WorldWideScience

Sample records for maxillary body facies

  1. Chronic Maxillary Sinusitis Associated with an Unusual Foreign Body: A Case Report

    Directory of Open Access Journals (Sweden)

    Yunus Feyyat Şahin

    2012-01-01

    Full Text Available Foreign bodies in maxillary sinuses are unusual clinical conditions, and they can cause chronic sinusitis by mucosal irritation. Most cases of foreign bodies in maxillary sinus are related to iatrogenic dental manipulation and only a few cases with non-dental origin are reported. Oroantral fistulas secondary to dental procedures are the most common way of insertion. Treatment is surgical removal of the foreign body either endoscopically or with a combined approach, with Caldwell-Luc procedure if endoscopic approach is inadequate for visualisation. In this case, we present a 24-year-old male patient with unilateral chronic maxillary sinusitis due to a wooden toothpick in left maxillary sinus. The patient had a history of upper second premolar tooth extraction. CT scan revealed sinus opacification with presence of a foreign body in left maxillary sinus extending from the floor of the sinus to the orbital base. The foreign body, a wooden toothpick, was removed with Caldwell-Luc procedure since it was impossible to remove the toothpick endoscopically. There was no obvious oroantral fistula in the time of surgery, but the position of the toothpick made us to think that it was inserted through a previously healed fistula, willingly or accidentally.

  2. Seismic facies; Facies sismicas

    Energy Technology Data Exchange (ETDEWEB)

    Johann, Paulo Roberto Schroeder [PETROBRAS, Rio de Janeiro, RJ (Brazil). Exploracao e Producao Corporativo. Gerencia de Reservas e Reservatorios]. E-mail: johann@petrobras.com.br

    2004-11-01

    The method presented herein describes the seismic facies as representations of curves and vertical matrixes of the lithotypes proportions. The seismic facies are greatly interested in capturing the spatial distributions (3D) of regionalized variables, as for example, lithotypes, sedimentary facies groups and/ or porosity and/or other properties of the reservoirs and integrate them into the 3D geological modeling (Johann, 1997). Thus when interpreted as curves or vertical matrixes of proportions, seismic facies allow us to build a very important tool for structural analysis of regionalized variables. The matrixes have an important application in geostatistical modeling. In addition, this approach provides results about the depth and scale of the wells profiles, that is, seismic data is integrated to the characterization of reservoirs in depth maps and in high resolution maps. The link between the different necessary technical phases involved in the classification of the segments of seismic traces is described herein in groups of predefined traces of two approaches: a) not supervised and b) supervised by the geological knowledge available on the studied reservoir. The multivariate statistical methods used to obtain the maps of the seismic facies units are interesting tools to be used to provide a lithostratigraphic and petrophysical understanding of a petroleum reservoir. In the case studied these seismic facies units are interpreted as representative of the depositional system as a part of the Namorado Turbiditic System, Namorado Field, Campos Basin.Within the scope of PRAVAP 19 (Programa Estrategico de Recuperacao Avancada de Petroleo - Strategic Program of Advanced Petroleum Recovery) some research work on algorithms is underway to select new optimized attributes to apply seismic facies. One example is the extraction of attributes based on the wavelet transformation and on the time-frequency analysis methodology. PRAVAP is also carrying out research work on an

  3. Eclogite facies rocks

    National Research Council Canada - National Science Library

    Carswell, D. A

    1990-01-01

    .... This is the first volume to provide a coherent and comprehensive review of the conditions necessary for the formation of eclogites and eclogite facies rocks and assemblages, and a detailed account...

  4. Facies and facies architecture and depositional environments of the ...

    African Journals Online (AJOL)

    Facies and facies architecture and depositional environments of the ... PROMOTING ACCESS TO AFRICAN RESEARCH ... Depositional environments of the Yolde Formation were studied based on the analysis of facies and facies architecture. ... Senegal (6); Sierra Leone (1); South Africa (96); South Sudan (1); Sudan (3) ...

  5. Maxillary hematocele

    International Nuclear Information System (INIS)

    Inaba, Tsuyoshi; Fujimura, Takeyuki; Udaka, Tsuyoshi; Siomori, Teruo; Kadokawa, Yohei; Suzuki, Hideaki

    2007-01-01

    Hematocele is a benign hemorrhagic pseudotumor that preferably arises in the sinonasal tract, particularly in the maxillary sinus. The occurrence of maxillary hematocele has sporadically been documented, but its nature is not dearly understood. We herein report four cases of maxillary hematocele. The patients were 3 men and one woman, 30-62 years of age with an average of 49.8 years. Major symptoms were nasal obstruction (2 cases), nasal bleeding (2 cases), and toothache (1 case). Computed tomography demonstrated well-defined expansive soft tissue shadows with bone erosion. The lesions showed intermingled high/intermediate/low intensity in both T1- and T2-weighted magnetic resonance imaging. Endoscopic sinus surgery was performed in 3 cases, and the other patient underwent Caldwell-Luc procedure. Surgical specimens microscopically exhibited inflammatory changes with hematoma and fibrin deposition. The postoperative clinical course was uneventful in all cases, and all the patients are currently free from disease 4-25 months after surgery. Clinical, histopathological and radiological characteristics of maxillary hematocele are reviewed. (author)

  6. Maxillary obturator

    Directory of Open Access Journals (Sweden)

    Aruna Jawahirlal Bhandari

    2017-01-01

    Full Text Available Defects in the maxillary jaw can be congenital, developmental, acquired, traumatic or surgical involving the oral cavity and related anatomic structure. Absence or loss of some or all of the soft palate and / or hard palate results in insufficient structure or altered function of the remaining tissues. Defects can cause disruption of articulation and airflow during speech production and also nasal reflux during deglutition. Patients after surgical resection have altered anatomy due to scaring, tissue contracture, lack of bony support and tissue edema. These patients have problem of regurgitation of water and food through nose and difficulty in speech. These changes require the fabrication of prosthesis and also sometimes repeated prosthesis adjustments to confirm to the soft tissue changes. To prevent this and to help the patient in deglutition and speech defects must be restored with prosthesis. In such situation an obturator is designed to close the opening between the residual hard and / or soft palate and the pharynx. The prosthesis provided for these patients are called as obturators. An obturator is a prosthesis which is fabricated for the patients with the palatal defects in the form of cleft lip and palate, oroantral fistula or surgical resection after removable of pathology like tumor or cancer. This review article will highlight on the Prosthetic Rehabilitation of the maxillary defects and the types of obturators.

  7. Neural net generated seismic facies map and attribute facies map

    International Nuclear Information System (INIS)

    Addy, S.K.; Neri, P.

    1998-01-01

    The usefulness of 'seismic facies maps' in the analysis of an Upper Wilcox channel system in a 3-D survey shot by CGG in 1995 in Lavaca county in south Texas was discussed. A neural net-generated seismic facies map is a quick hydrocarbon exploration tool that can be applied regionally as well as on a prospect scale. The new technology is used to classify a constant interval parallel to a horizon in a 3-D seismic volume based on the shape of the wiggle traces using a neural network technology. The tool makes it possible to interpret sedimentary features of a petroleum deposit. The same technology can be used in regional mapping by making 'attribute facies maps' in which various forms of amplitude attributes, phase attributes or frequency attributes can be used

  8. Obligaciones prima facie y derrotabilidad

    OpenAIRE

    Oller, Carlos A.

    2006-01-01

    Este artículo examina algunos de los problemas que presenta el tratamiento lógico de las obligaciones prima facie en la obra de Carlos Alchourrón. Por una parte, señalaremos que su sistema para los condicionales derrotables DFT no formaliza adecuadamente la noción intuitiva de condición contribuyente que Alchourrón utiliza para elucidar la de condicional derrotable. Por otra parte, argumentaremos que la noción de deber prima facie de David Ross no queda adecuadamente formalizada en el sistema...

  9. Management of Cleft Maxillary Hypoplasia with Anterior Maxillary Distraction: Our Experience.

    Science.gov (United States)

    Chacko, Tojan; Vinod, Sankar; Mani, Varghese; George, Arun; Sivaprasad, K K

    2014-12-01

    Maxillary hypoplasia is a common developmental problem in cleft lip and palate deformities. Since 1970s these deformities have traditionally been corrected by means of orthognathic surgery. Management of skeletal deformities in the maxillofacial region has been an important challenge for maxillofacial surgeons and orthodontists. Distraction osteogenesis is a surgical technique that uses body's own repairing mechanisms for optimal reconstruction of the tissues. We present four cases of anterior maxillary distraction osteogenesis with tooth borne distraction device-Hyrax, which were analyzed retrospectively for the efficacy of the tooth borne device-Hyrax and skeletal stability of distracted anterior maxillary segment.

  10. Maxillary Sinus Floor Augmentation

    DEFF Research Database (Denmark)

    Starch-Jensen, Thomas; Jensen, Janek Dalsgaard

    2017-01-01

    , radiological and histomorphometric outcome as well as complications are presented after maxillary sinus floor augmentation applying the lateral window technique with a graft material, maxillary sinus membrane elevation without a graft material and osteotome-mediated sinus floor elevation with or without...

  11. [Radiologic picture of maxillary sinus aspergilloma].

    Science.gov (United States)

    Kaczmarek, I; Bilska, J; Osmola, K; Nowaczyk, M T

    2010-06-01

    Mycotic infection of paranasal sinus could be the etiological factor of chronic sinusitis. The increase in number of fungal sinusitis cases have been reported recently among nonimmunocompromised patient after endodontic treatment of maxillary teeth. Nonspecific clinical signs and incorrect radiologic pictures interpretation as well as loss of therapeutic standards seems to be the cause of false negative diagnosis and difficulties in treatment of fungal sinusitis. Clinical and radiological picture of maxillary sinus aspergillosis was described in this paper. In the period of 2006-2009 in the Department of Maxillo-Facial Surgery 19 patient with fungal maxillary sinusitis was treated. The endodontic treatment of maxillary teeth of the related side was performed previously in 80% examined cases. In 2 cases there were immunocompromised patients with immunosuppressive treatment. In 16 cases patients were referred to our Department due to metallic foreign body of the maxillary sinus. Routine diagnostic radiological imaging was performed in each case: paranasal sinus view--Water's view and panoramic radiograph (orthopantomograph). In 4 cases imaging was extended with computer tomography (CT) visualization. The surgical treatment was performed in each case. The final diagnosis was puted on histopathological examination and fungal culture. In 16 cases of analysed group histopathological examination and fungal culture revealed aspergilosis. In 2 cases fungal culture was negative, but histopathology slices confirm presence of hyphae of Aspergillus. In 1 case the root canal sealer was found in the maxillary sinus. In none case invasive form of aspergillosis was confirmed. In all cases Water's view of paranasal sinuses and ortopantomograph showed partially or totally clouded sinus with well-defined, single or multifocal radiopaque object similar to metallic foreign body. Characteristic finding in CT imaging was well-defined radiodence concretions that have been attributed to

  12. Mass in right maxillary

    International Nuclear Information System (INIS)

    Marins, J.L.C.

    1988-01-01

    A radiological study in a patient with increasing of the volume in the naso-maxillary region was done. The proposed diagnosis were carcinomas, lymphomas, sarcomas, teeth cyst, granulomas, mycoses and other. (L.M.J.)

  13. Radiodiagnostics of maxillary osteomyelitis

    International Nuclear Information System (INIS)

    Klemova, J.; Jenca, A.; Hanusinova, V.; Danko, J.; Ondrasovicova, J.

    2006-01-01

    Osteomyelitis is defined as an inflammation or infection in bone tissues - cancellous bone, bone marrow, bone compacta and periosteum due to invasion of infection from surrounding tissues. Maxillary osteomyelitis is less common disease than osteomyelitis of mandible. This can be explained by anatomical structure of maxilla which is mainly composed of sinuses and thin bone lamellae. Such a structure allows rapid propagation of the infection to the surface. There have been examined and treated 70 patients with osteomyelitis of facial bones within past 15 years at Department of stomatology and maxillo-facial surgery of P.J. Safarik University in Kosice. Only four cases were diagnosed as maxillary osteomyelitis. The aim of this study was to mention the differences in anatomy and symptoms of acute and chronic stage of maxillary osteomyelitis and to give a detailed radiographic picture of this affliction. (authors)

  14. Maxillary sinus augmentation

    Directory of Open Access Journals (Sweden)

    A B Tarun Kumar

    2015-01-01

    Full Text Available Placing dental implants in the maxillary posterior region can be both challenging and un-nerving for a regular implant dentist who is not well versed with advanced surgical procedures. It is vital for a general dentist to understand the fundamentals of bone grafting the maxillary sinus if he/she is really committed to providing the best health care for their patients. The dental practice is seeing an increasing group of patients who are living longer, and this group of older baby boomers often has an edentulous posterior maxilla either unilateral or bilateral. When edentulous, the posterior maxilla more likely has diminished bone height, which does not allow for the placement of dental implants without creating additional bone. Through grafting the maxillary sinus, bone of ideal quality can be created (allowing for placement of dental implants, which offer many advantages over other tooth replacement modalities. The sinus graft offers the dental patient a predictable procedure of regenerating lost osseous structure in the posterior maxilla. This offers the patient many advantages for long-term success. If dentists understand these concepts, they can better educate their patients and guide them to have the procedure performed. This article outlines bone grafting of the maxillary sinus for the purpose of placing dental implants. This review will help the readers to understand the intricacies of sinus augmentation. They can relate their patient's condition with the available literature and chalk out the best treatment plan for the patient, especially by using indirect sinus augmentation procedures which are less invasive and highly successful if done using prescribed technique.

  15. Congenital maxillary double lip

    Directory of Open Access Journals (Sweden)

    Dinesh Singh Chauhan

    2012-01-01

    Full Text Available Double lip, also referred to as "macrocheilia," is a rare anomaly which affects the upper lip more commonly than the lower lip. It consists of a fold of excess or redundant hypertrophic tissue on the mucosal side of the lip. The congenital double lip is believed to be present at birth and becomes more prominent after eruption of teeth. It affects esthetics and also interferes with speech and mastication. Simple surgical excision produces good functional and cosmetic results. We report a case of a non-syndromic congenital maxillary double lip in a 21-year-old male patient.

  16. Odontogenic maxillary sinusitis diagnosed using conebeam x-ray CT

    International Nuclear Information System (INIS)

    Sato, Kiminori

    2007-01-01

    We evaluated the usefulness of conebeam x-ray CT in the diagnosis of odontogenic maxillary sinusitis in 21 patients. Among teeth causing odontogenic maxillary sinusitis, 95% had apical lesions after root canal treatment. Most root canals were filled with filling materials incompletely. Apical lesions in inappropriately treated teeth thus caused odontogenic maxillary sinusitis. Conebeam CT involves 3-dimensional isotropic voxel image date in up to 512 frames for transaxial, coronal, and sagittal planes, so resolution in imaging on the body axis was especially high. Multiplanar reconstruction and volume rendering images at any optional plane could be obtained without interpolation. The relationship between causative teeth and the maxillary sinus could be observed and measured, and odontogenic maxillary sinusitis accurately diagnosed. In addition to the accurate diagnosis of apical lesions, maxilla, and maxillary sinus, periodontal ligament space, lamina dura, pulp cavity, root canal, canal-treated root, apical periodontitis, alveolar ostitis, marginal periodontitis of causative teeth could be observed. Metal artifacts were minimized, making conebeam CT useful in the diagnosis of periodontal tissue and causative teeth, including root-canal-treated and crown-restored teeth. (author)

  17. Facies Constrained Elastic Full Waveform Inversion

    KAUST Repository

    Zhang, Z.

    2017-05-26

    Current efforts to utilize full waveform inversion (FWI) as a tool beyond acoustic imaging applications, for example for reservoir analysis, face inherent limitations on resolution and also on the potential trade-off between elastic model parameters. Adding rock physics constraints does help to mitigate these issues. However, current approaches to add such constraints are based on averaged type rock physics regularization terms. Since the true earth model consists of different facies, averaging over those facies naturally leads to smoothed models. To overcome this, we propose a novel way to utilize facies based constraints in elastic FWI. A so-called confidence map is calculated and updated at each iteration of the inversion using both the inverted models and the prior information. The numerical example shows that the proposed method can reduce the cross-talks and also can improve the resolution of inverted elastic properties.

  18. Facies Constrained Elastic Full Waveform Inversion

    KAUST Repository

    Zhang, Z.; Zabihi Naeini, E.; Alkhalifah, Tariq Ali

    2017-01-01

    Current efforts to utilize full waveform inversion (FWI) as a tool beyond acoustic imaging applications, for example for reservoir analysis, face inherent limitations on resolution and also on the potential trade-off between elastic model parameters. Adding rock physics constraints does help to mitigate these issues. However, current approaches to add such constraints are based on averaged type rock physics regularization terms. Since the true earth model consists of different facies, averaging over those facies naturally leads to smoothed models. To overcome this, we propose a novel way to utilize facies based constraints in elastic FWI. A so-called confidence map is calculated and updated at each iteration of the inversion using both the inverted models and the prior information. The numerical example shows that the proposed method can reduce the cross-talks and also can improve the resolution of inverted elastic properties.

  19. Barrier island facies models and recognition criteria

    Science.gov (United States)

    Mulhern, J.; Johnson, C. L.

    2017-12-01

    Barrier island outcrops record transgressive shoreline motion at geologic timescales, providing integral clues to understanding how coastlines respond to rising sea levels. However, barrier island deposits are difficult to recognize. While significant progress has been made in understanding the modern coastal morphodynamics, this insight is not fully leveraged in existing barrier island facies models. Excellent outcrop exposures of the paralic Upper Cretaceous Straight Cliffs Formation of southern Utah provide an opportunity to revise facies models and recognition criteria for barrier island deposits. Preserved barrier islands are composed of three main architectural elements (shorefaces, tidal inlets, and tidal channels) which occur independently or in combination to create larger-scale barrier island deposits. Barrier island shorefaces record progradation, while barrier island tidal inlets record lateral migration, and barrier island tidal channels record aggradation within the tidal inlet. Four facies associations are used to describe and characterize these barrier island architectural elements. Barrier islands occur in association with backarrier fill and internally contain lower and upper shoreface, high-energy upper shoreface, and tidal channel facies. Barrier islands bound lagoons or estuaries, and are distinguished from other shoreface deposits by their internal facies and geometry, association with backbarrier facies, and position within transgressive successions. Tidal processes, in particular tidal inlet migration and reworking of the upper shoreface, also distinguish barrier island deposits. Existing barrier island models highlight the short term heterogeneous and dynamic nature of barrier island systems, yet overlook processes tied to geologic time scales, such as multi-directional motion, erosion, and reworking, and their expressions in preserved barrier island strata. This study uses characteristic outcrop expressions of barrier island successions to

  20. Pediatric maxillary fractures.

    Science.gov (United States)

    Yu, Jack; Dinsmore, Robert; Mar, Philip; Bhatt, Kirit

    2011-07-01

    Pediatric craniofacial structures differ from those of adults in many ways. Because of these differences, management of pediatric craniofacial fractures is not the same as those in adults. The most important differences that have clinical relevance are the mechanical properties, craniofacial anatomy, healing capacity, and dental morphology. This article will review these key differences and the management of pediatric maxillary fractures. From the mechanical properties' perspective, pediatric bones are much more resilient than adult bones; as such, they undergo plastic deformation and ductile failure. From the gross anatomic perspective, the relative proportion of the cranial to facial structures is much larger for the pediatric patients and the sinuses are not yet developed. The differences related to dentition and dental development are more conical crowns, larger interdental spaces, and presence of permanent tooth buds in the pediatric population. The fracture pattern, as a result of all the above, does not follow the classic Le Fort types. The maxillomandibular fixation may require circum-mandibular wires, drop wires, or Ivy loops. Interfragmentary ligatures using absorbable sutures play a much greater role in these patients. The use of plates and screws should take into consideration the future development with respect to growth centers and the location of the permanent tooth buds. Pediatric maxillary fractures are not common, require different treatments, and enjoy better long-term outcomes.

  1. A Facies Model for Temperate Continental Glaciers.

    Science.gov (United States)

    Ashley, Gail Mowry

    1987-01-01

    Discusses the presence and dynamics of continental glaciers in the domination of the physical processes of erosion and deposition in the mid-latitudes during the Pleistocene period. Describes the use of a sedimentary facies model as a guide to recognizing ancient temperate continental glacial deposits. (TW)

  2. Maxillary Hypoplasia With Congenital Oligodontia Treated by Maxillary Distraction Osteogenesis.

    Science.gov (United States)

    Mishima, Sayaka; Yamaguchi, Takako; Watanabe, Takuma; Komatani, Toru; Nakao, Kazumasa; Takahashi, Katsu; Bessho, Kazuhisa

    2018-02-27

    It is known that congenitally missing teeth can often cause differences in craniofacial morphology; however, there are few reported cases of orthognathic surgical treatment for these patients. Herein, the authors report a rare case of maxillary hypoplasia with congenital oligodontia treated by maxillary distraction osteogenesis with internal device. A 17-year-old male presenting with multiple tooth agenesis and maxillary recession was referred to our hospital for orthognathic surgical treatment. Preoperative simulation surgery was performed using Full-Color 3-dimensional salt model. After surgery, improvement in maxillary recession and occlusal stability was observed. This report demonstrates the advantages of the method used herein, which includes reduction in operating time with increase in the safety of the procedure.

  3. Effects of maxillary sinus floor elevation surgery on maxillary sinus physiology

    NARCIS (Netherlands)

    Timmenga, NM; Raghoebar, GM; Liem, RSB; van Weissenbruch, R; Manson, WL; Vissink, A

    In a prospective study, the effects of elevation surgery of the maxillary sinus floor on maxillary sinus physiology were assessed. Seventeen consecutive patients without preoperative anamnestic, clinical and radiological signs of maxillary sinusitis underwent sinus floor elevation surgery with iliac

  4. Felsic granulite with layers of eclogite facies rocks in the Bohemian Massif; did they share a common metamorphic history?

    Science.gov (United States)

    Jedlicka, Radim; Faryad, Shah Wali

    2017-08-01

    High pressure granulite and granulite gneiss from the Rychleby Mountains in the East Sudetes form an approximately 7 km long and 0.8 km wide body, which is enclosed by amphibolite facies orthogneiss with a steep foliation. Well preserved felsic granulite is located in the central part of the body, where several small bodies of mafic granulite are also present. In comparison to other high pressure granulites in the Bohemian Massif, which show strong mineral and textural re-equilibration under granulite facies conditions, the mafic granulite samples preserve eclogite facies minerals (garnet, omphacite, kyanite, rutile and phengite) and their field and textural relations indicate that both mafic and felsic granulites shared common metamorphic history during prograde eclogite facies and subsequent granulite facies events. Garnet from both granulite varieties shows prograde compositional zoning and contains inclusions of phengite. Yttrium and REEs in garnet show typical bell-shaped distributions with no annular peaks near the grain rims. Investigation of major and trace elements zoning, including REEs distribution in garnet, was combined with thermodynamic modelling to constrain the early eclogite facies metamorphism and to estimate pressure-temperature conditions of the subsequent granulite facies overprint. The first (U)HP metamorphism occurred along a low geothermal gradient in a subduction-related environment from its initial stage at 0.8 GPa/460 °C and reached pressures up to 2.5 GPa at 550 °C. The subsequent granulite facies overprint (1.6-1.8 GPa/800-880 °C) affected the rocks only partially; by replacement of omphacite into diopside + plagioclase symplectite and by compositional modification of garnet rims. The mineral textures and the preservation of the eclogite facies prograde compositional zoning in garnet cores confirm that the granulite facies overprint was either too short or too faint to cause recrystallisation and homogenisation of the eclogite

  5. Maxillary sinus carcinomas

    International Nuclear Information System (INIS)

    Jiang, G.L.; Ang, K.K.; Peters, L.J.; Wendt, C.D.; Oswald, M.J.; Goepfert, H.

    1991-01-01

    Between 1969 and 1985, 73 patients with maxillary sinus cancers underwent surgical excision and postoperative radiotherapy. The clinical stage distribution by the AJC system was 3T 1 , 16T 2 , 32T 3 and 22 T 4 . Six patients had palpable lymphadenopathy at diagnosis. Surgery for the primary tumor consisted of partial or radical maxillectomy, and if disease stage indicated it, ipsilateral orbital exenteration. This was followed by radiation treatment delivered through a wedge-pair or three-field technique. All but 3 patients received 50-60 Gy in 2 Gy fractions to an isodose line defining the target volume. Elective neck irradiation (ENI) was nor routinely given. Clinically involved nodes were treated with definitive radiotherapy (5 patients) or combined treatment (1 patient). Forty-five patients had no evidence of disease at the last follow-up. The 5-year relapse-free survival for the whole group was 51 percent. The overall local control rate was 78 percent, Patients with larger tumors, particularly if they also had histological signs of nerve invasion, had a higher recurrence rate than others. The overall nodal recurrence rate without ENI was 38 percent for squamous and undifferen-tiated carcinoma, and only 5 for adenoid cystic carcinomas. Therefore, the current recommendation is to deliver elective nodal irradiation routinely to patients with squamous or undifferentiated carcinoma, except for those who have T 1 lesions. Treatment complications were vision impairment, brain and bone necrosis, trismus, hearing loss, and pituitary insufficiency. The incidence of major side effects was determined by disease extent and treatment technique. Many technical refinements were introduced in order to limit the dose to normal tissues in an attempt to reduce the complication rate. To what extent such practice influences the outcome will be determined from subsequent analysis. (author). 23 refs.; 2 figs.; 5 tabs

  6. Bilateral supernumerary primary maxillary canines

    Directory of Open Access Journals (Sweden)

    Santanu Mukhopadhyay

    2018-01-01

    Full Text Available Supernumerary teeth are more common in the permanent than in primary dentition. In the primary dentition, the anomaly is most frequently observed in the maxillary lateral incisor region, followed by the maxillary midline where they are termed as mesiodens. Supernumerary teeth in the primary canine region are rare. This paper describes a rare case of nonsyndromic supernumerary primary maxillary canine distributed bilaterally in a 4-year-old boy. Both the supernumeraries resembled size and shape of normal primary canine. The right supplemental canine is high labially placed, whereas the left one is seen normally aligned in the dental arch distal to lateral incisor. One of the most significant sequelae of primary supernumerary teeth is their duplication in the permanent series. Radiographic examination of supernumerary primary canine did not indicate any such anomaly in the permanent dentition. The patient was kept under observation.

  7. Vector alignment in maxillary distraction osteogenesis.

    Science.gov (United States)

    Uckan, Sina; Arman, Ayca; Bayram, Burak; Celik, Erkan

    2006-09-01

    Maxillary distraction osteogenesis is an alternative treatment of cleft patients with severe maxillary hypoplasia. The aim of this paper is to present the combined surgical/orthodontic treatment of a cleft lip and palate patient and to evaluate the maxillary distraction procedure and the distraction vector in high Le Fort I osteotomy.

  8. Maxillary Osteomyelitis: A Rare Entity

    Directory of Open Access Journals (Sweden)

    Ayaaz Habib

    2016-01-01

    Full Text Available Osteomyelitis of the maxilla is now a rare event with the advent of antibiotics. The two predominant causes are odontogenic infections and sinusitis. Immunocompromised states such as diabetes, HIV, and malnutrition increase the risk of osteomyelitis. It is important to recognize this early as it is a difficult entity to treat with potentially serious consequences. We report an unusual case of right sided maxillary osteomyelitis in a lady with poorly controlled diabetes in rural Lincolnshire. Biopsy of the right maxillary bone showed features of acute osteomyelitis. This responded well to a prolonged course of oral antibiotics.

  9. Prima facie questions in quantum gravity

    Science.gov (United States)

    Isham, C. J.

    The long history of the study of quantum gravity has thrown up a complex web of ideas and approaches. The aim of this article is to unravel this web a little by analysing some of the {\\em prima facie\\/} questions that can be asked of almost any approach to quantum gravity and whose answers assist in classifying the different schemes. Particular emphasis is placed on (i) the role of background conceptual and technical structure; (ii) the role of spacetime diffeomorphisms; and (iii) the problem of time.

  10. Mapping Depositional Facies on Great Bahama Bank: An Integration of Groundtruthing and Remote Sensing Methods

    Science.gov (United States)

    Hariss, M.; Purkis, S.; Ellis, J. M.; Swart, P. K.; Reijmer, J.

    2013-12-01

    Great Bahama Bank (GBB) has been used in many models to illustrate depositional facies variation across flat-topped, isolated carbonate platforms. Such models have served as subsurface analogs at a variety of scales. In this presentation we have integrated Landsat TM imagery, a refined bathymetric digital elevation model, and seafloor sample data compiled into ArcGIS and analyzed with eCognition to develop a depositional facies map that is more robust than previous versions. For the portion of the GBB lying to the west of Andros Island, the facies map was generated by pairing an extensive set of GPS-constrained field observations and samples (n=275) (Reijmer et al., 2009, IAS Spec Pub 41) with computer and manual interpretation of the Landsat imagery. For the remainder of the platform, which lacked such rigorous ground-control, the Landsat imagery was segmented into lithotopes - interpreted to be distinct bodies of uniform sediment - using a combination of edge detection, spectral and textural analysis, and manual editing. A map was then developed by assigning lithotopes to facies classes on the basis of lessons derived from the portion of the platform for which we had rigorous conditioning. The new analysis reveals that GBB is essentially a very grainy platform with muddier accumulations only in the lee of substantial island barriers; in this regard Andros Island, which is the largest island on GBB, exerts a direct control over the muddiest portion of GBB. Mudstones, wackestones, and mud-rich packstones cover 7%, 6%, and 15%, respectively, of the GBB platform top. By contrast, mud-poor packstones, grainstones, and rudstones account for 19%, 44%, and 3%, respectively. Of the 44% of the platform-top classified as grainstone, only 4% is composed of 'high-energy' deposits characterized by the development of sandbar complexes. The diversity and size of facies bodies is broadly the same on the eastern and western limb of the GBB platform, though the narrower eastern

  11. Statistics and Title VII Proof: Prima Facie Case and Rebuttal.

    Science.gov (United States)

    Whitten, David

    1978-01-01

    The method and means by which statistics can raise a prima facie case of Title VII violation are analyzed. A standard is identified that can be applied to determine whether a statistical disparity is sufficient to shift the burden to the employer to rebut a prima facie case of discrimination. (LBH)

  12. Radiation-induced maxillary cancer

    International Nuclear Information System (INIS)

    Haguma, Naoyuki; Shirane, Makoto; Hirakawa, Katsuhiro; Suzuki, Mamoru; Yajin, Kouji; Harada, Yasuo

    1990-01-01

    A maxillary cancer (T 2 N 0 M 0 ) recurred twice, five years and 18 years after the initial therapy. The first therapy was continuous intra-arterial infusion of 5-FU (5700 mg) and irradiation (50 Gy). The second therapy was intravenous infusion of 5-FU (4500 mg) and irradiation (46 Gy). The third therapy was partial maxillectomy and LASER cauterization. In this particular case local inflammation due to remaining food and repeated irradiation might have been responsible for the recurrences. (author)

  13. Nasopharyngeal cancer through maxillary swing

    International Nuclear Information System (INIS)

    Pacheco Ojeda, Luis; Chicaiza Acosta, Jorge; Ulloa Miranda, Darwin

    2006-01-01

    Nasopharyngeal cancer is very rare in Ecuador. Radiotherapy associated to concurrent chemotherapy is currently the standard treatment. In case of tumor recurrence, these two treatment modalities are usually not effective. For this reason, several studies about the satisfactory results of salvage surgery in terms of locoregional control of the disease, have appeared recently in the literature. We report our first experience of surgical salvage resection of a recurrent tumor through an anterolateral approach (maxillary swing) with an initial satisfactory result. (The author)

  14. Skeletal response to maxillary protraction with and without maxillary expansion: a finite element study.

    Science.gov (United States)

    Gautam, Pawan; Valiathan, Ashima; Adhikari, Raviraj

    2009-06-01

    The purpose of this finite element study was to evaluate biomechanically 2 treatment modalities-maxillary protraction alone and in combination with maxillary expansion-by comparing the displacement of various craniofacial structures. Two 3-dimensional analytical models were developed from sequential computed tomography scan images taken at 2.5-mm intervals of a dry young skull. AutoCAD software (2004 version, Autodesk, San Rafael, Calif) and ANSYS software (version 10, Belcan Engineering Group, Cincinnati, Ohio) were used. The model consisted of 108,799 solid 10 node 92 elements, 193,633 nodes, and 580,899 degrees of freedom. In the first model, maxillary protraction forces were simulated by applying 1 kg of anterior force 30 degrees downward to the palatal plane. In the second model, a 4-mm midpalatal suture opening and maxillary protraction were simulated. Forward displacement of the nasomaxillary complex with upward and forward rotation was observed with maxillary protraction alone. No rotational tendency was noted when protraction was carried out with 4 mm of transverse expansion. A tendency for anterior maxillary constriction after maxillary protraction was evident. The amounts of displacement in the frontal, vertical, and lateral directions with midpalatal suture opening were greater compared with no opening of the midpalatal suture. The forward and downward displacements of the nasomaxillary complex with maxillary protraction and maxillary expansion more closely approximated the natural growth direction of the maxilla. Displacements of craniofacial structures were more favorable for the treatment of skeletal Class III maxillary retrognathia when maxillary protraction was used with maxillary expansion. Hence, biomechanically, maxillary protraction combined with maxillary expansion appears to be a superior treatment modality for the treatment of maxillary retrognathia than maxillary protraction alone.

  15. Las facies Keuper al SW de la provincia de Soria

    Directory of Open Access Journals (Sweden)

    Hernando, S.

    1988-08-01

    Full Text Available This paper deals with the sedimentological analysis of the materials that correspond to the Keuper facies in the area situated between the Iberian Ranges and the Central System. Acording to the obtained data, two main aspects are emphasized: - During the Upper Triassic, a c1ear retreat of the roast line towards the East took place, since this area constituted the litoral zone during the sedimentation of the Rot and Muschelkalk. - Facies change lateraly from West to East as proximal alluvial Can sediments pass into facies interpreted as distal alluvial fans and continental sabkha environment.Se analizan, desde el punto de vista sedimentológico, unos materiales correspondientes a las facies Keuper entre la Cordillera Ibérica y el Sistema Central. Dos aspectos resaltan tras este análisis: - Desplazamiento de la línea de costa (que durante la sedimentación del Rot y del Muschelkalk estaba situada en esta zona hacia el Este. - Marcado cambio lateral de facies desde el Oeste hacia el Este, pasando de unas facies proximales-medias de abanico aluvial a unas facies distales y ambiente de sabkha continental.

  16. Maxillary sinus agenesis - report of two cases

    International Nuclear Information System (INIS)

    Pierre, Jorge Henrique Arraes de Alencar; Santana, Expedito Araujo

    2000-01-01

    Agenesis or aplasia of the maxillary sinuses is an extremely rare condition, and only eight cases have been reported in the world medical literature. These malformations may arise as a result of developmental defects. Two cases of unilateral agenesis of the maxillary sinus are presented and the radiological abnormalities and the embryology are discussed. The literature is also reviewed. (author)

  17. Elastic properties of granulite facies rocks of Mahabalipuram, Tamil ...

    Indian Academy of Sciences (India)

    the granulite facies rocks have helped us to under- stand the metamorphic ... imperative need to make new and accurate lab- .... the driving side and a digital storage oscilloscope ..... propagation in rocks and other lossy media: An experi-.

  18. Surgically assisted rapid maxillary expansion in adults.

    Science.gov (United States)

    Pogrel, M A; Kaban, L B; Vargervik, K; Baumrind, S

    1992-01-01

    Twelve adults with maxillary width discrepancy of greater than 5 mm were treated by surgically assisted rapid maxillary expansion. The procedure consisted of bilateral zygomatic buttress and midpalatal osteotomies combined with the use of a tooth-borne orthopedic device postoperatively. Mean palatal expansion of 7.5 mm (range of 6 to 13 mm), measured in the first molar region, was achieved within 3 weeks in all patients. Expansion remained stable during the 12-month study period, with a mean relapse for the entire group of 0.88 +/- 0.48 mm. Morbidity was limited to mild postoperative discomfort. The results of this preliminary study indicated that surgically assisted rapid maxillary expansion is a safe, simple, and reliable procedure for achieving a permanent increase in skeletal maxillary width in adults. Further study is necessary to document the three-dimensional movements of the maxillary segments and long-term stability of the skeletal and dental changes.

  19. PROBLEMS AND METHODOLOGY OF THE PETROLOGIC ANALYSIS OF COAL FACIES.

    Science.gov (United States)

    Chao, Edward C.T.

    1983-01-01

    This condensed synthesis gives a broad outline of the methodology of coal facies analysis, procedures for constructing sedimentation and geochemical formation curves, and micro- and macrostratigraphic analysis. The hypothetical coal bed profile has a 3-fold cycle of material characteristics. Based on studies of other similar profiles of the same coal bed, and on field studies of the sedimentary rock types and their facies interpretation, one can assume that the 3-fold subdivision is of regional significance.

  20. Maxillary advancement for mandibular prognathism: indications and rationale.

    Science.gov (United States)

    Rosen, H M

    1991-05-01

    The surgical correction of mandibular prognathism has traditionally involved posterior repositioning of the mandibular body. This treatment approach corrects the skeletal disproportion at the expense of reducing facial skeletal volume and can unpredictably result in inadequately supported soft tissues with loss of skeletal definition. In an effort to avoid these sequelae of mandibular reduction, 18 patients diagnosed as having mandibular prognathism were treated with maxillary advancement surgery at the Le Fort I level. Mean patient SNB angle was 85.2 degrees, as compared with a normal 79 +/- 3 degrees. Maxillae were documented to be in normal position relative to both cranial base and Frankfort horizontal. The mean maxillary advancement was 6.9 mm, with a range of 4.5 to 8.8 mm. All patients required genioplasty to reduce vertical chin height and/or to laterally shift the chin. At the time of follow-up (mean 16.2 months), all patients retained cephalometric data suggestive of enlarged mandibles and excessive anterior facial divergence. However, maxillomandibular harmony and facial convexity had been restored without sacrificing skeletal volume. Treatment results demonstrated these faces to be skeletally well proportioned despite lower face protrusion that was beyond "normal." Postoperative appearances were characterized by a well-supported soft-tissue envelope and a highlighted skeletal foundation, creating angular, well-defined lower faces. These findings support the credibility of maxillary advancement as the procedure of choice in selected individuals with mandibular prognathism. Indications and an aesthetic rationale for this surgical approach are presented.

  1. Fine-Grained Turbidites: Facies, Attributes and Process Implications

    Science.gov (United States)

    Stow, Dorrik; Omoniyi, Bayonle

    2016-04-01

    Within turbidite systems, fine-grained sediments are still the poor relation and sport several contrasting facies models linked to process of deposition. These are volumetrically the dominant facies in deepwater and, from a resource perspective, they form important marginal and tight reservoirs, and have great potential for unconventional shale gas, source rocks and seals. They are also significant hosts of metals and rare earth elements. Based on a large number of studies of modern, ancient and subsurface systems, including 1000s of metres of section logging, we define the principal genetic elements of fine-grained deepwater facies, present a new synthesis of facies models and their sedimentary attributes. The principal architectural elements include: non-channelised slope-aprons, channel-fill, channel levee and overbank, turbidite lobes, mass-transport deposits, contourite drifts, basin sheets and drapes. These comprise a variable intercalation of fine-grained facies - thin-bedded and very thin-bedded turbidites, contourites, hemipelagites and pelagites - and associated coarse-grained facies. Characteristic attributes used to discriminate between these different elements are: facies and facies associations; sand-shale ratio, sand and shale geometry and dimensions, sand connectivity; sediment texture and small-scale sedimentary structures; sediment fabric and microfabric; and small-scale vertical sequences of bed thickness. To some extent, we can relate facies and attribute characteristics to different depositional environments. We identify four distinct facies models: (a) silt-laminated mud turbidites, (b) siliciclastic mud turbidites, (c) carbonate mud turbidites, (d) disorganized silty-mud turbidites, and (e) hemiturbidites. Within the grainsize-velocity matrix turbidite plot, these all fall within the region of mean size < 0.063mm, maximum grainsize (one percentile) <0.2mm, and depositional velocity 0.1-0.5 m/s. Silt-laminated turbidites and many mud

  2. Changes in speech following maxillary distraction osteogenesis.

    Science.gov (United States)

    Guyette, T W; Polley, J W; Figueroa, A; Smith, B E

    2001-05-01

    The purpose of this study was to describe changes in articulation and velopharyngeal function following maxillary distraction osteogenesis. This is a descriptive, post hoc clinical report comparing the performance of patients before and after maxillary distraction. The independent variable was maxillary distraction while the dependent variables were resonance, articulation errors, and velopharyngeal function. The data were collected at a tertiary health care center in Chicago. The data from pre- and postoperative evaluations of 18 maxillary distraction patients were used. The outcome measures were severity of hypernasality and hyponasality, velopharyngeal orifice size as estimated using the pressure-flow technique, and number and type of articulation errors. At the long-term follow-up, 16.7% exhibited a significant increase in hypernasality. Seventy-five percent of patients with preoperative hyponasality experienced improved nasal resonance. Articulation improved in 67% of patients by the 1-year follow-up. In a predominately cleft palate population, the risk for velopharyngeal insufficiency following maxillary distraction is similar to the risk observed in Le Fort I maxillary advancement. Patients being considered for maxillary distraction surgery should receive pre- and postoperative speech evaluations and be counseled about risks for changes in their speech.

  3. Orthopantomographic study of the maxillary sinus

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Joo; Yu, Dong Su [School of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1971-11-15

    The author has observed the orthopantomograms of the maxillary sinus which were taken by special exposure method to study mesiodistal dimension, shape, symmetrical relationship, bony septum of the maxillary sinus and relationship between upper lst molar and the maxillary sinus, that were selected 56 cases of 23 to 27 years old male, who have good systemic conditions and no missing teeth on upper posterior molar in normal occlusion, and obtained following conclusions: 1. Mesiodistal dimensions of the maxillary sinus are shown as follows; The mean of left dimension is 50.94 {+-} 8.34 mm and of right dimension is 49.50 {+-} 9.87 mm. 2. To the shape of the maxillary sinus, V or U shape are 33 cases(29.5%) and W shape are 77 cases (70.5%). 3. In the ralationship between upper lst molar and floor of the maxllary sinus, superimposition are 62 cases (55.36%) a nd approach are 50 cases (44.64%). 4. In the right and left symmetrical relationship of the maxillary sinus, symmetry are 37 cases (66.07%) and asymmetry are 19 cases (33.93%). 5. The bony septums in the maxillary sinuses revealed that presence of bony septums are 29 cases (25.8%) and absence ar e 83 cases (74.11%).

  4. Truncal anaesthesia of the maxillary nerve for outpatient surgically assisted rapid maxillary expansion.

    Science.gov (United States)

    Robiony, M; Demitri, V; Costa, F; Politi, M; Cugini, U

    1998-10-01

    We present our experience of transcutaneous truncal anaesthesia of the maxillary nerve in association with transmucosal anaesthesia of the sphenopalatine ganglion in surgically assisted rapid maxillary expansion. Twelve patients with a skeletal transverse discrepancy of the maxilla were treated in our department from 1994 to 1995. Maxillary transcutaneous nerve block was done with a Quincke 8 cm spinal needle together with transmucosal anaesthesia of the sphenopalatine ganglion. Mepivacaine without adrenaline and sodium bicarbonate 1/10 was used for truncal anaesthesia and lidocaine-prilocaine cream for transmucosal anaesthesia. A Le Fort I osteotomy, lateral nasal wall osteotomy, pterygomaxillary osteotomy, and a palatal osteotomy were done for all patients before the maxillary expansion. Total anaesthesia of the maxillary area facilitated the operations and appreciably reduced the amount of postoperative pain. The ease of achieving effective anaesthesia before and after operation and the absence of side-effects make this form of anaesthetic particularly useful in surgically assisted rapid maxillary expansion.

  5. Antibiotics for acute maxillary sinusitis

    DEFF Research Database (Denmark)

    Ahovuo-Saloranta, Anneli; Borisenko, Oleg V; Kovanen, Niina

    2008-01-01

    BACKGROUND: Expert opinions vary on the appropriate role of antibiotics for sinusitis, one of the most commonly diagnosed conditions among adults in ambulatory care. OBJECTIVES: We examined whether antibiotics are effective in treating acute sinusitis, and if so, which antibiotic classes...... are the most effective. SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2007, Issue 3); MEDLINE (1950 to May 2007) and EMBASE (1974 to June 2007). SELECTION CRITERIA: Randomized controlled trials (RCTs) comparing antibiotics with placebo...... or antibiotics from different classes for acute maxillary sinusitis in adults. We included trials with clinically diagnosed acute sinusitis, whether or not confirmed by radiography or bacterial culture. DATA COLLECTION AND ANALYSIS: At least two review authors independently screened search results, extracted...

  6. Clinical and radiographic evaluation of maxillary central incisors exposure in patients undergoing maxillary advancement

    Directory of Open Access Journals (Sweden)

    Guilherme dos Santos Trento

    2015-12-01

    Full Text Available Abstract Introduction: Patients with dentofacial deformities may undergo orthodontic or orthodontic-surgical treatment. Both modalities can affect esthetics. Objective: This study aims to evaluate clinical and radiographic changes in exposure of maxillary central incisors occurring after orthognathic surgery for maxillary advancement. Methods: A total of 17 patients who underwent orthognathic surgery for maxillary advancement between September, 2010 and July, 2011 were selected. Exposure of maxillary central incisors was evaluated clinically and by lateral cephalograms. Measurements were taken one week before and three months after surgery. Data were paired in terms of sex, age, nasolabial angle, height and thickness of the upper lip, the amount of maxillary advancement, clinical exposure and inclination of maxillary central incisor by statistical tests (CI 95%. Results: After maxillary advancement, incisor clinical exposure had increased even with relaxed lips and under forced smile. Moreover, there was a mean increase of 23.33% revealed by lateral cephalograms. There was an inverse correlation between upper lip thickness and incisors postsurgical exposure revealed by radiographic images (p = 0.002. Conclusions: Significant changes in the exposure of maxillary central incisors occur after maxillary advancement, under the influence of some factors, especially lip thickness.

  7. Managing the severely proclined maxillary anteriors by extracting traumatized right maxillary central incisor

    Directory of Open Access Journals (Sweden)

    Mahesh Jain

    2014-01-01

    Full Text Available A 14-year-old girl reported with severely proclined maxillary anterior teeth with fractured and discolored right maxillary central incisor with questionable prognosis. Autotransplantation of premolar to replace central incisor was considered a risky option as patient was 14-year-old with presence of advanced root development of premolar. The immediate placement of the prosthetic implant was also not possible because of patient′s age. Therefore, it was decided to use the space obtained by extracting questionable maxillary right central incisor for orthodontic purpose and also sacrificing the healthy premolar is invariably an excessive biological cost for a modest functional and aesthetic gain. Hence, the treatment plan for this case includes extraction of right maxillary central incisor and left maxillary first premolar, movement of right maxillary lateral incisor mesially, achieving normal axial inclination of maxillary anteriors with normal overjet and overbite. Mandibular arch was treated nonextraction due to congenitally missing central incisors with presence of normally inclined lower anteriors thereby maintaining Angles class I occlusion. Tipping, usually, seen in Begg mechanotherapy was used for our advantage to correct severely proclined maxillary anteriors with simultaneous bite opening mechanics. Case was completed in 19 months and posttreatment records including photographs, radiographs and study models were made. Begg wrap around the retainer was placed in the maxillary arch allowing natural settling of occlusion.

  8. Multiparameter Elastic Full Waveform Inversion with Facies-based Constraints

    Science.gov (United States)

    Zhang, Zhen-dong; Alkhalifah, Tariq; Naeini, Ehsan Zabihi; Sun, Bingbing

    2018-03-01

    Full waveform inversion (FWI) incorporates all the data characteristics to estimate the parameters described by the assumed physics of the subsurface. However, current efforts to utilize full waveform inversion beyond improved acoustic imaging, like in reservoir delineation, faces inherent challenges related to the limited resolution and the potential trade-off between the elastic model parameters. Some anisotropic parameters are insufficiently updated because of their minor contributions to the surface collected data. Adding rock physics constraints to the inversion helps mitigate such limited sensitivity, but current approaches to add such constraints are based on including them as a priori knowledge mostly valid around the well or as a global constraint for the whole area. Since similar rock formations inside the Earth admit consistent elastic properties and relative values of elasticity and anisotropy parameters (this enables us to define them as a seismic facies), utilizing such localized facies information in FWI can improve the resolution of inverted parameters. We propose a novel approach to use facies-based constraints in both isotropic and anisotropic elastic FWI. We invert for such facies using Bayesian theory and update them at each iteration of the inversion using both the inverted models and a prior information. We take the uncertainties of the estimated parameters (approximated by radiation patterns) into consideration and improve the quality of estimated facies maps. Four numerical examples corresponding to different acquisition, physical assumptions and model circumstances are used to verify the effectiveness of the proposed method.

  9. Multiparameter elastic full waveform inversion with facies-based constraints

    Science.gov (United States)

    Zhang, Zhen-dong; Alkhalifah, Tariq; Naeini, Ehsan Zabihi; Sun, Bingbing

    2018-06-01

    Full waveform inversion (FWI) incorporates all the data characteristics to estimate the parameters described by the assumed physics of the subsurface. However, current efforts to utilize FWI beyond improved acoustic imaging, like in reservoir delineation, faces inherent challenges related to the limited resolution and the potential trade-off between the elastic model parameters. Some anisotropic parameters are insufficiently updated because of their minor contributions to the surface collected data. Adding rock physics constraints to the inversion helps mitigate such limited sensitivity, but current approaches to add such constraints are based on including them as a priori knowledge mostly valid around the well or as a global constraint for the whole area. Since similar rock formations inside the Earth admit consistent elastic properties and relative values of elasticity and anisotropy parameters (this enables us to define them as a seismic facies), utilizing such localized facies information in FWI can improve the resolution of inverted parameters. We propose a novel approach to use facies-based constraints in both isotropic and anisotropic elastic FWI. We invert for such facies using Bayesian theory and update them at each iteration of the inversion using both the inverted models and a priori information. We take the uncertainties of the estimated parameters (approximated by radiation patterns) into consideration and improve the quality of estimated facies maps. Four numerical examples corresponding to different acquisition, physical assumptions and model circumstances are used to verify the effectiveness of the proposed method.

  10. Multiparameter Elastic Full Waveform Inversion with Facies-based Constraints

    KAUST Repository

    Zhang, Zhendong

    2018-03-20

    Full waveform inversion (FWI) incorporates all the data characteristics to estimate the parameters described by the assumed physics of the subsurface. However, current efforts to utilize full waveform inversion beyond improved acoustic imaging, like in reservoir delineation, faces inherent challenges related to the limited resolution and the potential trade-off between the elastic model parameters. Some anisotropic parameters are insufficiently updated because of their minor contributions to the surface collected data. Adding rock physics constraints to the inversion helps mitigate such limited sensitivity, but current approaches to add such constraints are based on including them as a priori knowledge mostly valid around the well or as a global constraint for the whole area. Since similar rock formations inside the Earth admit consistent elastic properties and relative values of elasticity and anisotropy parameters (this enables us to define them as a seismic facies), utilizing such localized facies information in FWI can improve the resolution of inverted parameters. We propose a novel approach to use facies-based constraints in both isotropic and anisotropic elastic FWI. We invert for such facies using Bayesian theory and update them at each iteration of the inversion using both the inverted models and a prior information. We take the uncertainties of the estimated parameters (approximated by radiation patterns) into consideration and improve the quality of estimated facies maps. Four numerical examples corresponding to different acquisition, physical assumptions and model circumstances are used to verify the effectiveness of the proposed method.

  11. Mucous retention cyst of the maxillary sinus.

    Science.gov (United States)

    Ruprecht, A; Batniji, S; el-Neweihi, E

    1986-12-01

    The mucous retention cyst is not a rare phenomenon. The incidence of dental patients was determined. Of 1685 patient radiographs reviewed, 44 (2.6%) had one or more mucous retention cysts in the maxillary sinuses.

  12. Postoperative Maxillary Cyst: A Case Report

    Directory of Open Access Journals (Sweden)

    Asiye Şafak Bulut

    2010-01-01

    Full Text Available Postoperative maxillary cyst is a quite rare delayed complication of surgical intervention associated with maxillary sinuses. It occurs many years after surgery. This paper describes a 54-year-old woman presenting with swelling of left cheek for seven-years duration. The orthopantomograph revealed a unilocular cystic radiolucency with well-defined margins in left maxillary sinus. In the computerized tomography, the cyst had a sclerotic wall with bony condensations. Aspiration cytology revealed many neutrophil leukocytes. Cyst was drained and enucleated. Histopathologically, it had a fibrous wall with inflammation and focal reactive bone formation and lined by a respiratory-type epithelium. In the clinical history, it is learned that she had a maxillary sinus surgery 8 years ago and the diagnosis was made considering the clinical and histopathological findings.

  13. Positional relationship between the maxillary sinus floor and the apex of the maxillary first molar using cone beam computed tomograph

    International Nuclear Information System (INIS)

    Kim, Kyung Hwa; Koh, Kwang Joon

    2008-01-01

    To assess the positional relationship between the maxillary sinus floor and the apex of the maxillary first molar using cone beam computed tomograph (CBCT). CBCTs from 127 subjects were analysed. A total of 134 maxillary first molars were classified according to their vertical and horizontal positional relationship to the maxillary sinus floor and measured according to the distance between the maxillary sinus floor and the maxillary first molar. Type III (The root projected laterally on the sinus cavity but its apex is outside the sinus boundaries) was dominated between 10 and 19 years and type I (The root apex was not in contact with the cortical borders of the sinus) was dominated (P<0.05) between 20 and 72 years on the vertical relationship between the maxillary sinus floor and the apex of the maxillary first molar. The maxillary sinus floor was located more at the apex (78.2%) than at the furcation (21.3%) for the palatal root. The distance from the root apex to the maxillary sinus floor confined to type I was increased according to the ages (P<0.05). Type M (The maxillary sinus floor was located between the buccal and the palatal root) was most common (72.4%) on the horizontal relationship between the maxillary sinus floor and the apex of the maxillary first molar. CBCT can provide highly qualified images for the maxillary sinus floor and the root apex of the maxillary first molar.

  14. Penetrating Maxillary Sinus Injury With Loss Of Vision Caused By An ...

    African Journals Online (AJOL)

    Good visual outcome following ocular emergencies will depend on prompt presentation, recognition and assessment as well as initial management. Penetrating injury of the orbit involving paranasal sinuses with retained foreign body in the orbito-maxillary region are uncommon.Thirty to fifty percent of all ocular traumas are ...

