Publications by authors named "T M Kreger"

Purpose: We assessed the factors in reported oral and maxillofacial surgery (OMS) studies associated with the number of citations.

Materials And Methods: We identified all primary research studies reported from 1998 to 2008 in the International Journal of Oral and Maxillofacial Surgery, Journal of Oral Maxillofacial Surgery (JOMS), British Journal of Oral Maxillofacial Surgery (BJOMS), and Journal of Craniomaxillofacial Surgery. Of the identified studies, 66 had obtained only 0 to 3 citations in the 10 years after publication.

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The crestal ostectomy with lateral antral wall compression is a simple, predictable procedure to correct soft tissue and osseous hypertrophy in the pneumatized maxillary tuberosity. It offers certain advantages over other techniques: 1) simultaneous reduction of vertical and lateral aspects of the hyperplastic tuberosity; 2) simultaneous revision of hypertrophic or mobile mucosal tissue overlying the tuberosity; 3) avoidance of a horizontal scar band in the buccal vestibule, which may subsequently interfere with the denture flange; 4) negligible effect on the depth of the buccal vestibule; 5) fixation wires are not required; 6) rapid healing of the osteotomy site, since there is intimate bony contact; 7) expedient initiation of denture fabrication is possible because the palatal aspect of the tuberosity is not mobilized; and 8) no surgical stent is necessary.

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Management of bilateral fractures of the atrophic mandible is a difficult problem. A recent skin graft vestibuloplasty with lowering of the floor of the mouth compromises the blood supply to the fractured segments and jeopardizes the changes for bony union. The viability of the skin graft and the stability of the vestibular extension are also at risk.

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