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Clinical Evaluation of Mento-labial Sensory Disturbance after the Harvesting of Ramus Block Graft

تقييم سريري لاضطراب الإحساس الشفوي الذقني بعد أخذ طعوم عظمية كتلية من الشعبة الصاعدة للفك السفلي

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 Publication date 2012
and research's language is العربية
 Created by Shamra Editor




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Clinical evaluation of the Neural complication after harvesting of mandibular ramus block grafts, by testing the mento-labial sensory disturbance and the vitality of teeth in the ipsilateral side.

References used
Chipasco M, Zaniboni M, Lia r. Autogenous onlay bone grafts vs. alveolar distraction osteogenesis for the correction of vertically deficient edentulous ridges:a 2-4 year prospective study on humans,clin. Oral impl. Res.,18,2007;432-440
Donos N, Mardas N, Chadha V. Clinical outcomes of implants following lateral bone augmentation: Systemic assessment of available options(barrier membranes,bone grafts,split aoteotomy). J clin periodontal, 35(suppl. 8), 2008;173-202
Cordaro L, Amadé D S,Cordaro M. Clinical results of alveolar ridge augmentation with mandibular Block grafts in partially edentulous patients prior to implant placement. Clin. Oral Impl. Res. 13, 2002; 103-111
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Chin area is considered as a suitable donor site for autogenous bone grafts for alveolar ridge reconstruction before dental implantation. Despite the common use of chin bone grafts, some neurosensory deficiency of the of the lower lip, chin area , gingiva and lower anterior teeth may occur. Purpose: Evaluation of neurosensory deficiency of the lower lip, chin area , gingiva and lower anterior teeth following chin bone harvesting for posterior mandibular alveolar ridge reconstruction.
Treatment of dentofacial deformities with jaw osteotomies has an effect on airway anatomy, therefore mandibular setback surgery has potential to diminish airway size. The aim of this study was evaluation the effect of mandibular setback surgery by bilateral sagittal split ramus osteotomy (BSSRO) on lower pharyngeal airway size in anteroposterior direction retrolingually and hyoid bone position.
The common problem that may encounter surgeons were the change of the volume of iliac bone grafts which used in atrophic region in the alveolar bone because of the resorption of this grafts during healing period. This study aimed to compare between block graft which taken by surgical bur (trephine)and grafts which collected by bone scraper ,in this way the bone graft look like small chips .This study included 10 patients who presented the oral and maxillofacial department in dentistry faculty in Damascus university between 2010-2012 A.D. the patients suffered from sever atrophy in upper and lower alveolar bone for different underlying causes and needed to compromise these atrophy to create a suitable area for dental implantation .The iliac bone grafts were turned into a real bone in the grafted area but the block grafts were saving their volumes more than the grafts collected by bone scraper. We used Mann-Whitney U and SPSS to evaluate the data that collected during the research and the results revealed that the block iliac bone graft which used to compromise the atrophic region would resorb less than the grafts which collected by bone scraper . But these grafts showed that it would be more exposed after surgery than the bone scraper grafts .
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