  15. Delineation of geological facies from poorly differentiated data

    Energy Technology Data Exchange (ETDEWEB)

    Wohlberg, Brendt [Los Alamos National Laboratory; Tartakovsky, Daniel [UCSC

    2008-01-01

    The ability to delineate geologic facies and to estima.te their properties from sparse data is essential for modeling physical and biochemical processes occurring in the 'ubsurface. If such data are poorly differentiated, this challcnrring task is complicated further by the absence of a clear distinction between different hydrofacies even at locations where data. are available. vVe consider three alt mative approaches for analysis of poorly differentiated data: a k-means clU!:iterinrr algorithm, an expectation-maximization algorithm, and a minimum-variance algorithm. Two distinct synthetically generated geological settings are used to r:tnalyze the ability of these algorithmti to as ign accurately the membership of such data in a given geologic facies. On average, the minimum-variance algorithm provides a more robust p rformance than its two counterparts and when combined with a nearest-neighbor algorithm, it also yields the most accurate reconstruction of the boundaries between the facies.

  16. Fluvial to Lacustrine Facies Transitions in Gale Crater, Mars

    Science.gov (United States)

    Sumner, Dawn Y.; Williams, Rebecca M. E.; Schieber, Juergen; Palucis, Marisa C.; Oehler, Dorothy Z.; Mangold, Nicolas; Kah, Linda C.; Gupta, Sanjeev; Grotzinger, John P.; Grant, John A., III; hide

    2015-01-01

    NASA's Curiosity rover has documented predominantly fluvial sedimentary rocks along its path from the landing site to the toe of the Peace Vallis alluvial fan (0.5 km to the east) and then along its 8 km traverse across Aeolis Palus to the base of Aeolis Mons (Mount Sharp). Lacustrine facies have been identified at the toe of the Peace Vallis fan and in the lowermost geological unit exposed on Aeolis Mons. These two depositional systems provide end members for martian fluvial/alluvial-lacustrine facies models. The Peace Vallis system consisted of an 80 square kilometers alluvial fan with decimeter-thick, laterally continuous fluvial sandstones with few sedimentary structures. The thin lacustrine unit associated with the fan is interpreted as deposited in a small lake associated with fan runoff. In contrast, fluvial facies exposed over most of Curiosity's traverse to Aeolis Mons consist of sandstones with common dune-scale cross stratification (including trough cross stratification), interbedded conglomerates, and rare paleochannels. Along the southwest portion of the traverse, sandstone facies include south-dipping meter-scale clinoforms that are interbedded with finer-grained mudstone facies, interpreted as lacustrine. Sedimentary structures in these deposits are consistent with deltaic deposits. Deltaic deposition is also suggested by the scale of fluvial to lacustrine facies transitions, which occur over greater than 100 m laterally and greater than 10 m vertically. The large scale of the transitions and the predicted thickness of lacustrine deposits based on orbital mapping require deposition in a substantial river-lake system over an extended interval of time. Thus, the lowermost, and oldest, sedimentary rocks in Gale Crater suggest the presence of substantial fluvial flow into a long-lived lake. In contrast, the Peace Vallis alluvial fan onlaps these older deposits and overlies a major unconformity. It is one of the youngest deposits in the crater, and

  17. [Stimulation and evaluation on maxillary distraction osteogenesis using CASSOS 2001].

    Science.gov (United States)

    Zhu, Min; Qiu, Wei-liu; Tang, You-sheng; Li, Qing-yun

    2002-09-01

    To simulate maxillary distraction osteogenesis and evaluate the change of soft and hard tissue before and after treatment, using Computer-Assisted Simulation System for Orthognathic Surgery( CASSOS 2001). A fourteen-year-old boy with severe maxillary hypoplasia, due to unilateral cleft lip and palate, was analysed by cephalometric analysis. The simulations of maxillary distraction osteogenesis (Le Fort I osteotomy and Le Fort II osteotomy) were re-analysed. After the treatment, cephalometric analysis was preformed again. The data were compared. The maxillary hypoplasia was well treated using maxillary distraction osteogenesis; Compared with Le fort I osteotomy, more satisfactory results can be obtained by Le fort I distraction osteogenesis. Maxillary distraction osteogenesis is a better way to treat severe maxillary hypoplasia with operated CLP than maxillary osteotomy. CASSOS 2001 can help surgeons and patients on simulation and evaluation of maxillary distraction osteogenesis, and on decision of treatment plan.

  18. Removal of a Dental Implant Displaced into the Maxillary Sinus by Means of the Bone Lid Technique

    Directory of Open Access Journals (Sweden)

    Pietro Fusari

    2013-01-01

    Full Text Available Background. Rehabilitation of edentulous jaws with implant-supported prosthesis has become a common practice among oral surgeons in the last three decades. This therapy presents a very low incidence of complications. One of them is the displacement of dental implants into the maxillary sinus. Dental implants, such as any other foreign body into the maxillary sinus, should be removed in order to prevent sinusitis. Methods. In this paper, we report a case of dental implant migrated in the maxillary sinus and removed by means of the bone lid technique. Results and Conclusion. The migration of dental implants into the maxillary sinus is rarely reported. Migrated implants should be considered for removal in order to prevent possible sinusal diseases. The implant has been removed without any complications, confirming the bone lid technique to be safe and reliable.

  19. Preoperative concurrent CBDCA chemotherapy and accelerated hyperfractionated radiotherapy for squamous cell carcinoma of the maxillary region

    International Nuclear Information System (INIS)

    Omura, Ken; Harada, Hiroyuki; Suzuki, Haruhiko; Takeuchi, Yosuke; Hatano, Kazuo; Togawa, Takashi

    2001-01-01

    Between 1994 and 2000, 28 patients with T3/T4 squamus cell carcinoma of the maxillary region (maxillary sinus, 22; maxillary gingiva, 4; maxillary bone, 1; buccal mucosa, 1) had accelerated hyperfractionated radiotherapy combined with simultaneous CBDCA chemotherapy preoperatively, at Chiba Cancer Center Hospital. The protocol consisted of combined therapy with accelerated hyperfractionated irradiation of 1.6 Gy, twice a day, to a total dose of 32.0-51.2 Gy and concurrent intra-arterial or intravenous infusion of CBDCA 20-30 mg/body/day for a cumulative total dose of 270-480 mg. After completion of the preoperative combined therapy, the clinical CR rate was 17.9%, and the good PR·CR rate was 32.1%. According to the initial findings and response to the combined therapy, all patients had maxillectomy (subtotal, 3; total, 16; extended, 9) 4 weeks after completion of the preoperative combined therapy. Postoperatively, the complete pathologic response (Ohboshi and Shimozato's classification, grade III and IV) rate was 28.6%. And the actuarial local control rate was 85.7%, with a mean follow-up of 46.2 months. Based on these results, we believe this preoperative therapy with CBDCA chemotherapy and accelerated hyperfractionated radiation is a significant choice as treatment for squamous cell cancer of the maxillary region. (author)

  20. Preoperative concurrent CBDCA chemotherapy and accelerated hyperfractionated radiotherapy for squamous cell carcinoma of the maxillary region

    Energy Technology Data Exchange (ETDEWEB)

    Omura, Ken; Harada, Hiroyuki [Tokyo Medical and Dental Univ. (Japan). Graduate School; Suzuki, Haruhiko; Takeuchi, Yosuke; Hatano, Kazuo; Togawa, Takashi

    2001-11-01

    Between 1994 and 2000, 28 patients with T3/T4 squamus cell carcinoma of the maxillary region (maxillary sinus, 22; maxillary gingiva, 4; maxillary bone, 1; buccal mucosa, 1) had accelerated hyperfractionated radiotherapy combined with simultaneous CBDCA chemotherapy preoperatively, at Chiba Cancer Center Hospital. The protocol consisted of combined therapy with accelerated hyperfractionated irradiation of 1.6 Gy, twice a day, to a total dose of 32.0-51.2 Gy and concurrent intra-arterial or intravenous infusion of CBDCA 20-30 mg/body/day for a cumulative total dose of 270-480 mg. After completion of the preoperative combined therapy, the clinical CR rate was 17.9%, and the good PR{center_dot}CR rate was 32.1%. According to the initial findings and response to the combined therapy, all patients had maxillectomy (subtotal, 3; total, 16; extended, 9) 4 weeks after completion of the preoperative combined therapy. Postoperatively, the complete pathologic response (Ohboshi and Shimozato's classification, grade III and IV) rate was 28.6%. And the actuarial local control rate was 85.7%, with a mean follow-up of 46.2 months. Based on these results, we believe this preoperative therapy with CBDCA chemotherapy and accelerated hyperfractionated radiation is a significant choice as treatment for squamous cell cancer of the maxillary region. (author)

  1. Maxillary advancement using distraction osteogenesis with intraoral device.

    Science.gov (United States)

    Takigawa, Yoko; Uematsu, Setsuko; Takada, Kenji

    2010-11-01

    This article describes the surgical orthodontic treatment of maxillary hypoplasia in a patient with cleft lip and palate using maxillary distraction osteogenesis with internal maxillary distractors. Maxillary advancement was performed to correct the retrusive maxillary facial profile and Class III malocclusion. Rotational movement of the distraction segment was made to correct the upper dental midline. Although maxillary advancement was insufficient because of unexpected breakage of the intraoral distractor after completion of the distraction, skeletal traction with a face mask compensated for the shortage. Successful esthetic improvement and posttreatment occlusal stability were achieved with no discernible relapse after 2 years of retention.

  2. A case report of mucoid retention cyst in maxillary sinus

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Han Pyoung [College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1973-11-15

    The author have observed mucoid retention cyst in the right maxillary sinus of the patient, 41 year old woman, complained discharging of purulent exudate on the right maxillary molar area, and obtained the following conclusions; 1. The mucoid retention cyst in maxillary sinus casts a faint dome shaped shadow into the radiolucent image of maxillary sinus. 2. The mucoid retention cyst in maxillary sinus may occurred without the history of trauma. 3. Intraoral standard films are also valuable for the interpretation of the lesions in maxillary sinus but only extraoral roentgenograms.

  3. Rehabilitation of large maxillary defect with two-piece maxillary obturators

    Directory of Open Access Journals (Sweden)

    Kanchan P Dholam

    2015-01-01

    Full Text Available The insertion and removal of an obturator in large maxillary defects with or without trismus is difficult. Fabrication of a two-piece obturator in such cases overcomes this problem. This article describes rehabilitation of large maxillary defects with two piece maxillary obturator of three types. All these obturators have a maxillary plate and a bulb component, which are approximated together by various techniques namely, silicone cover, embedded magnets, and press studs. Prosthetic rehabilitation of large maxillary defects with two-piece obturators offers the possibility of adequate oral rehabilitation by fabricating light weight prosthesis, which is easy to use. The bulb covers the undercut areas of the defect enhancing the facial contour and retention. It facilitates easy examination of underlying tissues, recreation of the anatomic barrier between the oral and nasal cavities and restoration of the function and esthetics. Thus, it adds to the quality of life.

  4. Space closure in the maxillary posterior area through the maxillary sinus.

    Science.gov (United States)

    Park, Jae Hyun; Tai, Kiyoshi; Kanao, Akira; Takagi, Masato

    2014-01-01

    A common dilemma in adult orthodontic treatment is deciding how best to treat missing posterior teeth. One treatment option is to orthodontically close the space. But closure can be difficult, especially if the open space is in the maxillary posterior area, because tooth movement through the maxillary sinus is limited. The increased difficulty of moving teeth in the maxillary sinus is similar to moving a tooth in the atrophic posterior mandibular ridge. If space closure is selected as a treatment method, proper mechanics and light forces should be applied. In this article, we report movement of teeth through the maxillary sinus and discuss various implications related to orthodontic treatment in the maxillary sinus. Copyright © 2014 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  5. Maxillary unicystic ameloblastoma: a case report.

    Science.gov (United States)

    Agani, Zana; Hamiti-Krasniqi, Vjosa; Recica, Jehona; Loxha, Mergime Prekazi; Kurshumliu, Fisnik; Rexhepi, Aida

    2016-10-18

    Ameloblastoma is a benign epithelial odontogenic tumor. It is often aggressive and destructive, with the capacity to attain great size, erode bone and invade adjacent structures. Unicystic ameloblastoma is a rare odontogenic lesion, with clinical, radiographic and gross features of jaw cysts. The lesion histologically shows typical ameloblastomatous epithelium lining part of the cyst cavity with or without and/or mural tumor growth. Unicystic ameloblastoma usually presents in posterior mandibular ramus region, while it is rare and atypical in posterior maxillary region. . We report a case of 16 year old Kosovar male, Albanian ethnicity, who presented with a swelling located in right maxillary region. Clinical examination revealed a painless swelling extending from the maxillary right central incisor to the maxillary right first molar tooth. Panoramic radiograph disclosed a well corticated unilocular radiolucent lesion approximately 5 × 5 cm in diameter which was in contact with the roots of the teeth present inferiorly and with the maxillary sinus superiorly. Maxillary right canine impaction was noted and unerupted lateral incisor tooth was present inside the radiolucency. Preoperative diagnosis of the lesion was made as dentigerous cyst based on the age of the patient, location of the swelling, clinical and radiographic findings, but the unicystic ameloblastoma was also taken into consideration. The patient was treated by surgical enucleation of the lesion and extraction of lateral incisor tooth which was present inside the lesion. The histopathological examination of the lesion revealed confirmed finding for unicystic ameloblastoma mural form. No recurrence was observed in 1 year follow-up. Maxillary region is considered a rare and atypical location for unicystic ameloblastoma. We emphasize the importance of differential diagnosis of an odontogenic lesion with common clinical and radiological features that will impact the treatment planning and follow up

  6. Uranium, rare metals, and granulite-facies metamorphism

    Directory of Open Access Journals (Sweden)

    Michel Cuney

    2014-09-01

    The Tranomaro metasomatized marbles recrystallizing under granulite-facies conditions represent a demonstrative example of fluid transfer from granulite-facies supracrustals to traps represented by regional scale skarns. Such fluids may be at the origin of the incompatible element enrichment detected in leucosomes of migmatites from St Malo in Brittany (France and Black Hills in South Dakota. The northern French Massif Central provides us with an example of a potential association between incompatible element enrichment of granitic melts and granulite-facies metamorphism. U- and F-enriched fine-grained granites are emplaced along a crustal scale shear zone active during the emplacement within the St Sylvestre peraluminous leucogranitic complex. We propose that during granulite-facies metamorphism dominated by carbonic waves in a deep segment of the continental crust, these shear zones control: (i the percolation of F-, LILE-, rare metal-rich fluids liberated primarily by the breakdown of biotite; (ii the enhancement of partial melting by F-rich fluids at intermediate crustal levels with the generation of F-, LILE-, rare metal-rich granitic melts; (iii their transfer through the crust with protracted fractionation facilitated by their low viscosity due to high F-Li contents; and finally (iv their emplacement as rare metal intrusions at shallow crust levels.

  7. Late Permian (Zechstein) carbonate-facies maps, the Netherlands

    NARCIS (Netherlands)

    Geluk, M.C.

    2000-01-01

    The Late Permian Zechstein carbonates in the Southern Permian Basin were deposited under marine conditions. The carbonates form part of a largely progradational infill, with a gradual northward facies shift. The paleogeography of the Zechstein carbonate deposits has been reviewed recently on the

  8. Facies analysis and paleoenvironments of the upper cretaceous ...

    African Journals Online (AJOL)

    The Bida Basin is located in central Nigeria and it is perpendicular to the main axis of the Benue Trough. Due to its large areal extent and facies variation, the basin is often geographically divided into northern and southern Bida Basins. Whereas, aspects of the mineral resource and sedimentation history of the sediments in ...

  9. Level-set techniques for facies identification in reservoir modeling

    Science.gov (United States)

    Iglesias, Marco A.; McLaughlin, Dennis

    2011-03-01

    In this paper we investigate the application of level-set techniques for facies identification in reservoir models. The identification of facies is a geometrical inverse ill-posed problem that we formulate in terms of shape optimization. The goal is to find a region (a geologic facies) that minimizes the misfit between predicted and measured data from an oil-water reservoir. In order to address the shape optimization problem, we present a novel application of the level-set iterative framework developed by Burger in (2002 Interfaces Free Bound. 5 301-29 2004 Inverse Problems 20 259-82) for inverse obstacle problems. The optimization is constrained by (the reservoir model) a nonlinear large-scale system of PDEs that describes the reservoir dynamics. We reformulate this reservoir model in a weak (integral) form whose shape derivative can be formally computed from standard results of shape calculus. At each iteration of the scheme, the current estimate of the shape derivative is utilized to define a velocity in the level-set equation. The proper selection of this velocity ensures that the new shape decreases the cost functional. We present results of facies identification where the velocity is computed with the gradient-based (GB) approach of Burger (2002) and the Levenberg-Marquardt (LM) technique of Burger (2004). While an adjoint formulation allows the straightforward application of the GB approach, the LM technique requires the computation of the large-scale Karush-Kuhn-Tucker system that arises at each iteration of the scheme. We efficiently solve this system by means of the representer method. We present some synthetic experiments to show and compare the capabilities and limitations of the proposed implementations of level-set techniques for the identification of geologic facies.

  10. Level-set techniques for facies identification in reservoir modeling

    International Nuclear Information System (INIS)

    Iglesias, Marco A; McLaughlin, Dennis

    2011-01-01

    In this paper we investigate the application of level-set techniques for facies identification in reservoir models. The identification of facies is a geometrical inverse ill-posed problem that we formulate in terms of shape optimization. The goal is to find a region (a geologic facies) that minimizes the misfit between predicted and measured data from an oil–water reservoir. In order to address the shape optimization problem, we present a novel application of the level-set iterative framework developed by Burger in (2002 Interfaces Free Bound. 5 301–29; 2004 Inverse Problems 20 259–82) for inverse obstacle problems. The optimization is constrained by (the reservoir model) a nonlinear large-scale system of PDEs that describes the reservoir dynamics. We reformulate this reservoir model in a weak (integral) form whose shape derivative can be formally computed from standard results of shape calculus. At each iteration of the scheme, the current estimate of the shape derivative is utilized to define a velocity in the level-set equation. The proper selection of this velocity ensures that the new shape decreases the cost functional. We present results of facies identification where the velocity is computed with the gradient-based (GB) approach of Burger (2002) and the Levenberg–Marquardt (LM) technique of Burger (2004). While an adjoint formulation allows the straightforward application of the GB approach, the LM technique requires the computation of the large-scale Karush–Kuhn–Tucker system that arises at each iteration of the scheme. We efficiently solve this system by means of the representer method. We present some synthetic experiments to show and compare the capabilities and limitations of the proposed implementations of level-set techniques for the identification of geologic facies

  11. Rare occurrence of the left maxillary horizontal third molar impaction ...

    African Journals Online (AJOL)

    Rare occurrence of the left maxillary horizontal third molar impaction, the right maxillary third molar vertical impaction and the left mandibular third molar vertical impaction with inferior alveolar nerve proximity in a 30 year old female: a case report.

  12. Depositional facies mosaics and their time lines in Lower Ordovician carbonates of central Appalachians

    Energy Technology Data Exchange (ETDEWEB)

    Nguyen, C.T.; Goldhammer, R.K.; Hardie, L.A.

    1985-02-01

    A comparative sedimentology and facies stratigraphy study of the Lower Ordovician carbonate of the central Appalachians (Beekmantown Group and equivalents) has been carried out. Our approach used subfacies (rock record of subenvironments) as the basin units of section measurement. The authors differentiated related sets of subfacies into larger facies units (rock record of environments). Facies were then correlated from section to section using fossils and lithostratigraphy to make a 3-dimensional facies mosaic. Within this mosaic, time lines were constructed using onlap-offlap tongues and cyclic sequences. These time lines cut across facies boundaries. Using this approach, the authors have established that the lower 600 m of the Lower Ordovician carbonate sequence is made up of 4 main facies: (1) cyclic laminite facies composed of a package of shoaling-upward shelf lagoon-peritidal cycles, (2) thin-bedded grainstone facies deposited in a shelf lagoon, (3) Renalcis bioherm facies recording a shelf lagoon patch-reef environment, and (4) Epiphyton bioherm facies recording a shelf-edge reef system. The distribution of these facies along time lines across the strike of the central Appalachians is markedly zoned. Epiphyton bioherm facies dominate the eastern margin while cyclic laminite facies dominate the western margin, with thin-bedded grainstone and Renalcis bioherm facies making up the central belt. This zonation of facies is a typical shallow carbonate shelf system with fringing reefs along the eastern, seaward margin and tidal flats along the western, landward margin. Vertical distribution of these facies across strike records 3 major sea level changes during deposition of the lower 600 m of this extensive Lower Ordovician carbonate shelf.

  13. endodontic treatment of unusually long discolored maxillary central ...

    African Journals Online (AJOL)

    a few cases of dual–rooted maxillary central incisor have been reported in literature1-5. Maxillary central incisors vary in root ... The following case report describes the endodontic management of a patient with an unusually long maxillary central incisor in our environment. CASE PROFILE. A 31 year-old male was referred ...

  14. Maxillary palp glomeruli and ipsilateral projections in the antennal ...

    Indian Academy of Sciences (India)

    Maxillary palp glomeruli and ipsilateral projections in the antennal lobe of Drosophila melanogaster. K P Rajashekhar V R ... The number of glomeruli receiving the maxillary palp sensory projections tallies with the number of Drosophila olfactory receptors (seven) reported to be expressed exclusively in the maxillary palp.

  15. Macrodontic maxillary incisor in alagille syndrome

    Directory of Open Access Journals (Sweden)

    Mauro Cozzani

    2012-01-01

    Full Text Available This case report describes the surgical-orthodontic guided-eruption of a deeply impacted macrodontic maxillary central incisor in a 10-year-old patient with Alagille syndrome (ALGS. In the first stage, orthodontic treatment with fixed appliance on deciduous teeth allowed to create enough space for the eruption of the maxillary right central incisor. The second stage included closed surgical exposure and vertical traction. After impacted tooth erupted in the proper position, accessory periodontal treatment and dental reshaping procedures may be indicated to camouflage macrodontic incisor with the adjacent teeth. This is the first report that presents a patient with ALGS undergoing orthodontic and surgical treatment.

  16. Characterizing Geological Facies using Seismic Waveform Classification in Sarawak Basin

    Science.gov (United States)

    Zahraa, Afiqah; Zailani, Ahmad; Prasad Ghosh, Deva

    2017-10-01

    Numerous effort have been made to build relationship between geology and geophysics using different techniques throughout the years. The integration of these two most important data in oil and gas industry can be used to reduce uncertainty in exploration and production especially for reservoir productivity enhancement and stratigraphic identification. This paper is focusing on seismic waveform classification to different classes using neural network and to link them according to the geological facies which are established using the knowledge on lithology and log motif of well data. Seismic inversion is used as the input for the neural network to act as the direct lithology indicator reducing dependency on well calibration. The interpretation of seismic facies classification map provides a better understanding towards the lithology distribution, depositional environment and help to identify significant reservoir rock

  17. Petrology of blueschist facies metamorphic rocks of the Meliata Unit

    Directory of Open Access Journals (Sweden)

    Faryad Shah Wali

    1997-06-01

    Full Text Available Meliata blueschists originated from basalts, limestones, pelites, psammitic and amphibolite facies basement rocks. Compositionally, the metabasalts have a geochemical signature mostly indicative of a transitional arc-MORB origin, but some mafic rocks having affinity with within plate basalts also present. The mafic blueschists consist of blue amphibole, epidote and albite, rarely also garnet, Na-pyroxene and chloritoid. Apart from phengite and quartz the metapelites and metapsammites contain one or more of the minerals: chloritoid, paragonite, glaucophane, albite, chlorite, occasionally also Na-pyroxene and garnet. Amphibolite facies rocks contain relic garnet, plagioclase and hornblende, the latter two replaced by albite and blue amphibole, respectively. The zoning patterns of blue amphibole, garnet and chloritoid suggest their formation during prograde stage of metamorphism. P-T conditions of meta-morphism are estimated to be about 350-460 oC and 10-12 kbar.

  18. Modified custom made J-hook for maxillary protraction in a rapid maxillary expansion appliance

    Directory of Open Access Journals (Sweden)

    Jithesh Kumar Kodoth

    2014-01-01

    Full Text Available A simple yet innovative attaching the J-hook along with an rapid maxillary appliance for the protraction of maxilla is presented. The proposed method not only simplifies construction but also is equally effective.

  19. Additional aspects of facies determination of the Souza Formation

    International Nuclear Information System (INIS)

    Vasconcelos, E.C.; Mabesoone, J.M.

    1984-01-01

    By means of geochemical analysis of total sample and trace elements, x-ray and DTA investigation of the clay fractions, and microfanes study, obtained by the facies determination of the Souza Formation, some additional aspects giving evidence of the sequence of events responsable by origin, deposition and formation of sediments of this middle unit of the Rio do Peixe group were established. (Author) [pt

  20. Comparison of four approaches to a rock facies classification problem

    Science.gov (United States)

    Dubois, M.K.; Bohling, Geoffrey C.; Chakrabarti, S.

    2007-01-01

    In this study, seven classifiers based on four different approaches were tested in a rock facies classification problem: classical parametric methods using Bayes' rule, and non-parametric methods using fuzzy logic, k-nearest neighbor, and feed forward-back propagating artificial neural network. Determining the most effective classifier for geologic facies prediction in wells without cores in the Panoma gas field, in Southwest Kansas, was the objective. Study data include 3600 samples with known rock facies class (from core) with each sample having either four or five measured properties (wire-line log curves), and two derived geologic properties (geologic constraining variables). The sample set was divided into two subsets, one for training and one for testing the ability of the trained classifier to correctly assign classes. Artificial neural networks clearly outperformed all other classifiers and are effective tools for this particular classification problem. Classical parametric models were inadequate due to the nature of the predictor variables (high dimensional and not linearly correlated), and feature space of the classes (overlapping). The other non-parametric methods tested, k-nearest neighbor and fuzzy logic, would need considerable improvement to match the neural network effectiveness, but further work, possibly combining certain aspects of the three non-parametric methods, may be justified. ?? 2006 Elsevier Ltd. All rights reserved.

  1. Multiparameter Elastic Full Waveform Inversion With Facies Constraints

    KAUST Repository

    Zhang, Zhendong

    2017-08-17

    Full waveform inversion (FWI) aims fully benefit from all the data characteristics to estimate the parameters describing the assumed physics of the subsurface. However, current efforts to utilize full waveform inversion as a tool beyond acoustic imaging applications, for example in reservoir analysis, faces inherent challenges related to the limited resolution and the potential trade-off between the elastic model parameters. Adding rock physics constraints does help to mitigate these issues, but current approaches to add such constraints are based on including them as a priori knowledge mostly valid around the well or as a boundary condition for the whole area. Since certain rock formations inside the Earth admit consistent elastic properties and relative values of elastic and anisotropic parameters (facies), utilizing such localized facies information in FWI can improve the resolution of inverted parameters. We propose a novel confidence map based approach to utilize the facies-based constraints in both isotropic and anisotropic elastic FWI. We invert for such a confidence map using Bayesian theory, in which the confidence map is updated at each iteration of the inversion using both the inverted models and a prior information. The numerical examples show that the proposed method can reduce the trade-offs and also can improve the resolution of the inverted elastic and anisotropic properties.

  2. STOCHASTIC FRACTURED ROCK FACIES FOR GROUNDWATER FLOW MODELING

    Directory of Open Access Journals (Sweden)

    DANIELA BLESSENT

    2013-01-01

    Full Text Available Este artículo presenta los resultados de una simulación de flujo de agua subterránea en rocas fracturadas. Se emplea un enfoque estocástico (modelo estocástico equivalente en medio poroso fracturado para construir el modelo conceptual y para usar este último en la roca de baja permeabilidad encontrada en el sitio elegido como caso de estudio (Olkiluoto, Finlandia. La roca que se investiga se encuentra localizada alrededor de un grupo de pozos de sondeo y cubre un área de algunas hectáreas. Las mediciones de campo de pruebas de interferencia hidráulica se utilizan para calibrar el modelo de flujo de agua subterránea. Múltiples combinaciones de facies estocásticos se consideran para evaluar el impacto de la distribución y del número de facies en las cargas hidráulicas y en los caudales. Este estudio cuantifica la variabilidad de los resultados numéricos, lo cual es importante para el análisis de la incertidumbre en los sistemas hidrogeológicos. Por otra parte, este estudio muestra que el modelo conceptual de facies estocásticos es una alternativa adecuada a los modelos conceptuales de redes de fracturas discretas.

  3. Root Length and Anatomy of Impacted Maxillary Canines in Patients with Unilateral Maxillary Canine Impaction

    OpenAIRE

    Mostfa Shahabi; Maryam Omidkhoda; Seyedeh Haniyeh Omidi; Seyed Hosein Hoseini Zarch

    2017-01-01

    Introduction: Canine impaction is a common occurrence. In this study, we sought to investigate the root anatomy and length of impacted canines and lateral incisor adjacent to impacted maxillary canine. Materials and Methods: In this retrospective study, three-dimensional tomographic imaging was performed on 26 patients with unilateral maxillary canine impaction. In this study, we evaluated root length and anatomy of impacted canines, in terms of resorption intensity and curvature, with Planme...

  4. Maxillary Tuberosity Reconstruction with Transport Distraction Osteogenesis

    Directory of Open Access Journals (Sweden)

    F. Ugurlu

    2012-01-01

    Full Text Available Severe bone loss due to pathology in the maxillary tuberosity region is a challenging problem both surgically and prosthetically. Large bone grafts have a poor survival rate due to the delicate bony architecture in this area and presence of the maxillary sinus. Our case presentation describes a new technique for reconstructing severe bony defect in the maxillary tuberosity with horizontal distraction osteogenesis in a 45-year-old man. A 4×6×3cm cyst was discovered in the left maxillary molar region and enucleated. Three months postoperatively, the area had a severe bone defect extending to the zygomatic buttress superiorly and hamular notch posteriorly. Three months later, a bone segment including the right upper second premolar was osteotomised and distracted horizontally. The bone segment was distracted 15 mm distally. After consolidation, implants were placed when the distractor was removed. A fixed denture was loaded over the implants after 3 months. Complete alveolar bone loss extending to the cranial base can be reconstructed with transport distraction osteogenesis. Distalisation of the alveolar bone segment adjacent to the bony defect is an easy method for reconstructing such severe defects.

  5. Palatal Surface Area of Maxillary Plaster Casts

    DEFF Research Database (Denmark)

    Darvann, Tron Andre; Hermann, Nuno V.; Ersbøll, Bjarne Kjær

    2007-01-01

    Objective: To investigate the relationship between corresponding two-dimensional and three-dimensional measurements on maxillary plaster casts taken from photographs and three-dimensional surface scans, respectively. Materials and Methods: Corresponding two-dimensional and three-dimensional measu...

  6. Neonatal maxillary orthopedics: past to present

    NARCIS (Netherlands)

    Kuijpers-Jagtman, A.M.; Prahl, C.; Berkowitz, S.

    2013-01-01

    Neonatal maxillary orthopedics was introduced in the treatment protocol for cleft lip and palate in the 1950s of the last century. A wide range of appliances has been designed with pin-retained active appliances at one end of the spectrum and passive appliances at the other. Although neonatal

  7. Rapid maxillary expansion in contemporary orthodontic literature

    Directory of Open Access Journals (Sweden)

    Sabrina Mutinelli

    2016-01-01

    Full Text Available We have reviewed our retrospective research about rapid maxillary expansion performed in the early mixed dentition to summarize the results of different studies regarding maxillary dental arch width variation and crowding improvement in light of contemporary literature. The aim is to define the effects of treatments followed until the end of dental arch growth. In all studies, a Haas expander anchored to the deciduous dentition was used. The samples consisted of treated patients with and without a lateral crossbite and homogeneous untreated individuals as controls. Two additional control groups of adolescents and adults in dental Class 1 were also compared. As a result of the analysis, rapid maxillary expansion with anchorage to the deciduous dentition was found to be effective in increasing transverse width in intermolar and intercanine areas, and the change was preserved until the full permanent dentition stage. When performed before maxillary lateral incisors have fully erupted, this procedure allows for a rapid increase in the arch length in the anterior area and consequently, in the space available for permanent incisors with a stable reduction in crowding over time.

  8. Maxillary brown tumour: unusual presentation of parathyroid ...

    African Journals Online (AJOL)

    This is a report of a maxillary brown tumour caused by primary hyperparathyroidism (HPT) secondary to parathyroid carcinoma. A 62-year-old man presented with a large swelling in the right maxilla, which caused right-sided nasal obstruction, intermittent bleeding and diplopia. A computed tomography scan demonstrated ...

  9. Maxillary distraction complications in cleft patients.

    Science.gov (United States)

    Jeblaoui, Y; Morand, B; Brix, M; Lebeau, J; Bettega, G

    2010-06-01

    Cleft lip and palate (CLP) patients often present with a class III malocclusion in connection with a three dimensional maxillary hypoplasia. Twenty-five to 60% of these patients need maxillary advancement. Two solutions are possible: orthognathic surgery and maxillary distraction. The purpose of this study was to evaluate the complications of maxillary distraction in CLP patients. Data was collected from the records of patients treated in our surgery unit between 2000 and 2007. Among the eight patients (four male and four female), five presented with a bilateral CLP, two with a unilateral CLP, and one with a unilateral cleft lip associated to a soft palate cleft. The average age at surgery was 17 years. All underwent a Le Fort I osteotomy with a pterygomaxillary disjunction. An external distractor was used for the first two patients and an internal distractor for the six following patients. After a seven-day latency, activation was implemented at a rate of 1mm twice a day. The average period of consolidation was four months. Maxillary advancement ranged between 7 and 19mm, with an average of 12.6mm. The average follow-up was four years. Complications were noted in seven patients: one intra-operative hemorrhage, one avulsion of a tooth anchored at the pterygoid process during osteotomy, three cases of device dysfunction, two cases of significant pain during activation, one loosening of the orthodontic arch in an external system, two cases of labial ulceration, and one maxillary sinusitis due to migration of a wisdom tooth. Complications of maxillary distraction in CLP patients were very frequent. Most were related to the device and did not interfere with the final result. This must be taken into account when indicating distraction and choosing the device. Two types of complications can occur during distraction: those related to the osteotomy and those related to the device. The complications related to the osteotomy are linked to the cicatricial ground of previous

  10. [Maxillary distraction complications in cleft patients].

    Science.gov (United States)

    Jeblaoui, Y; Morand, B; Brix, M; Lebeau, J; Bettega, G

    2008-09-01

    Cleft lip and palate (CLP) patients often present with a class III malocclusion in connection with a three dimensional maxillary hypoplasia. Twenty-five to 60% of these patients require a maxillary advancement. Two solutions are possible: orthognathic surgery and maxillary distraction. The purpose of this study was to evaluate the complications of the maxillary distraction in CLP patients. Data was collected from the records of patients treated at our Surgery Unit between 2000 and 2007. Among the eight patients (four male and four female), five presented a bilateral CLP, two a unilateral CLP and one a unilateral cleft lip associated to a soft palate cleft. The average age at surgery was 17 years old. All had a Le Fort I osteotomy with a pterygomaxillary disjunction. The first two patients had external distractors and the six following internal ones. After a seven-day latency, activation was led to the rate of 1mm per day twice. The period of consolidation was four months on average. The maxillary advancement varied between 7 and 19 mm with an average of 12.6mm. The average follow-up was four years. We encountered difficulties and/or complications in seven patients: one intraoperatively haemorrhage, one avulsion of a tooth fixed at the pterygoid process during the osteotomy, three device failures, two cases of significant pains during activation, one dissociation of the dental anchorage of an external system, two labial ulcerations and one maxillary sinusitis by migration of the 18. Difficulties of maxillary distraction in CLP patients are very frequent. The majority is related to the distractors and did not interfere with the final result. But this frequency must be taken into account in the indication and in the choice of the material. Two types of complications can occur during distraction: those related to the osteotomy and those related to the material. The complications related to the osteotomy are in connection with the cicatricial ground of the CLP. They are

  11. Maxillary sinus floor extension and posterior tooth inclination in adolescent patients with Class II Division 1 malocclusion treated with maxillary first molar extractions

    NARCIS (Netherlands)

    Livas, Christos; Halazonetis, Demetrios J.; Booij, Johan Willem; Pandis, Nikolaos; Tu, Yu-Kang; Katsaros, Christos

    Introduction: Our objective was to investigate potential associations between maxillary sinus floor extension and inclination of maxillary second premolars and second molars in patients with Class II Division 1 malocclusion whose orthodontic treatment included maxillary first molar extractions.

  12. Maxillary sinus floor extension and posterior tooth inclination in adolescent patients with Class II Division 1 malocclusion treated with maxillary first molar extractions

    NARCIS (Netherlands)

    Livas, C.; Halazonetis, D.J.; Booij, J.W.; Pandis, N.; Tu, Y.K.; Katsaros, C.

    2013-01-01

    INTRODUCTION: Our objective was to investigate potential associations between maxillary sinus floor extension and inclination of maxillary second premolars and second molars in patients with Class II Division 1 malocclusion whose orthodontic treatment included maxillary first molar extractions.

  13. Tectonic and climatic controls on continental depositional facies in the Karoo Basin of northern Natal, South Africa

    Science.gov (United States)

    Turner, Brian R.

    1986-02-01

    The eastern Karoo Basin, South Africa, contains a thick sequence of terrigenous clastic sediments comprising a meanderbelt facies, braided channel facies divided into coarse and fine subfacies, fluviolacustrine facies and aeolian facies. Depositional trends and changes in fluvial style reflect a progressive increase in aridity of the climate under stable tectonic conditions, interrupted by two phases of source area tectonism and the development of fine and coarse clastic wedges of the braided channel subfacies; the latter signifying a short interlude of cool, wet conditions. The fine braided channel subfacies occurs in the upper part of the meanderbelt facies, which was deposited by ephemeral, meandering mixed-load streams of variable discharge and sinuosity, under dry, semi-arid climatic conditions. These deposited complex, internally discordant channel sands and well-developed levee deposits. Following deposition of the coarse braided channel subfacies semi-arid conditions returned and fluvial deposition was dominated by ephemeral, straight to slightly sinuous mixed load streams characterised by simple channel sand bodies. As the aridity of the climate increased, the streams became more localised and carried an increasing proportion of fines. Interbedded with and overlying the fluvial deposits is a mudstone-dominated lacustrine sequence grading up into aeolian sands suggesting a playa lake-type situation. The general absence of evaporites from these sediments is attributed to the fresh nature of the lake waters, as evidenced by the freshwater aquatic organisms and clay-mineral suite, the lack of adequate inflow for solute accumulation and the removal of dust impregnated by salts from the surface of the dry lake bed during the dry season by superheated, upward-spiralling columns of air. Broadly similar environments to the fluvio-lacustrine and aeolian facies sequence are to be found in the Lake Eyre Basin of central Australia and the Okavango "delta" of northern

  14. Zeolite facies and regional rank of bituminous coals

    Energy Technology Data Exchange (ETDEWEB)

    Kisch, H J

    1966-01-01

    The author has correlated diagnostic analcime-, heulandite-, and laumontite-bearing mineral assemblages from four areas in the Upper Carboniferous and the Permian of New South Wales with the rank of the associated coals, represented by the carbon content of vitrinite. The results show that lowest-grade regional metamorphism of the zeolite facies reflects at least in part the same physical conditions of metamorphism as the increase in degree of coalification (rank) in the bituminous coal range. Degree of coalification is probably independent of partial pressures of H/sub 2/O and CO/sub 2/: it is controlled mainly by maximum depth of burial, its duration, and the geothermal gradient.

  15. Facies architecture and diagenesis of Belgian Late Frasnian carbonate mounds

    OpenAIRE

    Boulvain, Frédéric

    2001-01-01

    Late Frasnian Petit-Mont Member carbonate mounds occur in the southern pail of the Dinant Synclinorium and in the Philippeville Anticline (SW Belgium). These mounds are 30 to 80 m thick and 100 to 250 m in diameter. They are embedded in shale, nodular shale and argillaceous limestone. Based on facies mapping of 14 buildups and related off-mound sediments, these mounds typically started from below the photic and storm wave base zones and builtup into shallow water environments. Above an argill...

  16. Trace fossil analysis of lacustrine facies and basins

    Science.gov (United States)

    Buatois, L.A.; Mangano, M.G.

    1998-01-01

    Two ichnofacies are typical of lacustrine depositional systems. The Scoyenia ichnofacies characterizes transitional terrestrial/nonmarine aquatic substrates, periodically inundated or desiccated, and therefore is commonly present in lake margin facies. The Mermia ichnofacies is associated with well oxygenated, permanent subaqueous, fine-grained substrates of hydrologically open, perennial lakes. Bathymetric zonations within the Mermia ichnofacies are complicated by the wide variability of lacustrine systems. Detected proximal-distal trends are useful within particular lake basins, but commonly difficult to extrapolate to other lakes. Other potential ichnofacies include the typically marine Skolithos ichnofacies for high-energy zones of lakes and substrate-controlled, still unnamed ichnofacies, associated to lake margin deposits. Trace fossils are useful for sedimentologic analysis of event beds. Lacustrine turbidites are characterized by low-diversity suites, reflecting colonization by opportunistic organisms after the turbidite event. Underflow current beds record animal activity contemporaneous with nearly continuous sedimentation. Ichnologic studies may also help to distinguish between marine and lacustrine turbidites. Deep-marine turbidites host the Nereites ichnofacies that consists of high diversity of ornate grazing traces and graphoglyptids, recording highly specialized feeding strategies developed to solve the problem of the scarcity of food in the deep sea. Deep lacustrine environments contain the Mermia ichnofacies, which is dominated by unspecialized grazing and feeding traces probably related to the abundance and accessibility of food in lacustrine systems. The lower diversity of lacustrine ichnofaunas in comparison with deep-sea assemblages more likely reflects lower species diversity as a consequence of less stable conditions. Increase of depth and extent of bioturbation through geologic time produced a clear signature in the ichnofabric record of

  17. Prima facie evidence against spin-two Higgs impostors

    OpenAIRE

    Ellis, John; Sanz, Veronica; You, Tevong

    2013-01-01

    The new particle X recently discovered by the ATLAS and CMS Collaborations is widely expected to have spin zero, but this remains to be determined. The leading alternative is that X has spin two, presumably with graviton-like couplings. We show that measurements of the X particle to pairs of vector bosons constrain such scenarios. In particular, a graviton-like Higgs impostor in scenarios with a warped extra dimension of AdS type is prima facie excluded, principally because they predict too s...

  18. Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion

    Science.gov (United States)

    Cevidanes, Lucia; Baccetti, Tiziano; Franchi, Lorenzo; McNamara, James A.; De Clerck, Hugo

    2010-01-01

    Objective To test the hypothesis that there is no difference in the active treatment effects for maxillary advancement induced by bone-anchored maxillary protraction (BAMP) and the active treatment effects for face mask in association with rapid maxillary expansion (RME/FM). Materials and Methods This is a study on consecutively treated patients. The changes in dentoskeletal cephalometric variables from start of treatment (T1) to end of active treatment (T2) with an average T1–T2 interval of about 1 year were contrasted in a BAMP sample of 21 subjects with a RME/FM sample of 34 patients. All subjects were prepubertal at T1. Statistical comparison was performed with t-tests for independent samples. Results The BAMP protocol produced significantly larger maxillary advancement than the RME/FM therapy (with a difference of 2 mm to 3 mm). Mandibular sagittal changes were similar, while vertical changes were better controlled with BAMP. The sagittal intermaxillary relationships improved 2.5 mm more in the BAMP patients. Additional favorable outcomes of BAMP treatment were the lack of clockwise rotation of the mandible as well as a lack of retroclination of the lower incisors. Conclusions The hypothesis is rejected. The BAMP protocol produced significantly larger maxillary advancement than the RME/FM therapy. PMID:20578848

  19. Two-point versus multiple-point geostatistics: the ability of geostatistical methods to capture complex geobodies and their facies associations—an application to a channelized carbonate reservoir, southwest Iran

    International Nuclear Information System (INIS)

    Hashemi, Seyyedhossein; Javaherian, Abdolrahim; Ataee-pour, Majid; Khoshdel, Hossein

    2014-01-01

    Facies models try to explain facies architectures which have a primary control on the subsurface heterogeneities and the fluid flow characteristics of a given reservoir. In the process of facies modeling, geostatistical methods are implemented to integrate different sources of data into a consistent model. The facies models should describe facies interactions; the shape and geometry of the geobodies as they occur in reality. Two distinct categories of geostatistical techniques are two-point and multiple-point (geo) statistics (MPS). In this study, both of the aforementioned categories were applied to generate facies models. A sequential indicator simulation (SIS) and a truncated Gaussian simulation (TGS) represented two-point geostatistical methods, and a single normal equation simulation (SNESIM) selected as an MPS simulation representative. The dataset from an extremely channelized carbonate reservoir located in southwest Iran was applied to these algorithms to analyze their performance in reproducing complex curvilinear geobodies. The SNESIM algorithm needs consistent training images (TI) in which all possible facies architectures that are present in the area are included. The TI model was founded on the data acquired from modern occurrences. These analogies delivered vital information about the possible channel geometries and facies classes that are typically present in those similar environments. The MPS results were conditioned to both soft and hard data. Soft facies probabilities were acquired from a neural network workflow. In this workflow, seismic-derived attributes were implemented as the input data. Furthermore, MPS realizations were conditioned to hard data to guarantee the exact positioning and continuity of the channel bodies. A geobody extraction workflow was implemented to extract the most certain parts of the channel bodies from the seismic data. These extracted parts of the channel bodies were applied to the simulation workflow as hard data

  20. Nonsurgical, nonextraction management of impacted maxillary canine

    Directory of Open Access Journals (Sweden)

    Jasneet Singh

    2018-01-01

    Full Text Available NS, a 12 year 2 months old female patient, presented with the chief complaint of irregular teeth. Diagnosis revealed skeletal Class II jaw base relation, with average (toward vertical growth pattern, dentoalveolar angles Class I molar relationship with severe crowding in upper and moderate crowding in the lower arch, normally positioned maxillary incisors but proclined lower incisors, “V” shape constricted maxillary arch with first premolar in crossbite, overretained deciduous molar and a high placed buccoversion canine in the first quadrant and an impacted canine in the second quadrant, constricted mandibular arch with first premolar blocked out in the third quadrant. Treatment with a nonsurgical, nonextraction treatment plan by expansion of the upper arch and taking advantage of natural eruptive forces of the tooth was planned. The final outcome solved the patient's complaints and achieved an esthetically pleasing and functionally adequate occlusal result.

  1. Maxillary reconstruction: Current concepts and controversies

    Directory of Open Access Journals (Sweden)

    Subramania Iyer

    2014-01-01

    Full Text Available Maxillary reconstruction is still an evolving art when compared to the reconstruction of the mandible. The defects of maxilla apart from affecting the functions of the speech, swallowing and mastication also cause cosmetic disfigurement. Rehabilitation of the form and function in patients with maxillary defects is either by using an obturator prosthesis or by a surgical reconstruction. Literature is abundant with a variety of reconstructive methods. The classification systems are also varied, with no universal acceptance of any one of them. The oncologic safety of these procedures is still debated, and conclusive evidence in this regard has not emerged yet. Management of the orbit is also not yet addressed properly. Tissue engineering, that has been hyped to be one of the possible solutions for this vexing reconstructive problem, has not come out with reliable and reproducible results so far. This review article discusses the rationale and oncological safety of the reconstructing the maxillary defects, critically analyzes the classification systems, offers the different reconstructive methods and touches upon the controversies in this subject. The management of the retained and exenterated orbit associated with maxillectomy is reviewed. The surgical morbidity, complications and the recent advances in this field are also looked into. An algorithm, based on our experience, is presented.

  2. Maxillary reconstruction: Current concepts and controversies

    Science.gov (United States)

    Iyer, Subramania; Thankappan, Krishnakumar

    2014-01-01

    Maxillary reconstruction is still an evolving art when compared to the reconstruction of the mandible. The defects of maxilla apart from affecting the functions of the speech, swallowing and mastication also cause cosmetic disfigurement. Rehabilitation of the form and function in patients with maxillary defects is either by using an obturator prosthesis or by a surgical reconstruction. Literature is abundant with a variety of reconstructive methods. The classification systems are also varied, with no universal acceptance of any one of them. The oncologic safety of these procedures is still debated, and conclusive evidence in this regard has not emerged yet. Management of the orbit is also not yet addressed properly. Tissue engineering, that has been hyped to be one of the possible solutions for this vexing reconstructive problem, has not come out with reliable and reproducible results so far. This review article discusses the rationale and oncological safety of the reconstructing the maxillary defects, critically analyzes the classification systems, offers the different reconstructive methods and touches upon the controversies in this subject. The management of the retained and exenterated orbit associated with maxillectomy is reviewed. The surgical morbidity, complications and the recent advances in this field are also looked into. An algorithm, based on our experience, is presented. PMID:24987199

  3. An unusual foreign body in the maxillary sinus: Dental impression ...

    African Journals Online (AJOL)

    2015-03-06

    Mar 6, 2015 ... Radiography and computed tomography revealed bone discontinuity in the left floor of ... A 63‑year‑old woman previously diagnosed with a thyroid papillary ... The lesion had ... Panoramic and periapical radiographs showed.

  4. Le Fort I Maxillary Advancement Using Distraction Osteogenesis

    OpenAIRE

    Combs, Patrick D.; Harshbarger, Raymond J.

    2014-01-01

    Treatment of maxillary hypoplasia has traditionally involved conventional Le Fort I osteotomies and advancement. Advancements of greater than 10 mm risk significant relapse. This risk is greater in the cleft lip and palate population, whose anatomy and soft tissue scarring from prior procedures contributes to instability of conventional maxillary advancement. Le Fort I advancement with distraction osteogenesis has emerged as viable, stable treatment modality correction of severe maxillary hyp...

  5. Volumetric measurement of the maxillary sinus by coronal CT scan

    International Nuclear Information System (INIS)

    Ikeda, Atsuko

    1996-01-01

    The volume of the maxillary sinus was estimated by coronal CT scan. The purpose of this study was to compare the estimated volume of the normal maxillary sinus with that of the inflamed maxillary sinus. Patients were classified following evaluation by CT scan of the paranasal sinuses into 3 categories. Group A (n=12): Patients suffered from headache, facial pain and epistaxis, but CT scans of their nasal cavity and paranasal sinus were within normal limits without inflammatory change. Group B (n=69): Patients with bilateral chronic maxillary sinusitis, CT scans of whom showed inflammatory changes in both maxillary sinuses. All of the patients in this group underwent sinus surgery after coronal CT scans. Group C (n=14): Patients with unilateral chronic maxillary sinusitis, CT scans of whom showed inflammatory change in unilateral maxillary sinuses. CT scans of these patients were measured by Plannimeter to take the area of each image of the maxillary sinus. Consecutively imaged areas were summated by integral calculus to obtain an estimate of the sinus volume. The mean maxillary sinus volume in the affected sinuses was significantly smaller than those in the contralateral normal sinuses (p<0.05, Wilcoxon-test). The various volumes of the maxillary sinuses and the developmental cause were discussed. Comparison of groups A with B suggested three distinct patterns; the maxillary sinus volume has decreased due to inflammatory changes in the bone. The small sinuses have a tendency to develop chronic inflammatory change. The aeration in the maxillary sinus may be decreased when anatomic variations that may obstruct the ethmoid infundibulum exist. (K.H.)

  6. Ecological and phylogenetic influences on maxillary dentition in snakes

    Directory of Open Access Journals (Sweden)

    Kate Jackson

    2010-12-01

    Full Text Available The maxillary dentition of snakes was used as a system with which to investigate the relative importance of the interacting forces of ecological selective pressures and phylogenetic constraints indetermining morphology. The maxillary morphology of three groups of snakes having different diets, with each group comprising two distinct lineages — boids and colubroids — was examined. Our results suggest that dietary selective pressures may be more significantthan phylogenetic history in shaping maxillary morphology.

  7. Volumetric measurement of the maxillary sinus by coronal CT scan

    Energy Technology Data Exchange (ETDEWEB)

    Ikeda, Atsuko [Tokyo Medical and Dental Univ. (Japan). School of Medicine

    1996-08-01

    The volume of the maxillary sinus was estimated by coronal CT scan. The purpose of this study was to compare the estimated volume of the normal maxillary sinus with that of the inflamed maxillary sinus. Patients were classified following evaluation by CT scan of the paranasal sinuses into 3 categories. Group A (n=12): Patients suffered from headache, facial pain and epistaxis, but CT scans of their nasal cavity and paranasal sinus were within normal limits without inflammatory change. Group B (n=69): Patients with bilateral chronic maxillary sinusitis, CT scans of whom showed inflammatory changes in both maxillary sinuses. All of the patients in this group underwent sinus surgery after coronal CT scans. Group C (n=14): Patients with unilateral chronic maxillary sinusitis, CT scans of whom showed inflammatory change in unilateral maxillary sinuses. CT scans of these patients were measured by Plannimeter to take the area of each image of the maxillary sinus. Consecutively imaged areas were summated by integral calculus to obtain an estimate of the sinus volume. The mean maxillary sinus volume in the affected sinuses was significantly smaller than those in the contralateral normal sinuses (p<0.05, Wilcoxon-test). The various volumes of the maxillary sinuses and the developmental cause were discussed. Comparison of groups A with B suggested three distinct patterns; the maxillary sinus volume has decreased due to inflammatory changes in the bone. The small sinuses have a tendency to develop chronic inflammatory change. The aeration in the maxillary sinus may be decreased when anatomic variations that may obstruct the ethmoid infundibulum exist. (K.H.)

  8. Maxillary Anterior Segmental Distraction Osteogenesis to Correct Maxillary Deficiencies in a Patient With Cleft Lip and Palate.

    Science.gov (United States)

    Kageyama-Iwata, Asuka; Haraguchi, Seiji; Iida, Seiji; Aikawa, Tomonao; Yamashiro, Takashi

    2017-07-01

    This report describes a case of successful orthodontic treatment using maxillary anterior segmental distraction osteogenesis with an internal maxillary distractor and bilateral sagittal split ramus osteotomy in a girl with cleft lip and palate. A 16-year-old girl with unilateral cleft lip and palate exhibited midface retrusion because of growth inhibition of the maxillary complex and mandibular excess. After the presurgical orthodontic treatment, 6.0-mm advancement of the maxillary anterior segment and 4.0-mm set back of the mandible were performed. After a retention period, the patient's midface convexity was greatly improved and the velopharyngeal competence was preserved without relapse.

