Date: Thu, 20 Sep 2007 00:11:28 -0500
From: "ESCO automatic digest system" <LISTSERV@LISTSERV.UIC.EDU>
Subject: ESCO Digest - 11 Sep 2007 to 19 Sep 2007 (#2007-69)

There are 3 messages totalling 232 lines in this issue.

Topics of the day:
1. Peri-Oral Scarring and Treatment
2. Re: TAD's as restorative base for missing laterals
3. Transitional implants


Date: Tue, 18 Sep 2007 23:19:12 -0700
From: "S M" <squigs68@GMAIL.COM>
Subject: Peri-Oral Scarring and Treatment

Hello everyone!

I had an interesting case come in today that I was hoping to get some insight.    Unfortunately I have no photos yet, but the patient's mother wrote in "Multiple Mouth Surgeries" on the new patient form and I was intrigued.   Otherwise the health history was unremarkable.

Basically, the patient (who is now 10 yrs old) had an unfortunate accident with an electrical wire as an 11 month old child.   Now, 5 plastic surgical procedures later,  and with more planned in the future, she came in for orthodontics.  

The extraoral facial appearance was not bad, but did include a long vertical scar from the nose to the chin, slightly right of the midline.   More remarkable was intraorally.  The patient has somewhat limited opening of the mandible (~35mm), but the peri-oral soft tissues are extremely 'taut', especially on the right side.   There are also a number ''adhesions' which seem to connect the inner labial mucosa directly to the gingiva.  The access for direct bonding on the right side will be very challenging.   Nevertheless, more of an issue is the arch form.  It is very distorted on the right side because of the extreme pressure on the dentition from the scarring/muscles.    It is difficult to describe, but it is almost completely flattened and lingual from #24 -  29 with some normalcy in the posterior.    The upper arch is not as severe, but similar.   The patient's arches don't match, but she is sort of Class I on the left, and Class II on the right with a labial high and blocked out canine.   I want to adhere to KISS principles, thinking of a single Mx Right PM extraction --- but I am not sure what to do about this arch form.... Leave it alone (staying away from NiTi) --- or try to induce a slight change?   Co-ordinate the less distorted Mx to the more distorted Md shape or vice versa?  I don't think there is any shot at a normal arch form... especially in the lower.

This is something I have no experience with ....  I have been in on treatment of some CL&P patients with obvious arch distortion, but not quite like this, and especially not on the lower arch.

Any ideas?


Shawn Miller
Tustin, California


Date: Tue, 18 Sep 2007 10:52:50 -0400
From: "charlie ruff" <orthodmd@GMAIL.COM>
Subject: Re: TAD's as restorative base for missing laterals

Imtec markets the MDI/Sendax which was the basis for their ortho TAD fixture, but its shape doesn't really lend itself for that purpose.

just to be sure, you are saying that the IMTEC MDI/Sendax is really not suited for ortho use? correct?
I tried finding info on Steri-Oss and they don't seem to have a WWW.  are they marketed by Nobel?
charlie ruff 

Date: Tue, 18 Sep 2007 10:42:51 -0400
From: "charlie ruff" <orthodmd@GMAIL.COM>
Subject: transitional implants

can you tell us a little more, i.e. size of transitional implants, method of placement, success rates
charlie ruff