanian, R; Raj, Krishna

    2015-01-01

    Statement of problem: The aim of the study is to find the reliability in measuring the distance between the anterior attachment of the lingual frenum and the incisal edge of the mandibular central incisor on casts to be used as a pre-extraction record. Purpose: The objective of this study is to give a range of numerical values from anterior attachment of lingual frenum to mandibular central incisors in a class I ridge relation in south Indian population, which may be used in establishing the vertical dimension of the edentulous patient and also to locate the mandibular incisors in teeth arrangement of complete denture fabrication. Materials and Methods: One hundred subjects (50 males and 50 females) under the age group of 21-28y, with class I dental relationship and who have never undergone orthodontic treatment were selected. Two models were made for each subject using irreversible hydrocolloid impression material and type III gypsum product to obtain an average value for each subject. The distance between the incisal edges of the lower central incisor and the anterior attachment of the lingual frenum is measured using a divider and digital vernier caliper. Statistical Analysis: Mean and Standard deviation using descriptive statistics tool using SPSS software version 18. Result: The distance between the anterior attachment of the lingual frenum and incisal edges of mandibular central incisors among the 100 subjects was 14.50mm ± 2.2245 mm. Conclusion: The value obtained aided in establishing the vertical dimension easier by making a pre-determined height of mandibular occlusal rim. PMID:25859527

  6. Radiographic Investigation of Frequency and Location of Root Canal Curvatures in Human Mandibular Anterior Incisors In Vitro

    Microsoft Academic Search

    Brita Willershausen; Adrian Kasaj; Bernd Röhrig; Benjamin Briseño Marroquin

    2008-01-01

    The aim of the present in vitro study was to evaluate the degree and location of root canal curvatures of mandibular anterior incisors. A total of 396 extracted human permanent anterior incisors (248 central and 148 lateral) were included in this investigation. Exclusion criteria were teeth with extensive carious lesions, restorations, and root canal treatment. The specimens were fixed in

  7. Endodontic Treatment of the Mandibular First Molar with Six Roots Canals – Two Case Reports and Literature Review

    PubMed Central

    Anderson, Craig

    2015-01-01

    The most common configuration of the mandibular first molar is the presence of two roots and three root canals. The objective of this work is to present two rare anatomic configurations with six root canals on two mandibular left first molars diagnosed during endodontic therapy. Root canal therapy was performed using a dental operating microscope. Ultrasonic troughing in the grooves in between the mesial root canals and in between the distal root canals was able to show the middle root canals. Large samples population characterization researches and systematic reviews were unable to detect a single case of six root canals configuration in a mandibular first molar in their investigations. Although it is a rare configuration, a six root canal configuration is possible to be found in the mandibular first molar. Three different pulp chamber configurations are possible to be found. Two or three roots may be present and the root configuration more common in the mesial root is the Type 8 and Type 12 for the distal root. Some concepts about the required technique to approach these cases are also debated. PMID:26023651

  8. The action of physalaemin on electrolyte excretion by the mandibular and sublingual salivary glands of the rat

    Microsoft Academic Search

    M. T. Coroneo; A. R. Denniss; J. A. Young

    1979-01-01

    The effect of physalaemin, an undecapeptide belonging to a family known collectively as the tachykinins, on water and electrolyte excretion of the mandibular and sublingual salivary glands of the rat has been investigated and compared to that of acetylcholine. Drugs were administered intravenously or by close-arterial infusion. Physalaemin is a powerful stimulant of fluid secretion by both glands although less

  9. Regenerating Mandibular Bone Using rhBMP2: Part 2--Treatment of Chronic, Defect NonUnion Fractures

    E-print Network

    Athanasiou, Kyriacos

    immediate return to normal function and correct occlusion. Hard tissue formation was observed clinically a section of the bone is lost during a trauma, because of sequestration or after surgery.1,2 The resulting of normal occlusion.8 However, while mandibular reconstruction represents the ideal solution the aspects

  10. Influence of Age on Antennal Response of Male Honey Bees, Apis mellifera , to Queen Mandibular Pheromone and Alarm Pheromone Component

    Microsoft Academic Search

    Richard S. Vetter; P. Kirk Visscher

    1997-01-01

    Using a computer-controlled pheromone-puff delivery system with signal averaging, we investigated the change with age of the electroantennogram (EAG) response of drone (male) honey bees to queen mandibular pheromone (QMP) and an alarm pheromone component, isopentyl acetate (IPA). Drone antennae were significantly more sensitive than worker antennae to QMP, but there was no significant difference in response to IPA. Response

  11. Temporomandibular joint articulations on working side during chewing in adult females with cross-bite and mandibular asymmetry.

