The AC is an effective procedure for a short-term reduction of pain in temporomandibular disorder cases. It seems that AC using Ringer solution with or without corticosteroids may have the same effect on pain relief.
The aim of this study is to evaluate outcome of bone availability after the secondary alveolar bone graft in 2 age groups: group 1 patients were between 9 and 13 years old and group 2 patients were above 14 years old. Acceptance success criteria (ASC) consisted of sufficient bone height (more than 10 mm), bone width (more than 4 mm), and adequate continuity between maxillary segments. The height and width of alveolar grafted bone were measured by using the cone-beam CT scans. We studied 45 patients who underwent a bone graft in their alveolar cleft in 2 groups (25 patients in group 1 and 20 in group 2). The results showed that as the patients' ages increased, the incidence of ASC significantly decreased. In group 1, 23 patients had ACS (92%), and in group 2, only 4 patients (20%) had ASC. Cleft type did not affect the ASC. The critical age for decreasing ASC was 14.5 years. Our study showed successful outcomes of grafted bone were good when done in the mixed dentition period. Additionally, bone availability was more predictable at the mixed dentition stage.
Osteopetrosis is a rare bone dysplasia. The disease is characterized by osteoclast dysfunction, producing diffuse symmetrical increase in skeletal bone density and exhibiting various clinical manifestation because of heterogeneous entity. Among them, jaw osteomyelitis, frequently mandibular osteomyelitis, is an important complication encountered in these patients. In this article, 2 patients diagnosed with osteopetrosis with mandibular osteomyelitis would be presented. We used debridement and decortications, removal of hopeless teeth, and topical phenytoin in the management of mandibular osteomyelitis.
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