Asian Journal of Oral and Maxillofacial Surgery最新文献

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A retrospective study of 220 cases of keratocystic odontogenic tumor (KCOT) in 181 patients 回顾性分析220例181例角化囊性牙源性肿瘤的临床资料
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI: 10.1016/j.ajoms.2011.03.002
Sung-Il Yang, Young-In Park, So-Young Choi, Jin-Wook Kim, Chin-Soo Kim
{"title":"A retrospective study of 220 cases of keratocystic odontogenic tumor (KCOT) in 181 patients","authors":"Sung-Il Yang,&nbsp;Young-In Park,&nbsp;So-Young Choi,&nbsp;Jin-Wook Kim,&nbsp;Chin-Soo Kim","doi":"10.1016/j.ajoms.2011.03.002","DOIUrl":"10.1016/j.ajoms.2011.03.002","url":null,"abstract":"<div><p>Odontogenic keratocyst is one of the most aggressive odontogenic cyst due to its relatively high recurrence rate, fast growth, and its tendency to invade adjacent tissue. The aim of the present study is to analyze retrospectively the clinico-pathological characteristics of the 220 KCOTs cases in 181 and find the relationship among the various factors. And the following data were obtained: patient age ranged from 8 to 77 years with an average of 33.06 years. There were 111 male and 70 female patients. The mandibular angle and ascending ramus was the most frequent site of KCOTs. Swelling, the most presenting sign, was noted in 97 cases, followed by the pain, 85 cases, and 78 cases showed no presenting signs and symptoms. On radiologic findings, the primary KCOTs appeared as a unilocular in 59 cases or multilocular in 39 cases. The KCOTs can achieve the size of which may vary from 1.0<!--> <!-->cm to 13.0<!--> <!-->cm, and the mean size was 4.07<!--> <!-->cm. The KCOTs were associated with the displacement of impacted teeth, the mandibular third molar; 47 cases, was the most frequent impacted teeth. Four patients (2.21%) were confirmed to be associated with nevoid basal cell carcinoma syndrome. Enucleation or curettage was the most common employed treatment modality (164 cases), followed by marsupialization or decompression (17 cases), and lateral decortication (13 cases). The recurrence rate was 10.78%. Most of the recurrences (21 cases) were found during the first 5 years after the first treatment for the KCOTs.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 3","pages":"Pages 117-121"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2011.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87478231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Primary extracranial meningioma of the maxillary sinus presenting as buccal swelling 上颌窦原发性颅外脑膜瘤表现为颊部肿胀
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI: 10.1016/j.ajoms.2011.02.006
Shinichi Nozaki , Mana Yamazaki , Takemi Koyama , Yoshiyuki Kubota , Hiroko Kitahara , Kunio Yoshizawa , Atsuhiro Kawashima , Jiro Nakao
{"title":"Primary extracranial meningioma of the maxillary sinus presenting as buccal swelling","authors":"Shinichi Nozaki ,&nbsp;Mana Yamazaki ,&nbsp;Takemi Koyama ,&nbsp;Yoshiyuki Kubota ,&nbsp;Hiroko Kitahara ,&nbsp;Kunio Yoshizawa ,&nbsp;Atsuhiro Kawashima ,&nbsp;Jiro Nakao","doi":"10.1016/j.ajoms.2011.02.006","DOIUrl":"10.1016/j.ajoms.2011.02.006","url":null,"abstract":"<div><p>Meningiomas are usually benign tumors that originate from the meningothelial arachnoidal cells that are normally found in arachnoid villi of the meninges surrounding the brain and spinal cord. Rarely, these tumors are found extracranially, primarily in the head and neck region. A 14-year-old boy presented with a lesion in the left premolar area of his maxilla that appeared to be a buccal swelling. Computed tomography on bone window setting demonstrated an expansile mass with high density area in the left maxillary sinus. The anterior wall of the maxillary sinus was thinned by the expanding mass. Magnetic resonance imaging revealed the well-circumscribed lesion to be homogeneously and relatively hypointense on T2-weighted imaging. The lesion was weakly enhanced by gadolinium. Imaging study of the lesion revealed a mass with no intracranial extension and no metastasis nests. The mass was removed surgically, and pathological studies showed a fibrous meningioma. Five years have elapsed since this surgical excision, with no evidence of recurrence. Primary meningiomas of the paranasal sinuses may arise from heterotopic meningeal tissues displaced during closure of midline structures during fetal development. Symptoms include progressive exophthalmos, nasal obstruction, and epistaxis. No cases in the maxillary sinus presenting as buccal swelling have been described.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 3","pages":"Pages 134-137"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2011.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89206548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
A case of maxillary osteosarcoma with epuloid growth 上颌骨肉瘤伴等倍体生长1例
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI: 10.1016/j.ajoms.2010.11.004
Hirobumi Shoji , Masatoshi Adachi , Hideo Yagishita , Akihiko Shibata , Hisao Yagishita , Masayori Shirakawa , Sadao Okabe
