2017, Number 1
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Rev Mex Ortodon 2017; 5 (1)
Technical description subapical osteotomy in the treatment of mandibular traumatic deformity
Viteri LLA, Palacios VDE, Cazar AM, Miranda VJE, Torres CYJ
Language: Spanish
References: 19
Page: 51-56
PDF size: 492.85 Kb.
ABSTRACT
Post-trauma deformity after a complex trauma fracture or mishandle is not an often situation and represents a challenge for health professionals who treat the facial area. Treatment begins with a pre- and post-trauma radiographic interpretation, clinical assessment and measurement of study models. The aim of treatment is to recover function, aesthetics and correction of the facial sequel. The treatment plan for this condition may be orthodontic, surgical, rehabilitation or a combination of these. Several surgical techniques to correct maxillary deformities have been described. The most common osteotomies are at body, ramus and alveolar level. This article presents the case of a patient with right alveolar mandibular deformity as a consequence of an inadequate management of facial trauma re-treated with a subapical segmental osteotomy and cortical release to move the alveolar nerve.
REFERENCES
Epker B, Stella J, Fish L. Dentofacial deformities: integrated orthodontic and surgical correction. Vol. 4. 2nd ed. St. Louis, MO: Editorial Mosby; 1986: pp. 244-245.
Gomes JA. Osteotomia mandibular subapical para correção de mordida cruzada. Rev Bras Cir Craniomaxilofac. 2012; 15 (1): 38-41.
Boye T, Doyle P, McKeown F, Sandler J. Total subapical mandibular osteotomy to correct class 2 division 1 dento-facial deformity. J Craniomaxillofac Surg. 2012; 40 (3): 238-242.
Handelman CS. The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae. Angle Orthod. 1996; 66 (2): 95-109; discussion 109-110.
Hullihen SP. Case of elongation of the under jaw, and distortion of the face and neck, caused by a burn, successfully treated. United States: J. W. Woods; 1849: p. 157.
Kole H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol. 1959; 12 (5): 515-529.
MacIntosh RB. Total mandibular alveolar osteotomy. Encouraging experiences with an infrequently indicated procedure. J Maxillofac Surg. 1974; 2 (4): 210-218.
Eliades T, Hegdvedt AK. Orthodontic-surgical correction of a Class II, Division 2 malocclusion. Am J Orthod Dentofacial Orthop. 1996; 110 (4): 351-357.
Pangrazio-Kulbersh V, Berger JL, Kaczynski R. Stability of skeletal class II correction with 2 surgical techniques: the sagittal split ramus osteotomy and the total mandibular subapical alveolar osteotomy. Am J Orthod Dentofacial Orthop. 2001; 120 (2): 134-143.
Trauner R, Obwegeser H. The surgical correction of mandibular prognathism and retrognathia with consideration of genioplasty. I. Surgical procedures to correct mandibular prognathism and reshaping of the chin. Oral Surg Oral Med Oral Pathol. 1957; 10 (7): 677-689; contd.
Bell WH. Revascularization and bone healing after anterior maxillary osteotomy: a study using adult rhesus monkeys. J Oral Surg. 1969; 27 (4): 249-255.
Wolford LM, Moenning JE. Diagnosis and treatment planning for mandibular subapical osteotomies with new surgical modifications. Oral Surg Oral Med Oral Pathol. 1989; 68 (5): 541-550.
Mohamedh Ali R, Schache A, Walsh S, Sneddon K. Total mandibular subapical osteotomy: modification of the technique. Br J Oral Maxillofac Surg. 2009; 46 (7): 629-630.
Scolozzi P, Herzog G. Total mandibular subapical osteotomy and Le Fort I osteotomy using piezosurgery and computer-aided designed and manufactured surgical splints: a favorable combination of three techniques in the management of severe mouth asymmetry in Parry-Romberg syndrome. J Oral Maxillofac Surg. 2014; 72 (5): 991-999.
Park JU, Hwang YS. Evaluation of the soft and hard tissue changes after anterior segmental osteotomy of the maxilla and mandible. J Oral Maxillofac Surg. 2008; 66 (1): 98-103.
Schaeren S, Jaquiéry C, Heberer M, Tolnay M, Vercellotti T, Martin I. Assessment of nerve damage using a novel ultrasonic device for bone cutting. J Oral Maxillofac Surg. 2008; 66 (3): 593-596.
Ueki K, Marukawa K, Shimada M, Alam S, Nakagawa K, Yamamoto E. The prevention of periodontal bone loss at the osteotomy site after anterior segmental and dento-osseous osteotomy. J Oral Maxillofac Surg. 2006; 64 (10): 1526-1531.
Schultes G, Gaggl A, Kärcher H. Periodontal disease associated with interdental osteotomies after orthognathic surgery. J Oral Maxillofac Surg. 1998; 56 (4): 414-417; discussion 417-419.
Dorfman HS, Turvey TA. Alterations in osseous crestal height following interdental osteotomies. Oral Surg Oral Med Oral Pathol. 1979; 48 (2): 120-125.