Showing 4 results for Intraoral
Gh. Shirani , D. Kazemi ,
Volume 16, Issue 4 (1-2004)
Abstract
Statement of Problem:The choung osteotomy (Intraoral Vertico- Sagittal Ramus Osteotomy) has developed since 1992 in the treatment of mandibular prognathism. In IVSRO, osteotomy plane is theoretically parallel to the original sagittal plane and thereby attempting to decrease the incidence of condylar dispacement. This osteotomy designed additionally to decrease neurosensory disturbances.
Purpose: The aim of this study was to evaluate the incidence of neurosensory deficit and condylar displacement with IVSRO and Sagittal Split Ramus Osteotomy (SSRO).
Materials and Methods: In this study, mandibular set back surgery was accomplished upon 7 patients by choung osteotomy. In addition to choung osteotomy, in 2 patients Lefort 1 osteomy was performed for maxillary protrusion and for 2 other patients, chain surgery was performed. Variables such as the neurosensory disturbances of inferior alveolar nerve and condylar displacement following choung osteotomy were investigated. All the patients were followed up one year after osteotomy. OPG, Lateral Cephalogram and Submentovertex radiographies were take pre and postoperatively for all patients.
Results: No statistically significant differences were found in condylar displacement (P>0.5). However, Mc Nemar analysis showed significant difference of neurosensory deficit between IVSRO and SSRO (P=0.001).
Conclusion: It is suggested that choung osteotomy is a safe procedure for mandibular surgery.
A. Mirfazaelian , H. Siadat ,
Volume 19, Issue 2 (5-2006)
Abstract
In addition to the camera, other accessories such as retractors and mirrors are necessary for intraoral photography. They enable directly inaccessible subjects, to be viewed and photographed easily. Gaining adequate view, by suitable retractors and mirrors, is the most important step, requiring skill and patient cooperation to achieve successful results. Composition, visualization of the final photograph and a carefully controlled clinical technique must be practiced in order to produce rapid, precise and reproducible clinical photographs. There are many procedures to be followed and precautions to be taken in order to obtain good quality, reproducible dental photographs. Failures can be avoided by following a distinct procedure. This article focuses on clinical equipments such as retractors, mirrors and intraoral photography.
H. Mahmood Hashemi , P. Shokri ,
Volume 20, Issue 4 (1-2008)
Abstract
Background and Aim: Proximal segment movements following different methods of ramus osteotomy is one of the undesired consequences of orthognathic surgery. Theoretically, it seems that intraoral verticosagittal ramus osteotomy can minimize the movement of proximal segment. In this study, changes in intergonial distance and ramus flaring angles were evaluated and compared in transverse plane after mandibular set back by two osteotomy techniques.
Materials and Methods: In this randomized clinical trial 20 patients with mandibular prognathism without any asymmetry were selected and divided into two groups of 10 each.One group was treated by bilateral sagittal split ramus osteotomy and the other by intraoral verticosagittal ramus osteotomy technique. Intergonial width and inner ramal angle in transverse plane were measured on radiographs before and 1 and 12 weeks post surgery . Data were analyzed using covariance test with P<0.05 as the level of significance.
Results: Changes of intergonial distance and interramal angle in each group were significant after 1 and 12 weeks after surgery. No statistically significant difference was observed between the two studied groups.
Conclusion: According to the results of this study, there is no difference between bilateral sagittal split and intraoral verticosagittal ramus osteotomy techniques regarding mandibular width and ramus flaring changes.
A. Eskandarlo, R. Bardal, M. Dehghani,
Volume 24, Issue 1 (3-2011)
Abstract
Background and Aims: Cone beam computed tomography (CBCT) produces high-quality data about diagnosis and periodontal treatment. To date, there is not enough research regarding periodontal bone measurement using CBCT. The aim of this study was to compare the accuracy of CBCT in measuring periodontal defects to that of intraoral radiography and probing methods.
Materials and Methods: Two-hundred and eighteen artificial osseous defects (buccal and lingual infrabony, interproximal, horizontal, crater, dehiscence and fenestration defects) were created on 13 mandibles of dry skulls. The mandibles were put into a plexiglass box full of water to simulate soft tissue. CBCT images, radiographic images taken with parallel technique and direct measurements using a WHO periodontal probe were recorded and compared to a standard reference (digital caliper). Inter and intra observe consistencies were assessed using Intra class correlation coefficient and pearson correlation.
Results: Inter and intra observer consistencies were high for CBCT and probing methods (ICC- Intra class correlation coefficient>88%), but moderate for intraoral radiography (ICC-Intra class correlation coefficient > 54%). There were not any significant differences between observers for all techniques (P>0/05). According to paired T-test analysis, mean difference for CBCT technique (0.01 mm) was lower than that for probing (0.04 mm) and radiography (0.62 mm). CBCT was able to measure all kinds of lesions, but radiography could not measure defects in the buccal and lingual sites.
Conclusion: All three modalities are useful for identifying periodontal defects. Compared to probing and radiography, the CBCT technique has the most accuracy in measuring periodontal defects.