Temporomandibular joint reconstruction after condylar fracture complication related to osteosynthesis material.

Total condylar resorption and the failure of bone synthesis material as postoperative complications of condyle fracture are seldom reported in the literature. When these occur, they may severely limit temporomandibular joint (TMJ) function. In such cases, a reconstruction of the joint is indicated, which can be achieved by means of an alloplastic prosthesis. This article reports a rare case of impaction of osteosynthesis material in the region of the base of the skull associated with a mandibular condyle fracture treated with rigid internal fixation, which resulted in complications. There was progression to condylar resorption, requiring an alloplastic TMJ reconstruction, which was performed in a single surgical session.

Satisfaction of skeletal class III patients treated with different types of orthognathic surgery.

The aim of this study was to compare the satisfaction of skeletal class III patients following treatment with three different methods of orthognathic surgery. Eighty-two patients were divided into three groups according to the surgical procedure performed to correct their class III dentofacial deformity, and answered a questionnaire designed to determine the patient's opinion of the aesthetic and functional treatment outcomes. Differences in the patterns of responses to questions in the questionnaire related to satisfaction between the three clinical groups were evaluated by χ(2) and Fisher's exact tests (α=5%). Eighty patients (97.6%) reported being satisfied with the treatment received. There was no significant difference in response patterns among clinical groups when assessing the improvement in facial appearance, chewing, speech, and socialization. Maxillary advancement led to higher levels of improvement in breathing (P<0.0003). Class III patients treated by orthognathic surgery had high levels of satisfaction with the aesthetic and functional outcomes of their treatment.

Radiographic features of periodontal bone defects: evaluation of digitized images.

OBJECTIVES: Radiographic evaluation of periodontal conditions is a difficult process because of the many limitations inherent to this complementary examination and the lack of image specificity for different types of bone defects. The objectives of this study are to utilize digitized imaging resources to describe the radiographic features of different types of periodontal bone defects produced artificially in dry mandibles. METHODS: 14 dry mandibles were utilized, in which periodontal bone defects were produced. Digital photographs and conventional radiographs of each site were obtained in a standardized manner, before and after producing these defects. The radiographs were then digitized, displayed on the screen and evaluated by three examiners. RESULTS: Most of the bone defects presented distinct imaging characteristics that allowed them to be identified, with the exception of one-, two- and three-wall infrabony defects. The defects that were most easily interpreted were horizontal and vertical defects and the most difficult were defects in the radicular septum. CONCLUSIONS: Despite the importance of imaging diagnoses in reaching clinical decisions regarding treatment, such diagnoses for different types of periodontal bone defects are extremely difficult to make. In the present study, the utilization of digital tools for interpreting digitized radiographic images facilitated the process.

Contribuiçäo ao estudo da anatomia do sistema de canais radiculares de caninos inferiores utilizando-se de cortes macroscópicos e da diafanizaçäo / Anatomy study of root system of lower canines using macroscopic cuts and clarifying technique

A anatomia dos canais radiculares tem sido tema de estudos desde 1942 e mesmo com as diversas observaçöes descritas por vários autores, permaneceu-se dúvidas a respeito dos aspectos morfológicos internos de vários grupos de dentes. O presente trabalho utilizou-se de 103 (cento e três) caninos interiores extraídos, onde se analisou os aspectos macroscópicos da cavidade pulpar, utilizando-se de cortes sagital, frontal e transversais, assim como da diafanizaçäo. Notamos que, em 100 po cento dos espécimes haviam uma raiz e um único canal radicular, sendo que em 83 por cento das amostras evidenciou-se permeabilidade dentinária. Os canais secundários foram verificados em 47 por cento dos dentes, assim com 3 por cento de canais laterais, 1 por cento canal acessório e 15 por cento co delta apical. fator importante que observamos também foi que, em 42 dos espécimes o forame apical coincidia-se com o ápice radicular; 23 por cento, abria-se para vestibular, 8 por cento, para distal; 8 por cento, para mesial e 4 por cento para lingual