Mental resilience training.

This paper will explain the concept behind mental resilience training (MRT) and how the training package was developed and implemented within the British ArmyInfantry Training Centre (ITC) Catterick between 2014 and 2016. MRT is a mindfulness-based psychological skills training package that integrates cognitive behavioural and mindfulness based principles and techniques, which have been proven to improve stress regulation, emotional and cognitive control and self-confidence in military personnel. MRT is based on an extensive evidence base that has demonstrated that psychological skills training delivers tangible improvements in performance in elite sport and in healthcare, business and military contexts.

Cost comparison of genioplasty: when indicated, wire osteosynthesis is more cost effective than plate and screw fixation.

Purpose: This retrospective study was conducted to determine the difference in the cost of genioplasty according to the osseous fixation technique used.

Patients And Methods: A retrospective study among orthognathic surgery patients treated over a 54-month period ending in June 30, 2011 was conducted. Immediately post surgery, panoramic and cephalometric radiographs of these patients were assessed to determine the presence of genioplasty procedure and the type of fixation used.

Cleft lip, nose, and palate: the nasal septum as the pacemaker for midfacial growth.

The need to be aware of the dynamics of cartilage development and growth is encountered by surgeons whenever they attempt to correct craniofacial defects such as unilateral or bilateral cleft lip/cleft palate or midfacial injuries after trauma. Within the craniofacial region, the nasal septal cartilage and the sphenoethmoidal and sphenooccipital cranial synchondroses are distinguished from other craniofacial cartilages in possessing intrinsic growth potential. Indeed, growth of the nasal septal cartilage outstrips the growth of other skeletal and soft tissues in the midface to such an extent that it is the pacemaker for growth of the face and anterior portion of the skull.

The presence of mandibular third molars during sagittal split osteotomies does not increase the risk of complications.

Purpose: The purpose of this study was to investigate prospectively the effects of the presence or absence of third molars during sagittal split osteotomies (SSOs) on the frequency of unfavorable fractures, degree of entrapment and manipulation of the inferior alveolar nerve (IAN), and procedural time.

Materials And Methods: The investigators designed and implemented a prospective cohort study and enrolled a sample composed of patients who underwent SSOs to correct mandibular deformities. The primary predictor variable was the status of the mandibular third molar at the time of SSO, and it was divided into 2 levels, present at the time of SSO (group I) or absent at the time of SSO (group II).

Concomitant removal of mandibular third molars during sagittal split osteotomy minimizes neurosensory dysfunction.

Purpose: Inferior alveolar nerve (IAN) injury is 1 of the most important postoperative complications after sagittal split osteotomy (SSO). The purpose of our study was to investigate the effects of the presence or absence of a mandibular third molar on the neurosensory recovery of the IAN after SSO.

Materials And Methods: A prospective cohort study enrolled a sample composed of patients who underwent SSO to correct mandibular deformities.

A new reliable method for alveolar bone grafting at about 6 years of age.

When the timing of alveolar bone grafting is based on the eruptive progress of the permanent maxillary canine tooth, the surgical procedure is, by definition, delayed until the late mixed dentition phase. This treatment strategy overlooks both the crown length and the periodontal condition of the maxillary permanent incisors adjacent to the cleft defect. One should perform alveolar bone grafting at the time of eruption of the maxillary central incisor at about 5.

Clonidine facilitates controlled hypotension in adolescent children.

Unlabelled: In this randomized, double-blinded, placebo-controlled trial, we investigated whether clonidine lessened the requirements for isoflurane, fentanyl, and labetalol to provide controlled hypotension in children who underwent oromaxillofacial surgery. We also studied preoperative sedative effects, the hemodynamic response to nasotracheal intubation, and recovery characteristics. Thirty-nine healthy children, aged 10-16 yr, received clonidine 5 micro g/kg or placebo on the night before surgery and 90 min before surgery.

Ameloblastic fibro-odontoma: a case report.

Ameloblastic fibro-odontoma is a benign epithelial odontogenic tumour with odontogenic mesenchyme exhibiting the histologic characteristics of ameloblastic fibroma and complex odontoma. It is usually associated with developing teeth and occurs predominantly in children and adolescents. In many cases, such lesions are found on radiographic evaluation of patients in whom eruption of teeth is delayed.

Cleft lip and palate: a review for dentists.

The goals of primary closure of cleft lip and palate include not only re-establishing normal insertions for all of the nasolabial muscles but also restoring the normal position of all the other soft tissues, including the mucocutaneous elements. Conventional surgical wisdom, which recommends waiting until growth is complete before undertaking surgical correction of the postoperative sequelae of primary cheiloplasty, carries with it many disadvantages. If, after primary surgery of the lip, orolabial dysfunctions remain, they will exert their nefarious influences during growth and will themselves lead to long term dentofacial imbalances.