    PubMed

    Yashiro, K; Iwata, A; Takada, K; Murakami, S; Uchiyama, Y; Furukawa, S

    2015-03-01

    Influence of mandibular asymmetry and cross-bite on temporomandibular joint (TMJ) articulation remained unknown. This study aimed to investigate whether/how the working-side condylar movement irregularity and articular spaces during chewing differ between patients with mandibular asymmetry/cross-bite and control subjects. The cross-bite group and the control group consisted of 10 adult female patients and 10 adult female subjects, respectively. They performed unilateral gum-chewing. The mandibular movements were recorded using a video-based opto-electronic system. The 3D articular surface of the TMJ for each individual was reconstructed using CT/MRI data. For local condylar points, the normalised jerk cost (NJC) towards normal direction to the condylar surface, the angle between tangential velocity vector and condylar long axis and intra-articular space were measured. Three rotatory angles at centre of the condyle were also measured. During closing and intercuspation, (i) movements of posterior portion of the deviated side condyle showed significantly less smoothness as compared with those for the non-deviated side and control subjects, (ii) the rotations of the condyle on the deviated side induced greater intra-articular space at posterior and lateral portions. These findings suggest that chewing on the side of mandibular deviation/cross-bite may cause irregular movement and enlarged intra-articular space at posterior portion of the deviated side condyle. PMID:25545582

  12. The effects of orthodontic treatment on isometric bite forces and mandibular motion in patients before orthognathic surgery

    Microsoft Academic Search

    Gregory Paul Thomas; Gaylord S Throckmorton; Edward Ellis; Douglas P Sinn

    1995-01-01

    Purpose: Little is known about the effects of orthodontic treatment on oral motor function. The objective of this report is to evaluate changes in mandibular motion and maximum bite force that occur between the initiation of presurgical orthodontics and its completion before surgery.Patients and Methods: Fifteen patients (9 women, 6 men) with a variety of dentofacial deformities were examined before

  13. DETECTION OF HAIRLINE MANDIBULAR FRACTURE USING MAX-FLOW MIN-CUT AND KOLMOGOROV-SMIRNOV DISTANCE

    E-print Network

    Bhandarkar, Suchendra "Suchi" M.

    of midshaft long-bone fractures by Donnelley et. al. [6]. Though the mandibular fractures are encountered hairline fracture refers to situations where the broken bone fragments are not visibly out of alignment for the detection of hip fractures by Yap et al. [2], detection of frac- tures in femur bones using combination

  14. New insights into honey bee (Apis mellifera) pheromone communication. Is the queen mandibular pheromone alone in colony regulation?

    Microsoft Academic Search

    Alban Maisonnasse; Cédric Alaux; Dominique Beslay; Didier Crauser; Christian Gines; Erika Plettner; Yves Le Conte

    2010-01-01

    BACKGROUND: In social insects, the queen is essential to the functioning and homeostasis of the colony. This influence has been demonstrated to be mediated through pheromone communication. However, the only social insect for which any queen pheromone has been identified is the honey bee (Apis mellifera) with its well-known queen mandibular pheromone (QMP). Although pleiotropic effects on colony regulation are

