Comparison of two different secondary rhinoplasties in patients with complete unilateral cleft lip and palate.

Background: The purpose of this study was to analysis the nostril symmetry and nasal stability following secondary rhinoplasty performed with either nasal septal cartilage implantation (G1) or simple alar cartilage suspension and internal fixation (G2) in patients with unilateral secondary cleft nasal deformity.

Methods: Nostril and alar symmetry were analyzed retrospectively in 13 consecutive patients in G1 and 17 in G2. Assessment of three indexes was first performed using photogrammetric measurements of photographs at pre-operation(T1), 7 days after repair (T2), and at least 6 months after repair (T3).

Correction of Class I Bimaxillary Protrusion Using Sliding Mechanics With Mini-implant Anchorage: A Case Report.

Class I bimaxillary protrusion is characterized by proclined incisors, a convex facial profile, procumbent lips, and increased lip strain. Treatment includes the extraction of premolars and the mesial movement of the proclined anterior teeth in the extraction spaces to correct the inclination. This case report describes the treatment of an 18-year-old male patient who presented with class I bimaxillary protrusion and procumbent lips.

The impact of cochlear implants on speech and language outcomes in pre-lingually deafened Arabic-speaking children: a systematic review.

Purpose: Cochlear implants have been proven to improve speech and language in children with severe-to-profound hearing loss. This review examines speech and language outcomes in prelingual Arabic-speaking children using cochlear implants.

Methods: A systematic search for articles was performed in PubMed, Scopus, ScienceDirect, and the Cochrane Central Register of Controlled Trials (CENTRAL) using search strings developed from topic keywords.

Non-invasive procedure implementation for enhanced smile facial muscle movement after orthognathic surgery: a case report.

This study examined the case of 27-year-old female who underwent orthognathic surgery to correct class 3 malocclusion, resulting in an unnatural smile. The research aimed to assess the efficacy of non-invasive treatment in enhancing facial muscle movement during smiling to achieve a natural smile. The patient received eight sessions of treatment using non-invasive devices, and facial assessment were conducted using three-dimensional scanner (Morpheus 3D Scanner) to evaluate facial features in both relaxed and maximum smile states pre- and post-treatment.

Immediate Reconstruction With Autologous Temporoparietal Fascia After Enucleation of Infected or Extruded Alloplastic Nasal Implants.

Simultaneous reconstruction after removal of nasal silicone implants was published as diced, autologous rib and ear auricular cartilages, and each had their shortcomings. Temporoparietal fascial grafts were used for facial and nasal contouring, vascularized tissue coverage, and augmentation the nose, lip. The temporoparietal fascia graft may be considered for in-time replacement of allografts and remaining bulkiness.

Assembly of Custom Implant and Ready-Made Distractor for Precise Maxillary Movement Vector Control in Cleft Patient With Midfacial Hypoplasia.

This study presents a novel approach for maxillary advancement in a patient with cleft lip and palate, utilizing the assembly of a custom titanium implant and a ready-made distractor. The patient exhibited significant maxillary hypoplasia and had concerns regarding the possible deterioration of hypernasality after conventional surgical methods. Distraction osteogenesis was initiated to address these challenges.

The Long-Term Survival of Implants in the Esthetic Region.

Dental implants in the esthetic zone of the oral cavity have always posed a challenge to the oral surgeon. Multiple variables must be considered, such as available soft and hard tissues, gingival phenotype, position of the lip upon smiling, and other factors that pertain to patient compliance and expectations. It is essential to pay attention to the factors that might compromise the long-term stability of these implants.

Long-Term Surgical Outcomes of Intermediate Cleft Rhinoplasty.

Background: The risk/benefit ratio of operating on the cleft nasal deformity in the period of mixed dentition remains debated. This study characterizes our 18-year experience with intermediate cleft rhinoplasties to add data and nuance to the discussion.

Methods: We performed a retrospective cohort study of patients who underwent intermediate cleft rhinoplasty from 2006 to 2023.

Quantifying the Effect of the Cross-Facial Nerve Graft on the Nonparalyzed Side.

Objective: The cross-facial nerve graft (CFNG) is employed in facial reanimation surgery to restore neural connectivity from the nonparalyzed side of the face to the paralyzed side, facilitating spontaneous smiling. Typically, the sural nerve, due to its length, serves as the donor graft. Implantation involves functional facial branch transection to provide graft input.

Changes in facial soft tissue support with and without a maxillary labial flange.

Purpose: To quantify facial esthetic outcomes of prosthetic upper lip support in both full animation and repose for patients with an existing implant-supported fixed complete dental prosthesis (ISFCDP).