  9. Keratocystic odontogenic tumor with impacted maxillary third molar involving the right maxillary antrum:An unusual case report

    Directory of Open Access Journals (Sweden)

    Abhishek Gupta

    2011-01-01

    Full Text Available The odontogenic keratocyst (OKC, first described by Phillipsen in 1956, has metamorphosized as a keratocystic odontogenic tumor (KCOT as reported in WHO classification of head and neck tumors in 2005. KCOT is a benign intraosseous neoplasm of the jaw and its occurrence in maxilla is unusual and its appearance in maxillary antrum along with maxillary impacted third molar is very uncommon. This article reports a case of KCOT associated with impacted maxillary third molar in right maxillary antrum and describes its rare site of occurrence.

  10. Management of iatrogenically exposed maxillary sinus with a broken periosteal elevator trapped inside

    Directory of Open Access Journals (Sweden)

    Nureldeen Elhammali

    2017-01-01

    Full Text Available Foreign bodies may be ingested after being inserted into an oral cavity or deposited in the body by traumatic or iatrogenic injury. Accidentally left out foreign materials are common complications of dental procedures including apical deposition of endodontic materials, sub-mucosal amalgam pieces, graphite tattoos and traumatically introduced dental materials and instruments. Once a foreign material is left behind within a soft and/or hard tissue, it promotes local inflammation and infection that may cause pain and/or destruction within the surrounding tissues. This article presents a case of retrieval of iatrogenically broken periosteal elevator trapped in the maxillary sinus.

  11. Prima facie evidence against spin-two Higgs impostors

    Science.gov (United States)

    Ellis, John; Sanz, Verónica; You, Tevong

    2013-10-01

    The new particle X recently discovered by the ATLAS and CMS Collaborations is widely expected to have spin zero, but this remains to be determined. The leading alternative is that X has spin two, presumably with graviton-like couplings. We show that measurements of the X particle to pairs of vector bosons constrain such scenarios. In particular, a graviton-like Higgs impostor in scenarios with a warped extra dimension of AdS type is prima facie excluded, principally because they predict too small a ratio between the X couplings to WW and ZZ, compared with that to photons. The data also disfavour universal couplings to pairs of photons and gluons, which would be predicted in a large class of graviton-like models.

  12. Prima Facie Evidence against Spin-Two Higgs Impostors

    CERN Document Server

    Ellis, John; You, Tevong

    2013-01-01

    The new particle X recently discovered by the ATLAS and CMS Collaborations is widely expected to have spin zero, but this remains to be determined. The leading alternative is that X has spin two, presumably with graviton-like couplings. We show that measurements of the X particle to pairs of vector bosons constrain such scenarios. In particular, a graviton-like Higgs impostor in scenarios with a warped extra dimension of AdS type is prima facie excluded, principally because they predict too small a ratio between the X couplings to WW and ZZ, compared with that to photons. The data also disfavour universal couplings to pairs of photons and gluons, which would be predicted in a large class of graviton-like models.

  13. Prima facie evidence against spin-two Higgs impostors

    International Nuclear Information System (INIS)

    Ellis, John; Sanz, Verónica; You, Tevong

    2013-01-01

    The new particle X recently discovered by the ATLAS and CMS Collaborations is widely expected to have spin zero, but this remains to be determined. The leading alternative is that X has spin two, presumably with graviton-like couplings. We show that measurements of the X particle to pairs of vector bosons constrain such scenarios. In particular, a graviton-like Higgs impostor in scenarios with a warped extra dimension of AdS type is prima facie excluded, principally because they predict too small a ratio between the X couplings to WW and ZZ, compared with that to photons. The data also disfavour universal couplings to pairs of photons and gluons, which would be predicted in a large class of graviton-like models

  14. Prima facie evidence against spin-two Higgs impostors

    Energy Technology Data Exchange (ETDEWEB)

    Ellis, John [Theoretical Particle Physics and Cosmology Group, Physics Department, King' s College London, London WC2R 2LS (United Kingdom); TH Division, Physics Department, CERN, CH-1211 Geneva 23 (Switzerland); Sanz, Verónica, E-mail: vsanz@yorku.ca [TH Division, Physics Department, CERN, CH-1211 Geneva 23 (Switzerland); Department of Physics and Astronomy, York University, Toronto, ON, M3J 1P3 (Canada); You, Tevong [Theoretical Particle Physics and Cosmology Group, Physics Department, King' s College London, London WC2R 2LS (United Kingdom)

    2013-10-07

    The new particle X recently discovered by the ATLAS and CMS Collaborations is widely expected to have spin zero, but this remains to be determined. The leading alternative is that X has spin two, presumably with graviton-like couplings. We show that measurements of the X particle to pairs of vector bosons constrain such scenarios. In particular, a graviton-like Higgs impostor in scenarios with a warped extra dimension of AdS type is prima facie excluded, principally because they predict too small a ratio between the X couplings to WW and ZZ, compared with that to photons. The data also disfavour universal couplings to pairs of photons and gluons, which would be predicted in a large class of graviton-like models.

  15. Detailed facies analyses within the Bluell and Sherwood Members, Mission Canyon Formation, North Dakota, USA - Facies stacking patterns, sequence stratigraphy and porosity relationship, consequences for reservoir distribution

    OpenAIRE

    Sjöstedt, Tony

    2017-01-01

    Detailed core analysis from seven wells with cores cut within the overall carbonate succession that makes up the Bluell and Sherwood Members of the Mission Canyon Formation located in Renville County, North Dakota, resulted in the identification of eleven depositional facies. These facies that reflect a range in depositional conditions from inner to back ramp, that is shallow fair-weather to uppermost intertidal and supratidal conditions. Systematic core analysis using a highly detailed digit...

  16. Compound odontoma associated with impacted maxillary incisors

    Directory of Open Access Journals (Sweden)

    S Sreedharan

    2012-01-01

    Full Text Available Odontomas are considered to be the most common odontogenic tumors of the oral cavity. Some authors consider it as malformations rather than true neoplasms. The exact etiology of odontomes is still not known. Most odontomes are asymptomatic and are discovered during routine radiographic investigations. Odontomes generally cause disturbances in the eruption of the teeth, most commonly delayed eruption or deflection. The present report describes the surgical management of a case of compound odontoma in a 10-year-old boy who presented with a complaint of swelling in the maxillary right anterior region and retained deciduous incisors. The related literature is also being reviewed in this article.

  17. Maxillary osteosarcoma in a beef suckler cow

    Directory of Open Access Journals (Sweden)

    Prins Diether G J

    2012-07-01

    Full Text Available Abstract A ten-year-old beef suckler cow was referred to the Scottish Centre for Production Animal Health & Food Safety of the University of Glasgow, because of facial swelling in the region of the right maxilla. The facial swelling was first noticed three months earlier and was caused by a slow growing oral mass which contained displaced, loosely embedded teeth. The radiographic, laboratory and clinicopathological findings are described. Necropsy, gross pathology and histological findings confirmed the mass as a maxillary osteosarcoma.

  18. Trans-sinusoidal maxillary distraction in three cleft patients.

    NARCIS (Netherlands)

    Wenghoefer, M.H.; Martini, M.; Nadjmi, N.; Schutyser, F.A.C.; Jagtman, A.K.; Bergé, S.J.

    2006-01-01

    The trans-sinusoidal maxillary distractor (TS-MD) was used to achieve maxillary advancement in three patients with repaired cleft lip and palate. After preoperative computer-aided planning of the distraction vectors, each TS-MD was bent on a stereolithographic model of the maxilla of the patient.

  19. Aspergillus in endodontic infection near the maxillary sinus

    Directory of Open Access Journals (Sweden)

    Cinthya Cristina Gomes

    2015-10-01

    Full Text Available ABSTRACT INTRODUCTION: Diseases of the maxillary sinus have been associated with dental roots near the maxillary sinus that have undergone endodontic treatment. OBJECTIVE: To investigate the presence of filamentous fungi in patients with dental roots near the maxillary sinus who had apical periodontitis treated endodontically, and to alert practitioners that this could be a possible avenue of contamination of the sinus in patients who develop maxillary sinus infection. METHODS: Cross-sectional study in 60 palatal roots of the first maxillary molars near the maxillary sinus, that underwent endodontic treatment for apical periodontitis. After removal of the filling material, dentin shavings were collected and placed in test tubes containing Sabouraud dextrose agar and chloramphenicol. The phenotype was determined by macroscopic and microscopic examination of the colonies. For polymerase chain reaction, the primers ITS-5 and ITS-4 were used. The sequences obtained were compared with those deposited at GenBank using the Basic Local Alignment Search Tool program. RESULTS: Filamentous fungi were isolated from 6 of 60 canals (10%:Aspergillus niger (6.7%, Aspergillus versicolor (1.6%, and Aspergillus fumigatus(1.6%. CONCLUSION: Root canals near the maxillary sinus with endodontic treatment and apical periodontitis may exhibit positive cultures for filamentous fungi. Interested professionals should be alert, because these microorganisms have pathogenic characteristics that can cause disease of odontogenic origin in the maxillary sinus.

  20. Management of an impacted and transposed maxillary canine

    Directory of Open Access Journals (Sweden)

    Deepti A

    2010-03-01

    Full Text Available Maxillary canine-lateral incisor transposition is a relatively rare anomaly, with both dental and facial esthetic implications. This is a case report of a maxillary canine-lateral incisor transposition that was successfully treated by surgical-orthodontic treatment followed by esthetic reshaping of the involved teeth.

  1. Antrolith in the Maxillary Sinus; Report of a Case

    Directory of Open Access Journals (Sweden)

    A. Haraji

    2006-06-01

    Full Text Available A case of maxillary antrolith in a 14-year-old girl is presented. A radiopaque mass,thought to be a supernumerary tooth, was incidentally found on a panoramic radiograph obtained for orthodontic purposes. During surgical exploration the maxillary sinus was penetrated and 6 calcified masses were discovered. Histopathologic analysis revealed a calcium deposition around a necrotic mass.

  2. Aspergillus in endodontic infection near the maxillary sinus.

    Science.gov (United States)

    Gomes, Cinthya Cristina; Pinto, Larissa Christina Costa; Victor, Fernanda Loretti; Silva, Erlange Andrade Borges da; Ribeiro, Apoena de Aguiar; Sarquis, Maria Inês de Moura; Camões, Isabel Coelho Gomes

    2015-01-01

    Diseases of the maxillary sinus have been associated with dental roots near the maxillary sinus that have undergone endodontic treatment. To investigate the presence of filamentous fungi in patients with dental roots near the maxillary sinus who had apical periodontitis treated endodontically, and to alert practitioners that this could be a possible avenue of contamination of the sinus in patients who develop maxillary sinus infection. Cross-sectional study in 60 palatal roots of the first maxillary molars near the maxillary sinus, that underwent endodontic treatment for apical periodontitis. After removal of the filling material, dentin shavings were collected and placed in test tubes containing Sabouraud dextrose agar and chloramphenicol. The phenotype was determined by macroscopic and microscopic examination of the colonies. For polymerase chain reaction, the primers ITS-5 and ITS-4 were used. The sequences obtained were compared with those deposited at GenBank using the Basic Local Alignment Search Tool program. Filamentous fungi were isolated from 6 of 60 canals (10%): Aspergillus niger (6.7%), Aspergillus versicolor (1.6%), and Aspergillus fumigatus (1.6%). Root canals near the maxillary sinus with endodontic treatment and apical periodontitis may exhibit positive cultures for filamentous fungi. Interested professionals should be alert, because these microorganisms have pathogenic characteristics that can cause disease of odontogenic origin in the maxillary sinus. Copyright © 2015 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  3. CASE REPORT - Maxillary Herpes Zoster with Corneal Involvement ...

    African Journals Online (AJOL)

    Corneal involvement in maxillary herpes zoster is very rare. This report presents the case of a 32 years old 7 months pregnant para2+1 female, who presented with vesiculopapular rashes with hyperpigmented crusts over the maxillary area of the face on the left side with periocular oedema, conjunctivitis and mild punctate ...

  4. Acoustic Impedance Inversion To Identify Oligo-Miocene Carbonate Facies As Reservoir At Kangean Offshore Area

    Science.gov (United States)

    Zuli Purnama, Arif; Ariyani Machmud, Pritta; Eka Nurcahya, Budi; Yusro, Miftahul; Gunawan, Agung; Rahmadi, Dicky

    2018-03-01

    Model based inversion was applied to inversion process of 2D seismic data in Kangean Offshore Area. Integration acoustic impedance from wells and seismic data was expected showing physical property, facies separation and reservoir quality of carbonate rock, particularly in Kangean Offshore Area. Quantitative and qualitative analysis has been conducted on the inversion results to characterize the carbonate reservoir part of Kujung and correlate it to depositional facies type. Main target exploration in Kangean Offshore Area is Kujung Formation (Oligo-Miocene Carbonate). The type of reservoir in this area generate from reef growing on the platform. Carbonate rock is a reservoir which has various type and scale of porosity. Facies determination is required to to predict reservoir quality, because each facies has its own porosity value. Acoustic impedance is used to identify and characterize Kujung carbonate facies, also could be used to predict the distribution of porosity. Low acoustic impedance correlated with packstone facies that has acoustic impedance value below 7400 gr/cc*m/s. In other situation, high acoustic impedance characterized by wackestone facies above 7400 gr/cc*m/s. The interpretation result indicated that Kujung carbonate rock dominated by packstone facies in the upper part of build-up and it has ideal porosity for hydrocarbon reservoir.

  5. Pilot points method for conditioning multiple-point statistical facies simulation on flow data

    Science.gov (United States)

    Ma, Wei; Jafarpour, Behnam

    2018-05-01

    We propose a new pilot points method for conditioning discrete multiple-point statistical (MPS) facies simulation on dynamic flow data. While conditioning MPS simulation on static hard data is straightforward, their calibration against nonlinear flow data is nontrivial. The proposed method generates conditional models from a conceptual model of geologic connectivity, known as a training image (TI), by strategically placing and estimating pilot points. To place pilot points, a score map is generated based on three sources of information: (i) the uncertainty in facies distribution, (ii) the model response sensitivity information, and (iii) the observed flow data. Once the pilot points are placed, the facies values at these points are inferred from production data and then are used, along with available hard data at well locations, to simulate a new set of conditional facies realizations. While facies estimation at the pilot points can be performed using different inversion algorithms, in this study the ensemble smoother (ES) is adopted to update permeability maps from production data, which are then used to statistically infer facies types at the pilot point locations. The developed method combines the information in the flow data and the TI by using the former to infer facies values at selected locations away from the wells and the latter to ensure consistent facies structure and connectivity where away from measurement locations. Several numerical experiments are used to evaluate the performance of the developed method and to discuss its important properties.

  6. 17 CFR 270.3a-1 - Certain prima facie investment companies.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Certain prima facie investment companies. 270.3a-1 Section 270.3a-1 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION (CONTINUED) RULES AND REGULATIONS, INVESTMENT COMPANY ACT OF 1940 § 270.3a-1 Certain prima facie investment...

  7. Delineating Facies Spatial Distribution by Integrating Ensemble Data Assimilation and Indicator Geostatistics with Level Set Transformation.

    Energy Technology Data Exchange (ETDEWEB)

    Hammond, Glenn Edward; Song, Xuehang; Ye, Ming; Dai, Zhenxue; Zachara, John; Chen, Xingyuan

    2017-03-01

    A new approach is developed to delineate the spatial distribution of discrete facies (geological units that have unique distributions of hydraulic, physical, and/or chemical properties) conditioned not only on direct data (measurements directly related to facies properties, e.g., grain size distribution obtained from borehole samples) but also on indirect data (observations indirectly related to facies distribution, e.g., hydraulic head and tracer concentration). Our method integrates for the first time ensemble data assimilation with traditional transition probability-based geostatistics. The concept of level set is introduced to build shape parameterization that allows transformation between discrete facies indicators and continuous random variables. The spatial structure of different facies is simulated by indicator models using conditioning points selected adaptively during the iterative process of data assimilation. To evaluate the new method, a two-dimensional semi-synthetic example is designed to estimate the spatial distribution and permeability of two distinct facies from transient head data induced by pumping tests. The example demonstrates that our new method adequately captures the spatial pattern of facies distribution by imposing spatial continuity through conditioning points. The new method also reproduces the overall response in hydraulic head field with better accuracy compared to data assimilation with no constraints on spatial continuity on facies.

  8. [Percutaneous maxillary nerve block anesthesia in maxillofacial surgery].

    Science.gov (United States)

    Robiony, M; Demitri, V; Costa, F; Politi, M

    1999-01-01

    Personal experience in percutaneous maxillary nerve block anesthesia in association with transmucosal anesthesia of the sphenopalatine ganglion in oral and maxillofacial surgery, is presented. Six Caldwell-Luc, 9 anthrotomies and biopsies of maxillary sinus, 8 removals of extensive odontogenic cysts and 12 surgical maxillary expansions were performed from 1994 to 1996 at our Department. Maxillary transcutaneous nerve block in association with transmucosal anesthesia of the sphenopalatine ganglion were performed. Carbocaine without adrenaline in association with NaCO3 1/10 for maxillary nerve block anesthesia and lidocaineoprilocaine cream (EMLA) for transmucosal anesthesia were employed. Intra- and post-operative pain were evaluated by visual analogue scale in all the patients. Anesthesiological procedures revealed to be effective in all surgical interventions and postoperative analgesia allowed easier pain control. The simplicity of execution, the effective pre- and postoperative anesthesia and the absence of side effects make this procedure particularly indicated in oral and maxillofacial surgery.

  9. Aspergilloma of the maxillary sinus: report of a case

    International Nuclear Information System (INIS)

    Kang, Ju Han; Kim, Gyu Tae; Choi, Yong Suk; Hwang, Eui Hwan; Yu, Jae Jung

    2010-01-01

    Aspergilloma of the paranasal sinus is a non-invasive form of aspergillosis, most often in the maxillary sinus. This case presents an 86-year-old female with aspergilloma of the left maxillary sinus. The patient's chief complaint was intermittent pain on the left maxillary first premolar area. A radiopacification of the left maxillary sinus was observed on the panoramic radiograph. Cone-beam computed tomography revealed complete radiopacification of the left maxillary sinus and scattered multiple radiopaque mass inside the lesion. Biopsy was performed under local anesthesia. On microscopic examination, numerous fungal hyphae, which branch at acute angle, were observed. The diagnosis was made as an aspergilloma based on the histopathologic examination.

  10. Aspergilloma of the maxillary sinus: report of a case

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Ju Han; Kim, Gyu Tae; Choi, Yong Suk; Hwang, Eui Hwan [School of Dentistry, Kung Hee University, Seoul (Korea, Republic of); Yu, Jae Jung [Kangdong Scared Heart Hospital, Hallym Medical Center, Seoul (Korea, Republic of)

    2010-12-15

    Aspergilloma of the paranasal sinus is a non-invasive form of aspergillosis, most often in the maxillary sinus. This case presents an 86-year-old female with aspergilloma of the left maxillary sinus. The patient's chief complaint was intermittent pain on the left maxillary first premolar area. A radiopacification of the left maxillary sinus was observed on the panoramic radiograph. Cone-beam computed tomography revealed complete radiopacification of the left maxillary sinus and scattered multiple radiopaque mass inside the lesion. Biopsy was performed under local anesthesia. On microscopic examination, numerous fungal hyphae, which branch at acute angle, were observed. The diagnosis was made as an aspergilloma based on the histopathologic examination.

  11. Ectopic third molar in maxillary sinus: A rare case report

    Directory of Open Access Journals (Sweden)

    Abhishek Sinha

    2017-01-01

    Full Text Available Ectopic tooth eruption in a non-dental area is a rare entity, and is most common in oral cavity. There have been a few case reports of teeth erupting in mandibular condyle, chin, palate, coronoid process, and maxillary sinus. Ectopic tooth in the maxillary sinus are found incidentally on routine radiological examination, same time they can be symptomatic and associated with pathologies usually dentigerous cyst or odontogenic keratocyst. Facial pain, purulent rhinorrhoea, epistaxis, headache, swelling, and epiphora-related naso-lacrimal duct obstruction can also be seen. By Caldwell-Luc procedure the ectopic teeth within the maxillary sinus are often removed. In this study, a case of ectopic maxillary third molar tooth on right maxillary sinus is presented.

  12. Sedimentary environment and facies of St Lucia Estuary Mouth, Zululand, South Africa

    Science.gov (United States)

    Wright, C. I.; Mason, T. R.

    The St. Lucia Estuary is situated on the subtropical, predominantly microtidal Zululand coast. Modern sedimentary environments within the estuary fall into three categories: (1) barrier environments; (2) abandoned channel environments; and (3) estuarine/lagoonal environments. The barrier-associated environment includes tidal inlet channel, inlet beach face, flood-tidal delta, ebb-tidal delta, spit, backspit and aeolian dune facies. The abandoned channel environment comprises washover fan, tidal creek tidal creek delta and back-barrier lagoon facies. The estuarine/lagoonal environment includes subtidal estuarine channel, side-attached bar, channel margin, mangrove fringe and channel island facies. Each sedimentary facies is characterised by sedimentary and biogenic structures, grain-size and sedimentary processes. Vertical facies sequences produced by inlet channel migration and lagoonal infilling are sufficiently distinct to be recognized in the geological record and are typical of a prograding shoreline.

  13. A clinical analysis of maxillary sinus cancer

    International Nuclear Information System (INIS)

    Yasumatsu, Ryuji; Nakashima, Torahiko; Ayada, Toranoshin; Shiratsuchi, Hideki; Toh, Satoshi; Komune, Shizuo

    2009-01-01

    Thirty-two patients (23 males, 9 females) with maxillary sinus cancer were treated at Kyushu University Hospital during 2000-2008. They were classified by T classification as 5 cases with T2, 13 with T3, 12 with T4a, and 2 with T4b. Between 2000 and 2003, 16 patients were given irradiation, intra-arterial 5-fluorouracil (5-FU) infusion chemotherapy, maxillectomy and postoperative irradiation. After 2004, two patients with T4b maxillary sinus cancer were treated by superselective intra-arterial chemotherapy with Cisplatin (CDDP) and Docetaxel (DOC) and irradiation. Other patients were given irradiation and chemotherapy with S-1 and intra-arterial infusion of 5-FU. The 3-year survival rate was 68.3% for all patients. The 3-year survival rate was 74.6% for patients treated after 2004, whereas it was 62.5% for patients treated between 2000 and 2003. Chemotherapy with S-1 or superselective intra-arterial chemotherapy with CDDP and DOC improved cause-specific survival rates. (author)

  14. Maxillary molar distalization with first class appliance.

    Science.gov (United States)

    Ramesh, Namitha; Palukunnu, Biswas; Ravindran, Nidhi; Nair, Preeti P

    2014-02-27

    Non-extraction treatment has gained popularity for corrections of mild-to-moderate class II malocclusion over the past few decades. The distalization of maxillary molars is of significant value for treatment of cases with minimal arch discrepancy and mild class II molar relation associated with a normal mandibular arch and acceptable profile. This paper describes our experience with a 16-year-old female patient who reported with irregularly placed upper front teeth and unpleasant smile. The patient was diagnosed to have angles class II malocclusion with moderate maxillary anterior crowding, deep bite of 4 mm on a skeletal class II base with an orthognathic maxilla and retrognathic mandible and normal growth pattern. She presented an ideal profile and so molar distalization was planned with the first-class appliance. Molars were distalised by 8 mm on the right and left quadrants and class I molar relation achieved within 4 months. The space gained was utilised effectively to align the arch and establish a class I molar and canine relation.

  15. Maxillary sinus carcinoma: result of radiation therapy

    International Nuclear Information System (INIS)

    Shibuya, H.; Horiuchi, J.; Suzuki, S.; Shioda, S.; Enomoto, S.

    1984-01-01

    This hundred and sixteen patients with carcinoma of the maxillary sinus received primary therapy consisting of external beam irradiation alone or in combination with surgery and/or chemotherapy at the Department of Radiology, Tokyo Medical and Dental University Hospital, between 1953 and 1982. In our institution, methods of treating cancer of the maxillary sinus have been changed from time to time and showed different control rates and clinical courses. An actuarial 10-year survival rate of 21% has been obtained by the megavoltage irradiation alone as well as 34% actuarial 10-year survival rate by megavoltage irradiation with surgery. After the introduction of conservative surgery followed by conventional trimodal combination therapy, the local control rate has been improved. The amount of functional, cosmetic, and brain damages have been remarkably decreased by this mode of therapy. The actuarial five year survival rate was 67%. In addition, along with the improvement of the local control rate, the control of nodal and distant organ metastases have been emerging as one of the important contributions to the prognosis of this disease

  16. Interceptive treatment of palatal impaction of maxillary canines with rapid maxillary expansion: a randomized clinical trial.

    Science.gov (United States)

    Baccetti, Tiziano; Mucedero, Manuela; Leonardi, Maria; Cozza, Paola

    2009-11-01

    Our aim in this prospective randomized clinical study was to assess the prevalence rate of eruption of palatally displaced canines, diagnosed at an early developmental stage with posteroanterior radiographs and consequently treated by rapid maxillary expansion. A sample of 60 subjects in the early mixed dentition with palatally displaced canines diagnosed on posteroanterior radiographs was enrolled in the trial. Their age range at the first observation (T1) was 7.6 to 9.6 years, with a prepubertal stage of skeletal maturity (CS1 or CS2). The 60 subjects were randomly allocated to the treatment group (TG, 35 subjects) or the no-treatment group (NTG, 25 subjects). The TG was treated with a banded rapid maxillary expander; after expansion, all patients were retained with the expander in place for 6 months. Thereafter, the expander was removed, and the patients wore a retention plate at night for a year. The NTG received no treatment. All subjects were reevaluated in the early permanent dentition (T2) (postpubertal CS4). The number of dropouts was recorded. The main outcome recorded at T2 was successful or unsuccessful eruption of the maxillary permanent canines. The starting forms at T1 for measurements on posteroanterior and panoramic films were compared in the 2 groups with the Mann-Whitney U test (P <0.05). The prevalence rates of successful and unsuccessful treatments in the TG were compared with those in NTG with chi-square tests (P <0.05). From T1 to T2, there were 3 dropouts in each group. The final sample comprised 32 subjects in the TG and 22 subjects in the NTG. No statistically significant differences were found for any variable at T1. The prevalence rates of successful eruption of the maxillary canines were 65.7% (21 subjects) in the TG and 13.6% (3 subjects) in the NTG. The comparison was statistically significant (chi-square = 12.4; P <0.001). Subjects with palatally displaced canines in the early mixed dentition do not have transverse deficiency of the

  17. Assessing Biogenecity of Stromatolites: Return to the Facies

    Science.gov (United States)

    Shapiro, R. S.; Jameson, S.; Rutter, A.; McCarthy, K.; Planavsky, N. J.; Severson, M.

    2013-12-01

    The discovery of richly microfossiliferous cherty stromatolites near Schreiber and Kakabeka Falls, Ontario, in the 1.9 Ga Gunflint Iron Formation, firmly established the field of pre-Cambrian paleontology. In the half-century since this discovery, paradigm shifts in the ecology of the microfossils as well as the utility of stromatolites as biological markers has caused a re-evaluation of our understanding of the pre-Cambrian fossil record. This research summarizes facies evaluation of the two stromatolite marker beds in the Gunflint-correlative Biwabik Iron Formation of Minnesota. The centimeter-scale microstratigraphy of cores drilled through the central and eastern Mesabi Iron Range was coupled with field descriptions of outcrops and mines in both the Biwabik and Gunflint iron formations. Eight lithologic facies associated with the stromatolites are identified: A) Pebble conglomerate clasts ranging in size of 0.5-3 cm, syneresis cracks, and septarian nodules with medium to coarse grain matrix; B) siltstone with subparallel sub-mm to 5 cm magnetitic and non-magnetic bands; C) stromatolitic boundstone comprising stratiform, pseudocolumnar, domal, undulatory, flat-laminated, dendritic, columnar, and mico-digitate forms and oncoids 0.5 to 2 cm diameter; D) grainstone with medium to coarse siliceous and carbonate ooids and peloids; E) massive green crystalline beds with bands of magnetite, quartz, calcite, disseminated pyrite and localized ankerite; F) autobreccicated fabric of 0.3 to 10 mm clasts; G) medium to coarse sandstone; H) quartzite. Correlation between 11 cores near Hoyt Lakes and 9 cores through the basal stromatolite layer at the MinnTac Mine near Virginia revealed that stromatolites formed both on conglomerate and medium quartz sandstone. Multiple forms of stromatolite may occur in a vertical succession (flat-laminated to undulatory to psuedocolumnar to columnar) or a core may be dominated by one type, typically columnar-stratiform. Where stromatolites do

  18. [Trauma induced left maxillary sinus dislocation of eyeball--a case report].

    Science.gov (United States)

    Chen, Yu; Liu, Cuiping; Cui, Liping

    2013-01-01

    Patient male, 27 year old. Left facial and head trauma for 6 hours, due to motor vehicle accident. Patient state of mind was clear at arrival to hospital. Body temperature: 36C; Pulse: 80 Time/Minute; Breath: 20 Time/Minute; Blood pressure: 120/80 mm Hg. An irregular, horizontal laceration at arch of left eyebrow, approximately 8-10 cm. A laceration on left wing of nose skin, approximately 1 cm. A laceration also under lower eyelid skin of right eye, approximately 2 cm. Left blepharedema and enophthalmos. Orbital and nasal sinuses CT indications:contusion and laceration of the left frontal lobe of brain; fracture of the left orbital frontal, ethmoid, sphenoid bone, left nasal, maxillary sinus and zygoma with soft tissue contusion and laceration; the left eyeball and optic nerve sunk into the maxillary sinus (See figure 1). (1) Multiple orbital fractures; (2) Left maxillary sinus dislocation of eyeball; (3) The left frontal lobe contusion and laceration of brain.

  19. Joint inversion of geophysical data using petrophysical clustering and facies deformation wth the level set technique

    Science.gov (United States)

    Revil, A.

    2015-12-01

    Geological expertise and petrophysical relationships can be brought together to provide prior information while inverting multiple geophysical datasets. The merging of such information can result in more realistic solution in the distribution of the model parameters, reducing ipse facto the non-uniqueness of the inverse problem. We consider two level of heterogeneities: facies, described by facies boundaries and heteroegenities inside each facies determined by a correlogram. In this presentation, we pose the geophysical inverse problem in terms of Gaussian random fields with mean functions controlled by petrophysical relationships and covariance functions controlled by a prior geological cross-section, including the definition of spatial boundaries for the geological facies. The petrophysical relationship problem is formulated as a regression problem upon each facies. The inversion of the geophysical data is performed in a Bayesian framework. We demonstrate the usefulness of this strategy using a first synthetic case for which we perform a joint inversion of gravity and galvanometric resistivity data with the stations located at the ground surface. The joint inversion is used to recover the density and resistivity distributions of the subsurface. In a second step, we consider the possibility that the facies boundaries are deformable and their shapes are inverted as well. We use the level set approach to perform such deformation preserving prior topological properties of the facies throughout the inversion. With the help of prior facies petrophysical relationships and topological characteristic of each facies, we make posterior inference about multiple geophysical tomograms based on their corresponding geophysical data misfits. The method is applied to a second synthetic case showing that we can recover the heterogeneities inside the facies, the mean values for the petrophysical properties, and, to some extent, the facies boundaries using the 2D joint inversion of

  20. CT-MPR invaluable in diagnosing odontogenic maxillary sinusitis

    International Nuclear Information System (INIS)

    Aoki, Hideaki; Shimazu, Kaoru; Kamada, Morito; Shiroyama, Akihiro; Mouri, Daisuke; Yamashita, Masashi; Kawasaki, Yasunori; Koseki, Takakazu; Mouri, Manabu

    2001-01-01

    In everyday examination, it is usual to encounter odontogenic maxillary sinusitis patients. Odontogenic maxillary sinusitis is generally best diagnosed by dental X-ray imaging. Many medical facilities not having a dental X-ray unit use coronal computed tomography (CT) images to diagnose odontogenic maxillary sinusitis. Coronal CT imaging causes artifacts, however due to dental prosthesises. Computed tomography-Multiplanar reformation (CT-MPR) imaging has proved useful in evaluating the paranasal sinus because it is not influenced by dental prosthesises. We evaluated the usefulness of CT-MPR for diagnosing odontogenic maxillary sinusitis by retrospectively analyzing 16 patients, with the following results. We couldn't diagnose all cases of odontogenic maxillary sinusitis in posteroanterior and Waters projection images. Panoramic radiography is needed to diagnose odontogenic maxillary sinusitis. Dental X-ray imaging missed some cases, but all cases were diagnosed by CT-MPR imaging, giving a 100% diagnosestic rate. CT-MPR imaging is thus at least as valuable or better than dental X-ray imaging in diagnosing odontogenic maxillary sinusitis. (author)

  1. Management of Cleft Maxillary Hypoplasia with Anterior Maxillary Distraction: Our Experience

    OpenAIRE

    Chacko, Tojan; Vinod, Sankar; Mani, Varghese; George, Arun; Sivaprasad, K. K.

    2013-01-01

    Maxillary hypoplasia is a common developmental problem in cleft lip and palate deformities. Since 1970s these deformities have traditionally been corrected by means of orthognathic surgery. Management of skeletal deformities in the maxillofacial region has been an important challenge for maxillofacial surgeons and orthodontists. Distraction osteogenesis is a surgical technique that uses body’s own repairing mechanisms for optimal reconstruction of the tissues. We present four cases of anterio...

  2. The use of internal maxillary distraction for maxillary hypoplasia: a preliminary report.

    Science.gov (United States)

    Van Sickels, Joseph E; Madsen, Mathew J; Cunningham, Larry L; Bird, Douglas

    2006-12-01

    Distraction osteogenesis is a useful alternative to advance the maxilla in complicated cases of maxillary hypoplasia. The purpose of this article is to review the workup, experience, and preliminary results with the use of internal distraction osteogenesis for maxillary hypoplasia at one teaching institution. Over a 5-year period, more than 300 patients with craniofacial and dentofacial defects have undergone oral and maxillofacial surgery at our center to correct their skeletal discrepancies. Of these, 10 have had maxillary distraction osteogenesis done with internal distractors. Follow-up of 6 months or more was available for 8 patients. Stereolithographic models were used to bend distractors prior to surgery in 6 patients. Latency prior to the start of distraction was 3 to 7 days and varied with the age of the patient. Distraction occurred at approximately 1 mm per day with an average distraction length of 8.5 mm (range, 6-10 mm). Excellent occlusal results were obtained in 5 patients. Major complications including nonunion and failure to achieve acceptable occlusal results were observed in 3 patients. Minor complications including pain and loosening of the distracter devices were observed in 2 patients, but did not appear to affect the esthetic and functional results. Distraction osteogenesis is a useful alternative to traditional orthognathic surgery to treat maxillary hypoplasia. Internal distractions are attractive to patients, but are more difficult to place and can cause discomfort to patients when trying to achieve an ideal primary vector of distraction. Stereolithographic models can help with placement of the device. Changes in design of distractors may help with patient discomfort.

  3. Middle Eocene seagrass facies from Apennine carbonate platforms (Italy)

    Science.gov (United States)

    Tomassetti, Laura; Benedetti, Andrea; Brandano, Marco

    2016-04-01

    Two stratigraphic sections located in the Latium-Abruzzi (Monte Porchio, Central Apennines, Central Italy) and in the Apulian carbonate platform (S. Cesarea-Torre Tiggiano, Salento, Southern Italy) were measured and sampled to document the sedimentological characteristic and the faunistic assemblages of Middle Eocene seagrass deposits. The faunistic assemblages are dominated by porcellaneous foraminifera Orbitolites, Alveolina, Idalina, Spiroloculina, Quinqueloculina, Triloculina and abundant hooked-shaped gypsinids, associated with hooked red algae and green algae Halimeda. Fabiania, rotaliids and textulariids as well as nummulitids are subordinated. The samples were assigned to Lutetian (SBZ13-16) according to the occurrence of Nummulites cf. lehneri, Alveolina ex. gr. elliptica, Idalina berthelini, Orbitolites complanatus, Slovenites decastroi and Medocia blayensis. At Santa Cesarea reticulate nummulites occur in association with Alveolina spp. and Halkyardia minima marking the lower Bartonian (SBZ17). Three main facies associations have been recognised: I) larger porcellaneous foraminiferal grainstones with orbitolitids and alveolinids deposited into high-energy shallow-water settings influenced by wave processes that reworked the sediments associated with a seagrass; II) grainstone to packstone with small porcellaneous foraminifera and abundant permanently-attached gypsinids deposited in a more protected (e.g., small embayment) in situ vegetated environment; III) bioclastic packstone with parautochthonous material reworked from the seagrass by rip currents and accumulated into rip channels in a slightly deeper environment. The biotic assemblages suggest that the depositional environment is consistent with tropical to subtropical vegetated environments within oligotrophic conditions.

  4. Dating Metasomatism: Monazite and Zircon Growth during Amphibolite Facies Albitization

    Directory of Open Access Journals (Sweden)

    Cailey B. Condit

    2018-04-01

    Full Text Available We present coupled textural observations and trace element and geochronological data from metasomatic monazite and zircon, to constrain the timing of high-grade Na-metasomatism (albitization of an Archean orthogneiss in southwest Montana, USA. Field, mineral textures, and geochemical evidence indicate albitization occurred as a rind along the margin of a ~3.2 Ga granodioritic orthogneiss (Pl + Hbl + Kfs + Qz + Bt + Zrn exposed in the Northern Madison range. The metasomatic product is a weakly deformed albitite (Ab + Bt + OAm + Zrn + Mnz + Ap + Rt. Orthoamphibole and biotite grew synkinematically with the regional foliation fabric, which developed during metamorphism that locally peaked at upper amphibolite-facies during the 1800–1710 Ma Big Sky orogeny. Metasomatism resulted in an increase in Na, a decrease in Ca, K, Ba, Fe, and Sr, a complete transformation of plagioclase and K-feldspar into albite, and loss of quartz. In situ geochronology on zoned monazite and zircon indicate growth by dissolution–precipitation in both phases at ~1750–1735 Ma. Trace element geochemistry of rim domains in these phases are best explained by dissolution–reprecipitation in equilibrium with Na-rich fluid. Together, these data temporally and mechanistically link metasomatism with high-grade tectonism and prograde metamorphism during the Big Sky orogeny.

  5. Introduction of a new removable adjustable intraoral maxillary distraction system for correction of maxillary hypoplasia.

    Science.gov (United States)

    Figueroa, Alvaro A; Polley, John W; Figueroa, Alexander L

    2009-09-01

    Distraction osteogenesis has become a treatment alternative to treat severe craniofacial skeletal dysplasias. A rigid external distraction device has been successfully used to advance the maxilla as well as the maxillary, orbital, and forehead complex (monobloc) in children as young as 2 years, adolescents, and adults. For this severe group of patients, the technique has been found to be simpler and safer than traditional surgical methods. Maxillary and midfacial advancement through distraction has been found to be extremely stable in the patients in whom the technique was used.The authors introduce an intraoral distractor for those patients requiring a moderate maxillary advancement. The advantages of the device include ease of insertion, vector adjustability, reactivation capabilities, and no need for second procedure for its removal.The above approaches have provided predictable and stable results. A detailed description of the device, necessary orthodontic and surgical procedures, case reports, and cephalometric outcomes are presented. The techniques can be applied alone or as an adjunct to traditional orthognathic and craniofacial surgical procedures.

  6. Breakage of internal maxillary distractor: considerable complication of maxillary distraction osteogenesis.

    Science.gov (United States)

    Aikawa, Tomonao; Iida, Seiji; Isomura, Emiko T; Namikawa, Mari; Matsuoka, Yudai; Yamada, Chiaki; Yamamoto, Taku; Takigawa, Yoko

    2008-07-01

    Maxillary distraction osteogenesis using intraoral distractors is now one of the standard treatments of maxillary retrusion. This report shows 2 cases of breakage of this internal maxillary distractor in patients with cleft lip and palate; one was observed during the distraction period and the other was during the retention period. The first case required a rotational movement of the distraction segment, and this movement caused the laterally dislocation of the posterior part of the distractor, where the distractor suffered some mechanical forces by mouth opening. In the latter case, breakage of distractor was observed on the radiographs taken 3 months after distraction and this complication may have been caused by mechanical force by occlusion and mastication. Both breakages were found at the joint of the anchorage plate and the extension rod, which has some flexibility for adjusting the plate to the bone surface. Therefore, surgeons should pay special attention for this mechanical weak area in this distractor not only during the advancement period, but also during the retention period and should avoid unnecessary frequent bending for adopting the bone surface, which directly weakens the joint.

  7. Combined tide and storm influence on facies sedimentation of miocene Miri Formation, Sarawak

    International Nuclear Information System (INIS)

    Yuniarta Ulfa; Nasiman Sapari; Zuhar Zahir Tuan Harith

    2011-01-01

    This study was conducted on the sedimentary rocks belonging to the Miri Formation (Middle - Late Miocene). The primary objective of the present study is to provide additional interpretation on the stratigraphy of the Miri Formation in the Miri Field based on the new information gathered from new outcrops in the area. Five outcrops were examined in detail on sedimentology and stratigraphy. Based on lithology, sedimentary structures, bedding geometry and traces fossil, the sediments of the Miri Formation were grouped into fourteen lithofacies. Influence of tide and storm during the depositional processes of the formation were indicated by the group of two main facies associations which are: (i) tide-dominated estuary; and (ii) wave-and-storm dominated facies associations. The tide-dominated estuary system of the Miri Formation are includes variety of sub environments: estuary mouth or tidal channel and sand bars (characterized by trough cross-stratified sandstone with mud drapes facies), estuary channel or upper flow regime of sand flat (characterized by parallel stratified sandstone with mud-laminas facies), mixed-tidal flat (characterized by wavy and flaser bedded sandstone facies), and mud-tidal flat (characterized by rhythmic stratified sandstone-mudstone and lenticular bedding facies). The wave-and-storm dominated varied from lower to middle shore face (characterized by hummocky cross-stratified sandstone and rhythmic parallel stratified sandstone and laminated siltstone facies), upper shore face (characterized by swaley cross-stratified sandstone), lower shore face inter bedded to bioturbated sandstone and siltstone facies), and offshore transitional (characterized by bioturbated sandstone and mudstone inter bedding with parallel to hummocky cross-stratified sandstone facies). (author)

  8. Modeling Oligo-Miocence channel sands (Dezful Embayment, SW Iran): an integrated facies classification workflow

    International Nuclear Information System (INIS)

    Heydari, Mostafa; Maddahi, Iradj; Moradpour, Mehran; Esmaeilpour, Sajjad

    2014-01-01

    This study has been conducted on Mansuri onshore oilfield located in Dezful Embayment, south-west Iran. One of the hydrocarbon-bearing formations is a Oligo-Miocene Asmari formation—the most prolific Iranian reservoir rock. Like many other oilfields in the area, the trap in this field is deemed structural (anticline), formed during the collision of the Arabian plate with the Iranian plate and the folding of Neotethys deposits with a NW–SE trend. This study integrates three different quantitative studies from geology, geophysics and petrophysics disciplines to quantitate ‘the qualitative study of seismic facies analysis based on trace shapes and 3D multi-attribute clustering’. First, stratigraphic sequences and seismic detectable facies were derived at one well location using the available high resolution core facies analysis and depositional environment assessment reports. Paleo and petrophysical logs from other wells were subsequently used for the extrapolation of stratigraphic sequences interpreted at the first well. Utilizing lithology discrimination obtained by wire-line log interpretation, facies were extrapolated to all wells in the area. Seismic 3D attribute analysis and seismic facies classification established a 3D facies volume accordingly, which was finally calibrated to geological facies at well locations. The ultimate extracted facies-guided geobody shows that good reservoir-quality channel sands have accumulated with NW/SE elongation at the ridge of the structure. As a result, this type of geometry has created a stratigraphic/structural hydrocarbon trap in this oilfield. Moreover, seismic facies analysis shows that buried channels do not parallel the predominant Arabian plate-originated channels (with SW–NE trends) in SW Zagros and are locally swerved in this area. (paper)

  9. Morphologic study of the maxillary molars. Part II: Internal anatomy.

    Science.gov (United States)

    Pécora, J D; Woelfel, J B; Sousa Neto, M D; Issa, E P

    1992-01-01

    The internal anatomy of three hundred and seventy (370) decalcified and cleared human maxillary molars was studied. Seventy-five percent of the first molars, 58% of the second molars and 68% of the third molars studied presented three (3) root canals and 25% of the first molars, 42% of the second molars and 32% of the third molars presented four (4) root canals. The authors observed that the incidence of two root canals in the mesiobuccal root was higher in second maxillary molars than in first maxillary molars.

  10. Tissue tolerance under the combination treatment of maxillary cancer

    International Nuclear Information System (INIS)

    Egawa, Jun; Ono, Isamu; Suzuki, Kunio; Takeda, Chisato; Ebihara, Satoshi.

    1977-01-01

    The tissue tolerance doses of the maxillary sinus structures were estimated when they were subjected to treatment for maxillary cancer by the usual combination of surgery, radiotherapy and regional arterial infusion of 5-fluorouracil. Equivalent single dose calculation was applied with irreversible tissue damage as an indicator. The retardation of epithelialization of the maxillary sinus operated upon appeared to be correlated with the dose delivered. The study indicated that 2,200 rad expressed by equivalent single dose is a safe dose level for sufficient epithelialization. The safety dose level for the bony structure, exposed by surgery, seemed to be at 1,800 rad. (auth.)

  11. Maxillary sinusitis - a comparative study of different imaging diagnosis methods

    International Nuclear Information System (INIS)

    Hueb, Marcelo Miguel; Borges, Fabiano de Almeida; Pulcinelli, Emilte; Souza, Wandir Ferreira; Borges, Luiz Marcondes

    1999-01-01

    We conducted prospective study comparing different methods (plain X-rays, computed tomography and ultrasonography mode-A) for the initial diagnosis of maxillary sinusitis. Twenty patients (40 maxillary sinuses) with a clinical history suggestive of sinusitis included in this study. The results were classified as abnormal or normal, using computed tomography as gold standard. The sensitivity for ultrasonography and plain X-rays was 84.6% and 69.2%, respectively. The specificity of both methods was 92.6%. This study suggests that ultrasonography can be used as a good follow-up method for patients with maxillary. sinusitis. (author)

  12. Tissue tolerance under the combination treatment of maxillary cancer

    Energy Technology Data Exchange (ETDEWEB)

    Egawa, J [Teikyo Univ., Tokyo (Japan). Faculty of Medicine; Ono, I; Suzuki, K; Takeda, C; Ebihara, S

    1977-06-01

    The tissue tolerance doses of the maxillary sinus structures were estimated when they were subjected to treatment for maxillary cancer by the usual combination of surgery, radiotherapy, and regional arterial infusion of 5-fluorouracil. Equivalent single dose calculation was applied with irreversible tissue damage as an indicator. The retardation of epithelialization of the maxillary sinus operated upon appeared to be correlated with the dose delivered. The study indicated that 2,200 rad expressed by equivalent single dose is a safe dose level for sufficient epithelialization. The safety dose level for the bony structure, exposed by surgery, seemed to be at 1,800 rad.

  13. Maxillary First Molars with 2 Distobuccal Canals: A Case Series.

    Science.gov (United States)

    Fogel, Howard M; Cunha, Rodrigo Sanches

    2017-11-01

    An appreciation of the anatomic complexity of the root canal system is essential at every step of endodontic treatment. Endodontic treatment of teeth with unusual root canal anatomy presents a unique challenge. Eight patients underwent nonsurgical root canal treatment of 3-rooted maxillary first molars in a specialty endodontic private practice. Four cases of Weine type II and 4 cases of Weine type III canal configurations in the distobuccal root of maxillary first molars were presented.This article highlighted an uncommon anatomic variation of 2 canals in the distobuccal root of the maxillary first molar. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  14. Treatment of traumatized maxillary central incisors

    Directory of Open Access Journals (Sweden)

    Jun Kuo

    2011-12-01

    Full Text Available Traumatic injury to the upper anterior teeth is not uncommon in young children. Dental ankylosis frequently occurs when teeth are traumatically luxated or replanted after being avulsed. Orthodontic movement of a traumatized tooth is difficult, especially when treating an ankylosed tooth without surgical luxation and distraction osteogenesis. This report describes a case of a patient with class I crowded malocclusion and labially displaced and intruded traumatized maxillary incisors. The protruded traumatized incisors were successfully brought to an acceptable position with acceptable gingival esthetics through the use of simple orthodontic traction combined with first-premolar extraction. An acceptable overbite and overjet were achieved within 14 months after completion of orthodontic treatment.

  15. Lymph node metastasis in maxillary sinus carcinoma

    International Nuclear Information System (INIS)

    Le, Q.-T.; Fu, Karen K.; Kaplan, Michael J.; Terris, David J.; Fee, Willard E.; Goffinet, Don R.

    2000-01-01

    Purpose: To evaluate the incidence and prognostic significance of lymph node metastasis in maxillary sinus carcinoma. Methods and Materials: We reviewed the records of 97 patients treated for maxillary sinus carcinoma with radiotherapy at Stanford University and at the University of California, San Francisco between 1959 and 1996. Fifty-eight patients had squamous cell carcinoma (SCC), 4 had adenocarcinoma (ADE), 16 had undifferentiated carcinoma (UC), and 19 had adenoid cystic carcinoma (AC). Eight patients had T2, 36 had T3, and 53 had T4 tumors according to the 1997 AJCC staging system. Eleven patients had nodal involvement at diagnosis: 9 with SCC, 1 with UC, and 1 with AC. The most common sites of nodal involvement were ipsilateral level 1 and 2 lymph nodes. Thirty-six patients were treated with definitive radiotherapy alone, and 61 received a combination of surgical and radiation treatment. Thirty-six patients had neck irradiation, 25 of whom received elective neck irradiation (ENI) for N0 necks. The median follow-up for alive patients was 78 months. Results: The median survival for all patients was 22 months (range: 2.4-356 months). The 5- and 10-year actuarial survivals were 34% and 31%, respectively. Ten patients relapsed in the neck, with a 5-year actuarial risk of nodal relapse of 12%. The 5-year risk of neck relapse was 14% for SCC, 25% for ADE, and 7% for both UC and ACC. The overall risk of nodal involvement at either diagnosis or on follow-up was 28% for SCC, 25% for ADE, 12% for UC, and 10% for AC. All patients with nodal involvement had T3-4, and none had T2 tumors. ENI effectively prevented nodal relapse in patients with SCC and N0 neck; the 5-year actuarial risk of nodal relapse was 20% for patients without ENI and 0% for those with elective neck therapy. There was no correlation between neck relapse and primary tumor control or tumor extension into areas containing a rich lymphatic network. The most common sites of nodal relapse were in the

  16. Forty cases of maxillary sinus carcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Tanaka, Go; Yamada, Shoichiro; Sawatsubashi, Motohiro; Miyazaki, Junji; Tsuda, Kuniyoshi; Inokuchi, Akira [Saga Medical School (Japan)

    2002-01-01

    Forty patients with squamous cell carcinoma in the maxillary sinus were investigated between 1989 and 1999. They consisted of 28 males and 12 females. Their ages ranged from 18 to 84 years (mean 62 years). According to the 1987 UICC TNM classification system, 3 patients were classified as stage II, 3 were stage III and 34 were stage IV. The overall three-year and five-year survival rates were 52% and 44%, respectively. Local recurrence was observed in 11 stage IV cases and 10 of them were not controlled. For further improving the prognosis of such patients, new techniques such as skull base surgery, super selective intraarterial chemotherapy, and concurrent chemo-radiation should be included in the treatment regimen. (author)

  17. Anterior maxillary segmental distraction for correction of maxillary hypoplasia and dental crowding in cleft palate patients: a preliminary report.

    Science.gov (United States)

    Wang, X-X; Wang, X; Li, Z-L; Yi, B; Liang, C; Jia, Y-L; Zou, B-S

    2009-12-01

    To evaluate the feasibility of anterior maxillary segmental distraction (AMSD) to correct maxillary hypoplasia and severe dental crowding in cleft lip and palate (CLP) patients, 7 patients (average age 16.4 years) with maxillary hypoplasia, shortened maxillary dental arch length and severe anterior dental crowding secondary to CLP were selected for this study. After anterior maxillary segmental osteotomy, 3 patients were treated using bilateral internal distraction devices, and 4 patients were treated using rigid external distraction devices. Photographs and radiographs were taken to review the improvement in facial profile and occlusion after distraction. An average 10.25 mm anterior maxillary advancement was obtained in all patients after 10-23 days of distraction and 9-16 weeks of consolidation. The sella-nasion-point A (SNA) angle increased from 69.5 degrees to 79.6 degrees. Midface convexity was greatly improved and velopharyngeal competence was preserved. The maxillary dental arch length was greatly increased by 10.1 mm (P<0.01). Dental crowding and malocclusion were corrected by orthodontic treatment. These results show that AMSD can effectively correct the hypoplastic maxilla and severe dental crowding associated with CLP by increasing the midface convexity and dental arch length while preserving velopharyngeal function, and dental crowding can be corrected without requiring tooth extraction.

  18. A minipig model of maxillary distraction osteogenesis.

    Science.gov (United States)

    Papadaki, Maria E; Troulis, Maria J; Glowacki, Julie; Kaban, Leonard B

    2010-11-01

    To establish a porcine model for maxillary distraction osteogenesis and to document the sequence of bone formation in the zone of advancement. Female Yucatan minipigs (n = 9) in the mixed dentition stage underwent modified Le Fort I osteotomy through a vestibular incision under general anesthesia. A unidirectional, semiburied Le Fort I distraction device was fixed across the osteotomy. The distraction protocol was 0-day latency, 1-mm/d rate for 12 days, and 24 days of fixation. Maxillary specimens (n = 9) were harvested and divided in half at the end of distraction (n = 6 sides), midfixation (n = 6), and the end of fixation (n = 6). Clinical stability, volume, and radiographic density across the zone of advancement were graded on semiquantitative scales. Specimens were stained with hematoxylin and eosin and examined with light microscopy. Animals tolerated the operation, the distraction and fixation periods. There were no infections and no devices failed. At the end of the distraction period, bone trabeculae were present at the periphery and fibrous tissues, and vessels, preosteoblasts, and osteoblasts were present in the center of the zone of advancement. Islands of chondrocyte-like cells appeared in 1 specimen each at midfixation and the end of fixation. At the end of fixation, clinical stability and radiographic density were graded 3/3 and bone formation was complete across the advancement zone in all specimens. A model for Le Fort I distraction osteogenesis was established. Intramembranous bone formation was the predominant mechanism of healing in the zone of advancement. Latency was not necessary for bone formation in this minipig model. Copyright © 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  19. Autogenous transplantation of maxillary and mandibular molars.

