Oral and Maxillofacial Surgery Clinics Oral and Maxillofacial Surgery Clinics RSS feed.
- Ulcerative and Inflammatory Lesions of the Oral Mucosaby Elizabeth M. Philipone, Scott M. Peters on 15/02/2023 at 12:00 am
Ulcerated and inflammatory lesions of the oral mucosa are not rare. A detailed patient medical and social history including habits and abuses, as well as the duration, location, focality and presence, or lack of local and/or systemic symptoms is critical in establishing a proper diagnosis. This article discusses the clinical presentation, management, and histopathologic characteristics of a variety of ulcerative and inflammatory lesions seen in the oral cavity.
- Oral Lesions Associated with Systemic Diseaseby Jasbir D. Upadhyaya, Vimi Sunil Mutalik on 15/02/2023 at 12:00 am
Oral manifestations may be the first sign of a systemic disease, or represent lesions associated with an established or recurrent disease. Oral health care providers are often the first to recognize these signs. Some lesions have characteristic features that allow for early detection and intervention. On the contrary, clinical manifestations may be diverse and require a comprehensive evaluation to establish a definitive diagnosis. This article reviews the oral manifestations of select systemic diseases to help clinicians develop a differential diagnosis that leads to early diagnosis and timely intervention.
- Plasma Cell Gingivitis and Its Mimicsby Rania H. Younis, Maria Georgaki, Nikolaos G. Nikitakis on 15/02/2023 at 12:00 am
Plasma cell gingivitis (PCG) is an inflammatory condition that affects the gingival mucosa of the oral cavity. It is characterized by polyclonal dense plasma cell infiltrate in the connective tissue. Lesions do not respond to prophylactic treatment. Etiology is most likely hypersensitivity to certain antigens (eg, toothpastes, oral rinses, chewing gums, spices). Differential diagnosis of PCG includes reactive, granulomatous, and neoplastic lesions. The diagnostic workup is based on patient’s history and the clinicopathologic correlation to rule out mimics of PCG. Dermatologic patch test may be indicated in chronic conditions to identify the allergen.
- Fungal Lesions of the Oral Mucosa Diagnosis and Managementby Tina R. Woods, Jamie White, Ioannis Koutlas on 15/02/2023 at 12:00 am
Oral fungal infections are opportunistic and due to impaired host resistance. The increasing number of immunosuppressed individuals contributes to rising numbers of mycoses worldwide, and the ease of global migration has allowed the geographic range of endemic mycoses to expand. Deep fungal infections can clinically mimic other pathologic conditions including malignancy. This review highlights the pathogenesis, clinical features, diagnosis, and treatment recommendations of eight fungal infections that can be encountered in the dental setting.
- Lichenoid Lesions of the Oral Mucosaby Nadim M. Islam, Saja A. Alramadhan on 15/02/2023 at 12:00 am
Lichenoid lesions involving the oral cavity present with an array of complex clinical manifestations and etiologies. The etiology ranges from local factors, systemic entities, and even autoimmune conditions. Several different types of lichenoid lesions may affect the oral cavity, and it is imperative that these are correctly diagnosed to ensure effective patient care. Lichenoid lesions such as chronic ulcerative stomatitis prove to be challenging as these are recalcitrant, present with overlapping features, require unique treatment and patients suffer a long time if not promptly diagnosed.
- Overview of Diagnosis and Management of Oral Mucosal Lesionsby Indraneel Bhattacharyya, Donald M. Cohen on 15/02/2023 at 12:00 am
Oral mucosal lesions not only are common but often present challenges in diagnosis, as many lesions have similar clinical features and require a detailed workup to find the cause. Furthermore, innocuous-appearing lesions may prove to be premalignant or malignant, not respond to classical treatment, and/or may represent oral manifestations of systemic disease. To diagnose a mucosal lesion, it is imperative that the clinician have a comprehensive list of possible entities in their differential diagnosis.
- Global Perspective in Contemporary Orthognathic Surgeryby YIU YAN LEUNG on 01/02/2023 at 12:00 am
ORAL AND MAXILLOFACIAL SURGERY CLINICS OF NORTH AMERICA
- Contentson 01/02/2023 at 12:00 am
Yiu Yan Leung
- Contributorson 01/02/2023 at 12:00 am
RUI P. FERNANDES, MD, DMD, FACS, FRCS(Ed)
- Copyrighton 01/02/2023 at 12:00 am
- Forthcoming Issueson 01/02/2023 at 12:00 am
Diagnosis and Management of Oral Mucosal Lesions
- Orthognathic Surgery for Obstructive Sleep Apneaby Bernadette Quah, Timothy Jie Han Sng, Chee Weng Yong, Raymond Chung Wen Wong on 03/11/2022 at 12:00 am
Obstructive sleep apnea (OSA) involves obstruction or reduction of an individual’s airway during sleep and is associated with several comorbidities. Patient evaluation includes detailed history, clinical and radiographic examination, endoscopy, and polysomnography. Management may be nonsurgical or surgical, and Phase II of the Stanford Protocol of surgical management involves maxillomandibular advancement (MMA). Surgical considerations (eg, degree of movement, timing of surgery) and potential complications specific to MMA are discussed in this review. With adequate planning and communication with the patient, MMA is effective in treating OSA, as measured with objective and subjective measures.