  15. Endodontic treatment of the mandibular first molar with six roots canals - two case reports and literature review.

    PubMed

    Martins, Jorge N R; Anderson, Craig

    2015-04-01

    The most common configuration of the mandibular first molar is the presence of two roots and three root canals. The objective of this work is to present two rare anatomic configurations with six root canals on two mandibular left first molars diagnosed during endodontic therapy. Root canal therapy was performed using a dental operating microscope. Ultrasonic troughing in the grooves in between the mesial root canals and in between the distal root canals was able to show the middle root canals. Large samples population characterization researches and systematic reviews were unable to detect a single case of six root canals configuration in a mandibular first molar in their investigations. Although it is a rare configuration, a six root canal configuration is possible to be found in the mandibular first molar. Three different pulp chamber configurations are possible to be found. Two or three roots may be present and the root configuration more common in the mesial root is the Type 8 and Type 12 for the distal root. Some concepts about the required technique to approach these cases are also debated. PMID:26023651

  16. ANTIARRHYTHMICS VERSUS IMPLANTABLE DEFIBRILLATORS (AVID)

    EPA Science Inventory

    Evaluates whether use of an implantable cardiac defibrillator (ICD) results in reduction in total mortality, when compared with conventional pharmacological therapy, in patients resuscitated from sudden cardiac death who are otherwise at very high risk of mortality from arrhythmi...

  17. Advances in lens implant technology

    PubMed Central

    Kampik, Anselm; Dexl, Alois K.; Zimmermann, Nicole; Glasser, Adrian; Baumeister, Martin; Kohnen, Thomas

    2013-01-01

    Cataract surgery is one of the oldest and the most frequent outpatient clinic operations in medicine performed worldwide. The clouded human crystalline lens is replaced by an artificial intraocular lens implanted into the capsular bag. During the last six decades, cataract surgery has undergone rapid development from a traumatic, manual surgical procedure with implantation of a simple lens to a minimally invasive intervention increasingly assisted by high technology and a broad variety of implants customized for each patient’s individual requirements. This review discusses the major advances in this field and focuses on the main challenge remaining – the treatment of presbyopia. The demand for correction of presbyopia is increasing, reflecting the global growth of the ageing population. Pearls and pitfalls of currently applied methods to correct presbyopia and different approaches under investigation, both in lens implant technology and in surgical technology, are discussed. PMID:23413369

  18. Evaluation of Bone Fixation Implants

    E-print Network

    Perkins, Luke 1990-

    2012-12-10

    was analyzed using light interferometric technique. Potentiodynamic polarization analysis was performed to evaluate corrosive behavior before and after implanting. Scratch tests were conducted to evaluate wear resistance and the microstructure was analyzed...

  19. [Surgical technique in cochlear implantation].

    PubMed

    Praetorius, M; Staecker, H; Plinkert, P K

    2009-07-01

    The cochlear implant (CI) has become a standard option for treating prelingually deaf children. But postlingual late deafness in adults is becoming increasingly common. In addition, hybrid implantation with a CI and a hearing aid in the same ear has come into focus, which demands a soft insertion technique that spares the apical parts of the cochlea. Also, the chorda tympani should be saved, especially in bilateral implantations, which are gaining importance because improved speech discrimination in noisy conditions is seen as proven today. Control of the electrode position intraoperatively with intraoperative computed tomography can further increase the safety and reliability of the position. The position and length of the skin incision is a more aesthetic issue. Future developments will include fully implantable CIs and navigation-assisted, minimally invasive drilling of a hole from the surface of the skull into the cochlea. Bioactive, neurotrophic-drug-releasing electrode designs for improved and sustainable connectivity to the neurons may become applicable. PMID:19554272