    Science.gov (United States)

    Reich, Peter P

    2008-11-01

    Autogenous tooth transplantation has been used as a predictable surgical approach to correct malocclusion and replace edentulous areas. This article focuses on the surgical approach and technique for molar transplantation. Thirty-two patients aged between 11 and 25 years underwent 44 autogenous molar transplantations. The procedure involved transplantation of impacted or newly erupted third molars into the extraction sockets of nonrestorable molars and surgical removal and replacement of horizontally impacted molars into their proper vertical alignment. Five basic procedural concepts were applied: 1) atraumatic extraction, avoiding disruption of the root sheath and root buds; 2) apical contouring of bone at the transplantation site and maxillary sinus lift via the Summers osteotome technique, when indicated, for maxillary molars; 3) preparation of a 4-wall bony socket; 4) avoidance of premature occlusal interferences; and 5) stabilization of the tooth with placement of a basket suture. All 32 patients successfully underwent the planned procedure. To date, 2 patients have had localized infection that resulted in loss of the transplant. The remaining 42 transplants remain asymptomatic and functioning, with a mean follow-up period of 19 months. No infection, ankylosis, loss of the transplant, or root resorption has been noted. In addition, endodontic therapy has not been necessary on any transplanted teeth. Autogenous tooth transplantation has been discussed and described in the literature previously, with a primary focus on cuspid and bicuspid transplantation. The molar transplant is infrequently discussed in today's literature, possibly because of the preponderance of titanium dental implants. Autogenous molar transplantation is a viable procedure with low morbidity and excellent functional and esthetic outcomes. This report shows the successful transplantation of 42 of 44 molars in 32 patients with a mean follow-up period of 19 months.

  20. Lithofacies-paleo-geography and uranium sedimentary facies in Hailar basin

    International Nuclear Information System (INIS)

    Qi Fucheng

    1992-01-01

    Cretaceous-Tertiary sedimentary paleo-structure and lithofacies-paleo-geography in Hailar Basin are described. Taking Chenqi coal field as an example, the sedimentary facies pattern of coal-bearing series characterized by alternating sedimentation of fluviatile and lacustrine-swampy facies is reconstructed. It is pointed out that this sedimentary facies not only controls the sedimentation and distribution of syngenetic uranium mineralization, but also is a favourable place that converges uranium-bearing solution and reduces and precipitates uranium for the second time in epigenetic mineralization

  1. Upper Cretaceous chalk facies and depositional history recorded in the Mona-1 core, Mona Ridge

    DEFF Research Database (Denmark)

    Anderskouv, Kresten; Surlyk, Finn

    2011-01-01

    , including mudflow, debris flow, and slumping. Pelagic deposits vary mainly in terms of the concentration of siliciclastic material, the trace-fossil assemblage, and the presence or ab­sence of primary sedimentary structures. Pelagic sedimentation was probably punctuated by the deposition of thin turbidites...... slump packages (14–18 in total) are interpreted, forming over 40% of the succession; debrites appear to be the most common precursor facies involved in slumping. The vertical succession of facies records an earliest Cenomanian facies shift from dominantly siliciclastic to chalk deposition...

  2. Bone-anchored maxillary expansion and bilateral interoral mandibular distraction osteogenesis in adult with severe obstructive sleep apnea syndrome.

    Science.gov (United States)

    Nie, Ping; Zhu, Min; Lu, Xiao-Feng; Fang, Bing

    2013-05-01

    Severe obstructive sleep apnea syndrome (OSAS) threatens patients' lives. To solve ventilation problem, snoring, and avoid another orthognathic surgery for mandibular advancement, bone-anchored rapid maxillary expansion and bilateral interoral mandibular distraction osteogenesis were tried on a 20-year-old Chinese male patient with severe skeletal class II malocclusion and OSAS.The patient had polysomnography (apnea-hypopnea index 54.2), body mass index measurement (19.7 kg/m), and cephalometry before the treatment. Bone-anchored rapid maxillary expansion was performed for the correction of maxillary transverse and minor sagittal deficiency and the improvement of nasal airflow by decreasing nasal resistance. Bilateral interoral mandibular distraction osteogenesis was operated to lengthen the small, retruded mandible by 15 mm. Orthodontic treatment after the maxillary expansion and mandibular distraction osteogenesis can help obtain stable occlusion.The Epworth Sleepiness Scale, a questionnaire for temporomandibular joint, cephalometric analysis, polysomnography, acoustic rhinometry, and multislice spiral computed tomography were performed to evaluate changes from the treatment. All the results showed that the patient had a significantly alleviated OSAS. In addition, an acceptable occlusion was also obtained.

  3. Prograding coastal facies associations in the Vryheid formation (Permian) at Effingham quarries near Durban, South Africa

    Science.gov (United States)

    Tavener-Smith, R.

    1982-05-01

    This paper describes and interprets a flat-lying, sandstone—siltstone sequence 70 m thick in three disused quarries. The beds comprise the lowest part of the Vryheid Formation (middle Ecca) in the Durban vicinity. The sequence is conveniently divisible into two parts: the Lower Division constitutes a prograding beach barrier association, while the upper one represents a back barrier lagoonal complex. Fourteen sedimentary facies are described and interpreted to represent a range of depositional environments including open water shelf silts, sandy shoreface and littoral deposits, organic-rich muds and peats of lagoonal origin, a tidal inlet, washover fans and a fluvial channel sand. Among the conclusions reached are that the local middle Ecca coastline extended in a northwest to southeast direction and that progradation was towards the southwest; that the coastline was microtidal and that stormy conditions were common with prevalent palaeowinds from the northwest. The absence of invertebrate body fossils in these strata is attributed to penecontemporaneous solution of shelly remains. This is the first time that a coastal sequence has been identified on the southeast margin of the Main Karoo Basin of South Africa

  4. Tooth-Borne Anterior Maxillary Distraction for Cleft Maxillary Hypoplasia: Our Experience With 147 Patients.

    Science.gov (United States)

    Richardson, Sunil; Selvaraj, Dhivakar; Khandeparker, Rakshit V; Seelan, Nikkie S; Richardson, Shweta

    2016-12-01

    To evaluate the results of anterior maxillary distraction for its efficacy and long-term stability in the management of cleft maxillary hypoplasia in a large series of patients with a long-term follow-up extending to 4 years. One hundred sixty-four patients at least 10 years old with cleft maxillary hypoplasia who presented to the authors' unit from January 2009 through October 2014 were evaluated retrospectively, irrespective of gender, type of cleft lip and palate, and amount of advancement needed. Anterior maxillary distraction using a tooth-borne distractor appliance was carried out in all patients and all patients were followed up to 4 years (range, 1 to 4 yr) to evaluate the stability of the procedure and to document any relapse using digitalized lateral cephalograms taken before distraction, immediately after distraction (T2), and at the last follow-up visit (T3; range, 1 to 4 yr). Seventeen patients were subsequently lost to follow-up; therefore, a complete set of records was available for 147 patients. In a subset of 50 patients, perceptual speech assessment was carried out preoperatively and 6 months postoperatively by 2 speech pathologists using the Perkins scoring system that allowed the evaluation of 5 parameters (velopharyngeal insufficiency, resonance, nasal air emission, articulation, and intelligibility). None of these patients underwent speech therapy during the course of evaluation. The development of complications intra- or postoperatively was noted. The data were tabulated and analyzed. An advancement ranging from 4.0 to 13.1 mm (mean, 9.42 mm) was achieved in all patients. One hundred forty patients (95.23%) showed stable results on lateral cephalograms and when T2 values were compared with T3 values. Seven patients (4.76%) exhibited skeletal relapse in various linear and angular measurements assessed on lateral cephalograms. At 6-month follow-up, improvements of 62% (n = 31), 64% (n = 32), 50% (n = 25), 68% (n = 34), and 70% (n

  5. Le Fort I Maxillary Advancement Using Distraction Osteogenesis

    Science.gov (United States)

    Combs, Patrick D.; Harshbarger, Raymond J.

    2014-01-01

    Treatment of maxillary hypoplasia has traditionally involved conventional Le Fort I osteotomies and advancement. Advancements of greater than 10 mm risk significant relapse. This risk is greater in the cleft lip and palate population, whose anatomy and soft tissue scarring from prior procedures contributes to instability of conventional maxillary advancement. Le Fort I advancement with distraction osteogenesis has emerged as viable, stable treatment modality correction of severe maxillary hypoplasia in cleft, syndromic, and noncleft patients. In this article, the authors provide a review of current data and recommendations concerning Le Fort I advancement with distraction osteogenesis. In addition, they outline their technique for treating severe maxillary hypoplasia with distraction osteogenesis using internal devices. PMID:25383054

  6. Bilateral postoperative maxillary cysts after orthognathic surgery: A case report

    International Nuclear Information System (INIS)

    Lee, Jung Hye; Huh, Kyung Hoe; Yi, Won Jin; Heo, Min Suk; Lee, Sam Sun; Choi, Soon Chul

    2014-01-01

    Postoperative maxillary cysts are locally aggressive lesions, usually developing as delayed complications many years after radical antral surgery. This report describes a case of bilateral postoperative maxillary cysts following orthognathic surgery performed approximately 21 years previously. The patient complained of stinging pain on her right cheek. Radiographic examination revealed low-attenuation lesions on both maxillary sinuses with discontinuously corticated margins without distinct expansion or bone destruction. The cysts were enucleated with the removal of metal plates and screws for pain relief. Histopathological examination confirmed the diagnosis of postoperative maxillary cysts lined by ciliated, pseudostratified columnar cells. The patient has remained asymptomatic thus far, and there was no evidence of local recurrence at 21 months of postoperative follow-up.

  7. Bilateral maxillary fused second and third molars: a rare occurrence.

    Science.gov (United States)

    Liang, Rui-Zhen; Wu, Jin-Tao; Wu, You-Nong; Smales, Roger J; Hu, Ming; Yu, Jin-Hua; Zhang, Guang-Dong

    2012-12-01

    This case report describes the diagnosis and endodontic therapy of maxillary fused second and third molars, using cone-beam computed tomography (CBCT). A 31-year-old Chinese male, with no contributory medical or family/social history, presented with throbbing pain in the maxillary right molar area following an unsuccessful attempted tooth extraction. Clinical examination revealed what appeared initially to be a damaged large extra cusp on the buccal aspect of the distobuccal cusp of the second molar. However, CBCT revealed that a third molar was fused to the second molar. Unexpectedly, the maxillary left third molar also was fused to the second molar, and the crown of an unerupted supernumerary fourth molar was possibly also fused to the apical root region of the second molar. Operative procedures should not be attempted without adequate radiographic investigation. CBCT allowed the precise location of the root canals of the right maxillary fused molar teeth to permit successful endodontic therapy, confirmed after 6 months.

  8. Bilateral postoperative maxillary cysts after orthognathic surgery: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Hye; Huh, Kyung Hoe; Yi, Won Jin; Heo, Min Suk; Lee, Sam Sun; Choi, Soon Chul [Dept. of Oral and Maxillofacial Radiology and Dental Research Institute, School of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    2014-12-15

    Postoperative maxillary cysts are locally aggressive lesions, usually developing as delayed complications many years after radical antral surgery. This report describes a case of bilateral postoperative maxillary cysts following orthognathic surgery performed approximately 21 years previously. The patient complained of stinging pain on her right cheek. Radiographic examination revealed low-attenuation lesions on both maxillary sinuses with discontinuously corticated margins without distinct expansion or bone destruction. The cysts were enucleated with the removal of metal plates and screws for pain relief. Histopathological examination confirmed the diagnosis of postoperative maxillary cysts lined by ciliated, pseudostratified columnar cells. The patient has remained asymptomatic thus far, and there was no evidence of local recurrence at 21 months of postoperative follow-up.

  9. Unusual anatomy of maxillary central incisor with two roots

    Directory of Open Access Journals (Sweden)

    T S Ashwini Shivakumar

    2012-01-01

    Full Text Available Introduction: Knowledge of root canal morphology is essential for successful endodontic therapy. Failure to recognize unusual root canal anatomy may lead to unsuccessful endodontic treatment. Case Report: This case report describes the successful endodontic treatment of the maxillary central incisor with unusual anatomy of two roots and two root canals. A 23-year-old male patient was referred for dental consultation with discoloration of the maxillary right central incisor with periapical lesion, which revealed unusual anatomy of root on radiographic examination, and was confirmed upon exploration. Discussion: As described by Vertucci, the maxillary central incisor presents a single root and single root canal in 100% of the cases. However, few cases of maxillary central incisors with two canals were reported in the literature, most of which were associated with developmental anomalies like fusion, germination or dens invaginatus. Clinician should be aware of the unusual anatomical variations that should be detected by the different diagnostic resources available.

  10. Surgical Splint Design Influences Transverse Expansion in Segmental Maxillary Osteotomies

    DEFF Research Database (Denmark)

    Stokbro, Kasper; Aagaard, Esben; Torkov, Peter

    2017-01-01

    splint designs on achieving the planned transverse expansion in bimaxillary surgery with segmental maxillary procedures. Materials and Methods: Forty-two participants were included in a retrospective observational study. All participants had completed virtually planned bimaxillary surgery with 3-piece......Purpose: In segmental maxillary procedures, it is imperative to obtain as much of the planned expansion as possible. Lack of obtained expansion, in addition to late relapse after splint removal, can result in relapse of the posterior crossbite. This study investigated the influence of 2 surgical...... maxillary segmentation. The primary outcome variable was the transverse expansion obtained, measured as the expansion between the maxillary first molars on preoperative and postoperative cone-beam computed tomograms. The postoperative scan was performed 1 week after surgery with the splint still in place...

  11. Radicular cyst of maxillary primary tooth: Report of two cases

    Directory of Open Access Journals (Sweden)

    Vinod Vijay Chander

    2014-01-01

    Full Text Available Radicular cyst is one of the most common odontogenic cysts of the jaws, but those arising from primary teeth are very rare. This article reports two such rare cases incidentally affecting deciduous maxillary teeth.

  12. Simplified Model Surgery Technique for Segmental Maxillary Surgeries

    Directory of Open Access Journals (Sweden)

    Namit Nagar

    2011-01-01

    Full Text Available Model surgery is the dental cast version of cephalometric prediction of surgical results. Patients having vertical maxillary excess with prognathism invariably require Lefort I osteotomy with maxillary segmentation and maxillary first premolar extractions during surgery. Traditionally, model surgeries in these cases have been done by sawing the model through the first premolar interproximal area and removing that segment. This clinical innovation employed the use of X-ray film strips as separators in maxillary first premolar interproximal area. The method advocated is a time-saving procedure where no special clinical or laboratory tools, such as plaster saw (with accompanying plaster dust, were required and reusable separators were made from old and discarded X-ray films.

  13. Periapical abscess of the maxillary teeth and its fistulizations: Multi ...

    African Journals Online (AJOL)

    Sherif A. Shama

    2012-12-14

    Dec 14, 2012 ... Two cases (10%) of fracture of the maxillary alveolar process complicating tri- als of previous ... Tooth decay is the most common chronic illness in the pediat- ... with resultant apical periodontitis, granuloma, abscess, and fi-.

  14. [Burden of proof in medical cases--presumption of fact and prima facie evidence. II. Presumption of fact and prima facie evidence].

    Science.gov (United States)

    Sliwka, Marcin

    2004-01-01

    The aim of this paper was to present the main rules concerning the burden of proof in polish civil trials, including medical cases. The standard rules were presented with all the important exclusions such as presumption of law and fact or prima facie evidence. The author analyses the effect of these institutions on burden of proof in medical cases. The difference between presumptions of fact and prima facie evidence was analysed and explained. This paper also describes the importance of the res ipsa loquitur rule in United Kingdom and USA. This paper includes numerous High Court sentences on evidential and medical issues.

  15. Anthropogenic effects on sedimentary facies in Lake Baldeney, West Germany

    Science.gov (United States)

    Neumann-Mahlkau, Peter; Niehaus, Heinz Theo

    1983-12-01

    Analysis of well logs of Lake Baldeney, a reservoir of the Ruhr River, yields four facies factors that reflect the effect of anthropogenic processes on the sediment. First, the sedimentation rate is directly related to the subsidence caused by mining. The extent of the subsidence was such that the sediment load of the river could not compensate for the sinking of the lake bottom. Discharged sediment filled about one-fifth of the basin within 40 years. In certain areas of the basin the sedimentation rate reached up to 10 cm per year. Second, the grain-size distribution of the sediment was influenced by long-term and short-term events. During the subsidence, grain-size distribution remained relatively constant. The destruction of the Möhne River dam during World War II resulted in the presence of an extremely large grain size as evidenced by the so-called Möhnelage. The filling of the lake after 1961 was accompanied by a continual increase in medium grain size. Third, until 1975, the mode of the lake sediment reflects the effect of mining in the vicinity of the lake. High coal content can be traced to its origin. The introduction of modern production processes, modernization of coal dressing, and hydraulic hauling is documented in the sediment. Finally, the heavy metal content of the sediment corresponds to the industrial development in the drainage area the Ruhr River. The accumulation of Cd reached an extreme concentration, exceeding the natural content by a thousand times. Variation in concentration reflects an increase in industrial production, as well as measures undertaken to restore water quality.

  16. Fluvial facies reservoir productivity prediction method based on principal component analysis and artificial neural network

    Directory of Open Access Journals (Sweden)

    Pengyu Gao

    2016-03-01

    Full Text Available It is difficult to forecast the well productivity because of the complexity of vertical and horizontal developments in fluvial facies reservoir. This paper proposes a method based on Principal Component Analysis and Artificial Neural Network to predict well productivity of fluvial facies reservoir. The method summarizes the statistical reservoir factors and engineering factors that affect the well productivity, extracts information by applying the principal component analysis method and approximates arbitrary functions of the neural network to realize an accurate and efficient prediction on the fluvial facies reservoir well productivity. This method provides an effective way for forecasting the productivity of fluvial facies reservoir which is affected by multi-factors and complex mechanism. The study result shows that this method is a practical, effective, accurate and indirect productivity forecast method and is suitable for field application.

  17. Sedimentary Facies of the West Crocker Formation North Kota Kinabalu-Tuaran Area, Sabah, Malaysia

    Science.gov (United States)

    Mohamed, Azfar; Hadi Abd Rahman, Abdul; Suhaili Ismail, Mohd

    2016-02-01

    Newly outcrops exposed in the West Crocker Formation have led to the detail sedimentolgical analysis of the formation. Eight sedimentary facies have been recognised in which it was divided into three main groups: (1) sand-dominated facies (F1-F2), (2) poorly- sorted unit mixed sand and mud-dominated facies (F3), and (3) mud-dominated facies (F4-F5). These are: F1- graded sandstone (massive to planar laminated), F2-ripple-cross laminated, wavy and convolute lamination sandstone, F3-chaotic beds of mixed sandstone and mudstone blocks and clasts, F4-lenticular bedded of sandstone, and F5-shale. The studies of the formation has come out that it was deposited in a sand-rich submarine fan with specific location located at (1) inner fan channel-levee complex; (2) mid-fan channelised lobes, and (3) outer fan.

  18. Bilateral maxillary fused second and third molars: a rare occurrence

    OpenAIRE

    Liang, Rui-Zhen; Wu, Jin-Tao; Wu, You-Nong; Smales, Roger J; Hu, Ming; Yu, Jin-Hua; Zhang, Guang-Dong

    2012-01-01

    This case report describes the diagnosis and endodontic therapy of maxillary fused second and third molars, using cone-beam computed tomography (CBCT). A 31-year-old Chinese male, with no contributory medical or family/social history, presented with throbbing pain in the maxillary right molar area following an unsuccessful attempted tooth extraction. Clinical examination revealed what appeared initially to be a damaged large extra cusp on the buccal aspect of the distobuccal cusp of the secon...

  19. Agenesis of maxillary lateral incisors and associated dental anomalies.

    Science.gov (United States)

    Garib, Daniela Gamba; Alencar, Bárbara Maria; Lauris, José Roberto Pereira; Baccetti, Tiziano

    2010-06-01

    The objectives of this study were to evaluate the prevalence of dental anomalies in patients with agenesis of maxillary lateral incisors and to compare the findings with the prevalence of these anomalies in the general population. A sample of 126 patients, aged 7 to 35 years, with agenesis of at least 1 maxillary lateral incisor was selected. Panoramic and periapical radiographs and dental casts were used to analyze other associated dental anomalies, including agenesis of other permanent teeth, ectopia of unerupted permanent teeth, microdontia of maxillary lateral incisors, and supernumerary teeth. The occurrence of these anomalies was compared with prevalence data previously reported for the general population. Statistical testing was performed with the chi-square test (P <0.05) and the odds ratio. Patients with maxillary lateral incisor agenesis had a significantly increased prevalence rate of permanent tooth agenesis (18.2%), excluding the third molars. The occurrence of third-molar agenesis in a subgroup aged 14 years or older (n = 76) was 35.5%. The frequencies of maxillary second premolar agenesis (10.3%), mandibular second premolar agenesis (7.9%), microdontia of maxillary lateral incisors (38.8%), and distoangulation of mandibular second premolars (3.9%) were significantly increased in our sample compared with the general population. In a subgroup of patients aged 10 years or older (n = 115), the prevalence of palatally displaced canines was elevated (5.2%). The prevalences of mesioangulation of mandibular second molars and supernumerary teeth were not higher in the sample. Permanent tooth agenesis, maxillary lateral incisor microdontia, palatally displaced canines, and distoangulation of mandibular second premolars are frequently associated with maxillary lateral incisor agenesis, providing additional evidence of a genetic interrelationship in the causes of these dental anomalies. 2010 American Association of Orthodontists. Published by Mosby, Inc. All

  20. Unusual anatomy of maxillary central incisor with two roots

    OpenAIRE

    T S Ashwini Shivakumar; Saleem Makandar; Ajay Kadam

    2012-01-01

    Introduction: Knowledge of root canal morphology is essential for successful endodontic therapy. Failure to recognize unusual root canal anatomy may lead to unsuccessful endodontic treatment. Case Report: This case report describes the successful endodontic treatment of the maxillary central incisor with unusual anatomy of two roots and two root canals. A 23-year-old male patient was referred for dental consultation with discoloration of the maxillary right central incisor with periapical les...

  1. Incisive papilla and positions of maxillary anterior teeth among ...

    African Journals Online (AJOL)

    Results: One hundred and twelve maxillary casts generated from participants aged 18-35 years (mean age 22.39±2.00 years), with well aligned arches were studied. The maxillary central incisor exhibited a mean of 14.93±1.52mm from the posterior limit of the incisive papilla while the inter-canine line scored a mean of ...

  2. Unusal canal configuration in maxillary and mandibular second molars

    Directory of Open Access Journals (Sweden)

    Ramachandran Ragunathan

    2016-01-01

    Full Text Available This clinical article describes three different case reports of maxillary and mandibular second molars with the unusual anatomy of single root with a single canal and their endodontic management. An unusual case of bilateralism is observed in the first two cases in the form of single-rooted second mandibular molars in both the quadrant of the same patient. The presence of maxillary second molar with single root and single canal in the third case is unusual.

  3. Distinguishing fluvio-deltaic facies by bulk geochemistry and heavy minerals: an example from the Miocene of Denmark

    DEFF Research Database (Denmark)

    Olivarius, Mette; Rasmussen, Erik S.; Siersma, Volkert Dirk

    2011-01-01

    Interpretations of seismic profiles, gamma-ray logs and sediment descriptions were used to classify seven facies in Miocene fluvio-deltaic deposits ofDenmark. An impartial approach was adopted by not including analytical data in the facies definition. This approach allowed identification of signi......Interpretations of seismic profiles, gamma-ray logs and sediment descriptions were used to classify seven facies in Miocene fluvio-deltaic deposits ofDenmark. An impartial approach was adopted by not including analytical data in the facies definition. This approach allowed identification...... grain size of quartz and heavy minerals from the channel facies towards the delta shoreface facies and further along the coast to the spit shoreface facies is associated with an increase in sorting and textural maturity. This trend is related to longshore drift. Increasing heavy mineral grain size...... is found from the delta slope facies offshore to the delta toe and shelf facies. This trend is interpreted as a result of sorting by turbidity currents. The mixed origin of the transgressive lag facies is shown by the poorer sorting in this facies. By indicating the amount of alteration the sediments have...

  4. Polymetamorphic evolution of the granulite-facies Paleoproterozoic basement of the Kabul Block, Afghanistan

    Science.gov (United States)

    Collett, Stephen; Faryad, Shah Wali; Mosazai, Amir Mohammad

    2015-08-01

    The Kabul Block is an elongate crustal fragment which cuts across the Afghan Central Blocks, adjoining the Indian and Eurasian continents. Bounded by major strike slip faults and ophiolitic material thrust onto either side, the block contains a strongly metamorphosed basement consisting of some of the only quantifiably Proterozoic rocks south of the Herat-Panjshir Suture Zone. The basement rocks crop-out extensively in the vicinity of Kabul City and consist predominantly of migmatites, gneisses, schists and small amounts of higher-grade granulite-facies rocks. Granulite-facies assemblages were identified in felsic and mafic siliceous rocks as well as impure carbonates. Granulite-facies conditions are recorded by the presence of orthopyroxene overgrowing biotite in felsic rocks; by orthopyroxene overgrowing amphibole in mafic rocks and by the presence of olivine and clinohumite in the marbles. The granulite-facies assemblages are overprinted by a younger amphibolite-facies event that is characterized by the growth of garnet at the expense of the granulite-facies phases. Pressure-temperature (P-T) conditions for the granulite-facies event of around 850 °C and up to 7 kbar were calculated through conventional thermobarometry and phase equilibria modeling. The younger, amphibolite-facies event shows moderately higher pressures of up to 8.5 kbar at around 600 °C. This metamorphism likely corresponds to the dominant metamorphic event within the basement of the Kabul Block. The results of this work are combined with the litho-stratigraphic relations and recent geochronological dating to analyze envisaged Paleoproterozoic and Neoproterozoic metamorphic events in the Kabul Block.

  5. Does Andrews facial analysis predict esthetic sagittal maxillary position?

    Science.gov (United States)

    Resnick, Cory M; Daniels, Kimberly M; Vlahos, Maryann

    2018-04-01

    Cephalometric analyses have limited utility in planning maxillary sagittal position for orthognathic surgery. In Six Elements of Orofacial Harmony, Andrews quantified maxillary position relative to forehead projection and angulation and proposed an ideal relationship. The purpose of this study was to investigate the ability of this technique to predict esthetic sagittal maxillary position. Survey study including a male and female with straight facial profiles, normal maxillary incisor angulations, and Angle's Class I. Maxillary position was modified on lateral photographs to create 5 images for each participant with incisor-goal anterior limit line (GALL) distances of -4, -2, 0, +2, and +4 mm. A series of health care professionals and laypeople were asked to rate each photo in order of attractiveness. A total of 100 complete responses were received. Incisor-GALL distances of +4 mm (41%) and +2 mm (40%) were most commonly considered "most esthetic" for the female volunteer (P < .001). For the male volunteer, there were 2 peak "most esthetic" responses: incisor-GALL distances of 0 mm (37%) and -4 mm (32%) (P < .001). Respondents considered maxillary incisor position 2 to 4 mm anterior to GALL most attractive in a woman and 0 to 4 mm posterior to GALL most esthetic in a man. Using these modified target distances, this analysis may be useful for orthognathic surgery planning. Copyright © 2018 Elsevier Inc. All rights reserved.

  6. The radiographic localization of unerupted maxillary incisors and supernumeraries

    International Nuclear Information System (INIS)

    Kim, Jae Duk; Lee, Chang Yul; You, Choong Hyun

    2003-01-01

    To evaluate the use of the vertical tube shift from a panoramic film and a periapical film to localize unerupted maxillary incisors and supernumeraries. The total of 103 displaced maxillary incisors or embedded supernumeraries were examined in this study. The vertical tube shift technique with panoramic and periapical radiography by normal projection taken and compared to localize the position of the embedded maxillary incisors or supernumeraries by a radiologist and 5 general dentists. The gold standard used for the radiographic comparisons was the true position of the embedded tooth as confirmed by horizontal tube shift technique using three periapical radiographs. The general dentist examiners were instructed on the use of the modified acronym 'SLDOBU' by the radiologist as it pertains to panoramic radiographs as the principle of vertical tube shift. All of the embedded maxillary incisors and supernumeraries were successfully located using the vertical tube shift from a panoramic and a maxillary anterior periapical radiograph by the radiologist and 5 general dentists. The use of a panoramic film with a periapical film combination for a vertical tube shift can be useful to localize unerupted maxillary incisors and supernumeraries.

  7. Sedimentología y petrología de los abanicos aluviales y facies adyacentes en el Neogeno de Paracuellos de Jarama (Madrid

    Directory of Open Access Journals (Sweden)

    Alonso, M.

    1986-06-01

    Full Text Available Lateral and vertical variations of middle Miocene lithofacies (Lower and Intermediate Units of the Miocene of the Madrid Basin have been analyzed in the Paracuellos de Jarama area, near Madrid. A complete transition from medial to distal alluvial fan facies and palustrinelshaltow 1acustrine deposits can be observed. This sedimentary evolution is inferred from the detailed sedimentological. analysis carried out in each of the previously defined lithostratigraphic units: a1 Green shale and dolomite Unit, a2 Brown clays, arkosic and carbonate Unit; these two units are linked together into a Lower Group. b Coarse Arkosic Unit (Upper Group. Facies relationsbips within the Lower Group show a lateral change pattern between alluvial fan deposits, and palustrine deposits. Also the former ones gradually prograde over the palustrine deposits, as deduced from vertical evolution in the southernmost parts of the area. Upper Group represents a sudden progradation of the alluvial fan systems, that extensively overlie the distal facies observed in the Lower Group.
    Wide development of calcretes, sepiolite deposits, and nodular chert is an outstanding feature in the most distal parts of the alluvial fan bodies. They are studied in some detail provided the scarcity of well described examples of facies relationships in the kinds of deposits.

    Se estudia en este trabajo la variación lateral y vertical de las litofacies del Mioceno medio (Unidades Inferior e Intermedia en el área de Paracuellos de Jarama, próxima a Madrid, quedando representada en este área una transición completa entre depósitos de facies medias de abenícos aluviales y depósitos de ámbitos palustres. Estas conclusiones se extraen a partir del análisis sedimentológico realizado en cada una de las unidades previamente definidas: a Unidad de arcillas verdes y carbonatos y Unidad de arcillas pardas, arcillas y carbonatos en el Conjunto Inferior; b Unidad de

  8. Comparison of maxillary stability after Le Fort I osteotomy for occlusal cant correction surgery and maxillary advanced surgery.

    Science.gov (United States)

    Ueki, Koichiro; Hashiba, Yukari; Marukawa, Kohei; Yoshida, Kan; Shimizu, Chika; Nakagawa, Kiyomasa; Yamamoto, Etsuhide

    2007-07-01

    To compare postoperative maxillary stability following Le Fort I osteotomy for the correction of occlusal cant as compared with conventional Le Fort I osteotomy for maxillary advancement. The subjects were 40 Japanese adults with jaw deformities. Of these, 20 underwent a Le Fort I osteotomy and intraoral vertical ramus osteotomy (IVRO) to correct asymmetric skeletal morphology and inclined occlusal cant. The other 20 patients underwent a Le Fort I osteotomy and sagittal split ramus osteotomy (SSRO) to advance the maxilla. Lateral and posteroanterior cephalograms were taken postoperatively and assessed statistically. Thereafter, the 2 groups were followed for time-course changes. There was no significant difference between the 2 groups with regard to time-course changes during the immediate postoperative period. This suggests that maxillary stability after Le Fort I osteotomy for cant correction does not differ from that after Le Fort I osteotomy for maxillary advancement.

  9. Sedimentary facies and Holocene depositional processes of Laura Island, Majuro Atoll

    Science.gov (United States)

    Yasukochi, Toru; Kayanne, Hajime; Yamaguchi, Toru; Yamano, Hiroya

    2014-10-01

    The depositional processes that formed Laura Island, Majuro Atoll, Marshall Islands, were reconstructed based on a facies analysis of island sediments and spine ratios, and radiocarbon ages of foraminifera. Sedimentary facies were analyzed from trenches and drill cores excavated on the island and its adjacent reef flat. Depositional ages were obtained using benthic foraminifera (Calcarina) whose spines had not been abraded. The facies were classified into two types: gravelly and sandy. The initial sediments of these sites consisted of gravelly facies in the lower horizon and sandy facies in the upper horizon. Their ages were approximately 2000 cal BP and coincident with the onset of a 1.1-m decline in regional relative sea level, which enabled deposition of the gravelly facies. Half of the sand fraction of the sediment was composed of larger benthic foraminifera. The spine ratio showed that their supply source on the reef flat was located oceanside of the island. The supply source appears to have been caused by the relative sea-level fall. This indicates that the studied island was formed by a relative reduction in wave energy and enhanced foraminiferal supply, both of which were triggered by the late Holocene relative sea-level fall.

  10. Evaluation of surgically assisted rapid maxillary expansion with piezosurgery versus oscillating saw and chisel osteotomy - a randomized prospective trial.

    Science.gov (United States)

    Rana, Majeed; Gellrich, Nils-Claudius; Rana, Madiha; Piffkó, Jozsef; Kater, Wolfgang

    2013-02-17

    Ultrasonic bone-cutting surgery has been introduced as a feasible alternative to the conventional sharp instruments used in craniomaxillofacial surgery because of its precision and safety. The piezosurgery medical device allows the efficient cutting of mineralized tissues with minimal trauma to soft tissues. Piezoelectric osteotome has found its role in surgically assisted rapid maxillary expansion (SARME), a procedure well established to correct transverse maxillary discrepancies. The advantages include minimal risk to critical anatomic structures. The purpose of this clinical comparative study (CIS 2007-237-M) was to present the advantages of the piezoelectric cut as a minimally invasive device in surgically assisted, rapid maxillary expansion by protecting the maxillary sinus mucosal lining. Thirty patients (18 females and 12 males) at the age of 18 to 54 underwent a surgically assisted palatal expansion of the maxilla with a combined orthodontic and surgical approach. The patients were randomly divided into two separate treatment groups. While Group 1 received conventional surgery using an oscillating saw, Group 2 was treated with piezosurgery. The following parameters were examined: blood pressure, blood values, required medication, bleeding level in the maxillary sinus, duration of inpatient stay, duration of surgery and height of body temperature. The results displayed no statistically significant differences between the two groups regarding laboratory blood values and inpatient stay. The duration of surgery revealed a significant discrepancy. Deploying piezosurgery took the surgeon an average of 10 minutes longer than working with a conventional-saw technique. However, the observation of the bleeding level in the paranasal sinus presented a major and statistically significant advantage of piezosurgery: on average the bleeding level was one category above the one of the remaining patients. This method of piezoelectric surgery with all its advantages is going

  11. Preoperative radiotherapy of maxillary sinus cancer

    International Nuclear Information System (INIS)

    Kim, Jae Chul; Park, In Kyu

    1998-01-01

    This study was to evaluate the effectiveness of preoperative radiotherapy in maxillary sinus cancer. A retrospective analysis was done for 42 patients with maxillary sinus cancer who were treated with radiation with or without surgery from April 1986 to September 1996. There were 27 male and 15 female patients. Patients' age ranged from 24 to 75 years (median 56 years). Stage distribution showed 2 in T2, 19 in T3, and 21 in T4 lesions. The histologic type was squamous cell carcinoma in 38, undifferentiated carcinoma in 1, transitional cell carcinoma in 1, and adenoid cystic carcinoma in 2 patients, All patients were treated with radiation initially with a dosage range of 50.4-70.2 Gy (median 70.2 Gy) before further evaluation of remnant disease. Eleven patients were given induction chemotherapy (2 cycles of 5-fluorouracil and cisplatin) concurrently with radiotherapy. Six to eight weeks after radiotherapy with or without chemotherapy, computerized tomography (CT) of paranasal sinus was taken to evaluate remnant disease. If the CT finding showed remnant disease, a Caldwell-Luc procedure was done to get the specimen of suspicious lesions. A radical maxillectomy was done if the specimen was proven to contain malignancy. In contrast periodic follow-up examination was done without any radical surgery if the tissue showed only granulation tissue. Follow-up period ranged from 3 to 92 months with a median 16 months. Nine (21.4%) patients showed complete response (CR) and 33 patients (78.6%) showed persistent disease (PER) to initial radiotherapy. Among the 9 CR patients, 7 patients had no evidence of disease (NED), 1 patient had local failure, and 1 patient had regional failure. Among 33 PER patients, salvage total maxillectomy was done in 10 patients, and the surgery was not feasible or refused in 23 patients. Following the salvage radical surgery, 2 patients were NED and 8 patients were PER status. Overall and disease- free survival rate at 5 years was 23.1% and 16

  12. Preoperative radiotherapy of maxillary sinus cancer

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae Chul; Park, In Kyu [College of Medicine, Kyungpook National Univ., Taegu (Korea, Republic of)

    1998-09-01

    This study was to evaluate the effectiveness of preoperative radiotherapy in maxillary sinus cancer. A retrospective analysis was done for 42 patients with maxillary sinus cancer who were treated with radiation with or without surgery from April 1986 to September 1996. There were 27 male and 15 female patients. Patients' age ranged from 24 to 75 years (median 56 years). Stage distribution showed 2 in T2, 19 in T3, and 21 in T4 lesions. The histologic type was squamous cell carcinoma in 38, undifferentiated carcinoma in 1, transitional cell carcinoma in 1, and adenoid cystic carcinoma in 2 patients, All patients were treated with radiation initially with a dosage range of 50.4-70.2 Gy (median 70.2 Gy) before further evaluation of remnant disease. Eleven patients were given induction chemotherapy (2 cycles of 5-fluorouracil and cisplatin) concurrently with radiotherapy. Six to eight weeks after radiotherapy with or without chemotherapy, computerized tomography (CT) of paranasal sinus was taken to evaluate remnant disease. If the CT finding showed remnant disease, a Caldwell-Luc procedure was done to get the specimen of suspicious lesions. A radical maxillectomy was done if the specimen was proven to contain malignancy. In contrast periodic follow-up examination was done without any radical surgery if the tissue showed only granulation tissue. Follow-up period ranged from 3 to 92 months with a median 16 months. Nine (21.4%) patients showed complete response (CR) and 33 patients (78.6%) showed persistent disease (PER) to initial radiotherapy. Among the 9 CR patients, 7 patients had no evidence of disease (NED), 1 patient had local failure, and 1 patient had regional failure. Among 33 PER patients, salvage total maxillectomy was done in 10 patients, and the surgery was not feasible or refused in 23 patients. Following the salvage radical surgery, 2 patients were NED and 8 patients were PER status. Overall and disease- free survival rate at 5 years was 23.1% and 16

  13. Maxillary sinus carcinoma: Natural history and outcome

    International Nuclear Information System (INIS)

    Al-Jhani, Ali S.; Nooh, Nasser S.; Al-Rajhi, Nasser M.; El-Sebaie, Medhat M.; Al-Amro, Abdullah S.; Mahasen, Ziyad Z.; Otieschan, Abdullah T.

    2004-01-01

    To assess natural history, treatment outcome and pattern of relapse in patients with maxillary sinus carcinoma. A review was conducted of the medical records of all adult patients with maxillary sinus carcinoma, who were treated at King Faisal Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia, between January 1990 and December 1999. A total of 60 patients were identified for analysis, 36 men and 24 women; the median age was 58-years (range 23-95). Major presenting symptoms were facial swelling 55%, facial pain 50%, and nasal obstruction 43.4%, with a median duration of 5-months (range 1-24). Histology was quamous cell carcinoma in 71.7% and adenoid cystic in 16.7%. They were restaged according to American Joint Committee on Cancer classification 1997 as II, III and IV in 1, 10 and 49. Thirty patients received treatment with curative intent (surgery in 4 patients, radiotherapy in 2, and combined modality in 24), 6 patients refused treatment and 24 were treated palliatively. With a median follow up of 50-months (range 2-128) in surviving patients treated with a curative intent, 12/30 failed locally, 4/30 in the regional neck nodes and 2/30 had systemic relapse. The actuarial 5-year overall survival (OS), relapse free survival (RFS) and local control rate (LC) were 55%, 39% and 51%. Treatment modality was the only significant prognostic factor for outcome, with 5 year OS, RFS and LC of 72%, 49% and 61%, for combined modality using surgery followed by radiotherapy compared to 0% for single approach (p=0.0003, p=0.0052 and p=0.0098). This study indicates that the majority of our patients presented with advanced disease, resulting in poor outcome to conventional treatment modalities. Efforts should be directed to minimize the delay in diagnosis at the primary care level. Combined modality treatment should be offered to all patients with locally advanced disease. New approaches such as neoadjuvant or concurrent chemoradiotherapy with or without surgery need to

  14. Perceptual Speech Assessment After Anterior Maxillary Distraction in Patients With Cleft Maxillary Hypoplasia.

    Science.gov (United States)

    Richardson, Sunil; Seelan, Nikkie S; Selvaraj, Dhivakar; Khandeparker, Rakshit V; Gnanamony, Sangeetha

    2016-06-01

    To assess speech outcomes after anterior maxillary distraction (AMD) in patients with cleft-related maxillary hypoplasia. Fifty-eight patients at least 10 years old with cleft-related maxillary hypoplasia were included in this study irrespective of gender, type of cleft lip and palate, and amount of required advancement. AMD was carried out in all patients using a tooth-borne palatal distractor by a single oral and maxillofacial surgeon. Perceptual speech assessment was performed by 2 speech language pathologists preoperatively, before placement of the distractor device, and 6 months postoperatively using the scoring system of Perkins et al (Plast Reconstr Surg 116:72, 2005); the system evaluates velopharyngeal insufficiency (VPI), resonance, nasal air emission, articulation errors, and intelligibility. The data obtained were tabulated and subjected to statistical analysis using Wilcoxon signed rank test. A P value less than .05 was considered significant. Eight patients were lost to follow-up. At 6-month follow-up, improvements of 62% (n = 31), 64% (n = 32), 50% (n = 25), 68% (n = 34), and 70% (n = 35) in VPI, resonance, nasal air emission, articulation, and intelligibility, respectively, were observed, with worsening of all parameters in 1 patient (2%). The results for all tested parameters were highly significant (P ≤ .001). AMD offers a substantial improvement in speech for all 5 parameters of perceptual speech assessment. Copyright © 2016 The American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  15. A Radiologic Study of the Relationship of the Maxillary Sinus Floor and Apex of the Maxillary Molar

    International Nuclear Information System (INIS)

    Yoon, Hae Rym; Park, Chang Seo

    1998-01-01

    In this study, radiographic evaluation was made using panoramic radiography and cross-sectional tomography of SCANORA in male and female adults in their 20 s on the relationship between the maxillary sinus floor and the apex of the maxillary molar, to test the accuracy and effectiveness of the cross-sectional tomography, and to use this information in the assessment of preop, and postop, root canal treatment, apical surgery, extraction and implantology. Forty-one adults with an average age of 24.4 years were studied panoramic radiography and cross-sectional tomography. In panoramic view and cross-sectional view, the position of the apices of maxillary molars were classified as separated, contacted, or protruded type; the general shape of the maxillary sinus floor was evaluated horizontally and vertically from cross-sectional tomography. The accuracy of each radiography was tested using maxilla from 5 fresh cadavers from the Anatomy Lab at Yonsei University Dental College, and panoramic view and cross-sectional tomography were taken in the same condition as with the patients. The results were as follows ; 1. Panoramic view and cross-sectional view were taken in the maxilla specimen, and the actual distance between the maxillary sinus floor and the tooth apices were measured in the specimen; the median values of the distance from the tooth apices to the maxillary sinus floor in the panoramic view, cross-sectional view and in the accrual maxilla specimen were 2.83 mm, 4.51 mm, and 4.15 mm, respectively. In the cross-sectional view, the measured distance was close to the actual distance but in the panoramic view, the measured distance was far from the actual distance. 2. When the results of the panoramic view and cross-sectional view were compared, 40.5% of the results agreed with each other in the two radiographic methods and buccal roots of the 2nd molar were the closest to the maxillary sinus floor in the cross-sectional tomography.3. In cross-sectional view, when

  16. Stratigraphy and Facies Analysis of a 122 M Long Lacustrine Sequence from Chalco Lake, Central Mexico

    Science.gov (United States)

    Herrera, D. A.; Ortega, B.; Caballero, M.; Lozano, S.; Pi, T.; Brown, E. T.

    2010-12-01

    Chalco lake is located SE of the outskirts of Mexico City, at the central part of the Trans Mexican Volcanic Belt. Previous studies show the importance of this lacustrine sequence as an archive of paleoenvironmental and paleoclimatic changes. A set of five cores up to 122 m depth were drilled in the basin, in order to analyze the sedimentary record and to extent the previous knowledge of past environmental changes in central Mexico. As an initial step, in this work we present the identification and classification of sedimentary facies. Preliminary paleomagnetism analyses recognize the possible record of the Blake Event (ca. 120 kyr BP), and suggest that the sequence might span the last 240 kyr. In this case, variations in sedimentary facies could reflect the conditions of the MIS 1-7. The facies are mostly diatom ooze, carbonate mud, organic rich silt and volcaniclastic, both massive and laminated, and massive dark gray to reddish brown silt. From 1 to 8 m depth dominates the organic rich silt facies, which correlates with the MIS 1. Intercalations of reddish brown and grayish brown silt facies, between 8 to 60 m depth, indicate changes occurred during MIS 2 to 5d. Between 60-75 m depth the sequence is characterized by dark grayish silty clay facies, which possibly coincide with the MIS 5e. At 79 m depth (ca. 130 kyr BP) we found struvite (MgNH4PO4.6H2O), which may be related to dry conditions. The laminated diatom ooze facies dominates between 90 to 122 m depth and indicates rhythmic changes in the sediment deposition of the basin. The volcaniclastic facies is represented by lapilli and ash deposits in more than 100 individual tephra layers of both mafic and felsic composition. Some of them correspond to main volcanic eruptions, as the Upper Toluca Pumice (13,500 cal yr BP), from the Nevado de Toluca volcano and the Pómez con Andesita (17,700 cal yr BP) from the Popocatépetl volcano. The carbonate mud facies is composed of calcite and siderite, with frequent

  17. Penetration of flomoxef into human maxillary and mandibular bones.

    Science.gov (United States)

    Igawa, H H; Sugihara, T; Yoshida, T; Kawashima, K; Ohura, T

    1995-09-01

    Penetration of flomoxef into the maxillary and mandibular bones was assayed clinically to provide data about its usefulness for the prevention of postoperative infection after maxillofacial surgery. Twenty-one patients undergoing maxillofacial surgery at our department were given flomoxef 2 g dissolved in 20 ml of physiological saline intravenously over 3 minutes during operation, and the serum, maxillary and mandibular concentrations were measured 1, 3, and 6 hours after injection by the band culture method using Escherichia coli 7437 as the indicator strain. The mean concentrations were 53.4, 16.1, and 2.6 micrograms/ml, respectively, in the serum, 17.6, 7.8, and 1.0 micrograms/g in maxillary bone, and 16.4, 4.2, and 0.9 micrograms/g in mandibular bone. The mean bone:serum ratios at 1, 3, and 6 hours were 33.0%, 48.2%, and 36.8%, respectively, for maxillary bone, and 30.7%, 26.2%, and 35.7% for mandibular bone. When compared with previously reported data on the bone:serum ratios in jaw of various other intravenous antibiotics, our results show that penetration of flomoxef into maxillary and mandibular bone is extremely high. As all the intramaxillary and intramandibular concentrations exceed its MIC80 values against clinical isolates of bacteria frequently isolated in cases of infection in the oral and maxillofacial region, it is apparent that one intravenous shot of flomoxef 2 g allows penetration of the drug into the maxillary and mandibular bones at effective concentrations. Flomoxef is therefore potentially useful for the prevention and treatment of infections in the oral and maxillofacial region, as it has excellent penetration into the maxillary and mandibular bones.

  18. Measurement of maxillary sinus volume using Computed Tomography

    International Nuclear Information System (INIS)

    Park, Chang Hee; Kim, Kee Deog; Park, Chang Seo

    2000-01-01

    To propose a standard value for the maxillary sinus volume of a normal Korean adult by measuring the width and height of the sinus and analyzing their correlation and the difference of the sinus size respectively between sexes, and on the right and left sides. Fifty-two (95 maxillary sinuses) out of 20 years or over aged patients who had taken CT in the Department of Dental Radiology, Yonsei University, Dental Hospital, between February 1997 and July 1999 who were no specific symptom, prominent bony septa, pathosis, clinical asymmetry and history of surgery in the maxillary sinus were retrospectively analyzed. The mean transverse width, antero-posterior width, height and volume of the normal Korean adult's maxillary sinuses were 28.33 mm, 39.69 mm, 46.60 mm and 21.90 cm 3 , respectively. There was a significant sex difference in the sinus volume (p<0.05). In the mean antero-posterior width, height and volume of the sinus, no significant difference was observed between both sides. All four measurements showed a significant correlation between both sides (p<0.0001). The widths and height of the sinus all showed a significant correlation with the sinus volume (p<0.0001). In the Korean normal adult's maxillary sinus, males tended to be larger than females. Except for the transverse width, all of the measurements showed no significant difference between the right and left side, but significant correlations in the four measurements between both sides were observed. Thus, the overgrowth or undergrowth in the unilateral maxillary sinus may suggest a certain pathosis or developmental abnormalities in the maxillary sinus.

  19. Mineralogical Characterization of The Alteration Facies at Gabal El-Missikat Area, Central Eastern Desert, Egypt

    International Nuclear Information System (INIS)

    El-Sherif, A.M.

    2013-01-01

    The present study deals with the petrographical, mineralogical and geochemical characteristics of the alteration facies zones recognized around the shear zone at Gabal El-Missikat area, Central Eastern Desert, Egypt. Petrographically, the fresh granitic samples are composed mainly of quartz, K-feldspars (microcline and microcline perthite), plagioclase, biotite. The secondary minerals are sericite, kaolinite, muscovite, chlorite and epidote as well as zircon, apatite, fluorite, titanite and iron oxides as accessory minerals. Two alteration facies zones are recognized and namely as propylitic and advanced argillic. The propylitic facies zone is composed mainly of sericite with minor kaolinite, muscovite, quartz, relics of plagioclases, chlorite and rare epidote as well as zircon, hematite, goethite, magnetite, ilmenite, ilmenorutile, rutile, titanite, apatite, columbite and fluorite and secondary uranium minerals, the advanced argillic facies zone is composed mainly of kaolinite with minor sericite, quartz, muscovite, chlorite and rare epidote as well as zircon, hematite, goethite, magnetite, ilmenite, ilmenorutile, rutile, titanite, apatite and garnet of spessartine type as accessory minerals. The identified minerals in the studied two alteration facies zones can be grouped into three mineral groups which are: the primary minerals (pyrite, magnetite, galena, columbite and gold), the secondary minerals (uranophane, kasolite and wulfenite) and the gangue minerals (anhydrite, barite, celestine, hematite, goethite and fluorite). The identified mineral assemblage of the studied propylitic alteration facies zone may be attributed to strongly alkaline hydrothermal solutions at ph value of more than 7 with temperature varying between 350 and 450°C, while the advanced argillic alteration facies zone is essentially associated with strongly acidic hydrothermal solutions at ph value less than 7 with temperature varying between 150 and 400°C

  20. Mineralogical and Micro-fabric investigation of the Sandy Facies of Opalinus Clay (Mont Terri)

    International Nuclear Information System (INIS)

    Kaufhold, Annette; Siegesmund, Siegfried; Dohrmann, Reiner; Graesle, Werner; Plischke, Ingo

    2013-01-01

    In the field of geological disposal of radioactive waste in many countries argillaceous formations are considered as potential host rock. For the understanding of the long-term behaviour of clay host rock, it is important to understand the interaction between mechanical behaviour, micro-fabric, and mineral composition. Previous publications showed that particularly the carbonate content and the arrangement of the carbonate grains (as cement in the matrix or as shells) determines the mechanical strength of Opalinus Clay and Callovo-Oxfordian Clay specimens, respectively. Klinkenberg et al. (2009) studied the shaly facies of Opalinus Clay, however, the actual deposit is planned to be built in the sandy facies of Opalinus Clay. The aim of the present study is to investigate the relation between micro-fabric, mineral composition, and mechanical properties of different samples derived from the sandy facies (BLT-A2). Image analysis showed that the carbonates in the sandy facies mainly occur as 1) matrix which in turn acts as cement. Carbonates also occur 2) in the fine sand fraction and 3) biogenic carbonates as traces. The carbonates of the sandy facies, therefore, appear to be similar to the carbonates of the Callovo-Oxfordian Clay with respect to their possible influence on failure strength. The mechanical testing showed that the shear strength increases with increasing carbonate content. This phenomenon was also observed for the samples of the Callovo-Oxfordian Clay, while the opposite relation was found for the shaly facies of the Opalinus Clay. Preliminary results presented here, indicate that the sandy facies (drilling BLT-A2) and Callovo-Oxfordian Clay show similar mechanical properties - in detail: 1) Micro-fabric: carbonates predominate in the matrix, 2) Mineralogy: high carbonate content and 3) Mechanical testing: shear strength increases with increasing carbonate content, where the type of carbonates which controls the increase of strength has to be

  1. The relationship between hydrogeologic properties and sedimentary facies: an example from Pennsylvanian bedrock aquifers, southwestern Indiana

    International Nuclear Information System (INIS)

    Fisher, A.T.; Barnhill, M.; Revenaugh, J.

    1998-01-01

    The relationship between the hydrogeologic properties and sedimentary facies of shallow Pennsylvanian bedrock aquifers was examined using detailed sedimentologic descriptions, aquifer (slug) tests, and gamma ray logs. The main goal of the study was to determine if it was possible to reliably estimate near-well hydraulic conductivities using core descriptions and logging data at a complex field site, based on assignment of consistent conductivity indicators to individual facies. Lithologic information was gathered from three sources: core descriptions, simplified lithologic columns derived from the core descriptions, and drillers' logs. Gamma ray data were collected with a conventional logging instrument. Slug tests were conducted in all wells containing screened zones entirely within the Pennsylvanian facies of interest. Simplified subsets of sedimentologic facies were assembled for classification of subsurface geology, and all rocks within the screened intervals of test wells were assigned to individual facies based on visual descriptions. Slug tests were conducted to determine the bulk hydraulic conductivity (a spatial average within the screened interval) in the immediate vicinity of the wells, with measured values varying from 10 -4 m/s to 10 -8 m/s. Gamma ray logs from these wells revealed variations in raw counts above about 1.5 orders of magnitude. Data were combined using simple linear and nonlinear inverse techniques to derive relations between sedimentologic facies, gamma ray signals, and bulk hydraulic conductivities. The analyses suggest that facies data alone, even those derived from detailed core descriptions, are insufficient for estimating hydraulic conductivity in this setting to better than an order of magnitude. The addition of gamma ray data improved the estimates, as did selective filtering of several extreme values from the full data set. Better estimates might be obtained through more careful field measurements and reduction of

  2. Age and duration of eclogite-facies metamorphism, North Qaidam HP/UHP terrane, Western China

    Science.gov (United States)

    Mattinson, C.G.; Wooden, J.L.; Liou, J.G.; Bird, D.K.; Wu, C.L.