- Aesthetic Considerations in Orthofacial Surgeryby Federico Hernández-Alfaro, Adaia Valls-Ontañón on 03/11/2022 at 12:00 am
Currently, the wish to optimize facial esthetics—in the context of a dysfunctional occlusion or not—has become the main motivation for orthognathic surgery in many cases. In this context, considering that protrusive faces are advised more attractive and that the lack of skeletal support accelerates the aging process, orthognathic surgery will mostly involve a forward movement of the maxillamandibular complex..
- Zygoma and Mandibular Angle Reductionby Michael D. Han, Tae-Geon Kwon on 03/11/2022 at 12:00 am
Changing the facial appearance with facial contouring surgery is popular, especially in East Asian countries where a square face is a common chief complaint. Mandibular angle reduction, malar reduction, genioplasty, and chin and body contouring surgery can be performed as independent or ancillary procedures during orthognathic surgery. Many techniques have been developed and different osteotomy designs have been proposed to enhance outcomes and minimize complication risks. Here, we review the surgical techniques and considerations for mandibular angle and malar reduction, the two most commonly performed contouring surgeries in East Asia to correct the square face.
- Surgical Management for Vertical Maxillary Excessby Hao Wu, Dongming He, Yong Wu, Lingyong Jiang, Xudong Wang on 03/11/2022 at 12:00 am
Orthognathic surgery is an effective approach to correct vertical maxillary excess (VME), which is a common maxillofacial deformity and exhibits excessive vertical development of maxilla. This review summarizes different clinical features of total, anterior and posterior VME, as well as corresponding surgical managements guided by preoperative computer-assisted surgical planning. The virtual simulation will do favor to the final determination of individual surgical plans to achieve satisfactory outcomes. Finally, a typical clinical case will be presented to demonstrate the surgical management of VME.
- Management of Bimaxillary Protrusionby Rama Krsna Rajandram, Lavanyah Ponnuthurai, Komalam Mugunam, Yunn Shy Chan on 03/11/2022 at 12:00 am
Bimaxillary protrusion is a unique dentofacial deformity trait that can exist in an individual as an isolated problem or in combination with other skeletal and dental-related issues. Orthodontist and oral and maxillofacial surgeons are often the main primary team involved in the management of bimaxillary protrusion. Clinical dilemma often exists as cases can either be treated orthodontically or may require a combination of orthodontic and skeletal segmental orthognathic surgery. This article aims to help clinicians improve their approach to management of bimaxillary protrusion by creating a classification based on the severity that can guide treatment selection.
- Adjunctive Aesthetic Procedures in Orthognathic Surgeryby Johan Jansma, Rutger H. Schepers on 03/11/2022 at 12:00 am
An important aesthetic goal in orthognathic planning is to improve facial balance, harmony, volume, and symmetry. It is therefore logical that adjunctive aesthetic procedures become a part of the overall orthognathic treatment plan and that their possibilities are discussed with orthognathic candidates. Such procedures help to improve the final outcome of the orthognathic treatment and enhance patient satisfaction. Training and experience are of utmost importance when offering and performing aesthetic facial surgery. This article discusses various facial aesthetic procedures that can be combined with orthognathic surgery, to the patient’s benefit, to help them become the most beautiful version of themselves.
- Global Perspective in Contemporary Orthognathic Surgeryby Yiu Yan Leung on 03/11/2022 at 12:00 am
Dentofacial deformity affects patients’ health, function, aesthetics, and self-esteem. The surgical correction of the deformed facial skeleton and the overlying soft tissue brings improvement to these important aspects of patients. In the past two decades, orthognathic surgery has further matured in the techniques as well as the treatment concept. Various forms of dentofacial deformity require specific considerations in surgical planning. There are some deformities that are more prevalent in certain ethnic groups, which require adjunctive procedures for their correction.
