Cases reported "Maxillary Fractures"

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1/4. Intraoral craniofacial manipulation.

    This case report demonstrates how to use intraoral mechanics to correct facial planes that are not parallel, namely the eye plane, ear plane and occlusal plane. Currently, our protocol states that the cranial and occlusal planes are treated first, followed by expanding (transversely or sagittally), if necessary, the maxillary arch to accommodate the dentition. This creates the template from which the remaining treatment will be rendered, which would include, proper TMJ position, correction of mandibular facial asymmetries that result from ramus growth deficiencies, (both frontal and profile), and determining the correct posterior vertical. At this point the case is in a Class I osseous relationship with all expansion completed. The teeth are then erupted into the correct positions for the orthodontic finishing of the case.
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ranking = 1
keywords = vertical
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2/4. 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 = 5
keywords = vertical
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3/4. 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 = 1
keywords = vertical
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4/4. The vertical avulsion flap.

    Unilateral vertical tangential maxillofacial trauma may result in a combination of a certain number of charcteristic lesions. Although composed of wounds and fractures in the upper, middle and lower third of the face, this form of injury can be considered to be a separate distinct entity. Two patients are described, illustrating this type of injury. Both also sustained trauma of the ipsilateral shoulder.
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ranking = 5
keywords = vertical
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