    2006-01-01

    Amphibolite-facies para-and orthogneisses near Dulan, at the southeast end of the North Qaidam terrane, enclose minor eclogite and peridotite which record ultra-high pressure (UHP) metamorphism associated with the Early Paleozoic continental collision of the Qilian and Qaidam microplates. Field relations and coesite inclusions in zircons from paragneiss suggest that felsic, mafic, and ultramafic rocks all experienced UHP metamorphism and a common amphibolite-facies retrogression. SHRIMP-RG U-Pb and REE analyses of zircons from four eclogites yield weighted mean ages of 449 to 422 Ma, and REE patterns (flat HREE, no Eu anomaly) and inclusions of garnet, omphacite, and rutile indicate these ages record eclogite-facies metamorphism. The coherent field relations of these samples, and the similar range of individual ages in each sample suggests that the ???25 m.y. age range reflects the duration of eclogite-facies conditions in the studied samples. Analyses from zircon cores in one sample yield scattered 433 to 474 Ma ages, reflecting partial overlap on rims, and constrain the minimum age of eclogite protolith crystallization. Inclusions of Th + REE-rich epidote, and zircon REE patterns are consistent with prograde metamorphic growth. In the Lu??liang Shan, approximately 350 km northwest in the North Qaidam terrane, ages interpreted to record eclogite-facies metamorphism of eclogite and garnet peridotite are as old as 495 Ma and as young as 414 Ma, which suggests that processes responsible for extended high-pressure residence are not restricted to the Dulan region. Evidence of prolonged eclogite-facies metamorphism in HP/UHP localities in the Northeast Greenland eclogite province, the Western Gneiss Region of Norway, and the western Alps suggests that long eclogite-facies residence may be globally significant in continental subduction/collision zones.

  3. New fixation method for maxillary distraction osteogenesis using locking attachments.

    Science.gov (United States)

    Suzuki, Eduardo Yugo; Buranastidporn, Boonsiva; Ishii, Masatoshi

    2006-10-01

    The external traction hooks of the intraoral splint used in the rigid external distraction (RED) system for maxillary distraction osteogenesis interfere with the surgical procedures. The purpose of this study is to introduce an innovative splint fixation method for maxillary distraction osteogenesis with Locking Attachments and evaluate their advantages, such as reduction of operating time compared with the traditional intraoral splint method. Retrospective comparison of operative times of maxillary Le Fort I osteotomy procedures was carried out with the traditional protocol using the intraoral splint cemented to the maxillary dentition (n = 14), and a removable intraoral splint that is inserted postsurgically (n = 14). Operative procedure times were compared and analyzed statistically using the data extracted from the surgical records. There were no complications inserting the removable splint postsurgically, including pain, discomfort, or time-consuming procedure. Stable and secure splint fixation was obtained before the distraction procedure and the desired treatment goals were obtained in all patients. The total operative procedure times were significantly reduced in the Locking Attachments group by 24% to 41% (approximately 65 minutes) compared with earlier operations involving the conventional splints (P Maxillary distraction osteogenesis with the Locking Attachments is a highly effective fixation approach to manage severe hypoplastic maxilla, eliminating lip constraints resulting from scarring and allowing for easier, more deliberate and careful dissection. The use of the Locking Attachments is reliable in craniofacial surgery and has proved to be advantageous in the reduction of the operating time and surgical risks.

  4. Transnasal endoscopic medial maxillectomy in recurrent maxillary sinus inverted papilloma.

    Science.gov (United States)

    Kamel, Reda H; Abdel Fattah, Ahmed F; Awad, Ayman G

    2014-12-01

    Maxillary sinus inverted papilloma entails medial maxillectomy and is associated with high incidence of recurrence. To study the impact of prior surgery on recurrence rate after transnasal endoscopic medial maxillectomy. Eighteen patients with primary and 33 with recurrent maxillary sinus inverted papilloma underwent transnasal endoscopic medial maxillectomy. Caldwell-Luc operation was the primary surgery in 12 patients, transnasal endoscopic resection in 20, and midfacial degloving technique in one. The follow-up period ranged between 2 to 19.5 years with an average of 8.8 years. Recurrence was detected in 8/51 maxillary sinus inverted papilloma patients (15.7 %), 1/18 of primary cases (5.5 %), 7/33 of recurrent cases (21.2 %); 3/20 of the transnasal endoscopic resection group (15%) and 4/12 of the Caldwell-Luc group (33.3%). Redo transnasal endoscopic medial maxillectomy was followed by a single recurrence in the Caldwell-Luc group (25%), and no recurrence in the other groups. Recurrence is more common in recurrent maxillary sinus inverted papilloma than primary lesions. Recurrent maxillary sinus inverted papilloma after Caldwell-Luc operation has higher incidence of recurrence than after transnasal endoscopic resection.

  5. Light weight hollow maxillary complete denture: A case series

    Directory of Open Access Journals (Sweden)

    Laxman Singh Kaira

    2012-01-01

    Full Text Available Retention, stability and support are the basic principles on which the success of a complete denture relies on. The skill lies in applying these principles efficiently in critical situations. Residual ridge resorption occurs at a three times faster rate in mandibular arch than in the maxillary arch. The severely resorbed maxillary and mandibular edentulous arches that are narrow and constricted with increased interarch space provide decreased support, retention and stability. The consequent weight of the processed complete denture only compromises them further. The severely resorbed jaw can have various treatment options. Extreme resorption of the maxillary denture-bearing area may lead to problems with prosthetic rehabilitation. The advantage of a hollow maxillary or mandibular denture is the reduction of excessive weight of acrylic resin, which normally replaces lost alveolar ridge in the interridge space of the denture wearer. This clinical report describes two case reports of edentulous patients with resorbed ridges where a simplified technique of fabricating a light weight hollow maxillary complete denture was used for the preservation of denture bearing areas.

  6. eRME - Rapid Maxillary Expansion in the economic way

    Directory of Open Access Journals (Sweden)

    Sonali Mahadevia

    2011-01-01

    Full Text Available Aim and Objectives: Rapid Maxillary Expansion constitutes a routine clinical procedure in orthodontics, involving separation of mid-palatine suture which is usually done with help of the Hyrax screw. However, because of its high cost, the use has been limited, especially in institutions. So, the purpose of this study was to construct an economical device which can expand the maxillary arch in growing patients. Materials and Methods: Six patients having constricted maxilla and posterior skeletal crossbite were randomly selected from the Department of Orthodontics. A unique, easy and simple alternative device for expanding the maxillary arch called economic Rapid Maxillary Expander (eRME has been fabricated at about one-tenth the cost of the conventional Hyrax. Pre- and post-treatment effects were statistically tested by using paired t-test at 0.05 level of significance. Results and Conclusion: The study results showed an average expansion in canine, premolar and molar regions of 4.4 mm, 6.8 mm and 9.4 mm, respectively, having significant difference pre-and post-treatment. Thus, it shows that maxillary expansion is efficiently possible with the application of this newly constructed device named eRME. This appliance also acts as a fixed retainer to avoid relapse, hence negating the need for a separate retainer.

  7. Endoscopic anatomy of the orbital floor and maxillary sinus.

    Science.gov (United States)

    Moore, Corey C; Bromwich, Matthew; Roth, Kathy; Matic, Damir B

    2008-01-01

    Endoscopic repair of orbital blow-out fractures could become a predictable and efficient treatment alternative to traditional methods. However, maxillary sinus endoscopy provides a complex and disorienting view of the orbital floor. To be a useful and consistent technique for providing access to the orbital floor, specific knowledge of maxillary endoscopic anatomy is required. The purpose of the study was to provide an anatomic description of the orbital floor via the endoscopic approach. Objectives include defining consistent landmarks for use in endoscopic repair of orbital floor fractures. Using 0- and 30-degree rigid endoscopes, 6 fresh cadavers (12 maxillary sinuses) were examined via a standard Caldwell-Luc approach. Computed tomographic scans, plastic molds, and digital images were used to compare observable averages within bony anatomy. Potential bony landmarks were correlated with soft-tissue anatomy in fresh specimens. The maxillary ostium, orbital floor, and lateral ethmoid air cells were visualized, and their structures were described. Observations were made in relation to the anatomy of the orbital floor and maxillary sinus, including fracture pattern and force transmission pathways. An "orbitomaxillary" sinus bony thickening was identified and described for the first time. This study provides the basis for further refinement of surgical technique and opens the door for future clinical trials using endoscopic repair.

  8. Unilateral maxillary molar distalization with zygoma-gear appliance.

    Science.gov (United States)

    Kilkis, Dogan; Bayram, Mehmet; Celikoglu, Mevlut; Nur, Metin

    2012-08-01

    The aim of this study was to present the orthodontic treatment of a 15-year-old boy with a unilateral maxillary molar distalization system, called the zygoma-gear appliance. It consisted of a zygomatic anchorage miniplate, an inner bow, and a Sentalloy closed coil spring (GAC International, Bohemia, NY). A distalizing force of 350 g was used during the distalization period. The unilateral Class II malocclusion was corrected in 5 months with the zygoma-gear appliance. The maxillary left first molar showed distalization of 4 mm with an inclination of 3°. The maxillary premolars moved distally with the help of the transseptal fibers. In addition, there were slight decreases in overjet (-0.5 mm) and maxillary incisor inclination (-1°), indicating no anchorage loss from the zygoma-gear appliance. Preadjusted fixed appliances (0.022 × 0.028-in, MBT system; 3M Unitek, Monrovia, Calif) were placed in both arches to achieve leveling and alignment. After 14 months of unilateral distalization with the zygoma-gear appliance and fixed appliances, Class I molar and canine relationships were established with satisfactory interdigitation of the posterior teeth. Acceptable overjet and overbite were also achieved. This article shows that this new system, the zygoma-gear appliance, can be used for unilateral maxillary molar distalization without anchorage loss. Copyright © 2012 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  9. Antibiotics for acute maxillary sinusitis in adults.

    Science.gov (United States)

    Ahovuo-Saloranta, Anneli; Rautakorpi, Ulla-Maija; Borisenko, Oleg V; Liira, Helena; Williams, John W; Mäkelä, Marjukka

    2014-02-11

    Sinusitis is one of the most common diagnoses among adults in ambulatory care, accounting for 15% to 21% of all adult outpatient antibiotic prescriptions. However, the role of antibiotics for sinusitis is controversial. To assess the effects of antibiotics in adults with acute maxillary sinusitis by comparing antibiotics with placebo, antibiotics from different classes and the side effects of different treatments. We searched CENTRAL 2013, Issue 2, MEDLINE (1946 to March week 3, 2013), EMBASE (1974 to March 2013), SIGLE (OpenSIGLE, later OpenGrey (accessed 15 January 2013)), reference lists of the identified trials and systematic reviews of placebo-controlled studies. We also searched for ongoing trials via ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP). We imposed no language or publication restrictions. Randomised controlled trials (RCTs) comparing antibiotics with placebo or antibiotics from different classes for acute maxillary sinusitis in adults. We included trials with clinically diagnosed acute sinusitis, confirmed or not by imaging or bacterial culture. Two review authors independently screened search results, extracted data and assessed trial quality. We calculated risk ratios (RRs) for differences between intervention and control groups in whether the treatment failed or not. All measures are presented with 95% confidence intervals (CIs). We conducted the meta-analyses using either the fixed-effect or random-effects model. In meta-analyses of the placebo-controlled studies, we combined data across antibiotic classes. Primary outcomes were clinical failure rates at 7 to 15 days and 16 to 60 days follow-up. We used GRADEpro to assess the quality of the evidence. We included 63 studies in this updated review; nine placebo-controlled studies involving 1915 participants (seven of the studies clearly conducted in primary care settings) and 54 studies comparing different classes of antibiotics (10 different comparisons

  10. A clinical analysis of maxillary cancer

    Energy Technology Data Exchange (ETDEWEB)

    Ishida, Haruhiko; Amatsu, Mutsuo [Kobe Univ. (Japan). School of Medicine

    2001-03-01

    Forty-five patients with maxillary cancer were treated at Kobe University Hospital during the years 1990-1999. We analyzed 35 of there cases that had undergone curative treatment. They were classified by T the classification (UICC, 1997) as two cases with T1, seven with T2, eight with T3, and 18 with T4. The two patients with T1 were treated with radiation alone, and four of the other patients were treated with surgery alone. Eight patients were given irradiation, intra-arterial infusion chemotherapy, and curettage of necotic tumor (combined therapy group); 10 received preoperative intra-arterial infusion chemotherapy, irradiation, and maxillectomy or extended maxillectomy (preoperative treatment group), and 11 underwent extended surgery and postoperative chemotherapy and/or irradiation (postoperative treatment group). The five-year survival rates were 65.1% for all patients, 83.3% for T3 cases, and 41.6% for T4 cases. The five-year survival rates were 48.6% for the combined therapy group, 80% for the preoperative treatment group, and 54.6% for the postoperative treatment group. Although the four cases with T2 who underwent combined therapy all remained disease-free, all three cases with T3 and T4 died of the disease. On the other hand, six of the seven patients with T3 and T4 in the preoperative treatment group remained disease-free. Based on these results, we believe that maxillectomy or extended maxillectomy following intra-arterial chemotherapy and irradiation is the most effective treatment modality for T3 and T4 cases. (author)

  11. A clinical analysis of maxillary cancer

    International Nuclear Information System (INIS)

    Ishida, Haruhiko; Amatsu, Mutsuo

    2001-01-01

    Forty-five patients with maxillary cancer were treated at Kobe University Hospital during the years 1990-1999. We analyzed 35 of there cases that had undergone curative treatment. They were classified by T the classification (UICC, 1997) as two cases with T1, seven with T2, eight with T3, and 18 with T4. The two patients with T1 were treated with radiation alone, and four of the other patients were treated with surgery alone. Eight patients were given irradiation, intra-arterial infusion chemotherapy, and curettage of necotic tumor (combined therapy group); 10 received preoperative intra-arterial infusion chemotherapy, irradiation, and maxillectomy or extended maxillectomy (preoperative treatment group), and 11 underwent extended surgery and postoperative chemotherapy and/or irradiation (postoperative treatment group). The five-year survival rates were 65.1% for all patients, 83.3% for T3 cases, and 41.6% for T4 cases. The five-year survival rates were 48.6% for the combined therapy group, 80% for the preoperative treatment group, and 54.6% for the postoperative treatment group. Although the four cases with T2 who underwent combined therapy all remained disease-free, all three cases with T3 and T4 died of the disease. On the other hand, six of the seven patients with T3 and T4 in the preoperative treatment group remained disease-free. Based on these results, we believe that maxillectomy or extended maxillectomy following intra-arterial chemotherapy and irradiation is the most effective treatment modality for T3 and T4 cases. (author)

  12. Non-marine carbonate facies, facies models and palaeogeographies of the Purbeck Formation (Late Jurassic to Early Cretaceous) of Dorset (Southern England).

    Science.gov (United States)

    Gallois, Arnaud; Bosence, Dan; Burgess, Peter

    2015-04-01

    Non-marine carbonates are relatively poorly understood compared with their more abundant marine counterparts. Sedimentary facies and basin architecture are controlled by a range of environmental parameters such as climate, hydrology and tectonic setting but facies models are few and limited in their predictive value. Following the discovery of extensive Early Cretaceous, non-marine carbonate hydrocarbon reservoirs in the South Atlantic, the interest of understanding such complex deposits has increased during recent years. This study is developing a new depositional model for non-marine carbonates in a semi-arid climate setting in an extensional basin; the Purbeck Formation (Upper Jurassic - Lower Cretaceous) in Dorset (Southern England). Outcrop study coupled with subsurface data analysis and petrographic study (sedimentology and early diagenesis) aims to constrain and improve published models of depositional settings. Facies models for brackish water and hypersaline water conditions of these lacustrine to palustrine carbonates deposited in the syn-rift phase of the Wessex Basin will be presented. Particular attention focusses on the factors that control the accumulation of in-situ microbialite mounds that occur within bedded inter-mound packstones-grainstones in the lower Purbeck. The microbialite mounds are located in three units (locally known as the Skull Cap, the Hard Cap and the Soft Cap) separated by three fossil soils (locally known as the Basal, the Lower and the Great Dirt Beds) respectively within three shallowing upward lacustrine sequences. These complex microbialite mounds (up to 4m high), are composed of tabular small-scale mounds (flat and long, up to 50cm high) divided into four subfacies. Many of these small-scale mounds developed around trees and branches which are preserved as moulds (or silicified wood) which are surrounded by a burrowed mudstone-wackestone collar. Subsequently a thrombolite framework developed on the upper part only within

  13. PERFORATION OF INFERIOR ALVEOLAR NERVE BY MAXILLARY ARTERY. Perforation of inferior alveolar nerve by maxillary artery

    Directory of Open Access Journals (Sweden)

    Prakash B Billakanti

    2016-03-01

    Full Text Available La fosa infratemporal es un área anatómica clínicamente importante para la administración de agentes anestésicos locales en odontología y cirugía maxilofacial. Fueron estudiadas variaciones en la anatomía del nervio alveolar inferior y la arteria maxilar en la disección infratemporal. Durante la disección rutinaria de la cabeza en el cadáver de un varón adulto, fue observada una variación excepcional en el origen del nervio alveolar inferior y su relación con las estructuras circundantes. El nervio alveolar inferior se originaba en el nervio mandibular por dos raíces y la primera parte de la arteria maxilar estaba incorporada entre ambas. El origen embriológico de esta variación y sus implicaciones clínicas es debatido. Dado que la arteria maxilar transcurría entre las dos raíces del nervio alveolar inferior, y el nervio estaba fijado entre el foramen oval y el foramen mandibular, el atrapamiento vásculo-nervioso pudo causar entume-cimiento o dolor de cabeza e interferir con la inyección de anestésicos locales en la fosa infratemporal.  Variaciones anatómicas en esta región deben ser tenidas en cuenta, especialmente en casos de tratamiento fallido de neuralgia del trigémino. Infratemporal fossa is clinically important anatomical area for the delivery of local anesthetic agents in dentistry and maxillofacial surgery. Variations in the anatomy of the inferior alveolar nerve and maxillary artery were studied in infratemporal dissection. During routine dissection of the head in an adult male cadaver an unusual variation in the origin of the inferior alveolar nerve and its relationship with the surrounding structures was observed. The inferior alveolar nerve originated from the mandibular nerve by two roots and the first part of the maxillary artery was incorporated between them. An embryologic origin of this variation and its clinical implications is discussed. Because the maxillary artery runs between the two roots of

  14. Maxillary Chronic Osteomyelitis Caused by Domestic Violence: A Diagnostic Challenge

    Science.gov (United States)

    Oliveira, Tamyris Inácio; de Carli, Marina Lara; Ribeiro Junior, Noé Vital; Pereira, Alessandro Antônio Costa; Tatakis, Dimitris N.; Hanemann, João Adolfo Costa

    2014-01-01

    Maxillary osteomyelitis is a rare condition defined as inflammation of the bone primarily caused by odontogenic bacteria, with trauma being the second leading cause. The present report documents a rare case of maxillary osteomyelitis in a 38-year-old female who was the victim of domestic violence approximately a year prior to presentation. Intraoral examination revealed a lesion appearing as exposed bony sequestrum, with significant destruction of gingiva and alveolar mucosa in the maxillary right quadrant, accompanied by significant pain, local edema, and continued purulence. Teeth numbers 11, 12, 13, 14, and 15 were mobile, not responsive to percussion, and nonvital. Treatment included antibiotic therapy for seven days followed by total enucleation of the necrotic bone tissue and extraction of the involved teeth. Microscopic findings confirmed the clinical diagnosis of chronic suppurative osteomyelitis. Six months postoperatively, the treated area presented complete healing and there was no sign of recurrence of the lesion. PMID:25610667

  15. Evaluation the success of osseointegrated implants in maxillary sinus grafts

    Directory of Open Access Journals (Sweden)

    Rubens Eduardo Gigli

    2008-01-01

    Full Text Available Objective: To analyze implants placed in maxillary sinus grafts with biomaterial of bovine origin and platelet-rich plasma, observing bone neoformation and the clinical and histologic success rate presented.Methods: Analysis of the clinical findings was based on 36 maxillary sinus grafts with 101 implants placed in 30 patients with a mean age of 47 years, and the histologic analysis, based on nine samples of the 36 grafts performed, with a mean interval of 7.5 months time of the graft, the majority of patients being men with a mean age of 42 years. Results: Clinically, 91 implants placed were osseointegrated.Conclusion: Based on the results presented, it was concluded that when implants are placed in the maxillary sinus region grafted with biomaterial, they present a high success rate. ISRCTN24003246

  16. Pneumatisation of the maxillary sinus in normal and symptomatic children

    International Nuclear Information System (INIS)

    Odita, J.C.; Akamaguna, A.I.; Ugbodaga, C.I.; Ogisi, F.O.; Amu, O.D.

    1986-01-01

    The pattern of pneumatisation and normal width of the maxillary sinus in 191 Nigerian infants and children whose age range was 6 months to 14 years was determined. Fifty-four percent of children with no respiratory tract or sinus infection had opaque maxillary sinus. A figure of 44.5% was obtained amongst children with suspected bronchopneumonia. Only 41.5% of suspected cases of sinusitis, acute and chronic middle ear disease had opaque sinus. The highest rate of sinus opacity was seen in children under 2 years who were asymptomatic. The mean maximal width of normally aerated sinus was 8.74 mm for children under 2 years, 16.5 mm for 3-6 years, 21.5 mm for 7-11 years and 25 mm for children 12 years and above. We conclude that maxillary sinus opacity in our experience is an unreliable index for the diagnosis of sinusitis in children. (orig.)

  17. Maxillary Chronic Osteomyelitis Caused by Domestic Violence: A Diagnostic Challenge

    Directory of Open Access Journals (Sweden)

    Tamyris Inácio Oliveira

    2014-01-01

    Full Text Available Maxillary osteomyelitis is a rare condition defined as inflammation of the bone primarily caused by odontogenic bacteria, with trauma being the second leading cause. The present report documents a rare case of maxillary osteomyelitis in a 38-year-old female who was the victim of domestic violence approximately a year prior to presentation. Intraoral examination revealed a lesion appearing as exposed bony sequestrum, with significant destruction of gingiva and alveolar mucosa in the maxillary right quadrant, accompanied by significant pain, local edema, and continued purulence. Teeth numbers 11, 12, 13, 14, and 15 were mobile, not responsive to percussion, and nonvital. Treatment included antibiotic therapy for seven days followed by total enucleation of the necrotic bone tissue and extraction of the involved teeth. Microscopic findings confirmed the clinical diagnosis of chronic suppurative osteomyelitis. Six months postoperatively, the treated area presented complete healing and there was no sign of recurrence of the lesion.

  18. Management of unerupted maxillary deciduous central incisor: a case report.

    Science.gov (United States)

    Shakra, Karam Abu

    2014-01-01

    Failure of eruption of primary teeth can be considered rare, especially in maxillary anterior teeth. The problem can be either mechanical obstruction of eruption or a failure of the eruption mechanism. This case report presents failure of eruption of the maxillary right deciduous central incisor in a 4-year-old girl. The unerupted primary tooth was removed surgically. The histological finding revealed fibroma with reactive giant cells. Periodic follow-up visits were advised to monitor the developing dentition and to ensure enough space for the permanent incisor. How to cite this article: Shakra KA. Management of Unerupted Maxillary Deciduous Central Incisor: A Case Report. Int J Clin Pediatr Dent 2014;7(1):58-60.

  19. Facies discrimination in a mixed fluvio-eolian setting using elemental whole rock geochemistry

    DEFF Research Database (Denmark)

    Svendsen, Johan; Friis, Henrik; Stollhofen, Harald

    2007-01-01

    -eolian successions. The method is developed on the modern fluvio-eolian sediments from the Skeleton Coast dune field, Namibia. The examined sediments comprise eight different facies types; eolian dune sands, inter dune fluvial channel sands, intra erg mass flow deposits, intra erg hyperconcentrated flow deposits......, fluvial channel sands, fluvial mud, lacustrine heterolithic sand and lacustrine heterolithic mud. The contrasting provenance of the fluvial and eolian sediments results in a distinct source fingerprint which can be discriminated using elemental whole rock geochemistry. Multivariate statistical technique...... performed on the geochemical data has enabled discrimination of seven of the eight facies types. Furthermore, the facies discrimination method allowed a quantitative estimate of the degree of fluvial reworking of eolian sand. We believe that the method presented here, when calibrated to a reference well...

  20. The influence of facies heterogeneity on the doublet performance in low-enthalpy geothermal sedimentary reservoirs

    DEFF Research Database (Denmark)

    Crooijmans, R. A.; Willems, C. J L; Nick, Hamid

    2016-01-01

    A three-dimensional model is used to study the influence of facies heterogeneity on energy production under different operational conditions of low-enthalpy geothermal doublet systems. Process-based facies modelling is utilised for the Nieuwerkerk sedimentary formation in the West Netherlands Basin...... and the energy recovery rate for different discharge rates and the production temperature (Tmin) above which the doublet is working. With respect to the results, we propose a design model to estimate the life time and energy recovery rate of the geothermal doublet. The life time is estimated as a function of N....../G, Tmin and discharge rate, while the design model for the energy recovery rate is only a function of N/G and Tmin. Both life time and recovery show a positive relation with an increasing N/G. Further our results suggest that neglecting details of process-based facies modelling may lead to significant...

  1. Transpalatal distraction for the management of maxillary constriction in pediatric patients

    OpenAIRE

    Adolphs, Nicolai; Ernst, Nicole; Hoffmeister, Bodo; Raguse, Jan-Dirk

    2015-01-01

    Context: The management of severe maxillary constriction can be challenging. For that purpose surgically assisted maxillary expansion by transpalatal distraction (TPD) can typically be recommended after skeletal maturity. However in selected cases bone borne transpalatal distraction devices can contribute to improve maxillary constriction considerably earlier already during mixed dentition. Aims: To assess the possibility of bone borne transpalatal distraction in pediatric patients. Settings ...

  2. Trans-sinusal maxillary distraction for correction of midfacial hypoplasia: long-term clinical results.

    NARCIS (Netherlands)

    Nadjmi, N.; Schutyser, F.A.C.; Erum, R. van

    2006-01-01

    Maxillary distraction osteogenesis is indicated in severe angle class III malocclusions, and severe maxillary hypoplasia among some cleft patients and other craniofacial deformities. Twenty patients, aged 8-48 years (mean 17.8+/-10.5 SD) with maxillary and midfacial hypoplasia were treated. The

  3. Effective Maxillary Protraction with Tandem Traction Bow Appliance

    Directory of Open Access Journals (Sweden)

    Pravin Kumar S Marure

    2014-01-01

    Full Text Available Tandem traction bow appliance (TTBA promotes patient compliance, because it is more esthetic and comfortable than extraoral appliances. TTBA should be used only in case where maxillary deficiency and normal mandible is present. Advantages of it includes good oral hygiene, early treatment of any Class III malocclusion, optimal retention, distribution of the forces for protraction to all maxillary teeth, free mandibular movement. It can be used in conjunction with fixed appliances if necessary. This paper includes two case reports. The treatment results in both the cases demonstrated significant skeletal and dental response to TTBA therapy. Skeletal change was primarily a result of anterior movement of the maxilla.

  4. Uncontrolled Epistaxis Secondary to Traumatic Pseudoaneurysm of the Maxillary Artery

    Directory of Open Access Journals (Sweden)

    Eelam Adil

    2011-01-01

    Full Text Available We describe a rare case of traumatic pseudoaneurysm of the maxillary artery following a fall. The patient presented with epistaxis that could not be controlled with anterior and posterior nasal packing. She was urgently taken to the angiography suite for evaluation and ultimately underwent embolization of a left maxillary artery pseudoaneurysm with 500–700 micron Contour PVA followed by coiling with two 3 mm Tornado coils. Bleeding subsided after embolization, and the patient suffered no neurologic sequelae.

  5. CT scan for the diagnosis of maxillary sinus carcinoma

    International Nuclear Information System (INIS)

    Kimura, Yo; Kato, Isao; Aoyagi, Masaru; Kikuchi, Akira; Koike, Yoshio; Suzuki, Hachiro.

    1984-01-01

    A comparative study between the conventional radiological examination and the computed tomographical examination for the diagnosis of maxillary sinus carcinoma was done. CT scan has been more appreciated to detect the tumor invasion in the pterygopalatine fossa, orbit, posterior ethmoid sinus and skull base than the conventional examination. CT scan was most usefull for the determination of size and location of the tumor. The prognosis by the stage-grouping was significantly separated by the new classification with CT scan. Therefore, new TNM classification of maxillary sinus carcinoma with CT scan should be taken into account. (author)

  6. Orthodontic treatment of a complete transposed impacted maxillary canine

    Directory of Open Access Journals (Sweden)

    Pi-Huei Liu

    2015-03-01

    Full Text Available Tooth transposition is a positional interchange of two adjacent teeth. Transposition most often occurs at maxillary canine. Moving transposed teeth to their normal positions is challenging because this requires bodily movement and translation of one tooth to pass another. This procedure may cause damage to the teeth or supporting structures. We report a case of complete transposition of maxillary canine and lateral incisor. Transposed teeth were successfully moved orthodontically to their normal positions. Multiple mechanics were meticulously applied to achieve complete correction of the tooth positions and to minimize root resorption and/or periodontal defects of canine and lateral incisors. Factors concerning treatment planning for transposed teeth are discussed.

  7. Endodontic Management of a Maxillary Molar with Three Mesiobuccal Canals

    Directory of Open Access Journals (Sweden)

    Sirisha Gundam

    2014-01-01

    Full Text Available It is imperative that the clinician should have comprehensive knowledge about the normal anatomy and its variations of the teeth as the deviations from the usual are very common. An increased awareness of unusual anatomy and a better understanding of the root canal system guide the clinician in accurate diagnosis and treatment of such variations in order to achieve a successful endodontic outcome. The maxillary first molar has been shown to have a wide variation in respect to the number of canals specifically noted in the mesiobuccal root. The current case report shows the successful management of a maxillary molar in which the mesiobuccal root had three canals.

  8. Late Pleistocene dune-sourced alluvial fans in coastal settings: Sedimentary facies and related processes (Mallorca, Western Mediterranean)

    Science.gov (United States)

    Pomar, F.; del Valle, L.; Fornós, J. J.; Gómez-Pujol, L.

    2018-05-01

    Aeolian-alluvial sedimentary interaction results in the formation of deposits characterized by typical alluvial sedimentary structures, but is composed of conspicuous amounts of aeolian sediments. The literature on this topic is limited and most works relate more with continental aeolian dunes or fluvial dune interference with fan bodies. Furthermore, there is a lack of examples of aeolian-alluvial sedimentary interference in coastal settings. In the western Mediterranean, there are many Pleistocene alluvial fan deposits built up partly by sediment originating from coastal dunes dismantled by alluvial streams. Very often, these deposits show a continuous sedimentary sequence through which we can derive the contribution and predominance of coastal, alluvial-colluvial and aeolian processes and their controls on landscape formation. This is an outstanding feature within coastal systems since it shows marine sediments reworked and integrated within coastal dune fields by aeolian transport, and the latter built up into alluvial fan bodies. In this sense, aeolian-alluvial interaction is the geomorphic-sedimentary expression of the coexistence and overlapping of alluvial and aeolian environments resulting in deposits sharing sedimentary features from both environments. The aim of this paper is to unravel the contribution of coastal dunes in the construction of alluvial fans bodies and identify the main sedimentary facies that constitute these deposits, as well as their climatic controls. For this reason, Es Caló fan (northern Mallorca) has been selected due to its well-exposed deposits exhibiting the alternation of aeolian, alluvial and colluvial deposits. Sedimentological and stratigraphic analyses based on 33 logs and complementary analyses demonstrate that most of the facies constituting the fan body are made up completely of marine bioclastic sands. These deposits record an alluvial fan sedimentary environment characterized by sediments inputs that do not proceed

  9. Root Length and Anatomy of Impacted Maxillary Canines in Patients with Unilateral Maxillary Canine Impaction

    Directory of Open Access Journals (Sweden)

    Mostfa Shahabi

    2017-09-01

    Full Text Available Introduction: Canine impaction is a common occurrence. In this study, we sought to investigate the root anatomy and length of impacted canines and lateral incisor adjacent to impacted maxillary canine. Materials and Methods: In this retrospective study, three-dimensional tomographic imaging was performed on 26 patients with unilateral maxillary canine impaction. In this study, we evaluated root length and anatomy of impacted canines, in terms of resorption intensity and curvature, with Planmeca Romexis Viewer 4.0. Furthermore, crown shape as well as root length and anatomy of the lateral incisors adjacent to impacted canines were investigated and compared with the other side on the dental arch, where canine eruption was normal. Results: Root length of impacted canines was significantly lower than that of normal canines (P=0.011. There were no significant differences between root length of lateral incisors adjacent to impacted canines and root length of lateral incisors adjacent to normal canines (P=0.221. Moreover, the resorption intensity of the adjacent lateral incisors was higher than that of the impacted canines. No significant differences were noted in root resorption intensity between the lateral incisors adjacent to the imacted canines and the lateral incisors adjacent to normal canines (P=0.36. In addition, resorption intensity was significantly higher in impacted canines than in normal canines (P=0.024. Root anatomy of impacted canines was not significantly different from that of normal canines (P=0.055. The crown shape of the lateral incisors adjacent to impacted canines was not significantly different from that of the lateral incisors adjacent to normal canines (P=0.052. Conclusion: Impaction can probably affect root length and canine resorption severity. However, root and crown shape of lateral incisors cannot always be associated with canine impaction.

  10. Facies analysis of tuffaceous volcaniclastics and felsic volcanics of Tadpatri Formation, Cuddapah basin, Andhra Pradesh, India

    Science.gov (United States)

    Goswami, Sukanta; Dey, Sukanta

    2018-05-01

    The felsic volcanics, tuff and volcaniclastic rocks within the Tadpatri Formation of Proterozoic Cuddapah basin are not extensively studied so far. It is necessary to evaluate the extrusive environment of felsic lavas with associated ash fall tuffs and define the resedimented volcaniclastic components. The spatial and temporal bimodal association were addressed, but geochemical and petrographic studies of mafic volcanics are paid more attention so far. The limited exposures of eroded felsic volcanics and tuffaceous volcaniclastic components in this terrain are highly altered and that is the challenge of the present facies analysis. Based on field observation and mapping of different lithounits a number of facies are categorized. Unbiased lithogeochemical sampling have provided major and selective trace element data to characterize facies types. Thin-section studies are also carried out to interpret different syn- and post- volcanic features. The facies analysis are used to prepare a representative facies model to visualize the entire phenomenon with reference to the basin evolution. Different devitrification features and other textural as well as structural attributes typical of flow, surge and ash fall deposits are manifested in the middle, lower and upper stratigraphic levels. Spatial and temporal correlation of lithologs are also supportive of bimodal volcanism. Felsic and mafic lavas are interpreted to have erupted through the N-S trending rift-associated fissures due to lithospheric stretching during late Palaeoproterozoic. It is also established from the facies model that the volcaniclastics were deposited in the deeper part of the basin in the east. The rifting and associated pressure release must have provided suitable condition of decompression melting at shallow depth with high geothermal gradient and this partial melting of mantle derived material at lower crust must have produced mafic magmas. Such upwelling into cold crust also caused partial heat

  11. Ligation of the internal maxillary artery for intractable epistaxis. 3D imaging of internal maxillary artery using helical CT scan

    International Nuclear Information System (INIS)

    Handa, Toru; Yazin, Koji; Hirakawa, Katsuhiro; Fukushima, Noriyuki; Takumida, Masaya; Hirata, Shitau; Iguchi, Tetsuhiko; Amano, Yoshiharu

    2001-01-01

    Sever posterior epistaxis is one of the serious clinical problems. Nasal bleeding usually occurs in the anterior septal region, where it can be seen easily and controlled with topical cautery or localized packing. When the bleeding occurs in the posterior nose, it becomes a more serious problem. Many methods have been used to control posterior epistaxis. Some of these are electrocautery, posterior nasal packing, vascular ligation and therapeutic percutaneous embolization. Between 1997 and 2000, nineteen patients were admitted to our hospital because of intractable epistaxis. There were 16 male and 3 female patients whose average age was 55 years. Ten of 19 patients were hypertensive, and none of these had undergoing treatment. Five of 19 patients received maxillary artery ligation. Clinical applications of 3D imaging of the internal maxillary artery using helical CT scan were done for 5 patients. These images were helpful for planning of ligation of the internal maxillary artery. (author)

  12. Ligation of the internal maxillary artery for intractable epistaxis. 3D imaging of internal maxillary artery using helical CT scan

    Energy Technology Data Exchange (ETDEWEB)

    Handa, Toru [Akitsu Prefectual Hospital, Hiroshima (Japan); Yazin, Koji; Hirakawa, Katsuhiro; Fukushima, Noriyuki; Takumida, Masaya; Hirata, Shitau; Iguchi, Tetsuhiko; Amano, Yoshiharu

    2001-03-01

    Sever posterior epistaxis is one of the serious clinical problems. Nasal bleeding usually occurs in the anterior septal region, where it can be seen easily and controlled with topical cautery or localized packing. When the bleeding occurs in the posterior nose, it becomes a more serious problem. Many methods have been used to control posterior epistaxis. Some of these are electrocautery, posterior nasal packing, vascular ligation and therapeutic percutaneous embolization. Between 1997 and 2000, nineteen patients were admitted to our hospital because of intractable epistaxis. There were 16 male and 3 female patients whose average age was 55 years. Ten of 19 patients were hypertensive, and none of these had undergoing treatment. Five of 19 patients received maxillary artery ligation. Clinical applications of 3D imaging of the internal maxillary artery using helical CT scan were done for 5 patients. These images were helpful for planning of ligation of the internal maxillary artery. (author)

  13. Importance of separating sedimentation facies in prospecting for oil and gas pools confined to sloping structures

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, B

    1984-01-01

    The Shuantotszi field which is in the southeast part of the Sunlyalo oil and gas basin was discovered in 1962. For a long time the correlation of the main factors controlling the oil and gas distribution remained obscure. It has been established in recent years that the main volume of oil and gas is confined to facies in the channels of the second order, arranged between the facies of the main channel and the perlite deposits of the delta. It was established that formation of the accumulation is associated with redistribution and secondary migration of hydrocarbons.

  14. Orthodontic management of bilateral maxillary canine-first premolar transposition and bilateral agenesis of maxillary lateral incisors: a case report.

    Science.gov (United States)

    Di Palma, Elena; Di Giuseppe, Biagio; Tepedino, Michele; Chimenti, Claudio

    2015-01-01

    Maxillary canine-first premolar transposition (Mx.C.P1) is an uncommon dental positional anomaly that may create many orthodontic problems from both esthetic and functional points of view. In this report we show the orthodontic management of a case of Mx.C.P1 associated with bilateral maxillary lateral incisor agenesis and unilateral mandibular second premolar agenesis The patient was treated with a multibracket appliance and the extraction of the lower premolar. treatment was completed without the need for any prosthetic replacement.

  15. Morphometric analysis of pulp size in maxillary permanent central incisors correlated with age: An indirect digital study.

    Science.gov (United States)

    Ravindra, S V; Mamatha, G P; Sunita, J D; Balappanavar, Aswini Y; Sardana, Varun

    2015-01-01

    Teeth are hardest part of the body and are least affected by the taphonomic process. They are considered as one of the reliable methods of identification of a person in forensic sciences. The aim of the following study is to establish morphometeric measurements by AutoCad 2009 (Autodesk, Inc) of permanent maxillary central incisors in different age groups of Udaipur population. Hospital-based descriptive cross-sectional study carried out in Udaipur. A study was carried out on 308 subjects of both genders with the age range of 9-68 years. Standardized intra-oral radiographs were made by paralleling technique and processed. The radiographs were scanned and the obtained images were standardized to the actual size of radiographic film. This was followed by measuring them using software AutoCad 2009. F-test, post-hoc test, Pearson's correlation test. For left maxillary central incisor, the total pulp area was found to be of 38.41 ± 12.88 mm and 14.32 ± 7.04 mm respectively. For right maxillary central incisor, the total pulp size was 38.39 ± 14.95 mm and 12.35 ± 5 mm respectively. Males (32.50, 32.87 mm(2)) had more pulp area when compared with females (28.82, 30.05 mm(2)). There was a decrease in total pulp area with increasing age which may be attributed to secondary dentin formation.

  16. Surgically Assisted Rapid Maxillary Expansion: surgical and orthodontic aspects

    NARCIS (Netherlands)

    M.J. Koudstaal (Maarten)

    2008-01-01

    textabstractThe scope of this thesis is to shed more light, from a number of perspectives, on surgically assisted rapid maxillary expansion (SARME). The primary questions this thesis set out to answer were; ‘is there a difference in stability between bone-borne and tooth-borne distraction?’ and ‘can

  17. Treatment of maxillary cleft palate: Distraction osteogenesis vs. orthognathic surgery

    Science.gov (United States)

    Rachmiel, Adi; Even-Almos, Michal; Aizenbud, Dror

    2012-01-01

    Purpose: The purpose of this paper is to compare the treatment of hypoplastic, retruded maxillary cleft palate using distraction osteogenesis vs. orthognathic surgery in terms of stability and relapse, growth after distraction and soft tissue profile changes. Materials and Methods: The cleft patients showed anteroposterior maxillary hypoplasia with class III malocclusion and negative overjet resulting in a concave profile according to preoperative cephalometric measurements, dental relationship, and soft tissue analysis. The patients were divided in two groups of treatment : S0 eventeen were treated by orthognathic Le Fort I osteotomy fixed with four mini plates and 2 mm screws, and 19 were treated by maxillary distraction osteogenesis with rigid extraoral devices (RED) connected after a Le Fort I osteotomy. The rate of distraction was 1 mm per day to achieve Class I occlusion with slight overcorrection and to create facial profile convexity. Following a 10 week latency period the distraction devices were removed. Results: In the RED group the maxilla was advanced an average of 15.80 mm. The occlusion changed from class III to class I. The profile of the face changed from concave to convex. At a 1-year follow up the results were stable. The mean orthognathic movement was 8.4 mm. Conclusion: In mild maxillary deficiency a one stage orthognathic surgery is preferable. However, in patients requiring moderate to large advancements with significant structural deficiencies of the maxilla or in growing patients the distraction technique is preferred. PMID:23483803

  18. Maxillary sinusitis from Microascus cinereus and Aspergillus repens.

    Science.gov (United States)

    Aznar, C; de Bievre, C; Guiguen, C

    1989-02-01

    Microascus was associated with Aspergillus repens in a left maxillary sinus. Tissue contained septale filaments of two types, conidia, ostiolate perithecia containing ascospores corresponding to Microascus cinereus which was identified by culture. The abundance of sexual fructifications in the tissue indicates that pathogenicity is due to Microascus cinereus.

  19. Brain malformation in single median maxillary central incisor

    DEFF Research Database (Denmark)

    Kjaer, I; Wagner, Aa; Thomsen, L L

    2009-01-01

    Clinical and radiographic examinations and MR scan of a 12-year-old girl with SMMCI (single median maxillary central incisor) showed impaired growth and a midline defect involving the central incisor, cranium and the midline structures in the brain, falx cerebri and pituitary gland. She had a sev...

  20. Long-term results of surgically-assisted maxillary protraction.

    Science.gov (United States)

    Nevzatoğlu, Sirin; Küçükkeleş, Nazan

    2014-05-01

    The long-term treatment results of surgically-assisted facemask therapy were assessed by a comparison of the immediate protraction effects with those seen at five years review. Nine patients treated with a corticotomy-assisted maxillary protraction protocol were recalled five years following protraction. Cephalometric films taken before treatment (T0), immediately after maxillary protraction (T1) and five years after treatment (T2) were compared. The short-term results of surgically-assisted facemask therapy showed significant skeletal and soft tissue changes. After five years, the profile and dental relationships were well maintained and a cephalometric analysis revealed a stable vertical increase but only partially maintained soft tissue changes with loss of sagittal advancement. There was significant upper incisor proclination providing dental camouflage. Patients who are treated with corticotomy-assisted maxillary advancement should be very carefully selected. Assessment criteria include a low mandibular plane angle Class III patients who have severe maxillary retrognathism unable to be treated by conventional orthopaedic correction alone; patients who have almost completed growth and missed the chance of earlier orthopaedic correction, as well as patients who are not willing to accept bimaxillary orthognathic surgery, may be successfully treated.

  1. Maxillary canine teeth as supplement tool in sex determination ...

    African Journals Online (AJOL)

    Maxillary impressions for all subjects were taken in alginate impression material. Study models were prepared immediately in dental stone to prevent dimensional change. Apart from the inter-canine distance and the left mesio-distal crown width which exhibited statistically significant differences, other parameters as ...

  2. Classification of alveolar bone destruction patterns on maxillary ...

    African Journals Online (AJOL)

    Objective: The defective diagnosis of alveolar structures is one of most serious handicaps when assessing available periodontal treatment options for the prevention of tooth loss. The aim of this research was to classify alveolar bone defects in the maxillary molar region which is a challenging area for dental implant ...

  3. Accuracy of maxillary positioning after standard and inverted orthognathic sequencing.

    Science.gov (United States)

    Ritto, Fabio G; Ritto, Thiago G; Ribeiro, Danilo Passeado; Medeiros, Paulo José; de Moraes, Márcio

    2014-05-01

    This study aimed to compare the accuracy of maxillary positioning after bimaxillary orthognathic surgery, using 2 sequences. A total of 80 cephalograms (40 preoperative and 40 postoperative) from 40 patients were analyzed. Group 1 included radiographs of patients submitted to conventional sequence, whereas group 2 patients were submitted to inverted sequence. The final position of the maxillary central incisor was obtained after vertical and horizontal measurements of the tracings, and it was compared with what had been planned. The null hypothesis, which stated that there would be no difference between the groups, was tested. After applying the Welch t test for comparison of mean differences between maxillary desired and achieved position, considering a statistical significance of 5% and a 2-tailed test, the null hypothesis was not rejected (P > .05). Thus, there was no difference in the accuracy of maxillary positioning between groups. Conventional and inverted sequencing proved to be reliable in positioning the maxilla after LeFort I osteotomy in bimaxillary orthognathic surgeries. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Extraction of Maxillary Central Incisors: An Orthodontic-Restorative Treatment

    Science.gov (United States)

    Hedayati, Zohreh; Zare, Maryam; Bahramnia, Fateme

    2014-01-01

    Malformed central incisors with poor prognosis could be candidates for extraction especially in crowded dental arches. This case report refers to a 12-year-old boy who suffered from malformed upper central incisors associated with severe attrition. Upper lateral incisors were positioned palatally and canines were rotated and positioned in the high buccal area. The patient had class II malocclusion and space deficiency in both dental arches. Due to incisal wear and malformed short maxillary central incisors and the need for root canal therapy with a major crown build-up, these teeth were extracted. The maxillary lateral incisors were substituted. Thus the maxillary canines were substituted for lateral incisors and the first premolars were substituted for canines. In the lower dental arch the first bicuspids were extracted. Composite resin build-up was performed on the maxillary lateral incisors and canines. This allowed for the crowding and the malocclusion to be corrected. Subsequent gingivectomy improved the patient's gingival margins and smile esthetics one month after orthodontic therapy. PMID:25400954

  5. Esthetics with prosthetics in case of maxillary canine transposition: A ...

    African Journals Online (AJOL)

    Esthetics with prosthetics in case of maxillary canine transposition: A clinical report. ... provides a helpful Frequently Asked Questions about PDFs. Alternatively, you can download the PDF file directly to your computer, from where it can be opened using a PDF reader. To download the PDF, click the Download link above.

  6. Relationship between conductive hearing loss and maxillary constriction.

    Science.gov (United States)

    Peyvandi, A A; Jamilian, A; Moradi, E

    2014-09-01

    To evaluate the relationship between conductive hearing loss and maxillary constriction. A total of 120 people, aged from 7 to 40 years, who were referred to an audiologist when taking out health insurance or for school pre-registration check-up, were selected for this study. A total of 60 participants who had hearing threshold levels greater than 15 dB in both ears were chosen as the conductive hearing loss group. The remaining 60, with normal hearing thresholds of less than 15 dB, were used as the control group. All participants were referred to an orthodontic clinic. Participants who had a posterior crossbite and high palatal vault were considered to suffer from maxillary constriction. There were no significant differences between the sex ratios and mean ages of the groups. However, participants with conductive hearing loss were 3.5 times more likely than controls to suffer from maxillary constriction. Patients who suffer from conductive hearing loss are likely to show a maxillary abnormality when examined by an orthodontist.

  7. Aneurysmal bone cyst of maxillary alveolus: A rare case report

    Directory of Open Access Journals (Sweden)

    Subhas Chandra Debnath

    2016-01-01

    Full Text Available Aneurysmal bone cyst (ABC is a nonneoplastic rare pathologic entity of the jaws. Its locally aggressive nature and high recurrence rate after curettage make surgical resection a better treatment option. Here, we present a case of ABC of maxillary alveolus and its management by alveolectomy followed by white head varnish pack application in the surgical defect.

  8. Aneurysmal bone cyst of maxillary alveolus: A rare case report

    Science.gov (United States)

    Debnath, Subhas Chandra; Adhyapok, Apurba Kumar; Hazarika, Kriti; Malik, Kapil; Vatsyayan, Ashutosh

    2016-01-01

    Aneurysmal bone cyst (ABC) is a nonneoplastic rare pathologic entity of the jaws. Its locally aggressive nature and high recurrence rate after curettage make surgical resection a better treatment option. Here, we present a case of ABC of maxillary alveolus and its management by alveolectomy followed by white head varnish pack application in the surgical defect. PMID:27041915

  9. Eruption of the maxillary canines in relation to skeletal maturity.

    Science.gov (United States)

    Baccetti, Tiziano; Franchi, Lorenzo; De Lisa, Simona; Giuntini, Veronica

    2008-05-01

    Our aim in this study was to assess the relationship between the eruption of the permanent maxillary canines and skeletal maturity in subjects with different skeletal relationships in the sagittal and vertical planes. A sample of 152 subjects (63 boys, 89 girls) with erupting permanent maxillary canines was analyzed. On the lateral cephalograms, the stage of cervical vertebral maturation was assessed. Then the subjects were divided into prepeak (before the pubertal growth spurt, cervical stage [CS]1 and CS2), peak (during the pubertal growth spurt, CS3 and CS4), and postpeak (after the pubertal growth spurt, CS5 and CS6) groups. Skeletal relationships in the sagittal and vertical planes were evaluated, and relationships to timing of canine eruption were tested statistically. The prepeak group comprised 86 subjects, the peak group 66 subjects, and the postpeak group 0 subjects. The differences in prevalence rates between either the prepeak or peak groups and the postpeak group were statistically significant (P < 0.001). The prevalence rate for hyperdivergent subjects showing eruption of the permanent maxillary canine in the prepeak group (37.2%) was significantly higher than in the reference orthodontic population (21%). The eruption of the permanent maxillary canine can occur at any stage in skeletal maturation before the end the pubertal growth spurt (CS1-CS4), with hyperdivergent subjects more frequently having prepubertal canine eruption.

  10. Canal pattern in mesiobuccal root of maxillary molars of Nigerians ...

    African Journals Online (AJOL)

    planed maxillary first and second molars respectively were sectioned transversely at three different points corresponding to the cemento-enamel junction, the peak of the external outline of the furcation and the margin of the middle and apical thirds ...

  11. Morphological study of maxillary canine region based on CT

    International Nuclear Information System (INIS)

    Yamada, Maiko; Takamori, Hitoshi; Ide, Yoshiaki; Yosue, Takashi

    2010-01-01

    The maxilla is generally known as a site where anatomical limitations make it difficult to obtain sufficient bone volume. A large amount of bone exists in the canine region between the anterior margin of the maxillary sinus and the piriform aperture margin. Although this region is crucial for implant treatments, there have not been any reports on morphological studies of the region. In this study, we investigated the morphology of the canine region based on CT, and also the morphology and position of the maxillary sinus located posterior to the canine region. The results were as follows: In the area above the anterior nasal spine, the higher the level, the smaller the mesio-distal length and the bucco-lingual width tended to become. In the area above the anterior nasal spine, the mesio-distal length and the bucco-lingual width tended to be smaller in female patients than in male patients. In the area above the anterior nasal spine, no significant differences in mesio-distal length and bucco-lingual width were observed between dentulous and edentulous jaws. The morphology of the maxillary sinus was mainly of an inverse-trapezoidal, circular, or triangular form. The position of the anterior wall of the maxillary sinus was most frequently found at the site corresponding to the second premolar. Through this study, we have reconfirmed that the canine region is vital for implant treatments in the maxilla. (author)

  12. Prosthetic Rehabilitation of Patients with Maxillary Defects in a ...

    African Journals Online (AJOL)

    Surgical defects were the most common type of maxillary defects seen; accounting for 89.5% (17/19) of the cases, which were mostly associated with malignant tumors. Immediate surgical obturators were provided for 63.2% (12/19) of the subjects. Majority 70.6% (12/17) of those with surgical defects received immediate ...

  13. Facies analysis and paleoenvironmental reconstruction of Upper Cretaceous sequences in the eastern Para-Tethys Basin, NW Iran

    Energy Technology Data Exchange (ETDEWEB)

    Omidvar, M.; Safari, A.; Vaziri-Moghaddam, H.; Ghalavand, H.