{"title":"A case of maxillary osteosarcoma with epuloid growth","authors":"Hirobumi Shoji ,&nbsp;Masatoshi Adachi ,&nbsp;Hideo Yagishita ,&nbsp;Akihiko Shibata ,&nbsp;Hisao Yagishita ,&nbsp;Masayori Shirakawa ,&nbsp;Sadao Okabe","doi":"10.1016/j.ajoms.2010.11.004","DOIUrl":"10.1016/j.ajoms.2010.11.004","url":null,"abstract":"<div><p>This report presents a case of maxillary osteosarcoma that was initially considered to be granulomatous epulis. A pedunculated mass was found on the buccal gingiva in the right maxillary molar region in a 45-year-old male patient at the initial examination. The clinical and pathological findings indicated that the mass was an epulis. However, a partial maxillectomy was performed under general anesthesia because the rapidly enlarged mass was clinically diagnosed as a maxillary tumor. A pathological examination of the resected specimen revealed that the maxillary tumor was osteosarcoma with a partially positive surgical stump. A total resection of the maxilla was performed under general anesthesia because recurrence was observed at 3 years postoperatively. Recurrence of a tumor that invaded into the cranial base was found at 2.5 years after reoperation despite three courses of adjuvant chemotherapy. Heavy particle radiotherapy was administered. Unfortunately, the patient died at 6 years and 2 months after the first operation due to tumor growth and a gradual worsening of his general condition. The experience from the present case suggested that an early diagnosis and an appropriate surgical therapy is very important for a satisfactory treatment outcomes of the jawbone osteosarcoma.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 3","pages":"Pages 153-156"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2010.11.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73489060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Simultaneous Le Fort III and Le Fort I osteotomies for correction of midface hypoplasia in Crouzon syndrome 同时Le Fort III和Le Fort I截骨术矫正Crouzon综合征中脸发育不全
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI: 10.1016/j.ajoms.2011.04.002
Firdaus Hariri , Tan Huann Lan , Lim Kwong Cheung
{"title":"Simultaneous Le Fort III and Le Fort I osteotomies for correction of midface hypoplasia in Crouzon syndrome","authors":"Firdaus Hariri ,&nbsp;Tan Huann Lan ,&nbsp;Lim Kwong Cheung","doi":"10.1016/j.ajoms.2011.04.002","DOIUrl":"10.1016/j.ajoms.2011.04.002","url":null,"abstract":"<div><p>Le Fort III osteotomy is commonly indicated for the treatment of midface hypoplasia in Crouzon syndrome. However, if there is significant maxillary dentoalveolar protrusion associated with midface hypoplasia, the use of Le Fort III osteotomy alone for midface advancement will result in a poor facial aesthetic outcome. We have recently published a new treatment strategy of correcting this form of deformity by a combination of simultaneous Le Fort III and Le Fort I osteotomies for non-syndromic cases. We would like to report a case of 16-year-old girl presenting with Crouzon syndrome with orbital proptosis, which is caused by a combination of zygomatico-naso-maxillary hypoplasia, as well as maxillary and mandibular dento-alveolar hyperplasia. A combined orthognathic surgical procedure of simultaneous Le Fort III and Le Fort I osteotomies were performed to correct the midface hypoplasia and maxillary dentoalveolar protrusion, while the mandibular dentoalveolar hyperplasia was corrected by a mandibular sub-apical osteotomy. The operation went uneventfully with 10<!--> <!-->mm advancement of the midface achieving eye protection, occlusal correction and significant facial aesthetic improvement. At 12 months post-operatively, the aesthetic and occlusal results were stable and the patient was very pleased with the clinical outcome. This case was performed in collaboration between the Oral Health Division, Ministry of Health Malaysia and the Faculty of Dentistry, The University of Hong Kong. The report illustrates the clinical outcomes of the simultaneous Le Fort III and Le Fort I osteotomies for the correction of midface hypoplasia and maxillary dentoalveolar protrusion presenting in a Crouzon syndrome patient.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 3","pages":"Pages 128-133"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2011.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74351359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Clinico-anatomical revelation of a rare bilaminar constitution of the Geniohyoid muscle 罕见的膝舌骨肌双椎结构的临床解剖揭示
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI: 10.1016/j.ajoms.2011.02.005
Vandana Mehta, Vanita Gupta, Jyoti Arora, Ashwani Kumar, Yogesh Yadav, Rajesh Kumar Suri, Gayatri Rath
