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  • Küçük Resim
    Öğe
    Impacted tooth in mandibular fracture line: Treatment with closed reduction
    (W B SAUNDERS CO, 2004) Baykul, Timuçin; Erdem, Erdal; Dolanmaz, Doğan; Alkan, Alper
    Purpose: Most mandibular fractures occur because of blunt trauma. In some cases, the mandible can be weakened by the presence of an unerupted or impacted tooth. The fate of this tooth in the fracture line and its effects on bone healing remain an important outcome event. Materials and Methods: In this study, we analyzed the records of 117 patients with a total of 121 fractures having an unerupted tooth remaining in the fracture line who were treated and followed by the Dental Faculty of Ankara University between 1986 and 1996. All were open fractures, and none of the patients had a history of an acute inflammatory episode related to the unerupted tooth before the injury. Intermaxillary fixation was used in all cases. Results: Three of the patients subsequently required open reduction with internal fixation. The unerupted tooth was not extracted in any patient. The fixation was maintained for an average of 45 days and followed up for 3 months. No complications were encountered. Conclusion: According to these results, we suggest that asymptomatic impacted teeth in the fracture line of uncomplicated mandible fractures do not cause delayed healing when treated with closed reduction. (C) 2004 American Association of Oral and Maxillofacial Surgeons.
  • Küçük Resim
    Öğe
    The reconstruction of oral defects with buccal fat pad
    (E M H SWISS MEDICAL PUBLISHERS LTD, 2003) Alkan, Alper; Dolanmaz, Doğan; Uzun, Emel; Erdem, Erdal
    Questions under study: 1) to evaluate the success of buccal fat pad used in the reconstruction of oral defects, 2) to clarify its indications and size limitations, 3) to identify risk factors if there were any. Methods: in this prospective clinical study, buccal fat pad was used in 26 patients with different indications which included 5 defects resulting from tumour excisions, 3 maxillary cysts, 3 secondary maxillary cyst defects and 15 oro-antral communications. All defects were in the maxilla with a maximum size of 5 x 3 cm. Patients were evaluated for signs of flap epithelialisation, infection, fistulae recurrence and facial contour deficiency. Results: the epithelialisation process was completed after 3 to 4 weeks without any complications in 22 patients. However, partial dehiscence of the graft occurred in 2 patients with large maxillary defects. We also observed serious bleeding during the operation of one of our cases. Because of the small fistula, 1 patient was re-operated. Conclusion: the results of this series support the view that the use of buccal fat pad is a simple, convenient, and reliable method for the reconstruction of small to medium-sized oral defects.