  20. Cochlear implants in young children.

    PubMed

    Niparko, John K; Blankenhorn, Rebecca

    2003-01-01

    The cochlear implant is best characterized as a device that provides access to the sound environment. The device enables the hearing pathway to respond to environmental and speech sounds, providing informational cues from the surroundings and from others that may escape visual detection. As the developmental effects of a profound hearing loss are multiple, cochlear implants have been applied to ever younger children in an attempt to promote a more normal level of developmental learning through audition. In deafness, transducer elements of the inner ear fail to trigger auditory nerve afferent nerves in the presence of sound input. However, large reserves of afferent fibers exist even in the auditory nerve of a profoundly deaf patient. Furthermore, these nerve fibers retain the ability to respond to prosthetic activation. Through developmental learning in the early, formative years, auditory centers of the brain appear capable of processing information from the implant to provide speech comprehension and oral language development. Multichannel implants have replaced original single channel designs. multichannel devices enable larger percentages of recipients to recognize the spoken word without visual cues because they provide spectral information in addition to temporal and intensity cues. Testing under conditions of auditory (implant)-only input reveals significant open-set speech understanding capabilities in more than 75% of children after three years of device use. The benefit provided by implants may vary with a number of conditions including: hearing history, age of deafness onset, age at implantation, etiology of deafness, linguistic abilities, and the presence of a motivated system of support of oral language development. Patient variables should be given individual consideration in judging candidacy for a cochlear implant and in planning rehabilitative and education services after surgery and activation of the device. PMID:14648819

  1. Implant stategies for Littlefield Feedyard 

    E-print Network

    Turner, John Sutton

    1995-01-01

    IMPLANT STRATEGIES FOR LITTLEFIELD FEEDYARD PROFESSIONAL PAPER May, 1995 John Sutton Turner Record of Study IMPLANT STRATEGIES FOR LITTLEFIELD FEEDYARD A PROFESSIONAL PAPER by John Sutton Turner Submitted to the College of Agriculture... A PROFESSIONAL PAPER by John Sutton Turner Approved as to style and content by: Dr. W. L. Mies (Chair, Advisory Committee) Dr. J W. Turner (Committee Member) Dr A Larke, Jr (Committee mber) May, 1995 "of graduation Abstract The objective...

  2. Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report

    PubMed Central

    LOPES, José Fernando Scarelli; PINTO, João Henrique Nogueira; LOPES, Monica Moraes Waldemarin; MAZOTTINI, Reinaldo; SOARES, Simone

    2015-01-01

    A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients. PMID:26018315

  3. Interrelationship between implant and orthognathic surgery for the rehabilitation of edentulous cleft palate patients: a case report.

    PubMed

    Lopes, José Fernando Scarelli; Pinto, João Henrique Nogueira; Lopes, Monica Moraes Waldemarin; Mazottini, Reinaldo; Soares, Simone

    2015-01-01

    A 43-year-old woman with a unilateral cleft lip and palate, presenting a totally edentulous maxilla and mandible with marked maxillomandibular discrepancy, attended the Prosthodontics section of the Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo for treatment. She could not close her mouth and was dissatisfied with her complete dentures. Treatment planning comprised placement of six implants in the maxilla, four in the mandible followed by prostheses installation and orthognathic surgery. The mandibular full arch prosthesis guided the occlusion for orthognathic positioning of the maxilla. The maxillary complete prosthesis was designed to assist the orthognathic surgery with a provisional prosthesis (no metal framework), allowing reverse treatment planning. Maxillary and mandibular realignment was performed. Three months later, a relapse in the position of the maxilla was observed, which was offset with a new maxillary prosthesis. This isa complex interdisciplinary treatment and two-year follow-up is presented and discussed. It should be considered that this type of treatment could also be applied in non-cleft patients. PMID:26018315

  4. Body Implanted Medical Device Communications

    NASA Astrophysics Data System (ADS)

    Yazdandoost, Kamya Yekeh; Kohno, Ryuji

    The medical care day by day and more and more is associated with and reliant upon concepts and advances of electronics and electromagnetics. Numerous medical devices are implanted in the body for medical use. Tissue implanted devices are of great interest for wireless medical applications due to the promising of different clinical usage to promote a patient independence. It can be used in hospitals, health care facilities and home to transmit patient measurement data, such as pulse and respiration rates to a nearby receiver, permitting greater patient mobility and increased comfort. As this service permits remote monitoring of several patients simultaneously it could also potentially decrease health care costs. Advancement in radio frequency communications and miniaturization of bioelectronics are supporting medical implant applications. A central component of wireless implanted device is an antenna and there are several issues to consider when designing an in-body antenna, including power consumption, size, frequency, biocompatibility and the unique RF transmission challenges posed by the human body. The radiation characteristics of such devices are important in terms of both safety and performance. The implanted antenna and human body as a medium for wireless communication are discussed over Medical Implant Communications Service (MICS) band in the frequency range of 402-405MHz.