    2016-07-01

    Upper Cretaceous mixed carbonate-siliciclastic sequences are among the most important targets for hydrocarbon exploration in the Moghan area, located in the eastern Para-Tethys Basin. Despite of their significance, little is known about their facies characteristics and depositional environments. Detailed facies analysis and paleoenvironmental reconstruction of these sequences have been carried out in eight surface sections. Accordingly, four siliciclastic facies, eight carbonate facies and one volcanic facies have been recognized. Detailed facies descriptions and interpretations, together with the results of facies frequency analysis, standard facies models and Upper Cretaceous depositional models of Para-Tethys Basin, have been integrated and a non-rimmed carbonate platform is presented. This platform was affected by siliciclastic influx, in the form of coastal fan delta and submarine fans in the shallow- to deep-marine parts, respectively. This model is interpreted to be shallower in the central and northeastern parts of the Moghan area. Toward the southeast and southwest, this shallow platform turns into deep marine settings along steep slopes without remarkable marginal barriers. (Author)

  14. Optimum and robust 3D facies interpolation strategies in a heterogeneous coal zone (Tertiary As Pontes basin, NW Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Falivene, Oriol; Cabrera, Lluis; Saez, Alberto [Geomodels Institute, Group of Geodynamics and Basin Analysis, Department of Stratigraphy, Paleontology and Marine Geosciences, Universitat de Barcelona, c/ Marti i Franques s/n, Facultat de Geologia, 08028 Barcelona (Spain)

    2007-07-02

    Coal exploration and mining in extensively drilled and sampled coal zones can benefit from 3D statistical facies interpolation. Starting from closely spaced core descriptions, and using interpolation methods, a 3D optimum and robust facies distribution model was obtained for a thick, heterogeneous coal zone deposited in the non-marine As Pontes basin (Oligocene-Early Miocene, NW Spain). Several grid layering styles, interpolation methods (truncated inverse squared distance weighting, truncated kriging, truncated kriging with an areal trend, indicator inverse squared distance weighting, indicator kriging, and indicator kriging with an areal trend) and searching conditions were compared. Facies interpolation strategies were evaluated using visual comparison and cross validation. Moreover, robustness of the resultant facies distribution with respect to variations in interpolation method input parameters was verified by taking into account several scenarios of uncertainty. The resultant 3D facies reconstruction improves the understanding of the distribution and geometry of the coal facies. Furthermore, since some coal quality properties (e.g. calorific value or sulphur percentage) display a good statistical correspondence with facies, predicting the distribution of these properties using the reconstructed facies distribution as a template proved to be a powerful approach, yielding more accurate and realistic reconstructions of these properties in the coal zone. (author)

  15. Unsupervised seismic facies analysis with spatial constraints using regularized fuzzy c-means

    Science.gov (United States)

    Song, Chengyun; Liu, Zhining; Cai, Hanpeng; Wang, Yaojun; Li, Xingming; Hu, Guangmin

    2017-12-01

    Seismic facies analysis techniques combine classification algorithms and seismic attributes to generate a map that describes main reservoir heterogeneities. However, most of the current classification algorithms only view the seismic attributes as isolated data regardless of their spatial locations, and the resulting map is generally sensitive to noise. In this paper, a regularized fuzzy c-means (RegFCM) algorithm is used for unsupervised seismic facies analysis. Due to the regularized term of the RegFCM algorithm, the data whose adjacent locations belong to same classification will play a more important role in the iterative process than other data. Therefore, this method can reduce the effect of seismic data noise presented in discontinuous regions. The synthetic data with different signal/noise values are used to demonstrate the noise tolerance ability of the RegFCM algorithm. Meanwhile, the fuzzy factor, the neighbour window size and the regularized weight are tested using various values, to provide a reference of how to set these parameters. The new approach is also applied to a real seismic data set from the F3 block of the Netherlands. The results show improved spatial continuity, with clear facies boundaries and channel morphology, which reveals that the method is an effective seismic facies analysis tool.

  16. Spectral properties and ASTER-based alteration mapping of Masahim volcano facies, SE Iran

    Science.gov (United States)

    Tayebi, Mohammad H.; Tangestani, Majid H.; Vincent, Robert K.; Neal, Devin

    2014-10-01

    This study applies Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) data and the Mixture Tuned Matched Filtering (MTMF) algorithm to map the sub-pixel distribution of alteration minerals associated with the Masahim volcano, SE Iran for understanding the spatial relationship between alteration minerals and volcano facies. Investigations of the alteration mineralogy were conducted using field-spectroscopy, X-ray diffraction (XRD) analysis and ASTER Short Wave Infrared (SWIR) spectral data. In order to spectrally characterize the stratovolcano deposits, lithological units and alteration minerals, the volcano was divided into three facies: the Central, Proximal, and Medial-distal facies. The reflectance spectra of rock samples show absorption features of a number of minerals including white mica, kaolinite, montmorillonite, illite, goethite, hematite, jarosite, opal, and chlorite. The end-members of key alteration minerals including sericite (phyllic zone), kaolinite (argillic zone) and chlorite (propylitic zone) were extracted from imagery using the Pixel Purity Index (PPI) method and were used to map alteration minerals. Accuracy assessment through field observations was used to verify the fraction maps. The results showed that most prominent altered rocks situated at the central facies of volcano. The alteration minerals were discriminated with the coefficient of determination (R2) of 0.74, 0.81, and 0.68 for kaolinite, sericite, and chlorite, respectively. The results of this study have the potential to refine the map of alteration zones in the Masahim volcano.

  17. Hierarchy of facies of pyroclastic flow deposits generated by Laacher See type eruptions

    Science.gov (United States)

    Freundt, A.; Schmincke, H.-U.

    1985-04-01

    The upper Quaternary pyroclastic flow deposits of Laacher See volcano show compositional and structural facies variations on four different scales: (1) eruptive units of pyroclastic flows, composed of many flow units; (2) depositional cycles of as many as five flow units; flow units containing (3) regional intraflow-unit facies; and (4) local intraflow-unit subfacies. These facies can be explained by successively overlapping processes beginning in the magma column and ending with final deposition. The pyroclastic flow deposits thus reflect major aspects of the eruptive history of Laacher See volcano: (a) drastic changes in eruptive mechanism due to increasing access of water to the magma chamber and (b) change in chemical composition and crystal and gas content as evacuation of a compositionally zoned magma column progressed. The four scales of facies result from four successive sets of processes: (1) differentiation in the magma column and external factors governing the mechanism of eruption; (2) temporal variations of factors inducing eruption column collapse; (3) physical conditions in the eruption column and the way in which its collapse proceeds; and (4) interplay of flow-inherent and morphology-induced transport mechanics.

  18. Facies architecture of heterolithic tidal deposits : The Holocene Holland Tidal Basin

    NARCIS (Netherlands)

    Donselaar, M.E.; Geel, C.R.

    2007-01-01

    The size, shape and spatial position of lithofacies types (or facies architecture) in a tidal estuarine basin are complex and therefore difficult to model. The tidal currents in the basin concentrate sand-sized sediment in a branching pattern of tidal channels and fringing tidal flats. Away from the

  19. Variations in vitrinite reflectance with organic facies - examples from Pennsylvanian cyclothems of the Midcontinent, USA

    Energy Technology Data Exchange (ETDEWEB)

    Wenger, L M; Baker, D R

    1987-01-01

    Significant variations in vitrinite reflectance (% R/sub o/) with organic facies have been demonstrated from Pennsylvanian -aged cyclothems of the Midcontinent, USA. Thermal alteration index (TAI) and Rock-Eval T/sub m/ax values remain relatively constant through these thin lithologic successions, regardless of facies, and are in reasonable agreement with R/sub o/ measurements on interbedded coal. Organic-rich black and phosphatic black-shales, which contain significant component of liptinitic organic matter of presumed marine algal derivation, display R/sub o/ values which are suppressed relative to the coal benchmark. A distinct correlation between increased hydrogen index (HI) and liptinite content with suppressed reflectivities is apparent. More oxic facies (e.g. calcareous and fossiliferous gray shales and limestones) often display R/sub o/'s that are considerably higher than for coal. Soxhlet extraction prior to maceration yielded no variation in reflectance compared to non-extracted kerogens suggesting bitumen adsorption was not the cause of the apparent suppression in the organic-rich black-shales. Lower total organic carbon (TOC)-normalized bitumen contents and Rock-Eval transformations ratios in liptinite-rich facies suggest differential reaction kinetics for kerogen types, with terrestrial organic matter 'maturing' at an earlier stage than hydrogen-rich marine-derived organic matter. 8 refs., 6 figs., 1 tab.

  20. Getting to First Base: Prima Facie Arguments for Propositions of Value.

    Science.gov (United States)

    Tuman, Joseph S.

    1987-01-01

    Argues that few clear standards exist for value debate. Defines values as instrumental or terminal, and identifies four prima facie burdens necessary for affirming a value resolution: value identification; value criteria; value hierarchy; and topicality through relevance. Examines the role of presumption and burden of proof in value debate. (MM)

  1. The Burger Court and the Prima Facie Case in Employment Discrimination Litigation: A Critique.

    Science.gov (United States)

    Friedman, Joel William

    1979-01-01

    The unprincipled and contrived reasoning running through these opinions manifests an intentional effort by the Court to impede litigants' ability to secure their rights to equal employment opportunity by raising the requirements of the prima facie case. Available from Fred B. Rothman & Co., 10368 West Centennial Road, Littleton, CO 80123; sc…

  2. Cataplectic facies: clinical marker in the diagnosis of childhood narcolepsy-report of two cases.

    Science.gov (United States)

    Prasad, Manish; Setty, Gururaj; Ponnusamy, Athi; Hussain, Nahin; Desurkar, Archana

    2014-05-01

    Narcolepsy is a chronic disease and is commonly diagnosed in adulthood. However, more than half of the patients have onset of symptoms in childhood and/or adolescence. The full spectrum of clinical manifestations, namely excessive daytime sleepiness, cataplexy, hypnagogic hallucinations, and sleep paralysis, is usually not present at disease onset, delaying diagnosis during childhood. Mean delay in diagnosis since symptom onset is known to be several years. Initial manifestations can sometimes be as subtle as only partial drooping of eyelids leading to confusion with a myasthenic condition. We present two children who presented with "cataplectic facies," an unusual facial feature only recently described in children with narcolepsy with cataplexy. The diagnosis of narcolepsy was confirmed by multiple sleep latency test along with human leukocyte antigen typing and cerebrospinal fluid hypocretin assay. The diagnosis of narcolepsy with cataplexy at onset can be challenging in young children. With more awareness of subtle signs such as cataplectic facies, earlier diagnosis is possible. To date, only 11 children between 6 and 18 years of age presenting with typical cataplectic facies have been reported in the literature. We present two patients, one of whom is the youngest individual (4 years old) yet described with the typical cataplectic facies. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. The intrusive complexof the Island of Giglio: geomagnetic characteristics of plutonic facies with low susceptibility contrast

    Directory of Open Access Journals (Sweden)

    R. Cavallini

    1998-06-01

    Full Text Available Two main plutonic facies characterize the intrusive complex of the Island of Giglio, and the trend of their contact at depth has been modelled using a 2D½ analysis based on a detailed geomagnetic survey in order to verify the geological hypothesis of the subsurface geometry of this contact. The magnetic anomaly connected with the discontinuity is quite low, due to the small difference between the magnetic susceptibilities of the two granitic facies. Development of this model of inversion of the magnetic field, which is in good agreement with the geological interpretation, was made possible by: 1 accurate control of the geomagnetic time variations and consequent temporal reduction, 2 a very low level of the artificial magnetic noise, 3 high density of the magnetic survey, 4 detailed knowledge of the mapped geologic contact between facies and of their petrologic characteristics, and 5 direct local measurements of the magnetic susceptibilities of the key lithologies. The model shows the trends of the geological contact, as projected in three E-W sections, that dips eastward in the range between 210 and 540, supporting the geologic hypothesis that the Pietrabona facies represents an external shell of the shallowly emplaced Giglio monzogranite intrusion.

  4. Multinomial Logistic Regression & Bootstrapping for Bayesian Estimation of Vertical Facies Prediction in Heterogeneous Sandstone Reservoirs

    Science.gov (United States)

    Al-Mudhafar, W. J.

    2013-12-01

    Precisely prediction of rock facies leads to adequate reservoir characterization by improving the porosity-permeability relationships to estimate the properties in non-cored intervals. It also helps to accurately identify the spatial facies distribution to perform an accurate reservoir model for optimal future reservoir performance. In this paper, the facies estimation has been done through Multinomial logistic regression (MLR) with respect to the well logs and core data in a well in upper sandstone formation of South Rumaila oil field. The entire independent variables are gamma rays, formation density, water saturation, shale volume, log porosity, core porosity, and core permeability. Firstly, Robust Sequential Imputation Algorithm has been considered to impute the missing data. This algorithm starts from a complete subset of the dataset and estimates sequentially the missing values in an incomplete observation by minimizing the determinant of the covariance of the augmented data matrix. Then, the observation is added to the complete data matrix and the algorithm continues with the next observation with missing values. The MLR has been chosen to estimate the maximum likelihood and minimize the standard error for the nonlinear relationships between facies & core and log data. The MLR is used to predict the probabilities of the different possible facies given each independent variable by constructing a linear predictor function having a set of weights that are linearly combined with the independent variables by using a dot product. Beta distribution of facies has been considered as prior knowledge and the resulted predicted probability (posterior) has been estimated from MLR based on Baye's theorem that represents the relationship between predicted probability (posterior) with the conditional probability and the prior knowledge. To assess the statistical accuracy of the model, the bootstrap should be carried out to estimate extra-sample prediction error by randomly

  5. Modern foraminiferal facies in a subtropical estuarine channel, Bertioga, São Paulo, Brazil

    Science.gov (United States)

    Eichler, P.P.B.; Eichler, B.B.; De Miranda, L. B.; Rodrigues, A.R.

    2007-01-01

    Numerical analyses of modern foraminiferal abundance and environmental data from the Bertioga Channel (Sa??o Paulo, Brazil) reveal multiple biofacies within an overall paralic setting. Despite its fisheries, mariculture and attraction to tourists, the environmental state of Bertioga Channel remains poorly studied. The present investigation is an attempt to partly fill this gap; the parameters examined include depth, salinity, temperature, organic carbon, sulfur content and bottom sediment type. Muddy sediments with high organic carbon content derived from land drainage are found in the inner parts of the channel, whereas sandy sediment dominates the areas adjacent to the Atlantic Ocean. In the eastern entrance to the channel, sandy sediment contain species of Rotaliida from Facies 1 (including Elphidium discoidale, Elphidium poeyanum, Hanzawaia boueana, Pararotalia cananeiaensis and Nonionella atlantica), reflecting normal marine salinity. Sediments with high percentages of silt and clay in polyhaline and eurybaline environments of the eastern part and Itapanhau?? River contain Facies 2, which includes Ammonia beccarii and Pararotalia cananeiaensis. In the western entrance and central, western and eastern parts, where salinities vary from 18 to 30 psu and the sediments contain both low and high organic carbon, the foraminifera from Facies 3 are dominated by Quinqueloculina milletti, Arenoparrella mexicana, Pararotalia cananeiaensis, Ammonia beccarii, Buliminella elegantissima, Elphidium sp., Elphidium excavatum, Elphidium gunteri and Elphidium poeyanum. In mesohaline and polyhaline waters of the central part, the organic-carbon-rich silt and clay contain Facies 4, which includes Ammonia beccarii, Pararotalia cananeiaensis, Elphidium excavatum and Elphidium sp. Most of organic-carbon-enriched, silty-clay substrates that are subject to the highest fresh-water discharge and high bottom temperatures support two different assemblages: one of mostly Rotaliina and the

  6. Parts-based geophysical inversion with application to water flooding interface detection and geological facies detection

    Science.gov (United States)

    Zhang, Junwei

    I built parts-based and manifold based mathematical learning model for the geophysical inverse problem and I applied this approach to two problems. One is related to the detection of the oil-water encroachment front during the water flooding of an oil reservoir. In this application, I propose a new 4D inversion approach based on the Gauss-Newton approach to invert time-lapse cross-well resistance data. The goal of this study is to image the position of the oil-water encroachment front in a heterogeneous clayey sand reservoir. This approach is based on explicitly connecting the change of resistivity to the petrophysical properties controlling the position of the front (porosity and permeability) and to the saturation of the water phase through a petrophysical resistivity model accounting for bulk and surface conductivity contributions and saturation. The distributions of the permeability and porosity are also inverted using the time-lapse resistivity data in order to better reconstruct the position of the oil water encroachment front. In our synthetic test case, we get a better position of the front with the by-products of porosity and permeability inferences near the flow trajectory and close to the wells. The numerical simulations show that the position of the front is recovered well but the distribution of the recovered porosity and permeability is only fair. A comparison with a commercial code based on a classical Gauss-Newton approach with no information provided by the two-phase flow model fails to recover the position of the front. The new approach could be also used for the time-lapse monitoring of various processes in both geothermal fields and oil and gas reservoirs using a combination of geophysical methods. A paper has been published in Geophysical Journal International on this topic and I am the first author of this paper. The second application is related to the detection of geological facies boundaries and their deforation to satisfy to geophysica

  7. Anterior maxillary segmental distraction in the treatment of severe maxillary hypoplasia secondary to cleft lip and palate.

    Science.gov (United States)

    Li, Hongliang; Dai, Jiewen; Si, Jiawen; Zhang, Jianfei; Wang, Minjiao; Shen, Steve Guofang; Yu, Hongbo

    2015-01-01

    Anterior maxillary segmental distraction (AMSD) is an effective surgical procedure in the treatment of maxillary hypoplasia secondary to cleft lip and palate. Its unique advantage of preserving velopharyngeal function makes this procedure widely applied. In this study, the application of AMSD was described and its long-term stability was explored. Eight patients with severe maxillary hypoplasia secondary to CLP were included in this study. They were treated with AMSD using rigid external distraction (RED) device. Cephalometric analysis was performed twice at three time points for evaluation: before surgery (T1), after distraction (T2), and 2 years after treatment (T3). One-way analysis of variance was used to assess the differences statistically. All the distractions completed smoothly, and maxilla was distracted efficiently. The value of SNA, NA-FH, Ptm-A, U1-PP, overjet and PP (ANS-PNS) increased significantly after the AMSD procedure (P 0.05). Changes of palatopharyngeal depth and soft palatal length were insignificant. AMSD with RED device provided an effective way to correct maxillary hypoplasia secondary to CLP, extended the palatal and arch length, avoided damage on velopharyngeal closure function and reduced the relapse rate. It is a promising and valuable technique in this potentially complicated procedure.

  8. Sedimentary Facies Mapping Based on Tidal Channel Network and Topographic Features

    Science.gov (United States)

    Ryu, J. H.; Lee, Y. K.; Kim, K.; Kim, B.

    2015-12-01

    Tidal flats on the west coast of Korea suffer intensive changes in their surface sedimentary facies as a result of the influence of natural and artificial changes. Spatial relationships between surface sedimentary facies distribution and benthic environments were estimated for the open-type Ganghwa tidal flat and semi closed-type Hwangdo tidal flat, Korea. In this study, we standardized the surface sedimentary facies and tidal channel index of the channel density, distance, thickness and order. To extract tidal channel information, we used remotely sensed data, such as those from the Korea Multi-Purpose Satellite (KOMPSAT)-2, KOMPSAT-3, and aerial photographs. Surface sedimentary facies maps were generated based on field data using an interpolation method.The tidal channels in each sediment facies had relatively constant meandering patterns, but the density and complexity were distinguishable. The second fractal dimension was 1.7-1.8 in the mud flat, about 1.4 in the mixed flat, and about 1.3 in the sand flat. The channel density was 0.03-0.06 m/m2 in the mud flat and less than 0.02 m/m2 in the mixed and sand flat areas of the two test areas. Low values of the tidal channel index, which indicated a simple pattern of tidal channel distribution, were identified at areas having low elevation and coarse-grained sediments. By contrast, high values of the tidal channel index, which indicated a dendritic pattern of tidal channel distribution, were identified at areas having high elevation and fine-grained sediments. Surface sediment classification based on remotely sensed data must circumspectly consider an effective critical grain size, water content, local topography, and intertidal structures.

  9. Gait and posture analysis in patients with maxillary transverse discrepancy, before and after RPE.

    Science.gov (United States)

    Mason, Martina; Spolaor, Fabiola; Guiotto, Annamaria; De Stefani, Alberto; Gracco, Antonio; Sawacha, Zimi

    2018-03-01

    The purpose of this study was to evaluate the effects of the rapid palatal expansion (RPE) on posture and gait analysis in subjects with maxillary transverse discrepancies. Forty-one patients between 6 and 12 years were divided into 3 groups: 10 control subjects (Cs), 16 patients with unilateral posterior crossbite (CbMono), 15 patients with maxillary transverse discrepancy and no crossbite (Nocb). Every subject underwent gait analysis and posturographic examination in order to evaluate the presence of balance alterations before (T0) and after (T4) RPE application. The examinations were performed through a six-cameras stereophotogrammetric system (60-120Hz, BTS S.p.A.) synchronized with two force plates (FP4060, Bertec Corp.). Romberg test was performed on a force plate, and the statokinesiogram and joint kinematics were evaluated. One-way Anova was performed among the variables after evidence of normal distribution (Levene's test for equality of variances) and Kruskal-Wallis test (Ptest was performed, or Kruskal-Wallis test, instead when comparing pre- and post-RPE application within the same group of subjects (P<0.05). Tamane T2 or Bonferroni correction was applied where needed. The posturographic analysis reveal significant differences across the 3 population: 95% power frequency in medio-lateral and antero-posterior direction in T0, median frequency in medio-lateral direction in T0, mean power frequency in medio-lateral direction in T0. Significant differences were also registered in the three-dimensional joints kinematics variables, mainly between Cs and Cbmono in T0 and T4 and between Cbmono and Nocb in T4. A detectable correlation between dental occlusion and body posture is shown in this study that confirms another benefit of the RPE. This was mainly revealed in the dynamic posture where modifications at the mandibular level affect the whole body. Copyright © 2018. Published by Elsevier Masson SAS.

  10. Cone Beam Computed Tomography Analysis of Incidental Maxillary Sinus Pathologies in North Indian Population

    Directory of Open Access Journals (Sweden)

    Sangeeta S Malik

    2017-01-01

    Full Text Available Introduction: Maxillary sinus can be visualized in both two-dimensional and three-dimensional images. Computed tomography (CT is considered the gold standard method for the examination of maxillary sinus. Cone beam computed tomography (CBCT addresses the limitation of CT and provides many dental advantages. It can provide valuable knowledge about the pathology with limited exposure and low cost compared with other imaging used for diagnostic purposes. Aims and Objectives: The aim of the study is to analyze the prevalence of pathological changes in maxillary sinus of asymptomatic cases using CBCT for diagnostic purposes. Materials and Methods: This retrospective study evaluated 231 patients for incidental maxillary sinus pathologies. Pathological findings were categorized as mucosal thickening, polypoid mucosal thickening, radiopacification, and no pathological findings. Evaluation of pathological findings was done using factors of age and gender. Results: The present study showed 86 cases with maxillary sinus pathology and 145 cases with no pathological findings. Patients with maxillary sinus pathology were mostly diagnosed with mucosal thickening on both sides. In right maxillary sinus, 45 cases (52.3% showed mucosal thickening, and on the left side 36 cases (41.9% were diagnosed with mucosal thickening. Among 86 cases reported, 20 right maxillary sinus (23.3% and 25 left maxillary sinus (29.1% showed no signs of pathology. Conclusion: The incidental maxillary sinus pathologies are highly prevalent in asymptomatic patients. Therefore, oral radiologists should be aware of these incidental findings which will help in early diagnosis and treatment of disease.

  11. A Peduncular Cystic Compound Odontoma on the Posterior Wall of the Maxillary Sinus

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Byung Chul [Dept. of Oral and Maxillofacial Radiology, College of Dentistry, Chonam National University, Kwangju (Korea, Republic of)

    1998-08-15

    A cystic compound odontoma in the maxillary sinus occurred in a 13-years-old boy, who had missing right upper third molar without having the history of extraction of the wisdom tooth. He complained nasal stuffiness, headache, and pain on the affected face, resembling any sign and symptoms of the maxillary sinus problems. The cysteic compound, sized 2 x 1.5 cm in diameter was pedunculated and attached on the posterior wall of the right maxillary sinus and above the antral floor. The location of the compound odontoma in the maxillary sinus was confirmed after panoramic, waters, spiral tomographic, CT examinations and surgical exploration. Irs location was on the medical, posterior, superior to the normal position of the maxillary third molar or the maxillary dental arch. The cystic odontoma in the maxillary sinus made the patient have the sings and symptoms of maxillary sinusitis. The cystic compound odontoma might be originated from the dental lamina of the missing upper right third molar. The 'V principle' of the upper jaw growth and the pneumatization process of the maxillary sinus could explain why the compound odontoma had peduncular shape and the location of odontoma was on the medial, superior to the normal position of the maxillary dental arch.

  12. Blood-flow change and recovery of sensibility in the maxillary dental pulp during and after maxillary distraction: a pilot study.

    Science.gov (United States)

    Harada, Kiyoshi; Sato, Masaru; Omura, Ken

    2004-11-01

    To examine the change in blood flow and recovery of sensibility in the maxillary dental pulp during and after maxillary distraction. The subjects included 5 patients undergoing high Le Fort I osteotomy and maxillary distraction (D-group) and a reference group of 14 patients who underwent a common single-segment Le Fort I osteotomy, 1-stage maxillary advancement, and mandibular setback surgery (C-group). Eleven (D-group) and 54 (C-group) maxillary incisors were assessed preoperatively and at 1-7 days, 14 days, and 3 months postoperatively. Pulpal blood flow (PBF) was measured by laser Doppler flowmetry, and pulpal sensibility (PS) was investigated by electrodiagnostics. From postoperative days 1 to 5 (the latency period), the PBF tended to be higher in the D-group than in the C-group. From day 6 to 3 months postoperatively (during and after maxillary distraction), the PBF values of the 2 groups were similar. The PS remained negative up to 14 days postoperatively in both groups. However, at 3 months after the operation, a higher proportion (90.9%) of teeth in the D-group was positive for PS. These results suggest that maxillary distraction is a favorable technique for maintenance of PBF and recovery of PS in the maxillary teeth after surgery.

  13. Occlusal plane change after intrusion of maxillary posterior teeth by microimplants to avoid maxillary surgery with skeletal Class III orthognathic surgery.

    Science.gov (United States)

    Park, Hyo-Sang; Kim, Ji-Yeun; Kwon, Tae-Geon

    2010-11-01

    To increase stability and mandibular setback movement, surgical maxillary impaction is normally performed with mandibular setback surgery in treating adult skeletal Class III patients. This article demonstrates the use of microimplants for anchorage to intrude molars and the resultant rotation of the maxillary occlusal plane clockwise to increase the surgical mandibular setback and reduce the posterior vertical dimension instead of maxillary surgical impaction. A 21-year-old man with mandibular prognathism was treated with mandibular setback surgery that included orthodontic treatment for decompensation. Microimplants placed into the palatal alveolar bone between the maxillary first and second molars were used to intrude the maxillary posterior teeth and change the occlusal plane clockwise. This produced 4 mm more of distal movement of the chin during mandibular setback surgery compared with the surgical prediction with no change in the occlusal plane. These results were similar to those of 2-jaw surgery with maxillary posterior impaction. The intrusion of the maxillary posterior teeth with microimplants might prevent the need for maxillary surgery in adult skeletal Class III patients. Copyright © 2010 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  14. MAPPING OF RESERVOIR PROPERTIES AND FACIES THROUGH INTEGRATION OF STATIC AND DYNAMIC DATA

    Energy Technology Data Exchange (ETDEWEB)

    Albert C. Reynolds; Dean S. Oliver; Fengjun Zhang; Yannong Dong; Jan Arild Skjervheim; Ning Liu

    2003-01-01

    Knowledge of the distribution of permeability and porosity in a reservoir is necessary for the prediction of future oil production, estimation of the location of bypassed oil, and optimization of reservoir management. But while the volume of data that can potentially provide information on reservoir architecture and fluid distributions has increased enormously in the past decade, it is not yet possible to make use of all the available data in an integrated fashion. While it is relatively easy to generate plausible reservoir models that honor static data such as core, log, and seismic data, it is far more difficult to generate plausible reservoir models that honor dynamic data such as transient pressures, saturations, and flow rates. As a result, the uncertainty in reservoir properties is higher than it could be and reservoir management can not be optimized. The goal of this project is to develop computationally efficient automatic history matching techniques for generating geologically plausible reservoir models which honor both static and dynamic data. Solution of this problem is necessary for the quantification of uncertainty in future reservoir performance predictions and for the optimization of reservoir management. Facies (defined here as regions of relatively uniform petrophysical properties) are common features of all reservoirs. Because the flow properties of the various facies can vary greatly, knowledge of the location of facies boundaries is of utmost importance for the prediction of reservoir performance and for the optimization of reservoir management. When the boundaries between facies are fairly well known, but flow properties are poorly known, the average properties for all facies can be determined using traditional techniques. Traditional history matching honors dynamic data by adjusting petrophysical properties in large areas, but in the process of adjusting the reservoir model ignores the static data and often results in implausible reservoir

  15. Biostratigraphy, facies and sequence stratigraphy of the Sarvak Formation in the Ahwaz Oil Field, North Dezful Embayment Zone

    Directory of Open Access Journals (Sweden)

    Mohammad Hasan Kazemzadeh

    2016-08-01

    Full Text Available Paleontological studies lead to recognition of 21 genera and 16 species of benthic foraminifera, 5 genera and 6 species of planktonic foraminifera and 3 genera and 3 species of oligosteginids. The vertical distribution of fauna lead to identification of 5 biozones including: Favusella washitensis Range Zone, Oligostegina Assemblage Zone, Rudist debris Zone, Nezzazata-Alveolinids Assemblage Zone, Nezzazatinella-Dicyclina Assemblage Zone. Based on the indicated biozones, the age of the Sarvak Formation is Late Albian to Early Turonian in the study area. Eleven carbonate facies belonging to four environments including tidal flat, restricted and semi-restricted lagoon, shoal and open marine are recognized. The identified facies are deposited on the homoclinal ramp setting. Based on the vertical changes of facies and recognized depositional environments, four third-order depositional sequences are represented. The transgressive systems tracts mainly comprises of open marine facies including sponge spicule, oligosteginid, echinoid and benthic foraminifera, while the highstand systems tracts mainly consists of shoal facies rich in bioclast, and restricted and semi-restricted lagoon facies rich in porcellaneous and hyaline benthic foraminifera and peloid. The maximum flooding surface represented by open marine facies including echinoid and planktonic foraminifera

  16. Maxillary bone epithelial cyst in an adult miniature schnauzer.

    Science.gov (United States)

    Lin, Chung-Tien; Tasi, Wen-Chih; Hu, Chun-Kun; Lin, Nien-Ting; Huang, Pei-Yun; Yeh, Lih-Seng

    2008-09-01

    Maxillary bone epithelial cyst is rare in dogs. A 5-year-old, spayed female miniature schnauzer developed a swelling below the nasal canthus of left eye. Plain radiograph demonstrated a 1.5 cm diameter of radiolucent lesion on the maxillary bone anteroventral to the eye, and contrast dacryocystorhinography confirmed an obstructed nasolarcrimal duct. The swelling showed poor response to antibiotic treatment but responded well to oral prednisolone. Exploratory surgery revealed a cyst-like structure filled with brown serous fluid. Histopathological examination of the removed cyst revealed a double cuboidal epithelial cyst. The dog recovered rapidly after surgery, and the swelling had not recurred for a 36-month follow-up. It is the first case of periorbital bone epithelial cyst reported in an adult miniature schnauzer.

  17. Management of avulsed permanent maxillary central incisors during endotracheal intubation

    Directory of Open Access Journals (Sweden)

    Ritesh R Kalaskar

    2016-01-01

    Full Text Available Avulsion is serious injury that may encounter during endotracheal intubation and its management often presents a challenge. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. The present article describes the management of air-dried maxillary permanent incisors that have been avulsed due to direct laryngoscopy during the induction of general anesthesia for tonsillectomy procedure. The replanted maxillary central incisors had maintained its function and esthetic for 1 year after replantation. Children in a mixed dentition phase are high-risk group children for traumatic dental injury during laryngoscopy; therefore, Anesthetic Departments should have local protocols to refer patients for dental treatment postoperatively in the event of trauma.

  18. The Palatal Window for Treating an Incompletely Augmented Maxillary Sinus.

    Science.gov (United States)

    Florio, Salvatore; Suzuki, Takanori; Cho, Sang-Choon

    2017-04-01

    Maxillary sinus augmentation through a lateral window is reported as one of the most predictable bone augmentation procedures before implant placement. The elevation of the membrane represents a delicate and crucial step that allows the creation of the space for the bone graft material. If the elevation is not completed, the regenerated bone might be inadequate for the implant placement. In this case, a new intervention will be necessary to complete the bone augmentation. Reaccessing from a lateral window, however, would be challenging due to thickness of the buccal boney wall because of the first grafting procedure; therefore, a different approach has to be used. The aim of this case report is to present the palatal window technique for treating incompletely augmented maxillary sinus. The detailed step-by-step diagnostic and surgical procedures are described, and the advantages and limitations of the technique are discussed through a review of the literature.

  19. Complex aesthetic treatment on anterior maxillary teeth with malposition

    Directory of Open Access Journals (Sweden)

    Febriastuti Febriastuti

    2008-12-01

    Full Text Available Background: Complex aesthetic treatment on anterior teeth involves more than one caries tooth with malformed shape and malposition. Purpose: The purpose of this paper is to find the alternative treatment for anterior maxillary teeth with malposition. Case: In this case, a 25 year-old man with a peg shaped teeth and caries on several teeth and malposition can be treated with complex aesthetic treatment. Case management: Endodontic pulpectomy treatment on anterior maxillary teeth and post construction with splint porcelain fused to metal crowns on 11, 12, and 21, 22 to correct the shape and position into normal position. Conclusion: Malformed and malpositioned teeth with caries can be treated with complex aesthetic treatment.

  20. Orthodontic-surgical treatment of bilateral maxillary canine impaction

    Directory of Open Access Journals (Sweden)

    Sumitra

    2012-01-01

    Full Text Available A 13-year-old female patient reported with the chief complaint of irregular front teeth. She had a skeletal Class III and Angle′s Class I malocclusion with hyperdivergent growth pattern and bilateral impaction of maxillary canines. Surgical exposure of the impacted teeth and orthodontic alignment was planned. The surgical exposure was done by a minimally invasive modified window technique. Orthodontic treatment of impacted canines without causing significant morbidity to the adjacent teeth and periodontium is a challenge. The bilaterally impacted maxillary canines were successfully aligned and leveled. The depth of the gingival sulcus and clinical crown heights of disimpacted teeth were normal post-treatment and after 1 year of retention.

  1. Orthodontic management of an impacted maxillary incisor due to odontoma

    Directory of Open Access Journals (Sweden)

    Rahul S Baldawa

    2011-01-01

    Full Text Available Odontomas are a heterogeneous group of jaw bone lesions, classified as odontogenic tumors which usually include well-diversified dental tissues. Odontomas are the most common type of odontogenic tumors and generally they are asymptomatic. Two types of odontomas are described: compound and complex based on either the appearance of well-organized tooth-like structures (compound odontomas or on a mass of disorganized odontogenic tissues (complex odontomas. Compound odontomas have a predilection for the anterior maxilla, whereas complex odontomas have a predilection for the posterior mandible. Odontomas frequently interfere with eruption of teeth leading to their impaction. This is a case report of a 14-year-old girl with an unerupted maxillary right central incisor due to a complex composite odontoma a rare occurrence in anterior maxilla. Surgical excision of the odontoma and orthodontic treatment to get the impacted maxillary right central incisor into alignment is discussed.

  2. The unerupted maxillary canine - a post-surgical review.

    LENUS (Irish Health Repository)

    O'Dowling, Ian

    2009-10-01

    The orthodontic records of 685 patients referred for surgical exposure of an unerupted impacted maxillary canine tooth were examined. The condition was more common among females than males, slightly less than 2:1. The impacted teeth had a palatal-labial ratio of 3:1. All of the teeth were exposed using the open surgical technique and in 98% of cases the tooth erupted and was orthodontically aligned. In 2% of cases ankylosis occurred and the teeth were subsequently extracted. The presence of peg-shaped lateral incisors associated with the impacted maxillary canine tooth was 3.4% of the total number of impacted teeth and congenital absence was found in 1.7% of impacted teeth.

  3. Maxillary Swelling as the First Evidence of Multiple Myeloma

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    Atsushi Kasamatsu

    2015-01-01

    Full Text Available Multiple myeloma is a malignant neoplasm of plasma cells characterized by proliferation of a single clone of abnormal immunoglobulin-secreting plasma cells. Since the amount of hemopoietic bone marrow is decreased in the maxilla, oral manifestations of multiple myeloma are less common in the maxilla than in the mandible. We report the case of 33-year-old Japanese man who presented with a mass in the right maxillary alveolar region. Computed tomography and magnetic resonance images showed a soft tissue mass in the right maxilla eroding the anterior and lateral walls of the maxillary sinus and extending into the buccal space. The biopsy results, imaging, and laboratory investigations led to the diagnosis of multiple myeloma. This case report suggests that oral surgeons and dentists should properly address oral manifestations as first indications of multiple myeloma.

  4. Maxillary Swelling as the First Evidence of Multiple Myeloma

    Science.gov (United States)

    Kasamatsu, Atsushi; Kimura, Yasushi; Tsujimura, Hideki; Kanazawa, Harusachi; Koide, Nao; Miyamoto, Isao; Endo-Sakamoto, Yosuke; Shiiba, Masashi; Tanzawa, Hideki; Uzawa, Katsuhiro

    2015-01-01

    Multiple myeloma is a malignant neoplasm of plasma cells characterized by proliferation of a single clone of abnormal immunoglobulin-secreting plasma cells. Since the amount of hemopoietic bone marrow is decreased in the maxilla, oral manifestations of multiple myeloma are less common in the maxilla than in the mandible. We report the case of 33-year-old Japanese man who presented with a mass in the right maxillary alveolar region. Computed tomography and magnetic resonance images showed a soft tissue mass in the right maxilla eroding the anterior and lateral walls of the maxillary sinus and extending into the buccal space. The biopsy results, imaging, and laboratory investigations led to the diagnosis of multiple myeloma. This case report suggests that oral surgeons and dentists should properly address oral manifestations as first indications of multiple myeloma. PMID:26640721

  5. The unerupted maxillary canine--a post-surgical review.

    Science.gov (United States)

    O'Dowling, Ian

    2009-01-01

    The orthodontic records of 685 patients referred for surgical exposure of an unerupted impacted maxillary canine tooth were examined. The condition was more common among females than males, slightly less than 2:1. The impacted teeth had a palatal-labial ratio of 3:1. All of the teeth were exposed using the open surgical technique and in 98% of cases the tooth erupted and was orthodontically aligned. In 2% of cases ankylosis occurred and the teeth were subsequently extracted. The presence of peg-shaped lateral incisors associated with the impacted maxillary canine tooth was 3.4% of the total number of impacted teeth and congenital absence was found in 1.7% of impacted teeth.

  6. Esthetic periodontal surgery for impacted dilacerated maxillary central incisors.

    Science.gov (United States)

    Wei, Yu-Ju; Lin, Yi-Chun; Kaung, Shou-Shin; Yang, Shue-Fen; Lee, Shyh-Yuan; Lai, Yu-Lin

    2012-10-01

    Clinicians do not frequently see impacted dilacerated maxillary incisors in their patients. When they do, there are several diagnostic and management challenges for correcting root dilacerations. An unfavorable esthetic outcome might occur as a result of soft-tissue complications during surgical eruption procedures. We present 2 patients with an impacted and dilacerated maxillary central incisor. Computed tomography scans with 3-dimensional reformation were used to accurately assess the positions of the dilacerated teeth, the degree of dilaceration, and the stage of root formation. The therapy primarily involved 2-stage crown exposure surgery combined with orthodontic traction. An apicoectomy was performed on 1 dilacerated tooth; the other exhibited pulp vitality. This article highlights the periodontal surgical strategies for the esthetic management of inverted crowns. Through periodontal plastic surgery and interdisciplinary cooperation, the impacted dilacerated central incisors were properly aligned, and successful esthetic results were achieved. Copyright © 2012 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  7. Maxillary second molar with four roots and five canals

    Directory of Open Access Journals (Sweden)

    Xinjia Sha

    2018-06-01

    Full Text Available In this case report, we present a maxillary second molar variant, which had two palatal roots with two canals and two buccal roots with three canals, including a second mesiobuccal canal. A 44-year-old female patient complained about a tooth crown fracture and severe pain in her right maxillary second molar. A clinical intraoral inspection and radiography were carried out on the tooth, and a diagnosis of chronic apical periodontitis was made. Four roots (two buccal and two palatal and five canals (three buccal and two palatal were found. The anatomical variation of the tooth was further confirmed by cone-beam computed tomography, a cone-fit procedure, and a radiograph with a shifted projection angle. Root-canal treatment was performed under an endodontic microscope.

  8. High-pressure metamorphic age and significance of eclogite-facies continental fragments associated with oceanic lithosphere in the Western Alps (Etirol-Levaz Slice, Valtournenche, Italy)

    Science.gov (United States)

    Fassmer, Kathrin; Obermüller, Gerrit; Nagel, Thorsten J.; Kirst, Frederik; Froitzheim, Nikolaus; Sandmann, Sascha; Miladinova, Irena; Fonseca, Raúl O. C.; Münker, Carsten

    2016-05-01

    The Etirol-Levaz Slice in the Penninic Alps (Valtournenche, Italy) is a piece of eclogite-facies continental basement sandwiched between two oceanic units, the blueschist-facies Combin Zone in the hanging wall and the eclogite-facies Zermatt-Saas Zone in the footwall. It has been interpreted as an extensional allochthon from the continental margin of Adria, emplaced onto ultramafic and mafic basement of the future Zermatt-Saas Zone by Jurassic, rifting-related detachment faulting, and later subducted together with the future Zermatt-Saas Zone. Alternatively, the Etirol-Levaz Slice could be derived from a different paleogeographic domain and be separated from the Zermatt-Saas Zone by an Alpine shear zone. We present Lu-Hf whole rock-garnet ages of two eclogite samples, one from the center of the unit and one from the border to the Zermatt-Saas Zone below. These data are accompanied by a new geological map of the Etirol-Levaz Slice and the surrounding area, as well as detailed petrology of these two samples. Assemblages, mineral compositions and garnet zoning in both samples indicate a clockwise PT-path and peak-metamorphic conditions of about 550-600 °C/20-25 kbar, similar to conditions proposed for the underlying Zermatt-Saas Zone. Prograde garnet ages of the two samples are 61.8 ± 1.8 Ma and 52.4 ± 2.1 Ma and reflect different timing of subduction. One of these is significantly older than published ages of eclogite-facies metamorphism in the Zermatt-Saas Zone and thus contradicts the hypothesis of Mesozoic emplacement. The occurrence of serpentinite and metagabbro bodies possibly derived from the Zermatt-Saas Zone inside the Etirol-Levaz Slice suggests that the latter is a tectonic composite. The basement slivers forming the Etirol-Levaz Slice and other continental fragments were subducted earlier than the Zermatt-Saas Zone, but nonetheless experienced similar pressure-temperature histories. Our results support the hypothesis that the Zermatt-Saas Zone and the

  9. 3D Print of the Maxillary Sinus for Morphological Study

    OpenAIRE

    Araneda, Nadia; Parra, Marcelo; Valdivia Osorio, José; Olate, Sergio

    2017-01-01

    The maxillary sinus (MS) is described as a pyramid-shaped cavity of the maxilla. Knowledge of its morphology makes it possible to define normality and abnormality so that its three-dimensional analysis can be a valuable preoperative tool during surgery in this anatomical area. The aim of this study is to present a strategy of morphological analysis of the MS using 3D printing acquired through computed cone beam tomography (CBCT) images. A cross-sectional descriptive study was conducted, inclu...

  10. Sexual dimorphism of maxillary sinus using cone beam computed tomography

    Directory of Open Access Journals (Sweden)

    Shahnaz S. Tambawala

    2016-06-01

    The overall values of the parameters were significantly greater in the males as compared to the females with the right height (90.0% and the left height (83.3% being the best predictors. This study proposes the importance of sexual dimorphism of maxillary sinus dimensions particularly the sinus height, when other methods used in the field of forensics seem to be indecisive. It suggests the use of CBCT in forensics thus obviating the complete dependence on the usage of conventional CT.

  11. Orthodontic-surgical treatment of bilateral maxillary canine impaction

    OpenAIRE

    Sumitra

    2012-01-01

    A 13-year-old female patient reported with the chief complaint of irregular front teeth. She had a skeletal Class III and Angle's Class I malocclusion with hyperdivergent growth pattern and bilateral impaction of maxillary canines. Surgical exposure of the impacted teeth and orthodontic alignment was planned. The surgical exposure was done by a minimally invasive modified window technique. Orthodontic treatment of impacted canines without causing significant morbidity to the adjacent teeth an...

  12. Maxillary double lip: A case series with review of literature

    Directory of Open Access Journals (Sweden)

    Vela D Desai

    2015-01-01

    Full Text Available Double lip is a rare dental anomaly affecting either upper or lower lip or concurrently. It may be congenital or acquired. This deformity can affect the facial esthetics as it gets exaggerated while speaking, smiling, or chewing food. When it interferes with speech, double lip may cause potential functional problems. The purpose of this article is to review the literature on double lip and present a case series of maxillary double lip.

  13. The not-so-harmless maxillary primary first molar extraction.

    Science.gov (United States)

    Northway, W M

    2000-12-01

    Premature loss of primary molars has been associated with space loss and eruptive difficulties, especially when the loss occurs to the primary second molars and when it occurs early. This has not been thought to be the case for primary first molars. The author revisited 13 cases from an earlier study on the effects of premature loss of maxillary primary molars. These longitudinal cases were scrutinized, using serial panoramic radiographs, to explain the irregular response in terms of dental migration. The author presents two case reports. In the earlier study, the author used digitized study casts and the concept of D + E space--the space occupied by the primary first and second molars--to describe the dental migration that occurred after premature tooth loss. Using analysis of variance on data generated using an instrument capable of measuring in tenths of millimeters, the author produced findings regarding the amount of space loss, rate of space loss, effect of age at loss, amount of space regained at the time of replacement by the permanent tooth and effect on Angle's classification. Finally, the author created a simulation describing directional change; this revealed that the maxillary primary first molar loss resulted in a mesial displacement of the permanent canine during eruption. When the maxillary primary first molar is lost prematurely, the first premolar erupts in a more mesial direction than normal, as a result of the mesial incline of the primary second molar, and consumes the space of the permanent canine, which becomes blocked out. Rather than use a space maintainer after the premature loss of the maxillary primary first molar, the author suggests, clinicians can choose from a number of other options for preventing the first premolar from erupting too far in a mesial direction.

  14. Three root canals in the maxillary second premolar

    Directory of Open Access Journals (Sweden)

    de Almeida-Gomes Fabio

    2009-01-01

    Full Text Available In this study, we report an endodontic treatment of the maxillary second premolar with three root canals and distinct foramens. The possibility of three root canals in this tooth is quite small; however, it must be taken into account in clinical and radiographic evaluation during endodontic treatment. Many times, their presence is noticed only after canal treatment due to continuing post-operative discomfort.

  15. Mid amphibolite facies metamorphism of harzburgites in the Neoproterozoic Cerro Mantiqueiras Ophiolite, southernmost Brazil

    Directory of Open Access Journals (Sweden)

    HARTMANN LÉO A.

    2003-01-01

    Full Text Available Valuable information is retrieved from the integrated investigation of the field relationships, microstructure and mineral compositions of harzburgites from the Neoproterozoic Cerro Mantiqueiras Ophiolite. This important tectonic marker of the geological evolution of southernmost Brazilian Shield was thoroughly serpentinized during progressive metamorphism, because the oldest mineral assemblage is: olivine + orthopyroxene + tremolite + chlorite + chromite. This M1 was stabilized in mid amphibolite facies - 550-600ºC as calculated from mineral equilibria. No microstructural (e.g. ductile deformation of olivine or chromite or compositional (e.g. mantle spinel remnant of mantle history was identified. A metamorphic event M2 occurred in the low amphibolite facies along 100 m-wide shear zones, followed by intense serpentinization (M3 and narrow 1-3 m-wide shear zones (M4 containing asbestos.

  16. Impacted maxillary central incisor: surgical exposure and orthodontic treatment.

    Science.gov (United States)

    Pinho, Teresa; Neves, Manuel; Alves, Célia

    2011-08-01

    This case report describes the treatment of a patient with a horizontally impacted maxillary central incisor, a canine in the same quadrant, and an inclusion tendency. Due to severe crowing in the maxilla and the Class II molar relationship on the impaction side, a 2-stage treatment plan was developed. In the first stage, the right first premolar and deciduous canine were extracted; this allowed enough space for the eruption of the maxillary right permanent canine. The second stage included surgical exposure and traction of the impacted central incisor with a fixed orthodontic appliance. An excisional uncovering technique was needed to expose the impacted incisor. After it erupted, an apically positioned partial-thickness flap was used to add keratinized attached gingiva in the area surrounding the crown, initially located in an area of unattached gingiva. The patient finished treatment with a normal and stable occlusion between the maxillary and mandibular arches and an adequate width of attached gingiva. Copyright © 2011 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  17. [Piezosurgery for surgically assisted rapid maxillary expansion under local anesthesia].

    Science.gov (United States)

    Sun, Hao; Li, Biao; Sun, Hao; Liu, Zhixu; Wang, Xudong

    2014-08-01

    This study evaluates piezosurgery for surgically assisted rapid maxillary expansion (SARME) under local anesthesia. SARME was performed on adults with maxillary transverse deficiency under local anesthesia with a piezosurgical device. Fourteen patients (six males and eight females) underwent lateral maxillary osteotomies, midpalatal osteotomies, and bilateral pterygomaxillary disjunction. The feelings of patients during the operation were determined through questionnaires. All patients underwent SARME in the out-patient operating room. The surgical procedures were completed under local anesthesia. All patients exhibited satisfactory tolerance. Ultrasonic bone-cutting surgery was recently introduced as a feasible alternative to the conventional tools of cranio-maxillofacial surgery for its technical characteristics of precision and safety. The device used was unique in that cutting action occurred when the tool was employed on mineralized tissues, but stoped on soft tissues. The results of the questionnaires showed that eight (57.14%) patients felt a mild sensation of ultrasonic vibration, tweleve (85.7 1%) felt mild tolerable pain and tooth soreness during surgery, and eleven (78.57%) felt little fear and hardly heard the ultrasonic sound. Preoperative and postoperative six months later measurements showed an evident effect of expansion. Piezosurgery enabled patients to undergo all the steps of SARME under local anesthesia, but more cases and longer follow-up are needed to verif ' the results.

  18. Atypical presentation of bilateral supplemental maxillary central incisors with unusual talon cusp

    Directory of Open Access Journals (Sweden)

    Sivakumar Nuvvula

    2011-01-01

    Full Text Available Delayed eruption of maxillary permanent central incisors in a child poses a distressing esthetic quandary to parents, by virtue of its location in the dental architecture. Well-aligned anterior teeth add confidence to smile and have enhanced self-esteem, which is critical even in early life. Impaction of the maxillary central incisors compared to third molars or the canines is less reported; bilateral supplemental maxillary central incisors related to impacted permanent maxillary central incisors are rare and one of the supplemental central incisors showing unusual talon is still infrequent. A case of impacted maxillary permanent central incisors related to supplemental maxillary central incisors, with one of them showing an unusual talon cusp, is presented.

  19. Zircon ages in granulite facies rocks: decoupling from geochemistry above 850 °C?

    Science.gov (United States)

    Kunz, Barbara E.; Regis, Daniele; Engi, Martin

    2018-03-01

    Granulite facies rocks frequently show a large spread in their zircon ages, the interpretation of which raises questions: Has the isotopic system been disturbed? By what process(es) and conditions did the alteration occur? Can the dates be regarded as real ages, reflecting several growth episodes? Furthermore, under some circumstances of (ultra-)high-temperature metamorphism, decoupling of zircon U-Pb dates from their trace element geochemistry has been reported. Understanding these processes is crucial to help interpret such dates in the context of the P-T history. Our study presents evidence for decoupling in zircon from the highest grade metapelites (> 850 °C) taken along a continuous high-temperature metamorphic field gradient in the Ivrea Zone (NW Italy). These rocks represent a well-characterised segment of Permian lower continental crust with a protracted high-temperature history. Cathodoluminescence images reveal that zircons in the mid-amphibolite facies preserve mainly detrital cores with narrow overgrowths. In the upper amphibolite and granulite facies, preserved detrital cores decrease and metamorphic zircon increases in quantity. Across all samples we document a sequence of four rim generations based on textures. U-Pb dates, Th/U ratios and Ti-in-zircon concentrations show an essentially continuous evolution with increasing metamorphic grade, except in the samples from the granulite facies, which display significant scatter in age and chemistry. We associate the observed decoupling of zircon systematics in high-grade non-metamict zircon with disturbance processes related to differences in behaviour of non-formula elements (i.e. Pb, Th, U, Ti) at high-temperature conditions, notably differences in compatibility within the crystal structure.

  20. Regional facies variations in the Vempalle formation of Cuddapah Basin: implications on uranium exploration

    International Nuclear Information System (INIS)

    Rajaraman, H.S.; Mukundhan, A.R.; Ramesh Kumar, K.; Achar, K.K.; Umamaheswar, K.

    2012-01-01

    Strata-bound large tonnage uranium deposit hosted by the Grey-impure-dolostone of Vempalle Formation of Cuddapah Basin is known in Tummalapalle-Rachakuntapalle sector. Deposition of rocks of Cuddapah Basin commenced with Papaghni Group, which comprises Clastic - Gulcheru Formation and Chemogenic - Vempalle Formation. The Vempalle Formation is developed over 280 km stretch from south to north along the western margin of Cuddapah Basin with maximum thickness of about 2.1 km. Recent studies helped in classifying the Vempalle Formation into five major lithofacies viz. Massive Dolostone, Conglomerate, Grey-impure-dolostone (host rock for uranium mineralization), Purple shale and Cherty Dolostone. The lithofacies studies along selected traverses from Tummalapalle in south to Dhone in north revealed the development of all five facies upto Narpala near Chitravati River whereas towards its north, the Grey-impure-dolostone and Cherty Dolostone dominate. The study also revealed over lapping nature of Cherty Dolostone in North of Nossam-Peddapaya lineament; where it directly rests above the Gulcheru Formation. Environment of deposition for these facies of Vempalle Formation place this in a Shallowing-upward carbonate depositional system with characteristic tidal flat environment. The Grey-impure-dolostone facies hosting uranium is interpreted to be developed in Supratidal environment with a narrow pH range of 7.0 - 7.5 in a reducing environment along with precipitation of phosphate. Since the tidal flats have later extension over several kilometers, favorable environment of Grey-impure-dolostone may exist over wide area in northern part also. The search for Grey-impure-dolostone hosted uranium, therefore has a bearing an understanding the regional facies variations in Vempalle Formation. The paper presents the studies carried out in this direction and results thereof. (author)

  1. Facies and sedimentary series in the La Camocha Carboniferous, (Gijon, NW Spain)

    Energy Technology Data Exchange (ETDEWEB)

    Corrales, I; Flor, G; Pello, J; Peon, A

    1985-01-01

    The Carboniferous of La Camocha Mine consists mainly of terrigenous facies belonging to a fluvial-dominated delta system. Occasionally, as a consequence of avulsion, the area is abandoned by the distributary channels; it gives occasion for some quick marine transgression, the sediments of which being of carbonate character. This situation occurs in the lower part of the studied succession; the upper one is characterised only by sediments of the delta plain environments. 12 references.

