Results of the Modified Brosch Approach and Rehabilitation of Mural Unicystic Ameloblastoma of the Mandible in a Young Patient.

Although radical surgery results in craniofacial deformity, functional damage, and aesthetic harm, all of which have an immediate negative impact on a patient's quality of life, it also has the lowest recurrence rate for biologically aggressive subtypes of mural unicystic ameloblastomas. The oral approach removes the lingual cortex and exposes the entire buccal cortical plate in the area of the ascending and horizontal ramus to the full extent of the lesion. There is no obvious distortion of the soft tissues of the face following the modified Brosch procedure, which is also associated with rapid bone regeneration. This approach resulted in less invasive surgery and low surgical morbidity and recurrence in a young adult with a large mural unicystic ameloblastoma.

Post-operative Complication at the Donor Site of Fibular Free Flap in a Pediatric Patient.

The fibular free flap is most frequently used for reconstructing the mandible owing to the adequate length of the bone with a reliable blood supply. It has a long vascular pedicle with adequate vessel diameter for anastomosis and also a good amount of skin paddle for coverage. However, the reports of post-operative complications at the donor site among pediatric patients are scarce in the literature. We present a pediatric case of ankle valgus deformity following vascularized fibular harvest.

A Present Day Approach to Crown Lengthening - Piezosurgery.

Maintaining a healthy periodontium during restorative procedures is an indispensable condition for achieving optimal functioning and esthetics. Thus, the knowledge of anatomy, influence of the restorative material and its complement on periodontium is vital. Difficulty in maintaining adequate biological width (BW) is a frequent problem encountered in this type of reconstruction. Crown lengthening is commonly used to maintain the dentogingival complex in optimal conditions and to correct aesthetic defects through a smile design. Piezosurgery, which uses a modulated ultrasonic frequency, permits highly precise and safe cutting of hard tissue. Because of its highly selective and accurate nature, its use may be extended to more complex surgical and interdisciplinary cases. In this case report, we present the contemporary use of piezosurgery for crown lengthening procedure.