  5. Auditory Midbrain Implant: A Review

    PubMed Central

    Lim, Hubert H.; Lenarz, Minoo; Lenarz, Thomas

    2009-01-01

    The auditory midbrain implant (AMI) is a new hearing prosthesis designed for stimulation of the inferior colliculus in deaf patients who cannot sufficiently benefit from cochlear implants. The authors have begun clinical trials in which five patients have been implanted with a single shank AMI array (20 electrodes). The goal of this review is to summarize the development and research that has led to the translation of the AMI from a concept into the first patients. This study presents the rationale and design concept for the AMI as well a summary of the animal safety and feasibility studies that were required for clinical approval. The authors also present the initial surgical, psychophysical, and speech results from the first three implanted patients. Overall, the results have been encouraging in terms of the safety and functionality of the implant. All patients obtain improvements in hearing capabilities on a daily basis. However, performance varies dramatically across patients depending on the implant location within the midbrain with the best performer still not able to achieve open set speech perception without lip-reading cues. Stimulation of the auditory midbrain provides a wide range of level, spectral, and temporal cues, all of which are important for speech understanding, but they do not appear to sufficiently fuse together to enable open set speech perception with the currently used stimulation strategies. Finally, several issues and hypotheses for why current patients obtain limited speech perception along with several feasible solutions for improving AMI implementation are presented. PMID:19762428

  6. Mixing ability test compared with a comminution test in persons with normal and compromised masticatory performance.

    PubMed

    Speksnijder, C M; Abbink, J H; van der Glas, H W; Janssen, N G; van der Bilt, A

    2009-10-01

    A mastication test was needed with a material that forms a bolus and is soft enough to be chewed by persons with compromised oral function, in particular patients confronted with oral cancer. We therefore developed a wax-mixing ability test and compared it with a comminution test using Optocal as test food. We hypothesized that the mixing ability test would be better at differentiating between groups of persons with compromised masticatory performance than the comminution test. Sixty healthy subjects were recruited in three groups of 20, matched for age and gender: a group with natural dentition; a group with full dentures; and a group with maxillary denture and implant-supported mandibular overdenture. The mixing ability test was found to discriminate better between the two full-denture groups than the comminution test. PMID:19758256

  7. 21 CFR 886.3300 - Absorbable implant (scleral buckling method).

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...false Absorbable implant (scleral buckling method). 886.3300 Section...3300 Absorbable implant (scleral buckling method). (a) Identification. An absorbable implant (scleral buckling method) is a device intended...

  8. 21 CFR 886.3300 - Absorbable implant (scleral buckling method).

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...false Absorbable implant (scleral buckling method). 886.3300 Section...3300 Absorbable implant (scleral buckling method). (a) Identification. An absorbable implant (scleral buckling method) is a device intended...

  9. 21 CFR 886.3300 - Absorbable implant (scleral buckling method).

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...false Absorbable implant (scleral buckling method). 886.3300 Section...3300 Absorbable implant (scleral buckling method). (a) Identification. An absorbable implant (scleral buckling method) is a device intended...

  10. 21 CFR 886.3300 - Absorbable implant (scleral buckling method).

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...false Absorbable implant (scleral buckling method). 886.3300 Section...3300 Absorbable implant (scleral buckling method). (a) Identification. An absorbable implant (scleral buckling method) is a device intended...

  11. 21 CFR 872.3645 - Subperiosteal implant material.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... false Subperiosteal implant material. 872.3645...CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices...872.3645 Subperiosteal implant material. (a) Identification. Subperiosteal implant material is a...

  12. 21 CFR 872.3645 - Subperiosteal implant material.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... false Subperiosteal implant material. 872.3645...CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices...872.3645 Subperiosteal implant material. (a) Identification. Subperiosteal implant material is a...

  13. 21 CFR 872.3645 - Subperiosteal implant material.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... false Subperiosteal implant material. 872.3645...CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices...872.3645 Subperiosteal implant material. (a) Identification. Subperiosteal implant material is a...