  2. The use of anion geochemistry in mapping groundwater facies in the ...

    African Journals Online (AJOL)

    The groundwater system of the Port Harcourt area is home to three anion facies, the Cl – SO4, the Cl – SO4 – HCO3 and the HCO3 – Cl – SO4. The first two types exist in both shallow – and deep – groundwater environments while the third is restricted to the deep environment. Although there are natural intermittent and, ...

  3. Hydrothermal dolomite reservoir facies in the Sinian Dengying Fm, central Sichuan Basin

    Directory of Open Access Journals (Sweden)

    Yuqiang Jiang

    2017-07-01

    Full Text Available The Upper Sinian Dengying Fm is the focus of natural gas exploration in the central part of the Sichuan Basin (central Sichuan Basin in recent years. Especially, epigenic karstification and its resulted reservoir-seepage spaces have always been the focal points in researches. Based on the petrographic characteristics of drilling cuttings and core samples, and through experimental analysis by using trace elements, isotopes, and cathodoluminescence, the Dengying Fm dolomite was demonstrated to have matrix recrystallized dolomite (MRD, filled saddle dolomite (FSD (the mean homogenization temperature of inclusion: 178.5 °C, high concentrations of Fe & Mn, slightly positive 87Sr/86Sr value and hydrothermal minerals combination (including sphalerite, galena, pyrite, and quartz, etc.. Thus, it was proposed that hydrothermal dolomite reservoir facies (HDRF exist in the Dengying Fm dolomite, in other words, the dolomite reservoir is composed of hydrothermal dissolved pores, intercrystalline pores of hydrothermal origin, hydrothermal caverns and expanded fractures, and was formed due to the reworking of hydrothermal fluid on tight matrix dolomite. Identification marks are presented in terms of petrography and geochemistry so that hydrothermal dolomite reservoir facies can be effectively recognized and identified. It is concluded that the development of hydrothermal dolomite reservoir facies in this area are preliminary controlled by deep and large basement faults and the strength of hydrothermal fluids.

  4. Tacuari formation (Nov. Nom.): Lithostratigraphy, facies, environment, age and geological significance (Cerro Largo - Uruguay)

    International Nuclear Information System (INIS)

    Veroslavsky, G.; De Santa Ana, H.; Daners, G.

    2006-01-01

    The definition of the Tacuari formation is proposed to group a set of glacial and fossiliferous siliciclastic rock deposited during the Upper proterozoic in the northeast of Uruguay. Up to this paper these lithologies were included in the San Gregorio formation (Carboniferous - Permian - Norte Basin). However, Leiosphaeridia tenuissima, L, minutissima, Myxcocooides distola, M, siderophila, Soldadophycus bossil and S. major were recorded in these rocks.This finded motivated the accomplishment of geological surveys that allowed to ferify the glacial origin of the Tacuari formation, to define its stratigraphic relationships and to corroborate its affectation by the Sierra Ballena shear zone. Two association of facies were recognized in the Tacuari formation: the base is represented by facies association A (outwash plains), characterized diamictites, sandostones and pelites; at the top, the facies association B (glaciomarine) includes a package of rhythmites with dropstones. On account of the tectonic setting, nature of sedimentation, age, and fossils, the definition of Tacuari formation constitutes a novel contribution to the regional evolutionary model of the Upper proterozoic. discussion of posible stratigraphc correlations with other neoproterozoic units of Western wondwana is also attempted

  5. In defence of moral imperialism: four equal and universal prima facie principles.

    Science.gov (United States)

    Dawson, A; Garrard, E

    2006-04-01

    Raanan Gillon is a noted defender of the four principles approach to healthcare ethics. His general position has always been that these principles are to be considered to be both universal and prima facie in nature. In recent work, however, he has made two claims that seem to present difficulties for this view. His first claim is that one of these four principles, respect for autonomy, has a special position in relation to the others: he holds that it is first among equals. We argue that this claim makes little sense if the principles are to retain their prima facie nature. His second claim is that cultural variation can play an independent normative role in the construction of our moral judgments. This, he argues, enables us to occupy a middle ground between what he sees as the twin pitfalls of moral relativism and (what he calls) moral imperialism. We argue that there is no such middle ground, and while Gillon ultimately seems committed to relativism, it is some form of moral imperialism (in the form of moral objectivism) that will provide the only satisfactory construal of the four principles as prima facie universal moral principles.

  6. Bilateral iatrogenic maxillary fractures after dental treatment in two aged horses

    OpenAIRE

    Widmer, A; Fürst, A; Bettschart-Wolfensberger, R; Makara, M; Geyer, H; Kummer, M

    2010-01-01

    This clinical report describes two horses with bilateral maxillary fractures following dental treatment. The fractures occurred during dental treatment by a veterinarian, and both had rostral, transverse, and complete bilateral maxillary fractures with instability and minimal displacement. The fractures were repaired using bilateral intraoral wiring with the patients under general anesthesia. The postoperative period was without complications and the fractures healed as expected. Maxillary fr...

  7. A case of unusual root morphology: Maxillary canine with two roots

    Directory of Open Access Journals (Sweden)

    Nagesh Bolla

    2009-01-01

    Full Text Available The case describes a 3 months follow-up of the treatment of a maxillary canine with two roots. Clinical examination revealed a maxillary canine with a large carious lesion and an exaggerated response to cold thermal tests. Radiographic examination revealed a large distal carious lesion that appeared to invade the pulp chamber. The radiograph also revealed what appeared to be an extra root in this permanent maxillary canine.

  8. Endodontic Management of Maxillary Second Molar with Two Palatal Roots: A Report of Two Cases

    OpenAIRE

    Patel, Surbhi; Patel, Pawan

    2012-01-01

    Endodontic treatment may sometimes fail because morphological features of the tooth adversely affect the treatment protocol. Maxillary second molars are recognized as usually having a single palatal root with a single palatal canal. The incidence of second palatal root in the maxillary second molar is very rare. Two cases are presented in this paper describing the endodontic management of a four-rooted maxillary second molar with two distinct palatal roots and canals and two distinct buccal r...

  9. Position and Eruption of Permanent Maxillary Canines in Cases of Maxillary Lateral Incisor Agenesis in Mixed Dentition.

    Science.gov (United States)

    Lamas, Cátia; Lavall, Asela; Pinho, Teresa

    2018-01-01

    Assess whether the permanent maxillary canine (MC) has a natural tendency to erupt mesially in children with maxillary lateral incisors agenesis (MLIA), compared to children without agenesis. This retrospective, observational, cross-sectional study consisted of children between 5 and 12 years old divided into three groups: the first group with unilateral MLIA, in which an intraindividual analysis was performed, the second group presented bilateral MLIA, and the third group with patients without agenesis. These last two groups were matched for comparison interindividual, being pared by sex and maturation of the MC. The canine position in the horizontal sector showed a clear mesial positioning of the MC on the agenesis side in individuals with unilateral MLIA (group 1) when compared with the counter lateral side; and in individuals with bilateral MLIA (Group 2) compared with control Individuals without agenesis (group 3). Even with the maintenance of this deciduous tooth in the dental arch, the MC keeps its tendency to mesial eruption. There is a greater tendency for mesial angulation of the maxillary canine in patients with MLIA, regardless of the presence or absence of deciduous lateral incisor.

  10. Comparative study of different osteotomy modalities in maxillary distraction osteogenesis for cleft lip and palate.

    Science.gov (United States)

    Yu, Hongbo; Wang, Xudong; Fang, Bing; Shen, Steve Guofang

    2012-11-01

    Conventional maxillary distraction osteogenesis and anterior maxillary segmental distraction were applied in the treatment of severe maxillary hypoplasia secondary to cleft clip and palate. The aim of the present study was to compare the difference between these 2 osteotomy modalities used for rigid external distraction. Ten patients with severe maxillary hypoplasia secondary to CLP were enrolled in our study. They were randomly divided into 2 groups. Conventional maxillary distraction osteogenesis was performed in 5 patients and anterior maxillary segmental distraction in 5 patients. The preoperative and postoperative lateral cephalograms were compared, and cephalometric analysis was performed. The independent sample t test was used to evaluate the differences between the 2 groups. All patients healed uneventfully, and the maxillae moved forward satisfactorily. The sella-nasion-point A angles, nasion-point A-Frankfort horizontal plane angles, overjets, and 0-meridian to subnasale distances had increased significantly after distraction osteogenesis. Significant differences were found in the changes in palatal length between the 2 groups (P maxillary segmental distraction group. No significant difference in the changes in palatopharyngeal depth or soft palatal length was found. With the ability of increasing the palatal and arch length, avoiding changes in palatopharyngeal depth, and preserving palatopharyngeal closure function, anterior maxillary segmental distraction has great value in the treatment of maxillary hypoplasia secondary to CLP. It is a promising and valuable technique in this potentially complicated procedure. Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  11. Modified hyrax splint for rapid maxillary expansion in esthetically concerned patients

    Directory of Open Access Journals (Sweden)

    Sarabjeet Singh Sandhu

    2015-01-01

    Full Text Available The orthodontic treatment of Class III malocclusion with a maxillary deficiency is often treated with maxillary protraction either with or without maxillary expansion. The routine procedure for rapid maxillary expansion includes banding on first premolars/first deciduous molars and the permanent first molars. However in some patients who are esthetically very conscious, banding of the first premolar would not be a good esthetic option. So for such circumstances we have designed a modified hyrax splint, which does not need the first premolars to be banded.

  12. [Dental-radical cysts, a rare aetiology of maxillary sinus opacity].

    Science.gov (United States)

    Bassou, D; Darbi, A; Elkharras, A; Elhaddad, A; Boumdin, H; Amil, T; Benameur, M; Chaouir, S

    2007-12-01

    To specify CT scan roll in diagnosis of radicullar cyst invading maxillary sinus. Two cases of 23 and 34-year-old men presented with facial injury and sinusitis was explored by CT scan. CT scan showed in both patients a cystic lesion, developing into the maxillary sinus around a tooth apex and limits by a double dense thin rim. CT scan permits diagnosis of radicular cyst invading maxillary sinus, in the event of obscured maxillary sinus, when double dense thin rim corresponding to the repulsed wall of the sinus is looking.

  13. The investigation of sedimentary facies and stacking pattern in the Mulid River (Southeastern Qayen

    Directory of Open Access Journals (Sweden)

    Marzieh Fayazi Borujeni

    2017-03-01

    Full Text Available Introduction In the most gravel bed rivers, particle size exponentially decreases to the downstream. The study of particle size fining trend to the downstream and determination of the effective processes on it along the recent rivers is accomplished in the different parts of Iran. The river sedimentary facies are deposited in the channel and overbank areas and they are provided important information about sedimentary environment and deposition rate, the extent and development of the river channel and floodplain. These sedimentary facies that are deposited in the different depositional conditions have been achieved from variations of flow regime and/ or variation in the depositional environment in the large scale. The aim of this study is to investigate of the particle size variations and the effective controllers of fining trend to downstream, to determine of the important factors in creating sedimentary discontinuities and to study of the sedimentary facies, architectural elements, determination of depositional model and some paleohydraulic parameters of river. The Mulid River catchment with elongated shape is located in 120 km of southeast Qayen in the Southern Khorasan Province, in the 33̊ 24ʹ 44.3ʺ to 33̊ 35ʹ 11.4ʺ east latitude and 59̊ 56ʹ 42.5ʺ to 59̊ 58ʹ 44ʺ north longitude. According to the geological classification of Iran, this basin is a part of the East Iran flysch and mélange belt that is located in the east of the Lut Block.  Materials and Methods  In order to sedimentological studies, 30 sediment samples unsystematically were collected from upstream to downstream and from about 20 cm depth of the main channel bottom of river (with 30 km long. The granulometry analysis of the studied samples were achieved using the dry sieving method with 0.5 φ intervals and weight percent of gravel, sand and mud size particles were estimated. The sediment naming is done using Folk (1980 classification and the estimation of sorting

  14. Sedimentary facies and evolution of the upper member of cretaceou Sunjiawan formation in Heishui area of western Liaoning

    International Nuclear Information System (INIS)

    Zhao Zhonghua; Xi Haiyin; Chen Debing; Wang Liming; Rao Minghui

    2010-01-01

    The upper member of Sunjiawan formation in Heishui area is mainly alluvial fan facies. From the macroscopic view, alluvial fan facies can be divided into three sub-facies of proximal end gravel braided plain, distal end gravel braided plain and pre-fan flood-plain and further into some micro-facies of debris flow, gravel braided channel, gravel dam, flood-fine and peat bog etc. The upper member of Sunjiawan formation could be divided into three sub-members. The first sub-member is retrograding dry land type fan sediment under drought-humid climate. The second sub-member is retrograding wet land type fan deposit under humid climate. Third sub-member is progradational wetland type fan sediments under humid climate. Sunjiawan formation in Heishui area experienced three evolutionary stages: the early retrograding dryland type fan deposition, the medium term retrograding wet land type fan deposition and the later progradational wetland type fan. (authors)

  15. The identification of provenance-controlled facies by geochemical methods on a portion of the Vaal Reef, Klerksdorp Goldfield

    International Nuclear Information System (INIS)

    Henckel, J.; Schweitzer, J.K.; Horsch, H.

    1990-01-01

    The use of geochemical methods for identifying provenance controlled facies in Witwatersrand reefs is considered. Three methods - whole rock geochemistry, zircon analysis, and chromite analysis - have been evaluated in order to establish the feasibility of using these geochemical techniques. An area of Vaal Reef where two sedimentological facies with distinct gold distributions had previously been identified was investigated. The studies reported here gave evidence of differences in the source areas for these two facies. Accordingly, it is concluded that the application of geochemistry to identify provenance-controlled facies is a useful technique which can help geologists arrive at a better interpretation of depositional systems within Witwatersrand reefs and thereby assist in the understanding of gold distribution patterns. 26 refs., 11 figs., 4 tabs

  16. Clay mineral facies and lateritization in basalts of the southeastern Parana Basin, Brazil

    International Nuclear Information System (INIS)

    Oliveira, M.T.G. de; Formoso, M.L.L.; Trescases, J.J.; Meunier, A.

    1998-01-01

    Seventeen samples from two lateritic profiles, each with five facies, were studied. These profiles occur on the old planation surface of the plateau basalts of the southern part of ParanáBasin, Brazil. Optical microscopy, X-ray diffraction, electron microprobe, Mössbauer spectroscopy and Fourier Transform Infrared Spectra were used to obtain information about the nature and chemical composition of each weathering facies. In addition, scanning electron microscopy and analyses of clay minerals were performed to detect microcrystalline environmental changes. Both profiles have two major parts: a loose red-clay latosol separated from an underlying mottled clay and an alterite facies; a stone line may or may not be present between the latosol and the underlying units. In both profiles the latosol consists principally of kaolinite, hematite and goethite. Two alterite facies, shaped by differential weathering, are also present in the lower profile: a halloysite–nontronite clayey matrix with a well developed fissure system occurs in the argillaceous alterite and a network of Al–goethite aggregates is typical of the highly porous cortex of the boulder alterite that is found in the stone line and below it. Gibbsite has crystallized in the large pores of porphyritic boulder alterite but is absent in the small pores of the subaphyric boulder alterite. Clay minerals observed in fissures include halloysite associated with goethite and manganese oxides. The basalt has hydrothermal green-clays (mixed layers and trioctahedral smectites) that formed between primary plagioclase, pyroxene and Ti–magnetite crystals while fresh corestones of the boulder alterite have cryptocrystalline iron-rich material. The study of these profiles shows one principal evolutionary trend for clay minerals. This trend is from smectite and mixed layers that form green clays in altered bedrock at the base of the profile to an intermediate association of nontronite and halloysite in the argillaceous

  17. Facies analysis of an Upper Jurassic carbonate platform for geothermal reservoir characterization

    Science.gov (United States)

    von Hartmann, Hartwig; Buness, Hermann; Dussel, Michael

    2017-04-01

    The Upper Jurassic Carbonate platform in Southern Germany is an important aquifer for the production of geothermal energy. Several successful projects were realized during the last years. 3D-seismic surveying has been established as a standard method for reservoir analysis and the definition of well paths. A project funded by the federal ministry of economic affairs and energy (BMWi) started in 2015 is a milestone for an exclusively regenerative heat energy supply of Munich. A 3D-seismic survey of 170 square kilometer was acquired and a scientific program was established to analyze the facies distribution within the area (http://www.liag-hannover.de/en/fsp/ge/geoparamol.html). Targets are primarily fault zones where one expect higher flow rates than within the undisturbed carbonate sediments. However, since a dense net of geothermal plants and wells will not always find appropriate fault areas, the reservoir properties should be analyzed in more detail, e.g. changing the viewpoint to karst features and facies distribution. Actual facies interpretation concepts are based on the alternation of massif and layered carbonates. Because of successive erosion of the ancient land surfaces, the interpretation of reefs, being an important target, is often difficult. We found that seismic sequence stratigraphy can explain the distribution of seismic pattern and improves the analysis of different facies. We supported this method by applying wavelet transformation of seismic data. The splitting of the seismic signal into successive parts of different bandwidths, especially the frequency content of the seismic signal, changed by tuning or dispersion, is extracted. The combination of different frequencies reveals a partition of the platform laterally as well as vertically. A cluster analysis of the wavelet coefficients further improves this picture. The interpretation shows a division into ramp, inner platform and trough, which were shifted locally and overprinted in time by other

  18. The potential role of fluids during regional granulite-facies dehydration in the lower crust

    Directory of Open Access Journals (Sweden)

    Daniel E. Harlov

    2012-11-01

    Full Text Available High-grade dehydration of amphibolite-facies rocks to granulite-facies is a process that can involve partial melting, fluid-aided solid-state dehydration, or varying degrees of both. On the localized meter scale, solid-state dehydration, due to CO2-rich fluids traveling along some fissure or crack and subsequently outwards along the mineral grain boundaries of the surrounding rock, normally is the means by which the breakdown of biotite and amphibole to orthopyroxene and clinopyroxene occur. Various mineral textures and changes in mineral chemistry seen in these rocks are also seen in more regional orthopyroxene-clinopyroxene-bearing rocks which, along with accompanying amphibolite-facies rocks, form traverses of lower crust. This suggests that solid-state dehydration during high-grade metamorphism could occur on a more regional scale. The more prominent of these fluid-induced textures in the granulite-facies portion of the traverse take the form of micro-veins of K-feldspar along quartz grain boundaries and the formation of monazite inclusions in fluorapatite. The fluids believed responsible take the form of concentrated NaCl- and KCl- brines from a basement ultramafic magma heat source traveling upwards along grain boundaries. Additional experimental work involving CaSO4 dissolution in NaCl-brines, coupled with natural observation of oxide and sulfide mineral associations in granulite-facies rocks, have demonstrated the possibility that NaCl-brines, with a CaSO4 component, could impose the oxygen fugacity on these rocks as opposed to the oxygen fugacity being inherent in their protoliths. These results, taken together, lend credence to the idea that regional chemical modification of the lower crust is an evolutionary process controlled by fluids migrating upwards from the lithospheric mantle along grain boundaries into and through the lower crust where they both modify the rock and are modified by it. Their presence allows for rapid mass and

  19. Facies and depositional model of Almada Canyon, Almada Basin, Bahia, Brazil; Facies e modelo deposicional do Canyon de Almada, Bacia de Almada, Bahia

    Energy Technology Data Exchange (ETDEWEB)

    D' Avila, Roberto Salvador Francisco; Souza Cruz, Carlos Emanoel de; Oliveira Filho, Jose Souto; Jesus, Candida Menezes de; Cesero, Pedro de; Dias Filho, Dorval Carvalho; Lima, Claudio Coelho de; Queiroz, Claudia Lima de; Santos, Saulo Ferreira; Ferreira, Eduardo Araripe [PETROBRAS, Santos, SP (Brazil). Unidade de Negocio de Exploracao]. E-mail: rdavila@petrobras.com.br

    2004-11-01

    In the continental portion of the Almada Basin outcrops of canyon filling deposits are represented by turbidite channels and associated facies from Urucutuca Formation. The canyon - semi-exhumated - eroded basement and pre-Cenomanian sedimentary rocks. The field study of the outcrops and cores obtained in adjacent perforations lead to the understanding of the facies and processes that controlled the deposition of these channeled turbidite that can be compared to the reservoirs of many oil fields in Brazil. The Almada canyon is a submarine conduct of tectonic origin that was enlarged by the repeated passing of turbidity currents. During the rift phase and the Albian period, compressive events reactivated old N E and N W faults in the basement as trans current fault systems. The continuation of these stresses, from the Cenomanian to the Maastrichtian, developed normal faults that controlled a submarine canyon that connected the continent, where an estuary was formed between the mountains, to the deep marine region of the basin. The canyon has received sediments brought by catastrophic fluvial floods coming from the surrounding mountains, which formed hyperpicnal flows that have evolved as turbidity currents, thus causing erosion of the substrate and carrying a huge volume of sediments to the basin. A part of that load was deposited in the canyon and formed turbidite channels filled by conglomerates, sandstones and shales. These moderately to highly efficient turbidite are intercalated to pro delta pelites and low density turbid plumes deposits, which have mostly been re mobilized as slump and debris flows (chaotic deposits). Pelites were accumulated mainly in the normal fluvial sedimentation phases, when the sandy sediment was retained next to the canyon head and were reworked by the tides on the upper part of the estuary. (author)

  20. Treatment of severe maxillary cleft hypoplasia in a case with missing premaxilla with anterior maxillary distraction using tooth-borne hyrax appliance

    Directory of Open Access Journals (Sweden)

    Akshai Shetty

    2015-01-01

    Full Text Available Cleft orthodontics generally poses a challenge and a missing premaxilla adds to the difficulty in managing them. The lack of bone support and anterior teeth in a case with missing premaxilla accounts not only for difficulty in rehabilitation but also in increasing the maxillary hypoplasia. This article presents a case report where planned orthodontic and surgical management using distraction has helped treat a severe maxillary hypoplasia in a patient with missing premaxilla. The treatment plan and method can be used to treat severe maxillary hypoplasia and yield reasonably acceptable results for such patients.

  1. Molecular fingerprinting of TGFbeta-treated embryonic maxillary mesenchymal cells.

    Science.gov (United States)

    Pisano, M M; Mukhopadhyay, P; Greene, R M

    2003-11-01

    The transforming growth factor-beta (TGF(beta)) family represents a class of signaling molecules that plays a central role in normal embryonic development, specifically in development of the craniofacial region. Members of this family are vital to development of the secondary palate where they regulate maxillary and palate mesenchymal cell proliferation and extracellular matrix synthesis. The function of this growth factor family is particularly critical in that perturbation of either process results in a cleft of the palate. While the cellular and phenotypic effects of TGF(beta) on embryonic craniofacial tissue have been extensively cataloged, the specific genes that function as downstream mediators of TGF(beta) in maxillary/palatal development are poorly defined. Gene expression arrays offer the ability to conduct a rapid, simultaneous assessment of hundreds to thousands of differentially expressed genes in a single study. Inasmuch as the downstream sequelae of TGF(beta) action are only partially defined, a complementary DNA (cDNA) expression array technology (Clontech's Atlas Mouse cDNA Expression Arrays), was utilized to delineate a profile of differentially expressed genes from TGF(beta)-treated primary cultures of murine embryonic maxillary mesenchymal cells. Hybridization of a membrane-based cDNA array (1178 genes) was performed with 32P-labeled cDNA probes synthesized from RNA isolated from either TGF(beta)-treated or vehicle-treated embryonic maxillary mesenchymal cells. Resultant phosphorimages were subject to AtlasImage analysis in order to determine differences in gene expression between control and TGF(beta)-treated maxillary mesenchymal cells. Of the 1178 arrayed genes, 552 (47%) demonstrated detectable levels of expression. Steady state levels of 22 genes were up-regulated, while those of 8 other genes were down-regulated, by a factor of twofold or greater in response to TGF(beta). Affected genes could be grouped into three general functional

  2. A Retrospective Study of Cleft lip and palate Patients' Satisfaction after Maxillary Distraction or Traditional Advancement of the Maxilla

    DEFF Research Database (Denmark)

    Andersen, Kristian; Nørholt, Sven Erik; Küseler, Annelise

    2012-01-01

    A Retrospective Study of Cleft lip and palate Patients' Satisfaction after Maxillary Distraction or Traditional Advancement of the Maxilla......A Retrospective Study of Cleft lip and palate Patients' Satisfaction after Maxillary Distraction or Traditional Advancement of the Maxilla...

  3. Upper Cretaceous chalk facies and depositional history recorded in the Mona-1 core, Mona Ridge, Danish North Sea

    Directory of Open Access Journals (Sweden)

    Finn Surlyk

    2011-12-01

    Full Text Available The 331 m long core from the Mona-1 well in the Danish North Sea spans almost the entire Upper Cretaceous Chalk Group but only about 10% of Late Cretaceous time is represented. The succession comprises 14 facies representing pelagic deposition, turbidity flow, and mass-transport processes, including mudflow, debris flow, and slumping. Pelagic deposits vary mainly in terms of the concentration of siliciclastic material, the trace-fossil assemblage, and the presence or ab¬sence of primary sedimentary structures. Pelagic sedimentation was probably punctuated by the deposition of thin turbidites, and the resultant deposits were thoroughly bioturbated if deposited during normal oxygenation at the sea floor. Periodic benthic dysoxia resulted in the preservation of primary structures, as represented by laminated chalk which consists of thin pelagic laminae alternating with thin turbidites. In addition to the thin turbidites in the laminated chalk, four dif¬ferent turbidite facies are interpreted as representing high- to low-energy flows. Clast-supported chalk conglomerates have previously not been differentiated from other turbidites, but are here interpreted to be directly related to the down-slope evolution of debris flows. Debris flows are rep¬resented by matrix-supported conglomerates, which form one of the most common facies in the succession. High-concentration, gravity-driven suspension flows passed into dilute visco-plastic flows during the final stages of deposition and resulted in the deposition of structureless chalks. Limited shear deformation produced distinct quasi-facies from which the precursor facies can be deduced, whereas intense or continued shear deformation produced a shear-banded quasi-facies from which the precursor facies cannot be deduced in all cases. A series of major slump packages (14–18 in total are interpreted, forming over 40% of the succession; debrites appear to be the most common precursor facies involved in

  4. Upper Cretaceous chalk facies and depositional history recorded in the Mona-1 core, Mona Ridge, Danish North Sea: Plate 1

    Directory of Open Access Journals (Sweden)

    Surlyk, Finn

    2011-12-01

    Full Text Available The 331 m long core from the Mona-1 well in the Danish North Sea spans almost the entire Upper Cretaceous Chalk Group but only about 10% of Late Cretaceous time is represented. The succession comprises 14 facies representing pelagic deposition, turbidity flow, and mass-transport processes, including mudflow, debris flow, and slumping. Pelagic deposits vary mainly in terms of the concentration of siliciclastic material, the trace-fossil assemblage, and the presence or ab¬sence of primary sedimentary structures. Pelagic sedimentation was probably punctuated by the deposition of thin turbidites, and the resultant deposits were thoroughly bioturbated if deposited during normal oxygenation at the sea floor. Periodic benthic dysoxia resulted in the preservation of primary structures, as represented by laminated chalk which consists of thin pelagic laminae alternating with thin turbidites. In addition to the thin turbidites in the laminated chalk, four dif¬ferent turbidite facies are interpreted as representing high- to low-energy flows. Clast-supported chalk conglomerates have previously not been differentiated from other turbidites, but are here interpreted to be directly related to the down-slope evolution of debris flows. Debris flows are rep¬resented by matrix-supported conglomerates, which form one of the most common facies in the succession. High-concentration, gravity-driven suspension flows passed into dilute visco-plastic flows during the final stages of deposition and resulted in the deposition of structureless chalks. Limited shear deformation produced distinct quasi-facies from which the precursor facies can be deduced, whereas intense or continued shear deformation produced a shear-banded quasi-facies from which the precursor facies cannot be deduced in all cases. A series of major slump packages (14–18 in total are interpreted, forming over 40% of the succession; debrites appear to be the most common precursor facies involved in

  5. Internal maxillary distraction with a new bimalar device.

    Science.gov (United States)

    Kahn, David M; Broujerdi, Joseph; Schendel, Stephen A

    2008-04-01

    Distraction osteogenesis of the Le Fort I segment is advocated for patients who require significant advancement of the maxilla or who have a soft tissue envelope compromised by scar tissue. We present a technique for maxillary distraction using an interconnecting intraoral device anchored to the malar prominences above the osteotomy and either the maxilla and/or the dentition below the level of the osteotomy. Ten patients with nonsyndromic cleft lip and palate, mean age of 18, underwent Le Fort I maxillary distraction osteogenesis for management of maxillary hypoplasia. A Le Fort I osteotomy is performed and a Spectrum Intraoral Midface Multi-Vector Distractor (OsteoMed, Addison, TX) is placed leaving a 1 mm to 2 mm distraction gap. After a 2 to 4 day latency period, distraction begins at a rate of 1 mm a day. Once the desired occlusion is achieved the device is left in place for a minimum of 2 months for consolidation. Preoperative Sella-Nasion-A point measurements from lateral cephalograms averaged 74 degrees (range, 70-76 degrees). Postoperative Sella-Nasion-A point averaged 81 degrees (range, 75-89 degrees). Preoperative overjet averaged -7.4 mm (range, -3 to -13 mm). Postoperative overjet averaged 2.6 mm (range, 1-3 mm). Average distraction was 9 mm (range, 6-16 mm). The average vertical movement was 7.2 mm in an inferior direction (range, 0-15 mm). The results remained stable at a follow-up of 30 months. We report on distraction of the Le Fort I segment using an internal device. The device design allows the forces of distraction to be shared across a larger surface area delivering a uniform and reliable vector of distraction with increased stability.

  6. Outcomes of radiation therapy for maxillary sinus carcinoma

    International Nuclear Information System (INIS)

    Komiyama, Takafumi; Kato, Daiki; Hara, Ryusuke; Itami, Jun; Onishi, Hiroshi; Kuriyama, Kengo; Tanaka Shiho; Araki, Tsutomu

    2004-01-01

    We evaluated the outcome of radiation therapy for maxillary sinus carcinoma treated in our institution. From 1984 to 2001, 48 patients with maxillary sinus carcinoma were irradiated with or without chemotherapy and surgery. Patients ranged from 20-89 years of age (median, 68 years) and included 29 men and 19 women. The clinical T factors for these patients, according to the International Union Against Cancer (UICC) classification (1997), were T2 (n=2), T3 (n=13), and T4 (n=29). Lymph node involvement was observed in 13 patients. The follow-up period ranged from 2.5 to 150 months (median, 25 months). The total radiotherapy dose ranged from 40 Gy to 72.8 Gy. Forty-three patients underwent surgery. Intra-arterial chemotherapy was delivered in 39 patients, and systemic chemotherapy was delivered in 7 patients. Fourteen patients were classified as ''unresected'' (radiation therapy with or without antrostomy), and 34 patients as ''resected'' (partial, total, or extended total maxillectomy with pre-or postoperative irradiation). The 5-year overall survival rate (OS), cause-specific survival rate (CSS), and local control rate (LC) of all patients were 52%, 64%, and 75%, respectively. There was no significant difference between the ''unresected'' and ''resected'' groups in OS, CSS, or LC. Local recurrence was observed in 12 patients. In the ''resected'' group, for local control, it was important to reduce viable tumor before maxillectomy. Preoperative ≥60 Gy irradiation was considered to be effective to reduce tumor viability. There was no significant difference between the ''unresected'' and ''resected'' groups in OS, CSS, or LC. In the ''resected'' group, preoperative irradiation ≥60 Gy was considered to be effective for local control. In radical treatment of maxillary sinus carcinoma, maxillectomy is not always necessary. Concurrent chemoradiation therapy with or without antrostomy is a reasonable treatment strategy. (author)

  7. Accuracy of virtual models in the assessment of maxillary defects

    International Nuclear Information System (INIS)

    Kamburoglu, Kivanc; Kursun, Sebnem; Kilic, Cenk; Eozen, Tuncer

    2015-01-01

    This study aimed to assess the reliability of measurements performed on three-dimensional (3D) virtual models of maxillary defects obtained using cone-beam computed tomography (CBCT) and 3D optical scanning. Mechanical cavities simulating maxillary defects were prepared on the hard palate of nine cadavers. Images were obtained using a CBCT unit at three different fields-of-views (FOVs) and voxel sizes: 1) 60 X 60 mm FOV, 0.125 mm 3 (FOV 60 ); 2) 80 X 80 mm FOV, 0.160 mm 3 (FOV 80 ); and 3) 100 X 100 mm FOV, 0.250 mm 3 (FOV 100 ). Superimposition of the images was performed using software called VRMesh Design. Automated volume measurements were conducted, and differences between surfaces were demonstrated. Silicon impressions obtained from the defects were also scanned with a 3D optical scanner. Virtual models obtained using VRMesh Design were compared with impressions obtained by scanning silicon models. Gold standard volumes of the impression models were then compared with CBCT and 3D scanner measurements. Further, the general linear model was used, and the significance was set to p=0.05. A comparison of the results obtained by the observers and methods revealed the p values to be smaller than 0.05, suggesting that the measurement variations were caused by both methods and observers along with the different cadaver specimens used. Further, the 3D scanner measurements were closer to the gold standard measurements when compared to the CBCT measurements. In the assessment of artificially created maxillary defects, the 3D scanner measurements were more accurate than the CBCT measurements.

  8. Accuracy of virtual models in the assessment of maxillary defects

    Energy Technology Data Exchange (ETDEWEB)

    Kamburoglu, Kivanc [Dept. of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara (Turkmenistan); Kursun, Sebnem [Division of Dentomaxillofacial Radiology, Ministry of Health, Oral and Dental Health Center, Bolu (Turkmenistan); Kilic, Cenk; Eozen, Tuncer [Gealhane Military Medical Academy, Ankara, (Turkmenistan)

    2015-03-15

    This study aimed to assess the reliability of measurements performed on three-dimensional (3D) virtual models of maxillary defects obtained using cone-beam computed tomography (CBCT) and 3D optical scanning. Mechanical cavities simulating maxillary defects were prepared on the hard palate of nine cadavers. Images were obtained using a CBCT unit at three different fields-of-views (FOVs) and voxel sizes: 1) 60 X 60 mm FOV, 0.125 mm{sup 3} (FOV{sub 60}); 2) 80 X 80 mm FOV, 0.160 mm{sup 3} (FOV{sub 80}); and 3) 100 X 100 mm FOV, 0.250 mm{sup 3} (FOV{sub 100}). Superimposition of the images was performed using software called VRMesh Design. Automated volume measurements were conducted, and differences between surfaces were demonstrated. Silicon impressions obtained from the defects were also scanned with a 3D optical scanner. Virtual models obtained using VRMesh Design were compared with impressions obtained by scanning silicon models. Gold standard volumes of the impression models were then compared with CBCT and 3D scanner measurements. Further, the general linear model was used, and the significance was set to p=0.05. A comparison of the results obtained by the observers and methods revealed the p values to be smaller than 0.05, suggesting that the measurement variations were caused by both methods and observers along with the different cadaver specimens used. Further, the 3D scanner measurements were closer to the gold standard measurements when compared to the CBCT measurements. In the assessment of artificially created maxillary defects, the 3D scanner measurements were more accurate than the CBCT measurements.

  9. Influence of reinforcement on strains within maxillary implant overdentures.

    Science.gov (United States)

    Takahashi, Toshihito; Gonda, Tomoya; Maeda, Yoshinobu

    2015-01-01

    The purpose of this study was to examine the influence of reinforcement of an embedded cast on the strains within maxillary implant overdentures. A maxillary edentulous model with implants placed bilaterally in the canine positions, dome-shaped copings, and experimental overdentures was fabricated. Rosette-type strain gauges were attached in the canine positions and at three points along the midline of the polished surface of the denture and connected to the sensor interface controlled by a personal computer. Experimental dentures with five different reinforcements were tested: without reinforcement; with a cast cobalt-chrome reinforcement over the residual ridge and the tops of the copings; with the same reinforcement from first molar to first molar, over the residual ridge and the tops of the copings; with the same reinforcement over the residual ridge and the sides of the copings; and with the same reinforcement from first molar to first molar, over the residual ridge and the sides of the copings. A vertical occlusal load of 49 N was applied to the first premolar and then to the first molar, and the strains were measured and compared by analysis of variance. In both loading situations, significantly less strain was recorded in dentures with reinforcement than in those without reinforcement. When the first premolar was loaded on dentures with and without palatal reinforcement at the first premolars, the strains on the denture with reinforcement over the tops of the copings were significantly lower than on the denture with reinforcement over the sides of the copings at the canine position. Cast reinforcement over the residual ridge and the top of copings embedded in an acrylic base reduced the strain from occlusal stress on maxillary implant overdentures.

  10. Stability after Cleft Maxillary Distraction Osteogenesis or Conventional Orthognathic Surgery

    DEFF Research Database (Denmark)

    Andersen, Kristian; Svenstrup, Martin; Pedersen, Thomas Klit

    2015-01-01

    OBJECTIVES: To compare stability of maxillary advancements in patients with cleft lip and palate following distraction osteogenesis or orthognathic surgery. MATERIAL AND METHODS: INCLUSION CRITERIA: 1) cleft lip and palate, 2) advancement > 8 mm. Eleven patients comprised the distraction...... changed in CONVG. At follow-up (T3), VOB increased in CONVG compared with DOG, (P = 0.01). Vertical position of A point differed between the groups (P = 0.04). No significant intergroup differences between soft tissue parameters occurred. CONCLUSIONS: Distraction osteogenesis resulted in a stable position...

  11. A Large Ameloblastic Fibro-odontoma of the Maxillary Sinus

    Directory of Open Access Journals (Sweden)

    Seyed Ali Banihashem Rad

    2014-04-01

    Full Text Available Introduction: Ameloblastic fibro-odontoma is a rare, benign, asymptomatic tumor. The term ameloblastic fibro-odontoma was first used by Hooker in 1967 as a separate lesion from ameloblastic odontoma.   Case Report: This case report describes an eleven years old female with large ameloblastic fibro-odontoma in the right maxillary sinus.   Conclusion: There is a low potential for recurrence after complete Enucleation of ameloblastic fibro-odontoma, but due to the risk of ameloblastic sarcoma after recurrence, the surgery should be perfect along with a careful follow up. 

  12. Radiation-induced maxillary cancer; A case report

    Energy Technology Data Exchange (ETDEWEB)

    Haguma, Naoyuki; Shirane, Makoto; Hirakawa, Katsuhiro; Suzuki, Mamoru; Yajin, Kouji; Harada, Yasuo (Hiroshima Univ. (Japan). School of Medicine)

    1990-05-01

    A maxillary cancer (T{sub 2}N{sub 0}M{sub 0}) recurred twice, five years and 18 years after the initial therapy. The first therapy was continuous intra-arterial infusion of 5-FU (5700 mg) and irradiation (50 Gy). The second therapy was intravenous infusion of 5-FU (4500 mg) and irradiation (46 Gy). The third therapy was partial maxillectomy and LASER cauterization. In this particular case local inflammation due to remaining food and repeated irradiation might have been responsible for the recurrences. (author).

  13. Imaging features of maxillary osteoblastoma and its malignant transformation

    International Nuclear Information System (INIS)

    Ueno, Hiroshi; Ariji, Ei-ichiro; Tanaka, Takemasa; Kanda, Shigenobu; Mori, Shin-ichiro; Goto, Masaaki; Mizuno, Akio; Okabe, Haruo; Nakamura, Takashi

    1994-01-01

    We report two cases of osteoblastoma, one of them an unusual case in a 32-year-old woman in whom a maxillary tumor was confidently diagnosed as an osteoblastoma at the time of primary excision and subsequently transformed into an osteosarcoma 7 years after the onset of clinical symptoms. The other patient developed osteosarcoma arising in the maxilla, which was diagnosed 3 years after the primary excision and is very suggestive of malignant transformation in osteoblastoma. We present the radiological features, including computed tomographic and magnetic resonance imaging studies, of this unusual event of transformed tumor and compare imaging features of benign and dedifferentiated counterparts of this rare tumor complex. (orig.)

  14. Maxillary sinus marrow hyperplasia in sickle cell anemia

    International Nuclear Information System (INIS)

    Fernandez, M.; Slovis, T.L.; Whitten-Shurney, W.

    1995-01-01

    Marrow hyperplasia is a sequela of sickle cell anemia (SCA) and may be seen in the skull in children after 5 years of age. The facial bones, except for the mandible and orbits, are usually not involved. We report an unusual case of a 28-month-old black boy with SCA who presented with extensive marrow hyperplasia of the maxillary sinuses in addition to severe calvarial and mandibular changes. The imaging characteristics on CT (similar to other sites of marrow hyperplasia) and MR (low signal on both T 1 and T 2 sequences) should aid in making the correct diagnosis. (orig.)

  15. Maxillary sinus marrow hyperplasia in sickle cell anemia.

    Science.gov (United States)

    Fernandez, M; Slovis, T L; Whitten-Shurney, W

    1995-11-01

    Marrow hyperplasia is a sequela of sickle cell anemia (SCA) and may be seen in the skull in children after 5 years of age [1]. The facial bones, except for the mandible and orbits, are usually not involved [1-3]. We report an unusual case of a 28-month-old black boy with SCA who presented with extensive marrow hyperplasia of the maxillary sinuses in addition to severe calvarial and mandibular changes. The imaging characteristics on CT (similar to other sites of marrow hyperplasia) and MR (low signal on both T1 and T2 sequences) should aid in making the correct diagnosis.

  16. Maxillary sinus marrow hyperplasia in sickle cell anemia

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez, M. [Dept. of Imaging, Children`s Hospital of Michigan, Detroit, MI (United States); Slovis, T.L. [Dept. of Imaging, Children`s Hospital of Michigan, Detroit, MI (United States); Whitten-Shurney, W. [Dept. of Pediatrics, Children`s Hospital of Michigan, Detroit, MI (United States)

    1995-11-01

    Marrow hyperplasia is a sequela of sickle cell anemia (SCA) and may be seen in the skull in children after 5 years of age. The facial bones, except for the mandible and orbits, are usually not involved. We report an unusual case of a 28-month-old black boy with SCA who presented with extensive marrow hyperplasia of the maxillary sinuses in addition to severe calvarial and mandibular changes. The imaging characteristics on CT (similar to other sites of marrow hyperplasia) and MR (low signal on both T{sub 1} and T{sub 2} sequences) should aid in making the correct diagnosis. (orig.)

  17. Maxillary Central Incisor with Two Roots: A Case Report

    Directory of Open Access Journals (Sweden)

    L. Khojastehpour

    2005-06-01

    Full Text Available A 16 year old female was referred to an oral and maxillofacial radiologist for evaluation of a radiolucent area at mesial radicular aspect of right maxillary central incisor which was detected accidentally during pre-orthodontic treatment check ups. Clinicalexamination showed no particular signs or symptoms except for slightly tenderness to lateral percussion. Second radiograph with altered horizontal angulations showed a mesial supernumerary root which the radiolucency seemed to be associated with that. Inorder to treat the tooth, the composite filling was removed and canals were cleaned,shaped, and obturated by lateral condensation technique.

  18. Titanium Granules for Augmentation of the Maxillary Sinus

    DEFF Research Database (Denmark)

    Lyngstadaas, Ståle Petter; Verket, Anders; Pinholt, Else Marie

    2015-01-01

    BACKGROUND: Biomaterials are commonly used to augment the maxillary sinus floor prior to or in conjunction with dental implant installation. Recently, porous titanium granules (PTGs) have been used in oral implant surgery to stabilize implants and function as an osteoconductive matrix. PURPOSE...... in the study. RESULTS: One immobile implant was removed. The mean marginal bone loss was 0.5 mm and 0.8 mm, on the mesial and distal side, respectively. Histologically, all biopsies demonstrated bone ingrowth. CONCLUSIONS: The results suggest that PTG can be safely and effectively used as augmentation material...

  19. Recent benthic foraminifera and sedimentary facies distribution of the Abu Dhabi (United Arab Emirates) coastline

    Science.gov (United States)

    Fiorini, Flavia; Lokier, Stephen W.

    2014-05-01

    The distribution of benthic foraminifera and sedimentary facies from Recent coastline environments adjacent to the coastline of Abu Dhabi (UAE) was studied in detail with the aim to: 1) provide reliable analogs for understanding and interpreting the depositional environment of ancient shallow-marine sediments from the UAE; 2) assess any modifications in the distribution of benthic environments and sedimentary facies in an area affected by significant anthropogenic activities - particular construction and land reclamation. A total of 100 sea-floor sediment samples were collected in different shallow-marine sedimentary environments (nearshore shelf, beach-front, channels, ooid shoals, lagoon and mangals) close to the coastline of Abu Dhabi Island. Where possible, we revisited the sampling sites used in several studies conducted in the middle of last century (prior to any significant anthropogenic activities) to assess temporal changes in Recent benthic foraminifera and sedimentary facies distribution during the last 50 years. Five foraminiferal assemblages were recognized in the studied area. Species with a porcellaneous test mainly belonging to the genera Quinqueloculina, Triloculina, Spiroloculina, Sigmoilinita are common in all studied areas. Larger benthic foraminifera Peneroplis and Spirolina are particularly abundant in samples collected on seaweed. Hyaline foraminifera mostly belonging to the genera Elphidium, Ammonia, Bolivina and Rosalina are also common together with Miliolidae in the nearshore shelf and beach front. Agglutinated foraminifera (Clavulina, Textularia, Ammobaculites and Reophax) are present in low percentages. The species belonging to the genera Ammobaculites and Reophax are present only in the finest grain samples particularly in lagoons and mangal environments and have not been reported previously in the studied area. The majority of the ooid shoal sediments, the coarser sediments of the beach-front and samples collected in dredged channels

  20. Maxillary distraction osteogenesis in cleft lip and palate patients with skeletal anchorage.

    Science.gov (United States)

    Minami, Katsuhiro; Mori, Yoshihide; Tae-Geon, Kwon; Shimizu, Hidetaka; Ohtani, Miyuki; Yura, Yoshiaki

    2007-03-01

    Maxillary distraction osteogenesis with the rigid external distraction (RED) system has been used to treat cleft lip and palate (CLP) patients with severe maxillary hypoplasia. We introduce maxillary distraction osteogenesis for CLP patients with skeletal anchorage adapted on a stereolithographic model. Six maxillary deficiency CLP patients treated according to our CLP treatment protocol had undergone maxillary distraction osteogenesis. In all patients, computed tomography (CT) images were recorded preoperatively, and the data were transferred to a workstation. Three-dimensional skeletal structures were reconstructed with CT data sets, and a stereolithographic model was produced. On the stereolithographic model, miniplates were adapted to the surface of maxilla beside aperture piriforms. The operation performed involved a high Le Fort I osteotomy with pterygomaxillary disjunction. Miniplates were fixed to the maxillary segment with three or four screws and used for anchorage of the RED system. Retraction of the maxillary segment was initiated after 1 week. The accuracy of the stereolithographic models was enough to adapt the miniplates so that there was no need to readjust the plates during surgery. Postoperative cephalometric analysis showed that the direction of the retraction was almost parallel to the palatal plane, and dental compensation did not occur. We performed maxillary distraction osteogenesis with skeletal anchorage adapted on the stereolithographic models. Excellent esthetic outcome and skeletal advancement were achieved without dentoalveolar compensations.

  1. Rapid maxillary distraction protocol utilizing the halo distraction system and rigid internal fixation.

    Science.gov (United States)

    Baker, Stephen B; Reid, Russell R; Burkey, Brooke; Bartlett, Scott P

    2007-09-01

    To shorten head frame wear time associated with external halo distraction (HD), we have adapted a protocol for maxillary distraction with the halo system that integrates plate fixation. All patients had a history of cleft lip and/or palate and maxillary retrusion > or = 8 mm. Five patients treated with this protocol and followed for at least 1 year were included in this study. The protocol included a 3-day latency period, variable maxillary distraction, and removal of the halo device with simultaneous rigid internal fixation. Two patients had a variable period of maxillomandibular fixation (MMF), which maintained the maxillary advancement and idealized intercuspal position while permitting further callus maturation. Cephalographs were obtained preoperatively, immediately following distractor removal, and 1 year after rigid internal fixation. The mean age at time of surgery was 18.7 years. The maxillary deficiency ranged from 8 to 15 mm (mean = 10.6 mm). All five patients demonstrated excellent occlusion. Cephalometric analysis 1-year post rigid internal fixation revealed minimal (maxillary distraction followed by MMF to maintain maxillary advancement may reduce halo device wear to 1 to 2 weeks. MMF optimizes occlusion by forcing the maxillary teeth into maximal intercuspal position. Rigid fixation is not only associated with less long-term relapse compared to nonrigid forms of fixation, but also minimizes the incidence of nonunion. This treatment protocol provides the advancement possible with distraction osteogenesis and the accuracy of orthognathic surgery, thereby minimizing external head frame wear.

  2. Cephalometric Analysis for Gender Determination Using Maxillary Sinus Index: A Novel Dimension in Personal Identification

    Directory of Open Access Journals (Sweden)

    Tanya Khaitan

    2017-01-01

    Full Text Available Purpose. Radiography is important in forensic odontology for the identification of humans. The maxillary sinus is the largest of the paranasal sinuses and first to develop. Sinus radiography has been used for identification of skeletal remains and determination of gender. Hence, the aim and objectives of the present study were to establish a new method for gender determination using maxillary sinus index from lateral cephalometric radiographs and to establish the reliability of maxillary sinus for gender determination. Methods. A total of 50 adult digital lateral cephalometric radiographs (25 males and 25 females were included in the study. The maxillary sinus analysis was performed on these radiographs using the height and width measurement tools of Sidexis XG software. Maxillary sinus index was calculated, discriminant function analysis performed, and discriminant equation derived for determination of gender. Results. The mean maxillary sinus height and width were found to be higher in males, whereas the maxillary sinus index was greater in females. The discriminant function analysis derived in the study was able to differentiate the sex groups with sensitivity of 68% and specificity of 76%. Conclusions. From the results of the present study, it may be concluded that morphometric analysis of maxillary sinus can be used as a reliable tool in gender determination.

  3. The value of Waters' projection for assessing maxillary sinus inflammatory disease

    NARCIS (Netherlands)

    Timmenga, N; Stegenga, B; Raghoebar, G; van Hoogstraten, J; van Weissenbruch, R; Vissink, A

    Objective. The significance of the Waters' projection for judging maxillary mucosal disease is, at the least, questionable. The aim of this study was to evaluate the diagnostic use of Waters' projection of the maxillary sinus with particular regard to sinus mucosal swelling as a consistent sign of

  4. Impact of the Distance of Maxillary Advancement on Horizontal Relapse After Orthognathic Surgery.

    Science.gov (United States)

    Fahradyan, Artur; Wolfswinkel, Erik M; Clarke, Noreen; Park, Stephen; Tsuha, Michaela; Urata, Mark M; Hammoudeh, Jeffrey A; Yamashita, Dennis-Duke R

    2018-04-01

    The maxillary horizontal relapse following Le Fort I advancement has been estimated to be 10% to 50%. This retrospective review examines the direct association between the amounts of maxillary advancement and relapse. We hypothesize that the greater the advancement, the greater the relapse amount. Patients with class III skeletal malocclusion underwent maxillary advancement with either a Le Fort I or a Le Fort I with simultaneous mandibular setback (bimaxillary surgery) from 2008 to 2015. Patients were assessed for a history of cleft lip or cleft palate. Patients with known syndromes were excluded. Cephalometric analysis was performed to compare surgical and postsurgical changes. Of 136 patients, 47.1% were males and 61.8% had a history of cleft. The mean surgery age was 18.9 (13.8-23) years and 53.7% underwent a bimaxillary procedure. A representative subgroup of 35 patients had preoperative, immediate postoperative, and an average of 1-year postoperative lateral cephalograms taken. The mean maxillary advancement was 6.3 mm and the horizontal relapse was 1.8 mm, indicating a 28.6% relapse. A history of cleft and amount of maxillary advancement were directly correlated, whereas bone grafting of the maxillary osteotomy sites was inversely correlated with the amount of relapse ( P < .05). Our data suggest positive correlation between amount of maxillary advancement and horizontal relapse as well as a positive correlation between history of cleft and horizontal relapse. Bone grafting of the maxillary osteotomy sites has a protective effect on the relapse.

  5. Maxillary sinus floor elevation surgery - A clinical, radiographic and endoscopic evaluation

    NARCIS (Netherlands)

    Timmenga, NM; Raghoebar, GM; van Weissenbruch, R; Vissink, A

    Although augmentation of the maxillary sinus floor with autogenous bone grafts has become a well established preimplantology procedure, its effect on the function of the maxillary sinus has not been the subject of prospective human studies. In this prospective study the effects of sinus floor

  6. Does hyrax expansion therapy affect maxillary sinus volume? A cone-beam computed tomography report

    International Nuclear Information System (INIS)

    Darsey, Drew M.; English, Jeryl D.; Ellis, Randy K.; Akyalcin, Sercan; Kau, Chung H

    2012-01-01

    The aim of this study was to investigate the initial effects of maxillary expansion therapy with Hyrax appliance and to evaluate the related changes in maxillary sinus volume. Thirty patients (20 females, 10 males; 13.8 years) requiring maxillary expansion therapy, as part of their comprehensive orthodontic treatment, were examined. Each patient had cone-beam computed tomography (CBCT) images taken before (T1) and after (T2) maxillary expansion therapy with a banded Hyrax appliance. Multiplanar slices were used to measure linear dimensions and palatal vault angle. Volumetric analysis was used to measure maxillary sinus volumes. Student t tests were used to compare the pre- and post-treatment measurements. Additionally, differences between two age groups were compared with Mann-Whitney U test. The level of significance was set at p=0.05. Comparison of pre-treatment to post-treatment variables revealed significant changes in the transverse dimension related to both maxillary skeletal and dental structures and palatal vault angle, resulting in a widened palatal vault (p<0.05). Hard palate showed no significant movement in the vertical and anteroposterior planes. Nasal cavity width increased on a mean value of 0.93 mm(SD=0.23, p<0.05). Maxillary sinus volume remained virtually stable. No significant age differences were observed in the sample. Hyrax expansion therapy did not have a significant impact on maxillary sinus volume.

