The term “craniosynostosis” refers to the premature fusion of one or more of the cranial vault sutures. The result is fusion of the bones adjacent to the suture and arrested sutural growth of the adjacent bones. The classic theory, known as Virchow’s law, states that premature fusion of a cranial suture results in limited development […]
Virchow’s Law & Cranial Sutures Read Post »
Insufficiency: structural defect that causes the velum to be too short to close against the posterior pharyngeal wall Incompetence: parts do not work properly such that velopharyngeal movement is inadequate to achieve closure independent of tissue bulk Mislearning: improper activation and coordination of the tissue of the velopharynx to achieve closure
Velopharyngeal Dysfunction Read Post »
Wilkes Classification for Internal Derangement of the TMJ The Wilkes Classification is a widely accepted clinical and radiographic staging system used to describe internal derangement of the temporomandibular joint (TMJ). It correlates clinical symptoms, disk position, joint mechanics, and degenerative changes, providing a framework for diagnosis, prognosis, and treatment planning. Internal derangement of the TMJ
Wilkes Classification for Internal Derangement Read Post »
Karapandzic flaps are excellent single stage closures of moderately sized defects of the lower lips, especially in homebound patients and patients with a natural dentition. This flap transfers vascularized tissue to close lower lip defects up to 60% of its length. The result will be upper and lower lips unequal in size, and with a
Lip Reconstruction Read Post »
The greater auricular nerve and accessory nerves must be protected during rhytidectomy. Extra caution should be exercised when performing dissection in Erb’s point area. Remaining superficial to the fascia over the sternomastoid at Erb’s point ensures that injury to the greater auricular and accessory nerve is avoided Erb’s point is located 6 cm inferior to
MTA, IRM, and SuperEBA have success rates ranging from 85-97%. Traditional retrograde amalgam filings has a success rate of 68%.
Prosthetic Temporomandibular Joints: Materials, Design, and Clinical Considerations Total temporomandibular joint (TMJ) replacement is an established reconstructive option for patients with end-stage joint disease, ankylosis, failed autogenous grafts, inflammatory arthropathies, or multiple prior TMJ surgeries. Modern prosthetic TMJ systems are designed to restore mandibular function, improve pain, and provide long-term joint stability using durable biomaterials
Prosthetic Temporomandibular Joints Read Post »
TMJ Disc Displacement: Types, Frequency, and Clinical Significance Disc displacement is a central feature of temporomandibular joint (TMJ) internal derangement and is commonly evaluated using magnetic resonance imaging (MRI). Multiple patterns of disc displacement have been described in symptomatic TMJs, but clinical and imaging studies consistently show that only a small number of displacement types
The cortical screws for the transmandibular implant systems are available in lengths of 5,8,11,14 mm. Protocol is for the cortical screws to extending beyond the bone for a length of 2mm. This allows for tenting of the periosteum and thought to lead to subsequent bone growth.
Transmandibular Implants Read Post »
Closed eruption technique: a crestal incision is made and a full thickness flap is reflected. Bone is carefully removed around the crown and a bracket attached. The flap is closed and the tooth is allowed to erupt down though the crestal incision site as traction is placed on the ligature. Apically repositioned flap had more
Apically Repositioned Flap vs Closed Eruption Technique Read Post »