  14. 21 CFR 872.3645 - Subperiosteal implant material.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... false Subperiosteal implant material. 872.3645...CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices...872.3645 Subperiosteal implant material. (a) Identification. Subperiosteal implant material is a...

  15. 21 CFR 872.3645 - Subperiosteal implant material.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... false Subperiosteal implant material. 872.3645...CONTINUED) MEDICAL DEVICES DENTAL DEVICES Prosthetic Devices...872.3645 Subperiosteal implant material. (a) Identification. Subperiosteal implant material is a...

  16. Veterans Administration Cooperative Dental Implant Study--comparisons between fixed partial dentures supported by blade-vent implants and removable partial dentures. Part II: Comparisons of success rates and periodontal health between two treatment modalities.

    PubMed

    Kapur, K K

    1989-12-01

    Five Veterans Administration centers have participated in a study to determine whether fixed partial dentures (FPDs) supported by blade implants offer an acceptable substitute for mandibular unilateral or bilateral distal-base extension removable partial dentures (RPDs). The study design and methodology have been described in Part I. A total of 232 patients received comprehensive dental care including RPDs for 118 patients and FPDs for 114. Prespecified criteria determined treatment failures. During the 60-month period, treatment failures occurred in 19 FPD patients and 30 RPD patients. Ten FPD failures occurred before and nine after the FPD insertion. Five RPD failures were caused by abutment tooth loss and 25 for not using the RPD while eating. Life table analysis showed 5-year success rates of 84.2% for the FPD and 74% for the RPD. The 17.9% higher FPD success rate in Kennedy class II patients was both statistically and clinically significant. Excluding the 10 early failures, the 5-year FPD success rate was 91.5%. Of the 170 attempted implants, 26 failed, including 12 before the FPD fabrication. Radiographic assessments by a panel of three judges showed no bone deterioration during baseline to 60 months in 29.6%, slight in 25.4%, moderate in 15.9%, marked in 27%, and severe deterioration in 2.1% of the implant posts. PMID:2685260

  17. [Mandibular movement and electromyogram investigation of normal occlusion and reversed occlusion before and after correction of over jet].

    PubMed

    Maeda, T

    1989-06-01

    The purpose of this investigation was to understand how the mandibular movement and myofunction in reversed occlusion, approach to normal occlusion after the correction of over jet. The experiment was carried out in 30 normal and 26 reversed occlusion school children patients who were classified into 3 groups by morphological analysis. A K6 diagnostic system was used. It recorded muscle activity of maximum clenching, free way space, path of closure, and the maximum velocity of opening and closing mandibular. And recorded a condylar test at the same time. Reversed occlusion classified 3 groups: upper and lower incisor had improper inclinations (D group, 19%), construction bite possible but recognized back and forth discrepancy between maxilla and mandibular (FS group, 50%), discrepancy larger than FS group and construction bite not possible (S group, 31%). Toward upper forth group indicated 77% and toward upper back group indicated 23% in normal occlusion. As for reversed occlusion the former indicated 92% and the latter indicated 8%. Differences in connection with orthodontic appliance and period of treatment were not so large. Back and forth mandibular movement, as measured by a condylar test, was greater for reversed occlusion than for normal occlusion, but this value tended to decrease after orthodontic treatment. In reversed occlusion, maximum opening, free way space, maximum velocity of opening and closing and muscle activity of rest position didn't show significant difference (p less than 0.05) among each group before and after the correction of over jet. Temporalis and masseter activity of maximum clenching, except temporalis among the D group, approached the values for normal occlusion. In the S group, muscle activity of maximum clenching with a cotton-roll, was lower before treatment, but approached to data in normal occlusion. These results prove that improvement of over jet in reversed occlusion, by ordinary orthodontal diagnosis and treatment plan, quasi-normalizes mandibular movement and muscle activity in reversed occlusion. PMID:2637253

  18. A two-year audit of non-vascularized iliac crest bone graft for mandibular reconstruction: technique, experience and challenges

