ABSTRACT
Severe skeletal retrognathia may lead to a pronounced labiomental fold. When severe the labiomental fold may result in intertrigo, which is chronic and symptomatic. This problem can be managed by orthodontics and orthodontic surgery to reposition the jaw at a more anterior direction, thus creating a normal lip posture and a normal labiomental fold.
Subject(s)
Facial Dermatoses/etiology , Intertrigo/etiology , Retrognathia/complications , Adult , Facial Dermatoses/surgery , Humans , Intertrigo/surgery , Lip/abnormalities , Male , Mandible/abnormalities , Mandible/surgery , Retrognathia/surgeryABSTRACT
This paper provides a case report and review of the literature of the presentation of multiple herpetic whitlows with primary herpetic gingivostomatitis. The management of the condition is discussed.
Subject(s)
Paronychia/virology , Stomatitis, Herpetic/complications , Acyclovir/therapeutic use , Adult , Humans , Male , Paronychia/drug therapy , Paronychia/etiology , Stomatitis, Herpetic/drug therapy , Virus SheddingABSTRACT
A case of an unusual presentation of epidermoid cyst is reported where external pressure from the cystic swelling on the submandibular salivary duct produced symptoms of obstructive sialadenitis. The diagnostic problems, radiological and anaesthetic difficulties are described.
Subject(s)
Epidermal Cyst , Sialadenitis , Submandibular Gland Diseases , Epidermal Cyst/complications , Humans , Male , Middle Aged , Sialadenitis/etiologyABSTRACT
Intra-oral, rigid, non-compressive fixation was used in a feasibility study in 10 consecutive sagittal split osteotomies using two 3.5 or 2.7 mm diameter AO screws on each side. Seven patients were prognathic, three were retrognathic, and two had severe mandibular asymmetry. Lower third molars were removed concurrently in three patients. Horizontal and vertical stability was assessed by means of repeated, digitised cephalometry before operation, at 24-48 h and at 6 months. Intermaxillary fixation (IMF) was necessary during the first 48 h in one patient where the lingual fragments were too small. Intermaxillary elastics were used later in three patients. This method was straightforward, reliable, required no skin incisions and stability was similar to that following the use of transbuccal screw fixation. Mean horizontal relapse at 6 months (0.6 mm; maximum: 1.5 mm) was 8% of operative movement. Unsatisfactory occlusion (anterior open bite) necessitated removal of screws at 28 days in one patient. This was carried out intra-orally under local anaesthesia. These results suggest that stable, screw fixation for sagittal split osteotomies can be achieved without recourse to an external approach.