Conditions requiring orthodontic treatment and replacement of missing teeth in young patients are by their very nature complex. The treatment approach must be multidisciplinary, requiring the close cooperation of a…
Benign and malignant conditions can result in the need for ablative surgery where segments of the tooth-bearing portions of the jaws require removal for adequate disease control. Aggressive cystlike lesions…
The goal of replacing missing teeth while respecting otherwise untouched tooth structure and the avoidance of crown reduction in bridge preparation make the use of dental implants an ideal option…
Dental anomalies include structural defects in enamel and dentin, fusion of teeth, and hamartomas such as odontomas. Enamel defects occur as a heterogenous spectrum of types, with different genetic etiologies,…
In this article, the authors examine the optimal time for dental placements in young individuals and emphasize the importance of ensuring skeletal maturity has been reached, except in some situations…
Every instance of agenesis of a tooth represents an inborn error in dentogenesis. Just as current knowledge of metabolic and regulatory roles of essential molecules has been shaped partly by…
Oligodontia has been reported to be the most or one of the most common developmental dental anomalies. The severity and pattern of oligodontia has been shown to affect craniofacial morphology,…
This Atlas has tried to convey the guiding principles governing the use of dental implants in young patients and to catalogue the treatment of a wide variety of conditions in…
This issue is dedicated to our own children, Kinga, Enikő, Hunor, Hayley, Nicholas, and Brittany, and to all those other children and parents who have enabled us to write this…
Long-bone distraction osteogenesis as developed by Ilizarov, Codvilla, and others used a circumferential distraction device that provided controlled linear bone elongation. The distraction device could be applied directly parallel to…
After approximately 10 years of clinical practice, alveolar distraction osteogenesis has evolved in reconstruction of the jaw and alveolus into three options: (1) definitive alveolar distraction osteogenesis—used to finalize reconstruction…
Maxillary and mandibular widening Mandibular-maxillary deficiency is one of the most common dentofacial deformities. This problem can present in the three dimensions of space: (1) anteroposterior, (2) vertical, and (3) transverse….
Although distraction osteogenesis (DO) of the midface in theory is no different from DO performed at other sites, the surgical application of DO in the midfacial region is different. As…
The mandible is a unique intramembranous bone that crosses the facial midline terminating in fibrocartilage-covered joints articulating against the cranial base. The basal portion of the mandible—the condylar neck, ramus,…
For the purposes of this article, lengthening of the mandible is subdivided into vertical lengthening of the ramus as in patients with hemifacial microsomia and horizontal lengthening of the mandibular…
Distraction osteogenesis (DO) is a surgical technique for reconstruction of bony deformities. It involves making osteotomies in the bone and gradually displacing the two bony segments apart. This results in…
Unfortunately, few of these issues are or can be addressed by distractors that are commercially available today. Extraoral distractors, especially those applied to the mandible, are relatively easy to apply…
Review of bone mechanics To begin to understand the effects of mechanical forces on bone, such as those that occur during distraction osteogenesis (DO), it is necessary to consider the…