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To examine the stability of combined surgical and orthodontic bite correction with emphasis on open-bite closure. All study patients were treated with strict and consistent orthodontic and surgical protocols. Study inclusion required all patients to have anterior open bites, maxillary accentuated curve of Spee, 36-month minimum follow-up, and no temporomandibular joint pathology. Thirty patients met the inclusion/exclusion criteria. Importantly, segmental upper arch orthodontic preparation (performed by EG) was used. Surgery consisted of a multisegment Le Fort I (MSLFI) combined with a bilateral sagittal osteotomies (BSSO). Surgery was performed (by ADA and LT) at the Department of Dentistry and Maxillofacial Surgery of the University of Verona, Italy. The long-term open bite and overjet relapse were not statistically significant. The mean transverse relapse of the upper and lower molars was statistically significant. Of great importance, the upper and lower arch widths narrowed together, maintaining intercuspation of the posterior dentition which prevented anterior open bites from developing. This study revealed stability of three-dimensional occlusal correction including anterior open bite. Stable open bite closure was achieved by using rigid protocols for orthodontic preparation, surgical techniques, surgical follow-up, and orthodontic finishing. [ABSTRACT FROM AUTHOR]

Treatment of peri-implantitis is typically most successful when a full-thickness surgical flap is elevated to access the contaminated implant surface and the bone loss that has occurred. This approach, however, can be problematic. Primary flap approximation can be challenging after a regenerative procedure, especially with a shallow vestibule, thin mucosa, or minimal zone of keratinized tissue. Incomplete wound closure and soft-tissue dehiscence can lead to membrane and graft exposure. In medicine, minimally invasive techniques have been developed and are being used in an increasing variety of procedures. This article will present the circumferential occlusal access procedure (COAP), a minimally invasive, flapless surgical technique designed to access and detoxify a contaminated implant surface and facilitate bone repair or regeneration while reducing the potential for membrane exposure and recession. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of this work was to evaluate the quality of life of patients with Angle''s class III malocclusion submitted to orthognathic surgery. Twenty-nine patients of both sexes, ranging in age from 17 to 46 years, with Angle''s class III malocclusion and indication for surgical treatment, were evaluated about 30 days before surgery and 6 months postoperatively. Surgery consisted of maxillary advancement or mandibular retrusion, or both. The generic SF-36 questionnaire was used to evaluate the following eight domains: functional capacity, physical aspects, pain, general health status, mental health, emotional aspects, social aspects and vitality. Descriptive and inferential statistical analyses were used to determine possible interactions between timing of evaluation, gender and type of surgery. With respect to physical and social aspects, a significant difference in outcomes was observed, with mean scores being higher after surgery regardless of gender or type of surgery. Regarding emotional aspects, an interaction effect was observed for timing and gender, with higher mean scores only being obtained for females after surgery. Orthognathic surgery had a positive impact on the quality of life of both male and female patients, improving physical and social aspects, and on that of female patients, improving emotional aspects. [Copyright &y& Elsevier]

The article discusses the computer-aided design and computer-aided manufacturing (CAD/CAM) procedures and its importance to occlusal splints. It mentions CAD/CAM's relevance to orthognatic surgical operations if applied to occlusal splints. Furthermore, its application to orthognatic surgery, through 3D virtual image is also mentioned.

The author discusses the feedbacks on the issue about the dentist who solved a temporomandibular joint (TMJ) disorder by means of stretching exercise. He argues that the use of stretching exercise to resolve TMJ problems is ineffective. The author further mentions the feedbacks which advocate selective grinding, Kinesiology, hypnosis, holism and surgery in resolving cases of TMJ disorders.