Oral & Maxillofacial Surgery

Thin Vs Thick Biotype

Thin vs Thick Biotype

Implants

A thick biotype provides greater stability for the peri-implant soft tissues with more predictable healing response following surgery and around restorations. Thin bioptypes predispose to unpredibtable healing and allow titanium show through.   Dennis Tarnow demonstrated that a distance of 6mm or more from the alveolar crest to contact point reduces the probability of intact papillae.  […]

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Headaches

Headaches

Oral & Maxillofacial Surgery

Cluster headaches have a much higher incidence in men than women. The pain is often retro- orbital and is described as intense and boring in character. In addition to the above symptoms, there may be miosis, ptosis, flush and cheek edema which may last for two hours. It recurs  nightly for weeks to months followed

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Arthrocentesis

Arthrocentesis

Temporomandibular Joint

TMJ arthrocentesis is based on the hydraulic pressure created by a lavage solution to remove inflammatory mediators and degradation products present in the synovial fluid, decrease the negative pressure within the joint, and break intra-articular adhesions formed between the mandibular fossa and the articular disc Tragal-lateral canthus line (Holmlund-Hellsing line) is a line from the

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Arthrokinetic

Arthrokinetic Reflex

Temporomandibular Joint

Arthrokinetic Reflex: Definition, Mechanism, and Clinical Relevance The arthrokinetic reflex is an important orthopedic and neuromuscular concept that explains the relationship between joint mechanics and muscle activity. In the context of temporomandibular joint (TMJ) disorders, this reflex helps explain why internal derangement of the joint can lead to muscle spasm, pain, and dysfunction—and why these

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Connective Tissue Grafts

Connective Tissue Grafts

Oral & Maxillofacial Surgery

Free soft tissue graft is not vascularized 1-3 days: plasmatic imbibition 2-3 days: inosculation   Unlike flaps, grafts are dependent on nutrition from the recipient bed (plasmatic circulation or imbibition) for 48-72 hours; beyond that, neovascularization and inosculation take over Split thickness skin graft:  include the epidermis and portion of dermis; usually 0.3-0.45mm (0.012-0.015in) thick;

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Flap Designs

Flap Designs

Oral & Maxillofacial Surgery

Releasing incisions aid in providing visualization and surgical exposure. A vertical releasing incision should cross the free gingival margin at the line angle of the tooth and should not be directly on the facial aspect of the tooth nor directly in the papilla. The incision is not a straight vertical incision but rather oblique, to

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Modified Condylotomy 1

Modified Condylotomy

Temporomandibular Joint

Condylotomy has been shown to work most favorably in cases of anterior disc displacement, especially in the setting of disc displacement with reduction. Modified condylotomy can effect disc reduction and alter favorably the natural course of internal derangement in reducing disc displacement A posteriorly directed osteotomy is more likely to be associated with excessive condylar

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Hemifacial Microsomia

Hemifacial Microsomia

Oral & Maxillofacial Surgery

Hemifacial microsomia is associated with several soft tissue anomalies in addition to the common skeletal manifestations. These include, but are not limited to, microtia, facial nerve palsy, skin tags, soft tissue and muscular hypoplasia, microphthalmos, and macrostomia. The facial deformities associated with hemifacial microsomia are heterogeneous and demonstrate extreme variability of expression. Previous work by

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