Dental Topics for Plastic Surgeons, Part Four: Common Cysts and Tumors of the Jaw.

Conditions that affect dental and periodontal structures receive sparse coverage in the plastic surgery literature, yet a working knowledge of this subject matter is important in certain areas of clinical practice and a fundamental understanding is part of plastic surgery competency tested on the in-service and written board examinations. This 4-part series was written to provide plastic surgeons with a working knowledge of dental topics that may be relevant to their clinical practice. This section, Part IV, covers common dental cyst and tumors of the jaw.

Osteochondroma of the Zygomatic Arch: A Case Report and Review of the Literature.

An osteochondroma, when reported in the maxillofacial region, is a benign neoplasm that involves the skull base, maxillary sinus, zygomatic arch, or mandible. Most commonly, the osteochondroma occurs in the coronoid process and the condyle. One rare subtype of osteochondroma reported in the literature, termed Jacob disease, arises from the coronoid process and interferes with the zygomatic arch.

Common medical illnesses that affect anesthesia and their anesthetic management.

Patients undergoing an office-based anesthetic require a thorough preoperative evaluation to identify medical illnesses and undertake appropriate investigations or studies. This article addresses common medical illnesses seen in oral surgery offices and provides insight into their anesthetic management, concentrating on open-airway office-based anesthesia.

Neuroimaging of nevoid basal cell carcinoma syndrome (NBCCS) in children.

Nevoid basal cell carcinoma syndrome (NBCCS, Gorlin syndrome) is an autosomal dominant condition with a wide range of manifestations, including multiple basal cell carcinomas, medulloblastoma, odontogenic keratocysts (OKC) and skeletal abnormalities. Children with NBCCS also have a predisposition for secondary cancers after exposure to ionising radiation. In children undergoing imaging for posterior fossa mass and/or maxillofacial cysts, certain additional findings can raise the possibility of NBCCS.

Juvenile mandibular chronic osteomyelitis: multimodality imaging findings.

Background And Purpose: Juvenile mandibular chronic osteomyelitis is a rare entity that predominantly affects children and adolescents, but little is known about the factors that contribute to the recurrent course and eventual resolution of this disease. Here, we describe new findings of soft tissue and mandibular nerve canal involvement.

Materials And Methods: Four patients with mandibular diffuse sclerosing osteomyelitis are presented; all were followed with CT, a few also with MRI and bone scan.

Survey of implant training in oral and maxillofacial surgery residency programs in the United States.

Purpose: The status of implant training in US oral and maxillofacial surgery programs has been reported previously based on data gathered from residency program directors. Since the time of those earlier surveys, however, many new technological and surgical developments have occurred in implant therapy. The purpose of this study was to evaluate the current status of implant training in oral and maxillofacial surgery residency programs in the United States.

Radiolucent lesions of the maxillofacial complex in a patient with mucolipidosis type II (MLSII): case report.

Mucolipidosis type II (MLSII) is a rare hereditary disorder of lysosomal storage. Affected individuals have severely impaired growth and rarely exceed 8 kg for body weight or 70 cm in height. Additional systemic features include; kyphoscolosis, umbilical and inguinal hernias, generalized hypotonia, and murmur of aortic insufficiency.

Evaluation of sedation failure in the outpatient oral and maxillofacial surgery clinic.

Purpose: Our goal was to report on the incidence of sedation failures in our outpatient oral surgery clinic. Sedation failure is the inability to complete a procedure under intravenous sedation. There is very little in the oral surgery literature on this subject.

Infection following treatment of mandible fractures: the role of immunosuppression and polysubstance abuse.

Objective: There is little data available on the relationship between immunosuppression and polysubstance abuse and postoperative infection in patients with mandibular fractures. In this study we aimed to assess these parameters.

Study Design: This study sample consisted of 120 patients who were admitted to the Department of Oral and Maxillofacial Surgery at the Washington Hospital Center between January of 1999 and February of 2002.

Implant survival rates for oral and maxillofacial surgery residents: a retrospective clinical review with analysis of resident level of training on implant survival.

Purpose: This study evaluates dental implant survival rates in cases where surgery was performed by oral and maxillofacial residents and determines whether the level of resident training influenced the outcome of dental implant treatment.

Patients And Methods: Retrospective review of all 2-stage implants placed between July 1, 2002 and June 30, 2004 by oral and maxillofacial surgery residents-in-training at the Washington Hospital Center was carried out. Patients were seen for follow-up at 1-week, 1-month, and 6-month intervals after implant surgery.

Osteonecrosis of the jaws in patients with a history of receiving bisphosphonate therapy: strategies for prevention and early recognition.

Background: Bisphosphonates, inhibitors of osteoclasts, have been shown to alleviate many of the devastating consequences associated with metastatic bone disease. However, recent reports have shown that bisphosphonates may cause osteonecrosis of the jaws. Since the publication of these initial reports, the authors have treated several patients with osteonecrosis of the jaws who had a history of receiving bisphosphonate therapy.

Osteonecrosis of the maxilla in a patient with a history of bisphosphonate therapy.

Bisphosphonates, which inhibit osteoclasts, alleviate many of the devastating consequences of metastatic bone disease. However, bisphosphonates may play a role in the development of osteonecrosis of the jaws. We report our experience in the management of a patient with a history of bisphosphonate therapy who presented with osteonecrosis of the jaws following dental extraction to make others, particularly the broader dental community, aware of this potential complication.