Materials And Methods: Twenty patients had a removable prosthetic labial flange fabricated for their existing maxillary prosthesis. The 3dMDface system was used to capture video sets of each patient going from repose to high smile with and without the labial flange.

Novel hook plate for radial semilunar lip facet fragment fixation: a finite element analysis.

Intra-articular fractures of the distal radius require anatomical reduction and stable fixation. When the fracture encompasses the articular facet of the bone, maintaining the reduction is challenging due to the fragment's size and high instability. While specific implants have been developed to fix this fragment, their effectives have been limited.

Oral function status of older patients seeking dental implant treatment.

Purpose: In recent years, dental implant treatment has become an option for prosthetic treatment for missing teeth and is often performed in older patients. However, the complex oral functional decline in old age presents challenges in terms of frailty prevention, making oral function management after prosthetic treatment crucial. Nonetheless, the actual status of oral function in older patients seeking dental implant treatment remains unclear.

Effect of stabilization of patients on the accuracy and scanning time of maxillary dentate quadrants: A clinical study.

Statement Of Problem: As intraoral scanning has gained widespread acceptance as an alternative to conventional impression-making, numerous studies have evaluated the influence of operator-related factors and patient-related factors on scanning accuracy. While several authors have noted patient movements as a clinical limitation of scanning technologies, research providing empirical data or testing this hypothesis is lacking.

Purpose: The purpose of this clinical study was to assess the effect of using the Zero Motion Scanning Band, a silicone occlusal mouth prop, and an OptraGate lip retractor for stabilizing the head and jaw on the accuracy (trueness and precision) and scanning time of digital quadrant scans.

[Facial soft tissue changes after full-arch implant-supported fixed prostheses restoration in patients with edentulous maxilla].

Purpose: To investigate the changes of nasolabial soft tissues before and after full-arch implant supported fixed restoration in maxillary edentulous patients and the influencing factors of the changes.

Methods: Fifty patients who underwent full-arch implant fixed restoration in the Department of Second Dental Center of Shanghai Ninth People's Hospital from January 2016 to July 2023 were selected. Patient's medical history, CBCT, and three-dimensional facial scan data were collected before and after restoration.

Effect of Y-shaped Nasal Columella Made of Autologous Cartilage in Secondary Nasal Deformity after Cleft Lip Surgery.

Aim: Due to the diversity and complexity of tissues involved in secondary nasal deformities following unilateral cleft lip, secondary nasal deformity correction surgeries are challenging and often yield unsatisfactory results, posing a difficult problem for plastic surgeons. Autologous cartilage, with its low sculpting difficulty, minimal absorption, and stable tissue compatibility, is considered the optimal material for reconstructing the columella, nasal tip, and alar. This study analyzed the clinical outcomes of using autologous cartilage to create a Y-shaped columella to correct secondary nasal deformities after cleft lip surgery.

Challenging anticoagulation decisions in atrial fibrillation: a narrative review.

Atrial fibrillation (AF) is common and warrants consideration of oral anticoagulant (OAC) medication. Usually, the decision is straightforward, following the pathway outlined in the European Society of Cardiology's guideline; however, certain situations fall outside of this evidence base - such as a diagnosis of subclinical AF made via implanted devices or wearable electrocardiogram monitors, or alternatively diagnosis of 'secondary AF' following a major stressor. Subclinical AF is associated with stroke, though not to the extent of clinical AF, and the benefits of anticoagulation appear to be lower.

Mini-implant assisted orthodontic correction of lip and occlusal cant of a young adult: A case report.

Patients seek orthodontic treatment to correct unesthetic and asymmetric smiles because even a minimal cant of 4 is well perceived by a layperson. This case report describes a nonsurgical orthodontic management of iatrogenic occlusal canting in a 22-year-old female, who developed it during a previous orthodontic treatment for an impacted canine. The iatrogenic cant was corrected by the intrusion of the left mandibular segment followed by extrusion of left maxillary segment using mini-implants.

Recent Advances in Intraoral Scanners.

Intraoral scanners (IOSs) have emerged as a cornerstone technology in digital dentistry. This article examines the recent advancements and multifaceted applications of IOSs, highlighting their benefits in patient care and addressing their current limitations. The IOS market has seen a competitive surge.

Digital prediction of smile line transition by using 2D photowrapping.

Dental practitioners often rehabilitate patients with excessive gingival display during the broad wide smile. The transition line is defined as the lip line, which depicts transition between the prosthesis and adjacent soft tissue. Correctly predicting and managing this transition line is especially important, as it determines esthetics when the patient smiles widely.