- Genioplasty in Contemporary Orthognathic Surgeryby Mrunalini Ramanathan, Elavenil Panneerselvam, Anantanarayanan Parameswaran, Takahiro Kanno on 03/11/2022 at 12:00 am
In contemporary orthognathic surgery planning, the genium/chin constitutes an important part that contributes to the maxillofacial profile. The aesthetics of the lower face is affected by the position of the genium which makes reestablishment of genial morphology an essential component. It is hence necessary to evaluate the genium objectively on its individual merit, and any discrepancy is addressed accordingly. This review presents an overview of contemporary genioplasty techniques, their applications, and considerations on stability, osteosynthesis, complications, and the future developments.
- Surgery First and Surgery Early Treatment Approach in Orthognathic Surgeryby Gabriele A. Millesi, Matthias Zimmermann, Maija Eltz on 03/11/2022 at 12:00 am
We have observed a revival of the original Surgery First approach in orthognathic surgery. Fully digital planning and simulation of the surgery has improved the predictability of Surgery First procedures. The orthodontist plays a crucial role in the successful management of Surgery First and Surgery Early cases. Surgery First and Surgery Early procedures have made the correction of a dentofacial deformity and dysgnathia a clear and transparent procedure. The decision of the treatment protocol is based on a thorough consideration and discussion between the surgeon, the orthodontist, and the patient for a successful outcome.
- Definitive Rhinoplasty and Orthognathic Surgery for Patients with Cleft Lip Palateby Riham Eldesouky, Amir Elbarbary on 03/11/2022 at 12:00 am
While primary cleft lip nasal deformity has been well described, secondary cleft lip nasal deformity reflects the combination of residual deformity that follows primary operative maneuvers and growth-related nasal distortions. Secondary cleft lip nasal deformities are further associated with underlying skeletal and dentofacial abnormalities along with soft tissue constriction adding to the complexity of the deformity and posing major aesthetic and functional challenges to the multidisciplinary care team. Definitive rhinoplasties are performed to address these deformities and improve the quality of life in cleft patients following skeletal maturity and ideally after all underlying skeletal discrepancies have been corrected by orthognathic surgery. Maxillary advancement with or without mandibular setback is often required after careful planning and orthodontic preparation. Patients with cleft lip benefit tremendously from definitive rhinoplasty irrespective of inevitable residual discrepancies that remain and adjuvant therapies could enhance the overall outcome.
- Patient-Specific Implants in Orthognathic Surgeryby Dion Tik Shun Li, Yiu Yan Leung on 03/11/2022 at 12:00 am
Virtual surgical planning and three-dimensional (3D) printing have broadened the horizons of oral and maxillofacial surgery, including orthognathic surgery. 3D-printed personalized surgical guide and patient-specific implant (PSI) not only serve to guide accurate osteotomies and as a good fitting of osteosynthesis plate, but more importantly define a revolutionary waferless approach concept that is totally different from the conventional wafer-guided jaw fixation technique. This review discusses the limitations of the conventional orthognathic approach, and how PSI may overcome these limitations, improve accuracy, and bring additional benefits in the execution of orthognathic surgery.
- Rhinoplasty as an Adjunct to Orthognathic Surgery:by Tian Ee Seah, Velupillai Ilankovan on 03/11/2022 at 12:00 am
Orthognathic surgery is a well-recognized method to correct dentofacial deformities. The main goal of orthognathic surgery is to improve soft tissue change. Soft tissue changes to the nose have been well documented. Simultaneous rhinoplasty during orthognathic surgery can be performed to correct existing inherent nasal deformities and also the unfavorable changes that arose from the maxillary surgery. Challenges for concurrent nasal surgery with jaw surgery include preoperative, perioperative, and postoperative which can be overcome with meticulous planning and experience. In complex cases, rhinoplasty can be staged in the last 6 months after the orthognathic surgery.
- Management of Asymmetryby Tom C.T. van Riet, Cornelis Klop, Alfred G. Becking, Jitske W. Nolte on 03/11/2022 at 12:00 am
Orthognathic surgery in asymmetric cases is challenging because of diversity and individuality. Clinical observations are of paramount importance and need to be systemically thorough. Three-dimensional diagnosis and virtual planning have been proven extremely helpful in facilitating treatment toward symmetry in difficult cases with increasing precision. Compared with orthognathic surgery in symmetric situations, asymmetries produce numerous pitfalls and provide opportunities for out-of-the-box procedures.
- Μενού Περιοδικών
- The New England Journal of Medicine
- Journal of Oral and Maxillofacial Surgery
- International Journal of Oral and Maxillofacial Surgery
- Journal of Cranio-Maxillofacial Surgery
- British Journal of Oral and Maxillofacial Surgery
- Oral and Maxillofacial Surgery (DGMKG)
- Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
- Oral and Maxillofacial Surgery Clinics
- Oral Oncology
- Clinical Oral Implants Research
- Otolaryngology — Head and Neck Surgery
- Implant Dentistry
- Head & Neck
- American Journal of Orthodontics and Dentofacial Orthopedics