{"title":"Clinico-anatomical revelation of a rare bilaminar constitution of the Geniohyoid muscle","authors":"Vandana Mehta,&nbsp;Vanita Gupta,&nbsp;Jyoti Arora,&nbsp;Ashwani Kumar,&nbsp;Yogesh Yadav,&nbsp;Rajesh Kumar Suri,&nbsp;Gayatri Rath","doi":"10.1016/j.ajoms.2011.02.005","DOIUrl":"10.1016/j.ajoms.2011.02.005","url":null,"abstract":"<div><p>Geniohyoid (GH) plays a vital role in maintaining upper airway patency and anomalies pertaining to this muscle should not be overlooked. In fact, a careful recognition of these variations is mandatory while planning any interventional procedure in the suprahyoid region. We report a rare muscular anomaly in the suprahyoid region of the neck. The significance of the stratification of the GH muscle could be related to the physiological role of the muscle of elevating the larynx during deglutition. Additionally, GH is an important muscle which is preferably preserved in procedures such as mandibulotomy. The presence of this unusual constitution of GH muscle could possibly alter the steps of this operational procedure. While performing routine educational dissection, the suprahyoid region displayed a rare bilaminar constitution of the Geniohyoid (GH) muscle bilaterally. The configuration of Geniohyoid muscle revealed stratification into two layers or lamina, superficial and deep. The attachments of the muscle were as usual and the deep lamina of GH was found to be in the same plane as Genioglossus muscle. The accessory muscles received innervation from the hypoglossal nerve.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 3","pages":"Pages 150-152"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2011.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91465680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Osteolipoma of the lower lip: A case report 下唇骨脂肪瘤1例
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI: 10.1016/j.ajoms.2011.02.004
Noriaki Yamamoto , Ayataka Ishikawa , Kensuke Yamauchi , Ikuya Miyamoto , Tatsurou Tanaka , Shinji Kito , Kou Matsuo , Yoshihiro Yamashita , Yasuhiro Morimoto , Tetsu Takahashi
{"title":"Osteolipoma of the lower lip: A case report","authors":"Noriaki Yamamoto ,&nbsp;Ayataka Ishikawa ,&nbsp;Kensuke Yamauchi ,&nbsp;Ikuya Miyamoto ,&nbsp;Tatsurou Tanaka ,&nbsp;Shinji Kito ,&nbsp;Kou Matsuo ,&nbsp;Yoshihiro Yamashita ,&nbsp;Yasuhiro Morimoto ,&nbsp;Tetsu Takahashi","doi":"10.1016/j.ajoms.2011.02.004","DOIUrl":"10.1016/j.ajoms.2011.02.004","url":null,"abstract":"<div><p>This is the first reported case of an osteolipoma affecting the left lower lip of a 68-year-old Japanese man. It is important to be aware of lipomas, such in the present rare case, to avoid their misdiagnosis.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 3","pages":"Pages 143-145"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2011.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78291628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Complications associated with different surgical modalities for management of temporomandibular ankylosis in a series of 791 cases 791例颞下颌强直不同手术方式的并发症分析
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-08-01 DOI: 10.1016/j.ajoms.2010.11.005
Divya Mehrotra , R. Pradhan , S. Mohammad , S. Kumar
{"title":"Complications associated with different surgical modalities for management of temporomandibular ankylosis in a series of 791 cases","authors":"Divya Mehrotra ,&nbsp;R. Pradhan ,&nbsp;S. Mohammad ,&nbsp;S. Kumar","doi":"10.1016/j.ajoms.2010.11.005","DOIUrl":"10.1016/j.ajoms.2010.11.005","url":null,"abstract":"<div><h3>Objective</h3><p>Various modalities of treatment for temporomandibular ankylosis have been undertaken from time to time. The aim of this study was to analyse the most successful treatment modality for the management of temporomandibular ankylosis and review their complications.</p></div><div><h3>Study design</h3><p>This clinical study of 791 patients of temporomandibular joint ankylosis, included 623 interposition arthroplasty with temporal fascia, 48 dermal fat, 29 auricular cartilage, 12 acrylic joint replacement, 11 silicon, 24 costochondral graft, 23 sternoclavicular graft, and 21 chondro-osseous iliac graft. These patients were evaluated with regard to type of ankylosis, pre and postoperative mouth opening, and associated complications.</p></div><div><h3>Results</h3><p>Complications like recurrence (4.80%), involvement of facial nerve (3.67%), anterior open bite (19.09%) and overgrowth of graft (0.5%) were observed in a follow up period ranging from 2 to 17 years.</p></div><div><h3>Conclusion</h3><p>Sternoclavicular graft reconstruction in children and dermal fat interposition arthroplasty in adults should be the treatment of choice for management of temporomandibular ankylosis.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 3","pages":"Pages 122-127"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2010.11.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75636999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Perioperative management of a patient with Bernard–Soulier syndrome that has a refractoriness to platelet transfusion 对血小板输注有难治性的Bernard-Soulier综合征患者的围手术期处理
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-05-01 DOI: 10.1016/j.ajoms.2011.02.002
