Cases reported "Maxillary Fractures"

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1/13. Reposition of intruded permanent incisor by a combination of surgical and orthodontic approach: a case report.

    This report presents a case of a completely intrusive luxation of an immature permanent central incisor in a 7 years 9 months-old girl. Because there are severe intrusive trauma and cortical alveolar bone fracture, it was impossible to reposition with orthodontic or surgical method alone. The intruded tooth was repositioned to healthy alveolar bone level by using surgical extrusion and stabilization with sutures and periodontal pack. After healing of adjacent bone, the intruded maxillary central incisor erupted orthodontically by removable orthodontic appliance. It was moved from a high position to level of adjacent tooth in about 7 months. A radiograph was taken 6 months after ceasing forced eruption, which demonstrated minor root resorption, but the alveolar bone height had increased.
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keywords = alveolar
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2/13. Gaze-evoked amaurosis: a report of five cases.

    OBJECTIVE: To highlight the various causes of gaze-evoked amaurosis. DESIGN: Retrospective noncomparative interventional case series. PARTICIPANTS: Five patients treated at our facility over the past 6 years. methods: Clinical presentation, radiologic studies, surgical management, and postsurgical results are presented. MAIN OUTCOME MEASURES: visual acuity, clinical findings of gaze-evoked amaurosis. RESULTS: Only two patients had classic intraorbital etiologies, one with an intraconal cavernous hemangioma and one with an intraconal foreign body. Three patients had extraorbital processes, two with orbital fractures and one with a sinus tumor. Only two of our patients initially were aware of the gaze-evoked amaurosis at presentation. Appropriate surgery was curative in all cases. CONCLUSIONS: Gaze-evoked amaurosis is a rare condition, classically implicating intraconal orbital pathology. In one of the largest case series published to date, we found extraorbital etiologies are also capable of producing gaze-evoked vision loss. Gaze-evoked amaurosis should be suspected and tested for in any orbital condition.
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ranking = 0.0009224987210308
keywords = process
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3/13. Orthodontic fine adjustment after vertical callus distraction of an ankylosed incisor using the floating bone concept.

    The outcome of vertical callus distraction of a segment of tooth-supporting alveolar process might be functionally and esthetically unsatisfactory because of the unidirectional impact of intraoral distraction devices. In this case report, we describe how, with a shortened consolidation phase and application of the floating bone effect, the tooth-supporting osteotomy segment can be successfully aligned 3 dimensionally. We applied orthodontic force systems that went beyond the unidirectional vector preset by the mechanical properties of the distraction device.
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ranking = 0.33425583205436
keywords = alveolar, process
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4/13. Multiple dentoalveolar traumatic lesions: report of a case and proposition of dental polytrauma as a new term.

    Traumatic injuries to permanent teeth are common, and dramatic episodes can occur during childhood. The aim of this paper is to present a report of severe trauma to the orofacial complex of an 8-year old girl that resulted in multiple injuries. The use of the term "dental polytrauma" (concomitant different dental traumatic injuries) is advocated in this case presentation.
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ranking = 1.3333333333333
keywords = alveolar
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5/13. Fracture of the alveolar process in a 2-year-old child: a report of an unconventional immobilization.

    This is a report of fracture of the maxillary anterior segment of the alveolar process of an energetic 2-year-old child. The fracture was reduced under general anesthesia, and the fractured segment was immobilized using only 2-0 chromic gut in order to avoid a second surgical episode to remove traditional fixation after healing. The patient was followed for one year and healed well with no evidence of the lack of vitality of the involved teeth.
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ranking = 1.6712791602718
keywords = alveolar, process
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6/13. Maxillary frontal process fracture complicating acute dacryocystorhinostomy.

    A case of maxillary frontal process fracture complicating an acute endonasal dacryocystorhinostomy is presented. The management of this previously unrecorded complication and the corrective procedure that resulted in both patient and clinician satisfaction is described.
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ranking = 0.004612493605154
keywords = process
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7/13. Prosthetic restoration following maxillary trauma utilising a fixed removable implant-supported prosthesis: a case report.

    patients with traumatic head injuries may suffer from tooth loss, as well as involvement of associated soft tissues and bone. Conventional prostheses are often bulky and unretentive. Osseo-integrated implants have made it possible to treat these patients with more retentive, aesthetically and functionally improved prostheses. This case illustrates the use of a fixed removable implant-supported prosthesis for a patient with severe maxillary trauma. A bar connecting the implants was individually designed to have parallel sides and vertical channels prepared in it. The corresponding removable prosthesis features retentive pins which engage the prepared grooves in the bar to provide adequate frictional retention and stability for the prosthesis. This treatment modality restored the missing teeth, alveolar bone, soft tissues and oral function while at the same time facilitating good oral hygiene.
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ranking = 0.33333333333333
keywords = alveolar
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8/13. Management of an unusual maxillary dentoalveolar fracture: a case report.

    The purpose of this case report was to describe the management of a trauma-induced maxillary dentoalveolar fracture of the right maxilla in an 8-year-old boy. The child presented with swelling of the right maxillary region, difficulty in chewing and closing the mouth, and a sutured laceration on the cheek. Complete palatal displacement of the fractured fragment involving the deciduous canine and molars was observed clinically and confirmed by radiological examination. The fracture was reduced and stabilized using a custom-fabricated, open-cap acrylic splint with modified interdental wiring under general anesthesia.
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ranking = 1.6666666666667
keywords = alveolar
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9/13. A histologic evaluation of fracture repair in the midface.

    Although much has been written regarding the treatment of facial bone fractures, at the present time there are no available investigations of human microscopic sections to verify the exact nature of the healing process. The consensus in the literature is that following fractures of the midface, the bone segments are united by fibrous union. Biopsies of the healed fracture sites were obtained in 10 consecutive patients who underwent secondary reconstructive procedures to correct residual deformities. Clinical assessment confirmed that the fractures were completely healed and stable. Histologic sections were obtained across the healed fracture sites, sent for H&E staining, and then examined by light microscopy. All specimens showed that the defects between the segments were obliterated by the formation of a mature compact bone. This bridging bone was characterized by concentric lamellae surrounded by a typical bony architecture. From this study it can be concluded that fractures of the midface heal by direct bony union.
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ranking = 0.0009224987210308
keywords = process
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10/13. Periorbital cellulitis: presenting feature of undiagnosed old maxillary fracture.

    Two cases of initially undiagnosed silent fractures of the medial wall of the maxillary sinus complicated by a delayed osteomyelitis are presented. The presenting feature was periorbital cellulitis. The etiopathogenesis of this process is based on an interference with the sinus ostium function by ingrowth of hypertrophic scar tissue.
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ranking = 0.0009224987210308
keywords = process
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