Objective: skeletal advancement in order to improve the airway dimensions is known as one of the most effective surgical theraphy for treating obstructive sleep apnea (OSA). Distraction osteogenesis (DO) can be a bett...Objective: skeletal advancement in order to improve the airway dimensions is known as one of the most effective surgical theraphy for treating obstructive sleep apnea (OSA). Distraction osteogenesis (DO) can be a better treatment alternative in some selected cases similar to our patient. Using custom made distractors can make this technique more safe and successful. Study Design: Surgically assisted rapid palatal expansion (SARPE), bilateral intraoral mandibular distraction osteogenesis (MDO) and orthodontic treatment were tried to a 20-year-old OSA patient with orthognathic anomaly. For mandibular distraction, custom made distractors were used. Results: The initial AHI of the patient was 23.3. At the end of the treatment it decreased to 8.7. Conclusions: Distraction osteogenesis could be a better alternative than the conventional orthognathic surgery in this kind of selected patients. Customization of the distraction devices can contribute to making this procedure safer and more successful.展开更多
Objective: Mandibular prognathism is inadaptability between skull and mandible and is one phenotype of class III malocculsion. Polydiastema may be present together with class III malocclusion. Skeletal class III maloc...Objective: Mandibular prognathism is inadaptability between skull and mandible and is one phenotype of class III malocculsion. Polydiastema may be present together with class III malocclusion. Skeletal class III malocclusion with mandibular prognathism can be diagnosed by cephalometric parameters. Study Design: A 22-year-old man complaining about difficult mastication and speech was referred to Department of Oral and Maxillofacial Surgery. According to the cephalometric analysis of the patient in sagittal plane, maxilla was 3 mm behind and mandible was 1 mm ahead from the skull base. During presurgical orthodontic treatment, polydiastema was treated in maxilla and mandible. Result and Conclusions: Skeletal class III malocclusion requires an orthognathic surgical procedure including some techniques. One of these techniques is mandibular body ostectomy, which is performed often as a surgical procedure for skeletal class III malocclusion. Instead of sagittal split osteomy, the technique of madibular body ostectomy could be performed as an展开更多
Background: Alveolar ridge resorption still continues to be a problem in oral surgery. Cause of bone resorption is including tooth extraction, periodontal disease and inflammatory periapical pathologies. Various metho...Background: Alveolar ridge resorption still continues to be a problem in oral surgery. Cause of bone resorption is including tooth extraction, periodontal disease and inflammatory periapical pathologies. Various methods and materials have been suggested to minimize this resorption. Aim: Goal of this case report is to present alveolar ridge preservation (ARP) following horizontally fractured maxillary lateral incisor with allograft in the aesthetic zone. Case presentation: 30-year-old female patient with fractured tooth was treated by grafting and insertion dental implant. Fractured tooth extraction was performed and extraction socket augmentation was performed by allograft and covered with collagen membrane. Augmented area was treated with bone-level implant. Definitive prosthesis single-tooth porcelain-fused-to-zirconia restorations were fabricated. Conclusions: Before implant insertion, extraction and grafting socket procedure is appropriate treatment for of fractured teeth with granulation tissue.展开更多
文摘Objective: skeletal advancement in order to improve the airway dimensions is known as one of the most effective surgical theraphy for treating obstructive sleep apnea (OSA). Distraction osteogenesis (DO) can be a better treatment alternative in some selected cases similar to our patient. Using custom made distractors can make this technique more safe and successful. Study Design: Surgically assisted rapid palatal expansion (SARPE), bilateral intraoral mandibular distraction osteogenesis (MDO) and orthodontic treatment were tried to a 20-year-old OSA patient with orthognathic anomaly. For mandibular distraction, custom made distractors were used. Results: The initial AHI of the patient was 23.3. At the end of the treatment it decreased to 8.7. Conclusions: Distraction osteogenesis could be a better alternative than the conventional orthognathic surgery in this kind of selected patients. Customization of the distraction devices can contribute to making this procedure safer and more successful.
文摘Objective: Mandibular prognathism is inadaptability between skull and mandible and is one phenotype of class III malocculsion. Polydiastema may be present together with class III malocclusion. Skeletal class III malocclusion with mandibular prognathism can be diagnosed by cephalometric parameters. Study Design: A 22-year-old man complaining about difficult mastication and speech was referred to Department of Oral and Maxillofacial Surgery. According to the cephalometric analysis of the patient in sagittal plane, maxilla was 3 mm behind and mandible was 1 mm ahead from the skull base. During presurgical orthodontic treatment, polydiastema was treated in maxilla and mandible. Result and Conclusions: Skeletal class III malocclusion requires an orthognathic surgical procedure including some techniques. One of these techniques is mandibular body ostectomy, which is performed often as a surgical procedure for skeletal class III malocclusion. Instead of sagittal split osteomy, the technique of madibular body ostectomy could be performed as an
文摘Background: Alveolar ridge resorption still continues to be a problem in oral surgery. Cause of bone resorption is including tooth extraction, periodontal disease and inflammatory periapical pathologies. Various methods and materials have been suggested to minimize this resorption. Aim: Goal of this case report is to present alveolar ridge preservation (ARP) following horizontally fractured maxillary lateral incisor with allograft in the aesthetic zone. Case presentation: 30-year-old female patient with fractured tooth was treated by grafting and insertion dental implant. Fractured tooth extraction was performed and extraction socket augmentation was performed by allograft and covered with collagen membrane. Augmented area was treated with bone-level implant. Definitive prosthesis single-tooth porcelain-fused-to-zirconia restorations were fabricated. Conclusions: Before implant insertion, extraction and grafting socket procedure is appropriate treatment for of fractured teeth with granulation tissue.