D. Yoshiga , A. Yoshida , S. Kitahara , C. Harada , S. Ito , S. Nakamura , K. Kubo
{"title":"Perioperative management of a patient with Bernard–Soulier syndrome that has a refractoriness to platelet transfusion","authors":"D. Yoshiga ,&nbsp;A. Yoshida ,&nbsp;S. Kitahara ,&nbsp;C. Harada ,&nbsp;S. Ito ,&nbsp;S. Nakamura ,&nbsp;K. Kubo","doi":"10.1016/j.ajoms.2011.02.002","DOIUrl":"10.1016/j.ajoms.2011.02.002","url":null,"abstract":"<div><p>A patient with Bernard–Soulier syndrome (BSS), characterized by extremely large platelets, thrombocytopenia and prolonged bleeding time underwent general anesthesia for platelet adhesion aberration. This patient has developed a refractoriness to platelet transfusion due to a frequent transfusion of platelets; however the operation was completed without abnormal bleeding by transfusing HLA-matched platelets during the procedure. BSS is a very rare syndrome so there are no well-defined protocols for the management of perioperative bleeding associated with this syndrome. In this report, we present the detail of the perioperative management for these patients with BSS who has a refractoriness to platelet transfusion.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 2","pages":"Pages 102-104"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2011.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79707193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Enucleation and repeated dredging treatment for a large ameloblastic fibroma in growing young patient: Report of a case with difficult treatment planning 生长中的年轻患者大成釉细胞纤维瘤的去核和反复疏通治疗:治疗计划困难的1例报告
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-05-01 DOI: 10.1016/j.ajoms.2011.02.001
Kaoru Isobe , Kei-ichi Morita , Ken Omura
{"title":"Enucleation and repeated dredging treatment for a large ameloblastic fibroma in growing young patient: Report of a case with difficult treatment planning","authors":"Kaoru Isobe ,&nbsp;Kei-ichi Morita ,&nbsp;Ken Omura","doi":"10.1016/j.ajoms.2011.02.001","DOIUrl":"10.1016/j.ajoms.2011.02.001","url":null,"abstract":"<div><p>The purpose of this article is to describe a case of ameloblastic fibroma (AF) with difficult treatment planning. In the present case, a 12-year-old girl with chief complaint of painless swelling on the right mandibular body was referred to our hospital. The biopsy of the lesion confirmed AF. Although it was a solid tumor, the tumor debulking surgery was applied with corresponding open decompression therapy. However, one month after the debulking surgery, the residual lesion had grown rapidly. Then she was treated by enucleation and repeated dredging with a rapid and sufficient bone formation. A conservative approach, including the dredging method appeared to be successful for the avoidance of a radical surgery in the present case.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 2","pages":"Pages 96-98"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2011.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78615973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Intentional replantation of the maxillary molar via partial osteotomy 上颌磨牙部分截骨再植
Asian Journal of Oral and Maxillofacial Surgery Pub Date : 2011-05-01 DOI: 10.1016/j.ajoms.2010.11.003
Yong-Hoon Choi
{"title":"Intentional replantation of the maxillary molar via partial osteotomy","authors":"Yong-Hoon Choi","doi":"10.1016/j.ajoms.2010.11.003","DOIUrl":"10.1016/j.ajoms.2010.11.003","url":null,"abstract":"<div><p>In clinical practice, some patients complain of persistent discomfort or pain during or after root canal treatment. In cases wherein non-surgical retreatment is infeasible, the last available option that can be considered to save the tooth would be periradicular surgery or intentional replantation (IR). Since maxillary molars are anatomically close to the maxillary sinus, the apical surgery may perforate the floor of the maxillary sinus. On the other hand, with IR, tooth fracture may occur while extracting the tooth if the root is curved or if the buccal cortical bone is particularly thick. To help minimize such risk, we chose IR with partial osteotomy performed on the buccal side of the left maxillary first molar and extraction of both the alveolar bone and the tooth. Osteotomy enabled the tooth extraction without causing damages such as fracture to the roots and offered partial protection of the periodontal ligament. Here, we present a case wherein the root apex of a maxillary molar was physically close to the bottom of the maxillary sinus and the buccal cortical bone was thick. IR with partial osteotomy was successful in alleviating symptoms of persistent discomfort and pain.</p></div>","PeriodicalId":100128,"journal":{"name":"Asian Journal of Oral and Maxillofacial Surgery","volume":"23 2","pages":"Pages 73-76"},"PeriodicalIF":0.0,"publicationDate":"2011-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ajoms.2010.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74335264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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