Alloplastic reconstruction of the temporomandibular joint.

The Proplast TMJ condylar implant, the glenoid fossa implant, and the TMJ interpositional implants should be singled out as having provided a new and more predictable mode of TMJ reconstruction. The use of these implants in cases of ankylosis, degenerative joint disease, orthognathic deformities, and traumatic injuries has greatly contributed to the success of these reconstructions. These implants represent the state of the art in TMJ reconstruction and increasing data from longer-term follow-up have shown a rate of success much higher than any previous implant used in the TMJ.

Alveolar pyogenic granuloma: review and report of a case.

A large exophytic bone-resorbing lesion was discovered in the oral cavity of an institutionalized 33-year-old male. An excisional biopsy under general anesthesia was performed. Frozen and permanent histologic sections confirmed a reactive gingival fibroma consistent with a pyogenic granuloma.

Plasma cell myeloma: management of a mandibular fracture.

An interesting case of kappa light-chain plasma cell myeloma with pathologic mandibular fracture is presented. Traditional fracture management techniques were abandoned in view of the advanced state of this patient's disease. With the use of adjunctive radiotherapy and a soft diet, clinical union of the fractured mandible was achieved without immobilization.