Fifty patients with inadequate bone volume for implant placement were treated with mandibular bone grafts from the symphysis or ramus. The choice of donor site was determined by defect morphology and recipient site location. Although the harvest of bone was associated with low morbidity, the ramus donor site resulted in fewer complications. Implants were placed secondarily following a 4- to 6-month healing period. The onlay grafts exhibited minimal resorption and maintained their dense quality. The symphysis grafts were larger in overall volume, with a corticocancellous morphology. The ramus area provided essentially a cortical graft that was well suited for veneering ridge deficiencies; however, the surgical access in some cases was more difficult than in the anterior mandible.

https://coimplante.odo.br/Biblioteca/Enxertos/Comparison%20of%20Intraoral%20Donor%20Sites%20for%20Onlay%20Grafting%20-%20Craig%20Misch.pdf

Comparison of intraoral donor sites for onlay grafting prior to implant placement.

Fibrin sealants (FS) are the most successful tissue adhesives to date. They have many advantages over adhesive technologies such as cyanoacrylates and marine adhesives in terms of biocompatibility, biodegradation and hemostasis. There are several commercial products in Europe but none in the United States due to the current regulatory stance against pooled plasma blood products. Blood banks and interested investigators have implemented single- and patient autologous-donor production methods with some success. This article will review the history of FS research and development and describe the chemistry of fibrin(ogen) and the production of commercial and research products. Fibrin sealant and purified fibrin characterization is compared and contrasted. The material and adhesive properties are described, and a survey of the clinical applications in which FS has been used is included as well.

Fibrin Sealant Adhesive Systems: A Review of Their Chemistry, Material Properties and Clinical Applications:

Pediatric facial fractures: recent advances in prevention, diagnosis and management

Summary Introduction The incidence of condylar fractures is high. Condylar fractures can be extracapsular (condylar neck or subcondylar) or intracapsular, undisplaced, deviated, displaced or dislocated. Treatment depends on the age of the patient, the co-existence of other mandibular or maxillary fractures, whether the condylar fracture is unilateral or bilateral, the level and displacement of the fracture, the state of dentition and the dental occlusion, and the surgeon's experience. Purpose This report presents the experience acquired in the treatment of 466 condylar fractures over 7 years, reviews the pertinent literature and proposes guidelines for treatment. Material and methods The archives of KAT, General District Hospital between 1995 and 2002 were scrutinized and the condylar fractures were recorded. The aetiology, age, sex, level of fracture, degree of displacement, associated facial fractures, malocclusion, and type of treatment were noted. Results Four hundred and sixty-six condylar fractures were admitted, the male:female ratio was 3.5:1. Road traffic accidents were the main cause and most fractures were unilateral, displaced, subcondylar, occurred on the left side and were treated conservatively. Conclusions Early mobilization is the key in treating condylar fractures. Whilst rigid internal fixation provides stabilization and allows early mobilization, conservative treatment is the treatment of choice for the majority of fractures. Children and intracapsular fractures are treated conservatively with or without maxillo-mandibular fixation. Open reduction is recommended in selected cases to restore the occlusion, in severely displaced and dislocated fractures, in cases of loss of ramus height, and in edentulous patients. It may be considered in those with ‘medical problems’ where intermaxillary fixation is not recommended.

Fractures of the mandibular condyle: a review of 466 cases. Literature review, reflections on treatment and proposals.

https://www.jstage.jst.go.jp/article/jpr/56/3/56_S1883-1958-12-00060-6/_pdf

Serge Krupp

Papers

Anatomical classification of facial, cranio-facial and latero-facial clefts

Osteosynthesis with miniaturized screwed plates in maxillo-facial surgery

Dermatochirurgie in Klinik und Praxis

Growth center transplantation to replace mandibular condyles

Early secondary bone grafting of alveolar cleft defects: A comparison between chin and rib grafts