    PubMed Central

    Omeje, Kelvin; Amole, Ibiyinka; Akhiwu, Benjamin; Osunde, Daniel

    2014-01-01

    Objectives Non-vascularized iliac crest bone graft (NVIBG) is a known treatment option in mandibular reconstruction following jaw resection, but no documented review of patients treated with NVIBG exists for northern Nigeria. The experience and technique from a Nigerian tertiary hospital may serve as baseline data for comparison and improvement of practice for other institutions. Materials and Methods A retrospective review of medical records and patient case files from January 2012 to December 2013 was undertaken. All case files and other medical records of patients who had reconstruction with NVIBG for benign or malignant lesions with immediate or delayed reconstruction were selected for review. Results Twenty patients had mandibular reconstruction with NVIBG during the study period. Two patients were excluded because of incomplete medical records. Eighteen patients' (male=14, female=4) records were reviewed. Their ages ranged from 13 to 62 years (mean 26.0±10.6 years). Indications for NVIBG included jaw tumors (n=16; 88.3%), jaw cyst (n=1; 5.6%) and gunshot injury (n=1; 5.6%). Jaw tumors seen were ameloblastoma (n=15; 83.3%) and osteosarcoma (n=1; 5.6%). Treatments done were mandibular resection with condylar resection (n=7; 38.9%), mandibular segmental resection (n=10; 55.6%) and subtotal mandibulectomy (n=1; 5.6%). Patients' postoperative reviews and radiographs revealed good facial profile and continued bone stability up to 1 year following NVIBG. Conclusion NVIBGs provide an acceptable alternative to vascularized bone grafts, genetically engineered bone, and distraction osteogenesis for mandibular reconstruction in resource-limited centers. PMID:25551091

  19. Mandibular fracture patterns consistent with posterior maxillary fractures involving the posterior maxillary sinus, pterygoid plate or both: CT characteristics

    PubMed Central

    Sukegawa, S; Kanno, T; Fujita, G; Yamamoto, N; Furuki, Y; Michizawa, M

    2014-01-01

    Objectives: The aim of this study was to determine the incidence of posterior maxillary fractures involving the posterior maxillary sinus wall, pterygoid plate or both, unrelated to major midface fractures in patients with mandibular fractures, and to characterize associated fractures. Methods: A CT study was performed in patients with mandibular fractures to identify posterior maxillary fractures. Patients aged under 16 years, those with mandibular fractures involving only dentoalveolar components and those with concurrent major midfacial fractures were excluded. Results: 13 (6.7%) of 194 patients with mandibular fractures also had posterior maxillary fractures (case group). The injury pattern correlated with the external force directed to the lateral side of the mandible (p?Mandibular fractures accompanied by posterior maxillary fractures are not rare. The finding of a unilateral posterior maxillary fracture on CT may aid the efficient radiological examination of the mandible based on possible patterns of associated fractures, as follows: in the ipsilateral posterior region as a direct fracture when the impact is a medially directed force, and in the symphysis/parasymphysis or contralateral condylar neck as an indirect fracture. PMID:24336313

  20. [The implantable automatic defibrillator].

    PubMed

    Chauvin, M; Jesel, L; Douchet-Krebs, M P

    2004-11-01

    Technical advances in the design of implantable automatic defibrillators have been constant since the introduction of these devices in the mid 80s. The most obvious advance is the miniaturisation of the devices from which all components have benefited. The capacity of the batteries has improved inversely proportionally to their size, even if the longevity has not always lived up to expectations. The volumic energy of the condensers has improved and their technology also, and their size has decreased. Condensers are still usually made by the electrolytic/aluminium method but tantalum technology is bound to become more generalised because it presents so many advantages. Above all, the circuitry has benefited from the progress of micro-electronics, associating miniaturisation with an increase in more and more complex functions...but requiring more electrical current. Of these functions, algorithms to detect arrhythmias has reduced the number of inappropriate shocks but do not yet have excellent specificity either in single or in dual chamber sensing. Defibrillators incorporating a multisite anti-bradycardiac function are more and more popular because of the close relationship between cardiac failure and sudden death. PMID:15609913