This study aims to evaluate the post-surgical stability of patients with cleft lip and palate that underwent maxillary advancement surgery. The study was conducted by means of cephalometric analysis of the soft tissues in digital radiographs acquired preoperatively, immediate postoperatively and six months after surgery using Dolphin Imaging 11.5 software. The effective sample consisted of 87 patients, among whom 50 (57.4%) were male and 37 (42.6%) were female. The mean age of the patients was 23.1 years, the minimum age was 17 years, and the maximum age was 37 years. Patients underwent maxillary advancement with cephalometric analysis during the preoperative and postoperative period, which was around six months. The results revealed a significant tendency for relapse in the vertical direction with instability of the occlusal plane. In the postoperative period, counterclockwise movement of the maxillomandibular complex was observed, leading to height reduction of the lower third of the face and increased facial angle. The observed changes were not correlated with the extent of the sagittal advancement.
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http://dx.doi.org/10.1016/j.bjoms.2024.11.002 | DOI Listing |
Int J Periodontics Restorative Dent
January 2025
Sinus membrane perforations are among the most commonly reported intraoperative complications encountered during maxillary sinus floor elevation procedures performed via the lateral window approach. Large perforations (> 10 mm) can pose a major clinical challenge, and often result in failed bone augmentation and poorer long-term implant survival. Owing to these challenges, even a highly skilled oral implant surgeon with advanced training in implantology faced with such perforations may abandon grafting procedures in favor of a reentry approach.
View Article and Find Full Text PDFCureus
December 2024
Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, IND.
Vertical maxillary excess (VME) is a facial condition characterized by an increased height in the lower third of the face, leading to a longer overall facial appearance. This condition is linked to a significant proportion of malocclusions and is often associated with greater dissatisfaction among patients concerning their appearance. The amalgamation of orthodontics with surgery is a desirable protocol to address VME.
View Article and Find Full Text PDFCureus
December 2024
Otolaryngology, Fairfield General Hospital, Northern Care Alliance NHS Foundation Trust, Manchester, GBR.
Silent sinus syndrome is a rare condition that typically affects the maxillary sinus, with only a few reported cases of frontal sinus involvement. Blockage of the sinus ostium leads to persistent hypoventilation, creating negative pressure and eventual sinus collapse. This report describes a previously undocumented case of facial asymmetry due to frontal silent sinus syndrome, following multiple childhood nasal injuries.
View Article and Find Full Text PDFObjectives: To examine tooth root length and root volume in cone beam computed tomography (CBCT) images in patients with skeletal Class II and III anomalies who have undergone single-jaw (SJ) and double-jaw (DJ) orthognathic surgery, and to compare the changes between jaws with and without osteotomy.
Materials And Methods: This study was conducted on the archive records of a total of 60 adults: 36 women and 24 men with an average age of 21.1 ± 3.
Am J Orthod Dentofacial Orthop
January 2025
Department of Orthodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. Electronic address:
Introduction: The objective of this study was to evaluate the effects of the miniplate application sites in the maxilla and the applied force vector changes during skeletally supported facemask application in adolescent patients with unilateral cleft lip and palate (UCLP) using finite element model (FEM) analysis.
Methods: A FEM was obtained from a cone-beam computed tomography image of a 12-year-old female patient with UCLP. Miniplates were placed on 3 different sites of the maxilla; 500 g of advancement force was applied bilaterally, parallel (0°), and downward (-30°) to the occlusal plane.
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