Treatment of Oral Maxillofacial Trauma

10. Case of the Month Comprehensive Treatment for Maxillary Locator Implant Retained Denture in the General Practitioner’s Office By Ara Nazarian

The ability for the general practitioner to deliver comprehensive dental care under one roof, in many cases, increases patient acceptance of treatment. The following case demonstrates patient treatment with a maxillary locator implant retained denture. The patient had all hopeless maxillary teeth removed and site preservation was performed at the time of surgery. After a healing phase, a surgical guide was fabricated to assist in the placement of dental implants. Following an osseointegration healing phase, locator attachments were placed onto the healed dental implants and the maxillary denture was modified to secure to these attachments. All care was delivered in one office, by one practitioner. Care in this manner streamlined the patient’s visits and allowed faster delivery of the final prosthesis.

17. Predictable Immediate Implant Stabilization and Restoration By Charles D. Schlesinger

This paper describes the use of a dental implant with dual stabilization technology to immediately restore a single tooth edentulous space.

27. Biologic Shaping From a Restorative Prospective By Danny A. Melker

The following paper presents the concept of biologic shaping to facilitate the placement of restorations without impingement of biologic width. Biologic shaping is a surgical technique that is significantly different than traditional crown lengthening. This paper will present the advantages of biologic shaping along with photographic examples of the technique.

35. Contemporary Surgical Care of a Traumatic Oral Maxillofacial Injury in a Very Remote Location By William Hartel, Steven Keir, Callief Shand, Ben Smith, Ralph Pickard

This case report is of a mid-20 year old male of slight build with an unknown medical history. The patient was involved in a firefight while patrolling an unstable area of a Middle Eastern country. He was struck from behind with by a small caliber projectile in the right lower occipital region. The bullet entered inferior to the occipital bone, posterior to the right ear, slightly lateral to the mastoid process. The projectile transected the right lateral pharangeal space, entering the oral cavity superior to the tongue, entered the mid hard palate obliterating a section of the palate as well as the maxillary alveolus and teeth 10, 11 and 12. The bullet exited the oral cavity barely grazing the superior labus. The patient suffered a fracture of the right mandibular body, perhaps in his fall or possibly as a result of blunt force trauma following the gunshot wound. Due to the remote location where the injury occurred, limited prosthetic care was available. The patient’s injuries were diagnosed clinically and with state of the art radiographic techniques. Once medically stabilized, the patient’s oral maxillofacial deficiencies were treated with a prosthetic obturator. This treatment provided the patient with a suitable aesthetic outcome and improved his functionality. Contemporary Surgical Care of a Traumatic Oral Maxillofacial Injury in a Very Remote Location William Hartel, DMD1 • Steven Keir, DDS2 • Callief Shand, DDS3 Ben Smith4, DDS, MD • Ralph Pickard, MD5 Abstract KEY WORDS: Trauma, prosthetics, maxillofacial surgery The Journal