  7. Maxillary lateral incisor partial anodontia sequence”: a clinical entity with epigenetic origin

    Science.gov (United States)

    Consolaro, Alberto; Cardoso, Maurício Almeida; Consolaro, Renata Bianco

    2017-01-01

    ABSTRACT The relationship between maxillary lateral incisor anodontia and the palatal displacement of unerupted maxillary canines cannot be considered as a multiple tooth abnormality with defined genetic etiology in order to be regarded as a “syndrome”. Neither were the involved genes identified and located in the human genome, nor was it presumed on which chromosome the responsible gene would be located. The palatal maxillary canine displacement in cases of partial anodontia of the maxillary lateral incisor is potentially associated with environmental changes caused by its absence in its place of formation and eruption, which would characterize an epigenetic etiology. The lack of the maxillary lateral incisor in the canine region means removing one of the reference guides for the eruptive trajectory of the maxillary canine, which would therefore, not erupt and /or impact on the palate. Consequently, and in sequence, it would lead to malocclusion, maxillary atresia, transposition, prolonged retention of the deciduous canine and resorption in the neighboring teeth. Thus, we can say that we are dealing with a set of anomalies and multiple sequential changes known as sequential development anomalies or, simply, sequence. Once the epigenetics and sequential condition is accepted for this clinical picture, it could be called “Maxillary Lateral Incisor Partial Anodontia Sequence.” PMID:29364376

  8. Maxillary lateral incisor partial anodontia sequence”: a clinical entity with epigenetic origin

    Directory of Open Access Journals (Sweden)

    Alberto Consolaro

    Full Text Available ABSTRACT The relationship between maxillary lateral incisor anodontia and the palatal displacement of unerupted maxillary canines cannot be considered as a multiple tooth abnormality with defined genetic etiology in order to be regarded as a “syndrome”. Neither were the involved genes identified and located in the human genome, nor was it presumed on which chromosome the responsible gene would be located. The palatal maxillary canine displacement in cases of partial anodontia of the maxillary lateral incisor is potentially associated with environmental changes caused by its absence in its place of formation and eruption, which would characterize an epigenetic etiology. The lack of the maxillary lateral incisor in the canine region means removing one of the reference guides for the eruptive trajectory of the maxillary canine, which would therefore, not erupt and /or impact on the palate. Consequently, and in sequence, it would lead to malocclusion, maxillary atresia, transposition, prolonged retention of the deciduous canine and resorption in the neighboring teeth. Thus, we can say that we are dealing with a set of anomalies and multiple sequential changes known as sequential development anomalies or, simply, sequence. Once the epigenetics and sequential condition is accepted for this clinical picture, it could be called “Maxillary Lateral Incisor Partial Anodontia Sequence.”

  9. The edentulous mandible opposing maxillary natural teeth: treatment considerations utilizing implant overdentures.

    Science.gov (United States)

    Winkler, S; Monasky, G E

    1993-01-01

    The restoration of the edentulous mandible opposing all or part of the maxillary natural dentition with implant overdentures is described. There are many situations in which the maxillary teeth opposing an edentulous mandible can and should be retained. Mandibular implant overdentures can be utilized as long as health considerations, morphologic features of the resorbed mandible, and maxillomandibular jaw relationships are satisfactory.

  10. Maxillary sinus function after sinus lifts for the insertion of dental implants

    NARCIS (Netherlands)

    Timmenga, NM; Raghoebar, GM; Boering, G; VanWeissenbruch, R

    Purpose: The influence of bone augmentation of the floor of the maxillary sinus for the insertion of denial implants on sinus function has not been well investigated, In this study, the influence of the sinus lift on the development of maxillary sinus pathology was evaluated using generally accepted

  11. Maxillary overdentures retained by splinted and unsplinted implants : A retrospective study

    NARCIS (Netherlands)

    Narhi, TO; Hevinga, M; Voorsmit, RACA; Kalk, W

    2001-01-01

    The purpose of this retrospective study was to evaluate the clinical performance of and patients' satisfaction with maxillary overdentures retained by splinted and unsplinted implants. Patients who had been treated with maxillary implant-retained overdentures because of functional problems with

  12. Does hyrax expansion therapy affect maxillary sinus volume? A cone-beam computed tomography report

    Energy Technology Data Exchange (ETDEWEB)

    Darsey, Drew M.; English, Jeryl D.; Ellis, Randy K.; Akyalcin, Sercan [School of Dentistry, University of Texas Health Science Center at Houston, Houston (United States); Kau, Chung H [School of Dentistry, University of Alabama at Birmingham, Birmingham (United States)

    2012-06-15

    The aim of this study was to investigate the initial effects of maxillary expansion therapy with Hyrax appliance and to evaluate the related changes in maxillary sinus volume. Thirty patients (20 females, 10 males; 13.8 years) requiring maxillary expansion therapy, as part of their comprehensive orthodontic treatment, were examined. Each patient had cone-beam computed tomography (CBCT) images taken before (T1) and after (T2) maxillary expansion therapy with a banded Hyrax appliance. Multiplanar slices were used to measure linear dimensions and palatal vault angle. Volumetric analysis was used to measure maxillary sinus volumes. Student t tests were used to compare the pre- and post-treatment measurements. Additionally, differences between two age groups were compared with Mann-Whitney U test. The level of significance was set at p=0.05. Comparison of pre-treatment to post-treatment variables revealed significant changes in the transverse dimension related to both maxillary skeletal and dental structures and palatal vault angle, resulting in a widened palatal vault (p<0.05). Hard palate showed no significant movement in the vertical and anteroposterior planes. Nasal cavity width increased on a mean value of 0.93 mm(SD=0.23, p<0.05). Maxillary sinus volume remained virtually stable. No significant age differences were observed in the sample. Hyrax expansion therapy did not have a significant impact on maxillary sinus volume.

  13. The Archaen volcanic facies in the Migori segment, Nyanza greenstone belt, Kenya: stratigraphy, geochemistry and mineralisation

    Science.gov (United States)

    Ichang'l, D. W.; MacLean, W. H.

    The Migori segment is an 80 by 20 km portion of the Nyanza greenstone belt which forms the northern part of the Archean Tanzanian Craton in western Kenya, northern Tanzania and southeastern Uganda. It consists of two volcanic centres, each with central, proximal and distal volcanic facies, comprising the Migori Group, the Macalder and Lolgorien Subgroups, and eleven volcano-sedimentary formations. The centres are separated by a basin of tuffs and greywacke turbidites. The volcanics are bimodal mafic basalt and dolerite ( Zr/Y = 3.8 - 6.5, La N/Yb N = 1.0 - 2.4) , and felsic calc-alkaline dacite-rhyolite ( Zr/Y = 10 - 21, La N/Yb N = 19 - 42 ) and high-K dacite ( Zr/Y = 9 - 16, La N/Yb N = 21 - 22 ). Felsic units form approximately three-fourths of the volcanic stratigraphy. Basalts, calc-alkaline dacites and rhyolites were deposited in a submarine environment, but the voluminous high-K dacites were erupted subaerially. The turbidites contain units of iron-formations. Granitic intrusions are chemically continuous with the high-K dacites. The felsic volcanics are anologous to those found at modern volcanic arc subduction settings involving continental crust. The Macalder ZnCuAuAg volcanogenic massive sulphide deposits is in central facies basalts-greywacke-rhyolite. Gold mineralisation occurs in proximal facies tuffs and iron formation, and in oblique and semi-conformable quartz veins. Greenstones in the Nyanza belt are dominated by calc-alkaline felsic volcanics in constrast to the komatiite-tholeiitic basalt volcanism in the Kaapvaal Craton of South Africa, and a mixture of the two types in the Zimbabwe Craton.

  14. Coralgal facies of the Upper Eocene-Lower Oligocene limestones in Letca-Rastoci area

    Directory of Open Access Journals (Sweden)

    Ioana Prica

    2001-09-01

    Full Text Available In this paper are described the coralgal facies identified in the Upper Eocene-Lower Oligocene limestone succession (Cozla Formation outcropping in two quarries at Letca and Rastoci (Sălaj district, Romania. In the studied profiles the coral and algae limestones are interlayered with bioclastic limestones with foraminifera. On the top of relatively deep water deposits, coral and algae crusts and dendritic corals coated by algae were deposited. The environment registered a gradual deepening, the deposits being completely immersed, while bioclastic limestones with foraminifera were recurrently formed. This cycle is repeated, the whole succession being caracterized by several such “parasequences”.

  15. Fluid heterogeneity during granulite facies metamorphism in the Adirondacks: stable isotope evidence

    Science.gov (United States)

    Valley, J.W.; O'Neil, J.R.

    1984-01-01

    The preservation of premetamorphic, whole-rock oxygen isotope ratios in Adirondack metasediments shows that neither these rocks nor adjacent anorthosites and gneisses have been penetrated by large amounts of externally derived, hot CO2-H2O fluids during granulite facies metamorphism. This conclusion is supported by calculations of the effect of fluid volatilization and exchange and is also independently supported by petrologic and phase equilibria considerations. The data suggest that these rocks were not an open system during metamorphism; that fluid/rock ratios were in many instances between 0.0 and 0.1; that externally derived fluids, as well as fluids derived by metamorphic volatilization, rose along localized channels and were not pervasive; and thus that no single generalization can be applied to metamorphic fluid conditions in the Adirondacks. Analyses of 3 to 4 coexisting minerals from Adirondack marbles show that isotopic equilibrium was attained at the peak of granulite and upper amphibolite facies metamorphism. Thus the isotopic compositions of metamorphic fluids can be inferred from analyses of carbonates and fluid budgets can be constructed. Carbonates from the granulite facies are on average, isotopically similar to those from lower grade or unmetamorphosed limestones of the same age showing that no large isotopic shifts accompanied high grade metamorphism. Equilibrium calculations indicate that small decreases in ??18O, averaging 1 permil, result from volatilization reactions for Adirondack rock compositions. Additional small differences between amphibolite and granulite facies marbles are due to systematic lithologie differences. The range of Adirondack carbonate ??18O values (12.3 to 27.2) can be explained by the highly variable isotopic compositions of unmetamorphosed limestones in conjunction with minor 18O and 13C depletions caused by metamorphic volatilization suggesting that many (and possibly most) marbles have closely preserved their

  16. Verdine and glaucony facies from surficial sediments of the eastern continental margin of India

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, V.P.; Thamban, M.; Lamboy, M.

    -trioctahedral Fe-rich 1:l clay mineral. Clay Miner., 23: 237-247. Murthy, K.S.R., 1989. Seismic stratigraphy of Ongole-Paradip continental shelf East coast of India. Indian J. Mar. Sci., 16: 47-58. Murthy, K.S.R., Rao, T.C.S., Subramanyam, AS., Rao, M... at the continent- ocean boundary: the verdine facies. Clay Miner. 25: 477-483. Rao, K.M. and Rao, T.C.S., 1994. Holocene sea levels of Visakhapatnam shelf, East Coast of India. J. Geol. Sot. India, 44: 685-689. Rao, V.P., 1991. Clay mineral distribution...

  17. LA VALIDEZ PRIMA FACIE Y EL PRINCIPIO DE DERROTABILIDAD DE LAS NORMAS JURÍDICAS

    OpenAIRE

    GARCÍA-YZAGUIRRE, JOSÉ VÍCTOR

    2012-01-01

    El presente artículo pretende explorar las implicancias teóricas del concepto prima facie y como este se relaciona con el principio de derrotabilidad, el cual es aplicable para justificar el incumplimiento de un deber jurídico a causa del acatamiento de otro en un contexto en el que ambos son incompatibles entre sí. Partiremos desde su sustento conceptual analizando cuál es el rol y la importancia del contexto en el razonamiento jurídico hasta arribar a pautas concretas de cómo opera en la pr...

  18. Surgical-Orthodontic Treatment of Gummy Smile with Vertical Maxillary Excess

    Directory of Open Access Journals (Sweden)

    Sumit Kumar Yadav

    2014-01-01

    Full Text Available Vertical maxillary excess is a well-defined clinical entity with several treatment options available. Treatment of the condition requires extremely well-coordinated orthodontic and surgical treatment planning and execution. This case report describes a multidisciplinary approach in the successful management of a patient with severe vertical maxillary excess. Careful selection and good execution of a surgical-orthodontic treatment plan in the management of vertical maxillary excess provided the superior esthetic and functional results in this case. Maxillary Le Forte 1 procedure was performed for vertical maxillary impaction along with anterior segmental setback. The presented technique was unique as it shortened the treatment time and esthetic results in smile and vertical proportions were achieved.

  19. A New Anatomically Based Nomenclature for the Roots and Root Canals—Part 1: Maxillary Molars

    Directory of Open Access Journals (Sweden)

    Jojo Kottoor

    2012-01-01

    Full Text Available Numerous terminologies have been employed in the dental literature to describe the roots and root canal systems of maxillary molars. This multiplicity in naming of roots and canals makes the reader susceptible to misinterpretation and confusion. No consensus thus far has been arrived at for defining the names of roots and root canals in maxillary molars, including their various morphological aberrations. The anatomical relation of roots and their root canals were identified and were subsequently named based on definite sets of criteria. A new method for identification and naming of roots and root canal anatomy in maxillary molars, based on their root and canal relationship, was formulated and is presented in this paper. The nomenclature makes certain essential modifications to the traditional approach to accommodate naming of the various aberrations presented in the maxillary molars. A simple, yet extensive, nomenclature system has been proposed that appropriately names the internal and external morphology of maxillary molars.

  20. A new anatomically based nomenclature for the roots and root canals-part 1: maxillary molars.

    Science.gov (United States)

    Kottoor, Jojo; Albuquerque, Denzil Valerian; Velmurugan, Natanasabapathy

    2012-01-01

    Numerous terminologies have been employed in the dental literature to describe the roots and root canal systems of maxillary molars. This multiplicity in naming of roots and canals makes the reader susceptible to misinterpretation and confusion. No consensus thus far has been arrived at for defining the names of roots and root canals in maxillary molars, including their various morphological aberrations. The anatomical relation of roots and their root canals were identified and were subsequently named based on definite sets of criteria. A new method for identification and naming of roots and root canal anatomy in maxillary molars, based on their root and canal relationship, was formulated and is presented in this paper. The nomenclature makes certain essential modifications to the traditional approach to accommodate naming of the various aberrations presented in the maxillary molars. A simple, yet extensive, nomenclature system has been proposed that appropriately names the internal and external morphology of maxillary molars.

  1. [An adjustable distractor for transverse maxillary distraction osteogenesis].

    Science.gov (United States)

    Leyder, P; Wycisk, G; Quilichini, J

    2013-06-01

    The posterior skeletal widening in conventional distractions (Surgical Assisted Rapid Maxillary Expansion) is often modest, in contrast with a predominant anterior expansion. Until recently, it was not possible to consider transverse palatal distraction osteogenesis and Le Fort I impaction or advancement in the same procedure, as the osteosynthesis plates impeded maxillary anterior opening. We developed new sliding osteosynthesis plates allowing to perform an advancement or impaction Le Fort I osteotomy associated with a low-resistance bipartite palatal distraction osteogenesis. We had for aim to describe the device and to determine its clinical applications. This new palatal distractor is made up of two independent stainless steel jacks allowing for an adjustable distraction in the anterior or posterior area as needed. Bone-borne and tooth-borne versions are available. This new distractor can be adjusted sagittally. The distraction can be angular or parallel, and the distraction mode can be modified during post-operative distraction. This device should be adapted to all clinical presentations. It can be used in combination with sliding osteosynthesis to perform a Le Fort 1 osteotomy and at the same time a complete correction of vertical, horizontal, and sagittal deficiencies. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  2. [Sequence orthodontic treatment of impacted dilacerated maxillary central incisors].

    Science.gov (United States)

    Zheng, Yi; Pang, Xuannai; Nan, Lan; Mo, Shuixue

    2012-06-01

    To explore an effective orthodontic method for treating impacted dilacerated maxillary central incisors. 12 impacted teeth of 11 cases were chosen. The position of the impacted teeth and the relations with neighbour tissues were assessed by X-ray images, oral examination and plaster model, etc. The impacted teeth were induced to erupt with the closed-eruption technique and fixed orthodontic appliances, root canal therapy, apicoectomy and prosthetic treatment. 12 impacted teeth were moved into arches, and the occlusal relationship was normal. There were no root resorption or conglutination in those impacted teeth. The labial impacted teeth of nine cases had bigger labial crown torsion. The root apexes of four impacted teeth were palpable under mucosa of the labial sulcus and operated by root canal therapy and apicoectomy. One of them received prosthetic treatment. Others (five cases) hadn't accepted root canal therapy, and were observed temporarily. The effects of two palatal impacted teeth was stable. It was a good method to expand indication with sequence orthodontic treatment. The impacted dilacerated maxillary central incisors could be aligned with good esthetical and functional effect.

  3. Application of probabilistic facies prediction and estimation of rock physics parameters in a carbonate reservoir from Iran

    International Nuclear Information System (INIS)

    Karimpouli, Sadegh; Hassani, Hossein; Nabi-Bidhendi, Majid; Khoshdel, Hossein; Malehmir, Alireza

    2013-01-01

    In this study, a carbonate field from Iran was studied. Estimation of rock properties such as porosity and permeability is much more challenging in carbonate rocks than sandstone rocks because of their strong heterogeneity. The frame flexibility factor (γ) is a rock physics parameter which is related not only to pore structure variation but also to solid/pore connectivity and rock texture in carbonate reservoirs. We used porosity, frame flexibility factor and bulk modulus of fluid as the proper parameters to study this gas carbonate reservoir. According to rock physics parameters, three facies were defined: favourable and unfavourable facies and then a transition facies located between these two end members. To capture both the inversion solution and associated uncertainty, a complete implementation of the Bayesian inversion of the facies from pre-stack seismic data was applied to well data and validated with data from another well. Finally, this method was applied on a 2D seismic section and, in addition to inversion of petrophysical parameters, the high probability distribution of favorable facies was also obtained. (paper)

  4. Stratigraphy and facies development of the marine Late Devonian near the Boulongour Reservoir, northwest Xinjiang, China

    Science.gov (United States)

    Suttner, Thomas J.; Kido, Erika; Chen, Xiuqin; Mawson, Ruth; Waters, Johnny A.; Frýda, Jiří; Mathieson, David; Molloy, Peter D.; Pickett, John; Webster, Gary D.; Frýdová, Barbora

    2014-02-01

    Late Devonian to Early Carboniferous stratigraphic units within the 'Zhulumute' Formation, Hongguleleng Formation (stratotype), 'Hebukehe' Formation and the Heishantou Formation near the Boulongour Reservoir in northwestern Xinjiang are fossil-rich. The Hongguleleng and 'Hebukehe' formations are biostratigraphically well constrained by microfossils from the latest Frasnian linguiformis to mid-Famennian trachytera conodont biozones. The Hongguleleng Formation (96.8 m) is characterized by bioclastic argillaceous limestones and marls (the dominant facies) intercalated with green spiculitic calcareous shales. It yields abundant and highly diverse faunas of bryozoans, brachiopods and crinoids with subordinate solitary rugose corals, ostracods, trilobites, conodonts and other fish teeth. The succeeding 'Hebukehe' Formation (95.7 m) consists of siltstones, mudstones, arenites and intervals of bioclastic limestone (e.g. 'Blastoid Hill') and cherts with radiolarians. A diverse ichnofauna, phacopid trilobites, echinoderms (crinoids and blastoids) together with brachiopods, ostracods, bryozoans and rare cephalopods have been collected from this interval. Analysis of geochemical data, microfacies and especially the distribution of marine organisms, which are not described in detail here, but used for facies analysis, indicate a deepening of the depositional environment at the Boulongour Reservoir section. Results presented here concern mainly the sedimentological and stratigraphical context of the investigated section. Additionally, one Late Devonian palaeo-oceanic and biotic event, the Upper Kellwasser Event is recognized near the section base.

  5. Sedimentary facies and lithologic characters as main factors controlling hydrocarbon accumulations and their critical conditions

    Directory of Open Access Journals (Sweden)

    Jun-Qing Chen

    2015-10-01

    Full Text Available Taking more than 1000 clastic hydrocarbon reservoirs of Bohai Bay Basin, Tarim Basin and Junggar Basin, China as examples, the paper has studied the main controlling factors of hydrocarbon reservoirs and their critical conditions to reveal the hydrocarbon distribution and to optimize the search for favorable targets. The results indicated that the various sedimentary facies and lithologic characters control the critical conditions of hydrocarbon accumulations, which shows that hydrocarbon is distributed mainly in sedimentary facies formed under conditions of a long-lived and relatively strong hydrodynamic environment; 95% of the hydrocarbon reservoirs and reserves in the three basins is distributed in siltstones, fine sandstones, lithified gravels and pebble-bearing sandstones; moreover, the probability of discovering conventional hydrocarbon reservoirs decreases with the grain size of the clastic rock. The main reason is that the low relative porosity and permeability of fine-grained reservoirs lead to small differences in capillary force compared with surrounding rocks small and insufficiency of dynamic force for hydrocarbon accumulation; the critical condition for hydrocarbon entering reservoir is that the interfacial potential in the surrounding rock (Φn must be more than twice of that in the reservoir (Φs; the probability of hydrocarbon reservoirs distribution decreases in cases where the hydrodynamic force is too high or too low and when the rocks have too coarse or too fine grains.

  6. Seismic facies analysis from pre-stack data using self-organizing maps

    International Nuclear Information System (INIS)

    Kourki, Meysam; Ali Riahi, Mohammad

    2014-01-01

    In facies analysis, seismic data are clustered in different groups. Each group represents subsurface points with similar physical properties. Different groups can be related to differences in lithology, physical properties of rocks and fluid changes in the rocks. The supervised and unsupervised data clustering are known as two types of clustering architecture. In supervised clustering, the number of clusters is predefined, while in unsupervised clustering, a collection of patterns partitions into groups without predefined clusters. In this study, the pre-stack data clustering is used for seismic facies analysis. In this way, a horizon was selected from pre-stack data, followed by sorting of data using offset. A trace associated with each CDP is constructed, for which the first and second samples are related to the first and second offsets, respectively. The created trace is called consolidated trace which is characteristic of subsurface points. These consolidated traces are clustered by using self-organizing maps (SOM). In proposed pre-stack seismic data clustering, points with similar physical properties are placed in one cluster. Seismic data associated with hydrocarbon reservoirs have very different characteristics that are easily recognized. The efficiency of the proposed method was tested on both synthetic and real seismic data. The results showed that the algorithm improves the data classification and the points of different properties are noticeable in final maps. (paper)

  7. Facies-related fracturing in turbidites: insights from the Marnoso-Arenacea Fm. (Northern Apennines, Italy)

    Science.gov (United States)

    Ogata, Kei; Storti, Fabrizio; Balsamo, Fabrizio; Bedogni, Enrico; Tinterri, Roberto; Fetter, Marcos; Gomes, Leonardo; Hatushika, Raphael

    2016-04-01

    Natural fractures deeply influence subsurface fluid flow, exerting a primary control on resources like aquifers, hydrocarbons and geothermal reservoirs, and on environmental issues like CO2 storage and nuclear waste disposal. In layered sedimentary rocks, depositional processes-imprinted rock rheology favours the development of both mechanical anisotropy and heterogeneity on a wide range of scales, and are thus expected to strongly influence location and frequency of fractures. To better constrain the contribution of stratigraphic, sedimentological and petrophysical attributes, we performed a high-resolution, multidisciplinary study on a selected stratigraphic interval of jointed foredeep turbidites in the Miocene Marnoso-arenacea Formation (Northern Apennines, Italy), which are characterised by a great lateral and vertical variability of grain-size and depositional structures. Statistical relationships among field and laboratory data significantly improve when the single facies scale is considered, and, for similar facies recording different evolutionary stages of the parent turbidity currents, we observed a direct correlation between the three-dimensional anisotropies of rock hardness tensors and the normalized fracture frequencies, testifying for the primary sedimentary flow-related control on fracture distributions.

  8. [First trimester screening for Down syndrome at Prima facie. A 6-year survey].

    Science.gov (United States)

    Roth, P; Bernard, J-P; Meyer, V; Beaujard, M-P; Salomon, L-J; Ville, Y

    2016-02-01

    To evaluate the results of screening for trisomy 21 by the combined risk of first trimester (as defined by the decree of June 23, 2009) in the Prima facie structure. Single center study involving all patients that were seen for first trimester screening at Prima facie with singleton living pregnancy, not obtained by embryo donation, between 1 January 2009 and 31 December 2014. Eighteen thousand two hundred and fifty-one patients were included, of which underwent screening for trisomy 21 by the combined risk. One thousand and forty-six (6.1%) had a calculated risk higher than 1/250. Seventy-five were affected by trisomy 21, of whom 65 in the high risk group. The sensitivity and specificity of screening are 86.7% and 94.4%. The median nuchal translucency was 0.98 MoM. Screening for trisomy 21 by calculating the combined risk of first trimester enabled to detect 86.7% of trisomy 21 with a false positive rate of 5.6%. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  9. HIV status: the prima facie right not to know the result.

    Science.gov (United States)

    Chan, Tak Kwong

    2016-02-01

    When a patient regains consciousness from Cryptococcus meningitis, the clinician may offer an HIV test (in case it has not already been done) (scenario 1) or offer to tell the patient his HIV status (in case the test has already been performed with a positive result while the patient was unconscious) (scenario 2). Youngs and Simmonds proposed that the patient has the prima facie right to refuse an HIV test in scenario 1 but not the prima facie right not to be told the HIV status in scenario 2. I submit that the claims to the right of refusal in both scenarios are similarly strong as they should both be grounded in privacy, self determination or dignity. But a conscientious agent should bear in mind that members of the public also have the right not to be harmed. When the circumstance allows, a proper balance of the potential benefits and harm for all the competing parties should guide the clinical decision as to whose right should finally prevail. Where a full ethical analysis is not possible, the presumption should favour respecting the patient's right of refusal in both scenarios. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  10. Facies analysis, sedimentology and paleocurrent of the quaternary nenering formation, Pengkalan Hulu, Malaysia

    International Nuclear Information System (INIS)

    Yuniarti Ulfa; Evonne Hooi Rong Yu; Ooi Cheng Kit

    2014-01-01

    Nenering Formation is essentially made up of semi-consolidated sediments, which are divided into basal conglomerate beds, conglomeratic sandstone, cross-bedded sandstone, and siltstone to muddy layers facies. It is overlie unconformable to the Berapit Formation, but conformable to the Kroh and Grik Formations. The stratigraphy of Nenering Formation is a fining upwards sequence where the thickness of conglomerate beds become thinner upwards and become thicker for conglomeratic sandstone. The thickness varies from 0.5 m to tenths of meters. The more sandy in the upper portion (cross-bedded sandstone) overlie with thin siltstone and mud stone facies. The clast and grain composition suggested that the material making up the sedimentary sequence were derived predominantly from the erosion of granitoid rocks and sedimentary and metamorphic rocks constitute a minor provenance. Imbrications and the trend sizes of clasts indicate that the paleo-current flow toward northeast. Cross bedding that was found in conglomerate and sandstone indicates the main channel depositional environment. The sequence stratigraphy of this area match with the Saskatchewan fluvial braided channel model. (author)

  11. Sedimentary facies and depositional environments of early Mesozoic Newark Supergroup basins, eastern North America

    Science.gov (United States)

    Smoot, J.P.

    1991-01-01

    The early Mesozoic Newark Supergroup consists of continental sedimentary rocks and basalt flows that occupy a NE-trending belt of elongate basins exposed in eastern North America. The basins were filled over a period of 30-40 m.y. spanning the Late Triassic to Early Jurassic, prior to the opening of the north Atlantic Ocean. The sedimentary rocks are here divided into four principal lithofacies. The alluvial-fan facies includes deposits dominated by: (1) debris flows; (2) shallow braided streams; (3) deeper braided streams (with trough crossbeds); or (4) intense bioturbation or hyperconcentrated flows (tabular, unstratified muddy sandstone). The fluvial facies include deposits of: (1) shallow, ephemeral braided streams; (2) deeper, flashflooding, braided streams (with poor sorting and crossbeds); (3) perennial braided rivers; (4) meandering rivers; (5) meandering streams (with high suspended loads); (6) overbank areas or local flood-plain lakes; or (7) local streams and/or colluvium. The lacustrine facies includes deposits of: (1) deep perennial lakes; (2) shallow perennial lakes; (3) shallow ephemeral lakes; (4) playa dry mudflats; (5) salt-encrusted saline mudflats; or (6) vegetated mudflats. The lake margin clastic facies includes deposits of: (1) birdfoot deltas; (2) stacked Gilbert-type deltas; (3) sheet deltas; (4) wave-reworked alluvial fans; or (5) wave-sorted sand sheets. Coal deposits are present in the lake margin clastic and the lacustrine facies of Carnian age (Late Triassic) only in basins of south-central Virginia and North and South Carolina. Eolian deposits are known only from the basins in Nova Scotia and Connecticut. Evaporites (and their pseudomorphs) occur mainly in the northern basins as deposits of saline soils and less commonly of saline lakes, and some evaporite and alkaline minerals present in the Mesozoic rocks may be a result of later diagenesis. These relationships suggest climatic variations across paleolatitudes, more humid to the

  12. Investigation of Facies Types and Associations of Kuhlan Red Bed Formation in NW Yemen: A New Hypothesis for Origin and Depositional Environment

    Directory of Open Access Journals (Sweden)

    Mohammed A. Al-Wosabi

    2006-06-01

    Full Text Available Varieties of thirteen facies types were recognized in the Kuhlan Formation represented by red bed siliciclastic sequences of argillaceous sediments. Examination of the Kuhlan stratigraphic column included sequence relationships, lithology, sedimentary characters, structures and petrography of the dominant rock types. These facies types are grouped in three distinct associations of facies. The lower unit A comprises association of facies (Distal turbidites represented by alternates of turbidity sequences including sandstone, siltstone and thick shale beds. These facies types confirm a regressive depositional environment in deep marine shelf conditions. There are three facies types which are identified as massive sandstone, cross-bedded sandstone and pebbly sandstone facies. The middle unit B association of facies (Proximal turbedites represents glaciomarine sequences displaying high lateral and vertical facies changes of glacioturbidite sediment alternates with diamictites and tillite beds. The sequences are affected by eustatic and eustatism of the glacial advance and retreat. This unit B includes eight types of facies. These are identified as; tillite, massive diamictites, stratified diamictites, laminated siltstone/shale, deformed siltstone/mudstone, graded rhythmic siltstone, massive conglomerate and cross-stratified sandy conglomerate facies. The upper unit C association of facies is represented by shallow marine shelf sequences displaying very thick massive and locally cross-bedded sand bar sandstone overlying the laminated siltstone/shale interbeds. The upward gradual changes in mineralogical composition and color confirms the start of marine transgression and later deposited platform Amran Group. Mineralogical composition of Kuhlan sandstone displays impure dirty rocks consisting of more than 30% of argillaceous matrix, 50% of cristobalite and quartz grains, more than 10% of ferruginous cement and 10% of detrital iron oxide grains, potash

  13. Perpendicular serial maxillary distraction osteogenesis in cleft lip and palate patients.

    Science.gov (United States)

    Ylikontiola, Leena P; Sándor, George K; Harila, Virpi

    2015-01-01

    Cleft lip and palate patients often have a retruded maxilla with a severely narrowed deficient maxillary arch. This report aims to describe the management of severe maxillary retrusion and constriction in cleft lip and palate patients using distraction osteogenesis applied in serial sequence in two directions perpendicular to each other. Two adult male cleft lip and palate patients were treated with maxillary distraction osteogenesis in two stages. In the first stage, surgically assisted rapid palatal expansion with a tooth-borne device was performed to significantly expand the maxillary arch in the transverse dimension. After the teeth were orthodontically aligned, the horizontal distraction of the maxilla was made by two internal maxillary distraction devices. In the first patient, the maxilla was initially widened by 11 mm and then distracted forward by 20 mm. Despite the breakage of the shaft of one of the two distractors at the end of distraction, a satisfactory occlusion was found at the time of distractor device removal. The maxillary position has remained stable through 8 years of follow-up. In the second patient, the palate was widened by 14 mm and the maxilla was distracted forward by 22 mm. The maxillary position has remained stable through 3 years of follow-up. Sequential serial distraction of maxilla in two planes perpendicular to each other is a safe and stable approach for the treatment of cleft lip and palate patients with severe transverse and anteroposterior discrepancies.

  14. Transpalatal distraction for the management of maxillary constriction in pediatric patients.

    Science.gov (United States)

    Adolphs, Nicolai; Ernst, Nicole; Hoffmeister, Bodo; Raguse, Jan-Dirk

    2015-01-01

    The management of severe maxillary constriction can be challenging. For that purpose surgically assisted maxillary expansion by transpalatal distraction (TPD) can typically be recommended after skeletal maturity. However in selected cases bone borne transpalatal distraction devices can contribute to improve maxillary constriction considerably earlier already during mixed dentition. To assess the possibility of bone borne transpalatal distraction in pediatric patients. Clinical paper. Since 2010 TPD has been applied to six pediatric patients during mixed dentition when severe maxillary constriction was present and conventional orthodontic widening has already failed. Individually selected devices (Surgitec, Belgium) were inserted in general anaesthesia and distraction was performed according to well known parameters. Maxillary constriction could be improved in all six patients without any drawbacks by bone borne devices during mixed dentition. Skeletal conditions were obviously improved for subsequent orthodontic or orthognathic therapy without functional impairment. Follow-up is up to 36 months after device removal. Transpalatal Distraction is recommendable in selected pediatric patients if massive growth disturbance is present or has to be expected. TPD allows for individually adapted maxillary expansion by selection and positioning of appropriate devices in combination with intraoperative testing of maxillary movements and controlled bone removal.

  15. Maxillary sinusitis and periapical abscess following periodontal therapy: a case report using three-dimensional evaluation.

    Science.gov (United States)

    Huang, Chih-Hao; Brunsvold, Michael A

    2006-01-01

    Maxillary sinusitis may develop from the extension of periodontal disease. In this case, reconstructed three-dimensional images from multidetector spiral computed tomographs were helpful in evaluating periodontal bony defects and their relationship with the maxillary sinus. A 42-year-old woman in good general health presented with a chronic deep periodontal pocket on the palatal and interproximal aspects of tooth #14. Probing depths of the tooth ranged from 2 to 9 mm, and it exhibited a Class 1 mobility. Radiographs revealed a close relationship between the root apex and the maxillary sinus. The patient's periodontal diagnosis was localized severe chronic periodontitis. Treatment of the tooth consisted of cause-related therapy, surgical exploration, and bone grafting. A very deep circumferential bony defect at the palatal root of tooth #14 was noted during surgery. After the operation, the wound healed without incidence, but 10 days later, a maxillary sinusitis and periapical abscess developed. To control the infection, an evaluation of sinus and alveolus using computed tomographs was performed, systemic antibiotics were prescribed, and endodontic treatment was initiated. Two weeks after surgical treatment, the infection was relieved with the help of antibiotics and endodontic treatment. Bilateral bony communications between the maxillary sinus and periodontal bony defect of maxillary first molars were shown on three-dimensional computed tomographs. The digitally reconstructed images added valuable information for evaluating the periodontal defects. Three-dimensional images from spiral computed tomographs (CT) aided in evaluating and treating the close relationship between maxillary sinus disease and adjacent periodontal defects.

  16. Preoperative Cleft Lip Measurements and Maxillary Growth in Patients With Unilateral Cleft Lip and Palate.

    Science.gov (United States)

    Antonarakis, Gregory S; Tompson, Bryan D; Fisher, David M

    2016-11-01

    Maxillary growth in patients with cleft lip and palate is highly variable. The authors' aim was to investigate associations between preoperative cleft lip measurements and maxillary growth determined cephalometrically in patients with complete unilateral cleft lip and palate (cUCLP). Retrospective cross-sectional study. Children with cUCLP. Preoperative cleft lip measurements were made at the time of primary cheiloplasty and available for each patient. Maxillary growth was evaluated on lateral cephalometric radiographs taken prior to any orthodontic treatment and alveolar bone grafting (8.5 ± 0.7 years). The presence of associations between preoperative cleft lip measurements and cephalometric measures of maxillary growth was determined using regression analyses. In the 58 patients included in the study, the cleft lateral lip element was deficient in height in 90% and in transverse width in 81% of patients. There was an inverse correlation between cleft lateral lip height and transverse width with a β coefficient of -0.382 (P = .003). Patients with a more deficient cleft lateral lip height displayed a shorter maxillary length (β coefficient = 0.336; P = .010), a less protruded maxilla (β coefficient = .334; P = .008), and a shorter anterior maxillary height (β coefficient = 0.306; P = .020) than those with a less deficient cleft lateral lip height. Patients with cUCLP present with varying degrees of lateral lip hypoplasia. Preoperative measures of lateral lip deficiency are related to later observed deficiencies of maxillary length, protrusion, and height.

  17. CT analyses of the location of the maxillary third molar in relation to panoramic radiographic appearance

    International Nuclear Information System (INIS)

    Obayashi, Naofumi; Ariji, Yoshiko; Goto, Masakazu; Izumi, Masahiro; Naitoh, Munetaka; Kurita, Kenichi; Shimozato, Kazuo; Ariji, Eiichiro

    2009-01-01

    We compared the relationship between anatomical structures analyzed by panoramic radiographs and CT images of uninfected impacted maxillary third molars and investigated the pathway of infection originating from pericoronitis of maxillary third molars. Patients (n=62) with uninfected impacted maxillary third molars and patients (n=8) with odontogenic infection originating from pericoronitis of the maxillary third molars were selected from an image database. CT and panoramic images were evaluated separately by an oral surgeon and a radiologist for the vertical position of the tooth, the presence of bone around the crown, proximity to the maxillary sinus, visibility of masticatory muscles, and mesiodistal and buccopalatal inclinations. In uninfected patients, a significant correlation was observed between the vertical positions evaluated by the two methods. Of the third molars, 79 (63.7%) were identified as vertical type on both panoramic and CT images. Regarding the maxillary sinus, of the 19 molars classified as the separate type on panoramic images, 2 (10.5%) were identified as the close type on CT. CT examination revealed the involvement of buccal cortical plates and the buccal space in the majority of infected patients. CT images revealed that 94 molars (75.8%) showed vertical type on the buccopalatal inclination and that 45 impacted molars (36.3%) showed bone defects in the buccal area. Infections originating from pericoronitis of the maxillary third molar showed involvement of the buccal cortical plates, the buccal space, and other spaces, which were clearly depicted on CT images. (author)

  18. Bilateral en-masse distalization of maxillary posterior teeth with skeletal anchorage: a case report

    Directory of Open Access Journals (Sweden)

    Saeed Noorollahian

    Full Text Available ABSTRACT Objective: The aim of this study was to introduce a new method for bilateral distal movement of the entire maxillary posterior segment. Case report: A 17-year-old girl with Class I skeletal malocclusion (end-to-end molar relationships, deviated midline and space deficiency for left maxillary canine was referred for orthodontic treatment. She did not accept maxillary first premolars extraction. A modified Hyrax appliance (Dentaurum Ispringen, Germany was used for bilateral distalization of maxillary posterior teeth simultaneously. Expansion vector was set anteroposteriorly. Posterior legs of Hyrax were welded to first maxillary molar bands. All posterior teeth on each side consolidated with a segment of 0.017 × 0.025-in stainless steel wire from the buccal side. Anterior legs of Hyrax were bent into eyelet form and attached to the anterior palate with two mini-screws (2 × 10 mm (Jeil Medical Corporation Seoul, South Korea. Hyrax opening rate was 0.8 mm per month. Lateral cephalometric radiographs were used to evaluate the extent of distal movement. 3.5-mm distalization of posterior maxillary teeth was achieved in five months. Results: A nearly bodily distal movement without anchorage loss was obtained. Conclusion: The mini-screw-supported modified Hyrax appliance was found to be helpful for achieving en-masse distal movement of maxillary posterior teeth.

  19. The Upper Permian sandstones of Mountains Mecsek: form elements of uranium ore mineralization and facies relations Pt. 2

    International Nuclear Information System (INIS)

    Vincze, Janos; Somogyi, Janos

    1984-01-01

    The ore mineralization in the Upper Permian sandstones of Mountais Mecsek, Hungary, was brought about at the oxidation-reduction front between the grey and red sandstones; the predominant rock colour here is green. The sandstones of different colour are oxidation-reduction species. The formation is a megacycle containing in its core grey sandstones of reduced state with coalified plant remains and in its mantle oxidized red sandstones. Uranium accumulates mainly in the transitional green facies. Uranium content gets enriched to a commercial concentration only if the difference in potential of neighbouring beds is in the range of 400-480 mV. The relationship between organic matter and uranium content in the individual facies is shown. The principles of oxidation-reduction processes in the formation of boundary facies are discussed. (V.N.)

  20. An Analysis of Maxillary Anterior Teeth Dimensions for the Existence of Golden Proportion: Clinical Study.

    Science.gov (United States)

    Sandeep, Nalla; Satwalekar, Parth; Srinivas, Siva; Reddy, Chandra Sekhar; Reddy, G Ramaswamy; Reddy, B Anantha

    2015-09-01

    Appearance of the face is a great concern to everyone, as it is a significant part of self-image. The study analyzed the clinical crown dimensions of the maxillary anterior teeth with respect to their apparent mesiodistal widths, width-to-height ratio to determine whether golden proportion existed among the South Indian population. A total of 240 dentulous subjects were chosen for the study (120 males and 120 females) age ranging between 18 and 28 years. Full face and anterior teeth images of the subjects were made on specially designed device resembling a face-bow, mounted onto the wall under a standard light source. The width and height of the maxillary central incisors were measured on the stone casts using a digital caliper. The mean perceived maxillary lateral incisor to central incisor width ratio was 0.67 in males and 0.703 in females. The mean perceived maxillary canine to lateral incisor width ratio was 0.744 in males and 0.714 in females. The mean width-to-height ratio of the maxillary central incisor was 79.49% in males and 79.197% in females. The golden proportion was not found between perceived mesiodistal widths of maxillary central and lateral incisors and nor between perceived mesiodistal widths of maxillary lateral incisors and canines. In the majority of subjects, the width-to-height ratio of maxillary central incisor was within 75-80%. There are no statistically significant differences in maxillary anterior teeth proportions between males and females. The results may serve as guidelines for treatment planning in restorative dentistry and periodontal surgery.

  1. Establishment of sexual dimorphism in north indian population by odontometric study of permanent maxillary canine teeth

    Directory of Open Access Journals (Sweden)

    Shalini Gupta

    2014-01-01

    Full Text Available Aim: To investigate whether sexual dimorphism can be established by odontometric study of permanent maxillary canine teeth as well as inter-canine width in north Indian population. Study Design: The study was carried out at department of oral and maxillofacial pathology, King George′s Medical University, Lucknow, India on students and patients reporting at OPD. Out of total 180 subjects examined 90 subjects were female and 90 were male. Impressions of the upper arch were made using alginate and casts poured in dental stone. The mesiodistal diameter (MD of the crown of permanent maxillary canine both on right and left sides and inter-canine width were measured. From these measurements, maxillary canine index was calculated. The percentage of sexual dimorphism (SD was assessed for all the parameters. Results: In the present study, the MD of maxillary canine for both right (P = 0.001 and left side (P = 0.005 was significantly higher among male subjects than females, Similar observation was found for inter-canine width too (P = 0.0001. However, the maxillary canine index for right and left was almost similar (P > 0.05 for both male and female subjects. The SD in right and left MDs of maxillary canine was 4.2% and 3.6% respectively. For, inter-canine width it was maximum (13.7%. However, SD in right and left canine index showed negative values (−2.1% and -0.9% respectively. Conclusion: There was SD in MD and inter-canine width of permanent maxillary canine teeth. SD was more on right permanent maxillary canine teeth than left permanent maxillary canine.

  2. Patient satisfaction with maxillary 3-implant overdentures using different attachment systems opposing mandibular 2-implant overdentures.

    Science.gov (United States)

    Al-Zubeidi, Mohammed I; Alsabeeha, Nabeel H M; Thomson, W Murray; Payne, Alan G T

    2012-05-01

    Patient-based outcomes with maxillary overdentures on a minimum number of implants, opposing mandibular 2-implant overdentures are not evident in the literature. To evaluate patient's satisfaction with maxillary 3-implant overdentures, opposing mandibular 2-implant overdentures, using two different attachment systems over the first 2 years of service. Forty participants wearing mandibular 2-implant overdentures for 3 years were randomly allocated to one of two similar implant system groups to receive maxillary 3-implant overdentures. Twenty participants were allocated to splinted and unsplinted attachment system treatment groups for each system. Patient satisfaction with pre-treatment complete maxillary dentures, with maxillary 3-implant overdentures at baseline and annually for 2 years, was measured using visual analogue scale questionnaires and the oral health impact profiles. Palatal coverage of the maxillary overdentures was reduced at the first annual recall. Data showed significant improvement in pain reduction, comfort, stability, and function variables of the visual analogue scale after treatment. Analysis by prosthodontic design using visual analogue scale showed no significant difference. The total oral health impact profile-14 scores after treatment for all participants, regardless of prosthodontic design, were significantly lower (more satisfied). The overall oral health impact profile-20E score at baseline was significantly higher (more satisfied) compared with pre-treatment conventional maxillary dentures. No significant changes were observed in the first or second years compared with baseline results. Twenty-two participants (84.6%) preferred reduced palatal coverage, regardless of prosthodontic design, after 1 year. Twenty participants (76.9%) still preferred reduced palatal coverage at the end of the second year. The provision of maxillary 3-implant overdentures to oppose mandibular 2-implant overdentures significantly improve levels of patient

  3. Lacustrine sedimentation and facies model for the last 45,000 yr in Chalco basin. Central Mexico

    Science.gov (United States)

    Ortega, B.; Lozano, S.; Caballero, M.; Herrera, D.

    2013-05-01

    Chalco basin in central Mexico (19° 15' N, 98° 58' W, 2200 m asl) is one of the most detailed lake sediment sequence analyzed in Mexico for paleoclimatic and paleoenvironmental studies. In this former lake, five drill cores up to 27 m depth were recovered in 1987-1989 by the UNAM team, and three cores covering most of the former sequence were obtained in 2008 and 2011. The upper 27 m of the Chalco lacustrine sequence contains the record of the last 45 kyr climate history in the northern American tropics. The active tectonic and volcanic setting of Chalco Lake in the Trans-Mexican Volcanic Belt, provides an opportunity to evaluate environmental (volcanic + tectonic vs. climatic) controls on lacustrine sedimentation. The establishment of a detailed time scale by 14C in pollen extracts provides an accurate chronological control. The stratigraphical and sedimentological analyses presented here provided the recognition of depositional environments and the architecture of the upper lacustrine succession. Sedimentary facies were defined on the basis of sedimentological descriptions, microscopic observation and compositional analyses. According to compositional criteria, facies were identified and groped into two main categories according to compositional criteria: 1) detrital and volcaniclastic, and 2) biogenic facies. The clastic facies includes massive to laminated, silty and clayey sediments composed of clay minerals, feldspars, amphiboles with minor amounts of quartz, opaque minerals and calcite. Diatoms are the most common biological remains in all the clastic facies. Most of the volcaniclastic deposits correspond to fall-out deposits, some of them of well documented eruptions of the nearby large stratovolcanoes Popocatepetl and Nevado de Toluca, which in turn serve as stratigraphical markers. The biogenic facies are massive to finely laminated diatom ooze and ostracod ooze layers. The sedimentary architecture of the lacustrine succession has been controlled by

  4. Orthodontic Treatment of Maxillary Incisors with Severe Root Resorption Caused by Bilateral Canine Impaction in a Class II Division 1 Patient.

    Science.gov (United States)

    Chang, Na-Young; Park, Jae Hyun; Lee, Mi-Young; Cho, Jin-Woo; Cho, Jin-Hyoung; An, Ki-Yong; Chae, Jong-Moon

    2016-01-01

    This case report shows the successful alignment of bilateral impacted maxillary canines. A 12-year-old male with the chief complaint of the protrusion of his maxillary anterior teeth happened to have bilateral maxillary canine impaction on the labial side of his maxillary incisors. Four maxillary incisors showed severe root resorption because of the impacted canines. The patient was diagnosed as skeletal Class II malocclusion with proclined maxillary incisors. The impacted canine was carefully retracted using sectional buccal arch wires to avoid further root resorption of the maxillary incisors. To distalize the maxillary dentition, two palatal miniscrews were used. After 25 months of treatment, the maxillary canines were well aligned without any additional root resorption of the maxillary incisors.

  5. Five years experience with a new intraoral maxillary distraction device (RID).

    Science.gov (United States)

    Picard, Arnaud; Diner, Patrick A; Galliani, Eva; Tomat, Catherine; Vazquez, Ma rie Paule; Carls, Friedrich P

    2011-10-01

    Maxillary distraction osteogenesis is well established for the treatment of severe retromaxilla. We report our experience since 2004 of the treatment of 19 patients using a new intraoral maxillary distraction device. Maxillary advancement was successful in all patients with mean advancement of 9.6mm (range 4-17) measured at a point in lateral cephalograms. The new device limited surgical exposure and the amount of materials implanted, and improved control in every phase of the distraction. It was psychologically accepted by patients and was more comfortable than existing devices. Copyright © 2010 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  6. Comparison of relationship between antral floor and maxillary root apex in bisecting and panoramic techniques

    International Nuclear Information System (INIS)

    You, Dong Soo; Kim, In Soo

    1986-01-01

    This study was performed to compare the difference of intraoral bisecting and panoramic techniques in evaluating the relationship of antral floor and maxillary roots. The vertical distances form maxillary root apices to antral floor were measured on both orthopantomograms and bisecting projections obtained form fifth subjects. The results were as follows: 1. Tooth lengths measured on orthopantomogram were larger than on bisecting projection and the magnification ratios were 1.08-1.17. 2. The dimensions from maxillary root apices to antral floor measured on orthopantomogram were larger than on bisecting projection. 3. The above results held true regardless of age and sex.

  7. Two-rooted maxillary first molars with two canals: a case series.

    Science.gov (United States)

    Shakouie, Sahar; Mokhtari, Hadi; Ghasemi, Negin; Gholizadeh, Seddigheh

    2013-01-01

    Thorough understanding of the anatomic and internal morphology of a root canal system is absolutely essential for the success of endodontic treatment. Since permanent maxillary first molars have shown variation in internal anatomy, morphology, this tooth has been reviewed extensively. Presence of two canals in a two-rooted maxillary first molar has rarely been reported in studies describing tooth and root canal anatomies. In this report, three cases are presented, which involve the root canal treatment of maxillary first molars with fusion of the two buccal roots.

  8. Combined orthodontic-restorative management of maxillary central incisors lost following traumatic injury: a case report.

    Science.gov (United States)

    Fleming, Padhraig S; Seehra, Jadbinder; Dibiase, Andrew T

    2011-01-01

    A history of traumatic dental injury to the maxillary central incisors during preadolescence or adolescence is common and may result in premature loss. Treatment options include prosthetic implant replacement, autotransplantation, and orthodontic space closure with direct composite recontouring. This case report describes the treatment of an adolescent girl who presented with a crowded Class I malocclusion complicated by a history of trauma to the maxillary central incisors. The treatment plan consisted of orthodontic space closure following loss of both maxillary central incisors and mandibular premolars. This case highlights that orthodontic space closure can be a valuable treatment option in selected Class I crowded and Class II uncrowded malocclusions, producing predictable and efficient results.

  9. EPITHELIAL MYOEPITHELIAL CARCINOMA OF MAXILLARY SINUS —A DIAGNOSTIC DILEMMA

    OpenAIRE

    Rajeev Sen; Sumiti Gupta; Kanika Taneja; Nisha Marwah; Sonia Chhabra; Sonia Hasija

    2015-01-01

    Epithelial – Myoepithelial Carcinoma (EMC) is a rare malignant salivary gland neoplasm that most commonly occurs in the Parotid gland, but can also arise in the Minor Salivary Glands. EMC of the maxillary sinus extremely rare. We describe here a case of a 74-year-old patient who presented with maxillary swelling for 4months and nasal discharge for 3 months. Computed Tomography Scan revealed an expansile soft tissue mass in the left maxillary sinus eroding all its walls. In View of high sus...

  10. A case report of an inverted papilloma infiltrating into maxillary sinus

    International Nuclear Information System (INIS)

    Ji, Yong Hwa; Choi, Bo Ram; Huh, Kyung Hoe; Lee, Sam Sun; An, Chang Hyeon

    2009-01-01

    The present study reports a case of inverted papilloma of the nasal cavity and infiltrating into the maxillary sinus. Inverted papilloma is an uncommon and locally aggressive benign tumor of the sinonasal region. The patient, 51-year-old male, presented with unilateral nasal obstruction and periodic swelling on the palate without pain. Enhanced CT scan revealed a heterogeneously enhancing solid mass in the nasal cavity and infiltrating into the right maxillary sinus, as well as an incidental, secondarily infected residual cyst in the periapical area of the right maxillary canine. The sinonasal mass was revealed as an inverted papilloma on histopathologic examination.

  11. A case report of an inverted papilloma infiltrating into maxillary sinus

    Energy Technology Data Exchange (ETDEWEB)

    Ji, Yong Hwa; Choi, Bo Ram; Huh, Kyung Hoe; Lee, Sam Sun [School of Dentistry, Seoul National University, Seoul (Korea, Republic of); An, Chang Hyeon [Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyungpook National University, Daegu (Korea, Republic of)

    2009-06-15

    The present study reports a case of inverted papilloma of the nasal cavity and infiltrating into the maxillary sinus. Inverted papilloma is an uncommon and locally aggressive benign tumor of the sinonasal region. The patient, 51-year-old male, presented with unilateral nasal obstruction and periodic swelling on the palate without pain. Enhanced CT scan revealed a heterogeneously enhancing solid mass in the nasal cavity and infiltrating into the right maxillary sinus, as well as an incidental, secondarily infected residual cyst in the periapical area of the right maxillary canine. The sinonasal mass was revealed as an inverted papilloma on histopathologic examination.

  12. Maxillary canine impactions related to impacted central incisors: two case reports.

    Science.gov (United States)

    Bayram, Mehmet; Ozer, Mete; Sener, Ismail

    2007-09-01

    The purpose of this case report is to describe the combined surgical and orthodontic treatment of two cases with an impacted maxillary central incisor and canine in the same quadrant and to discuss the causal relationship between them. The most common causes of canine impactions are usually the result of one or more factors such as a long path of eruption, tooth size-arch length discrepancies, abnormal position of the tooth bud, prolonged retention or early loss of the deciduous canine, trauma, the presence of an alveolar cleft, ankylosis, cystic or neoplastic formation, dilaceration of the root, supernumerary teeth, and odontomas. Although impaction of the maxillary central incisor is almost as prevalent as impacted canines its etiology is different. The principal factors involved in causing the anomaly are supernumerary teeth, odontomas, and trauma. Case #1: A 10.5-year-old girl in the early mixed dentition stage presented with a chief complaint of the appearance of her anterior teeth. She had a Class I skeletal pattern and a history of trauma to the maxillary central incisors at age five with premature exfoliation. Radiographs revealed an impacted upper right central incisor in the region of the nasal floor, delayed eruption of the maxillary permanent central incisor, and the adjacent lateral incisor was inclined toward the edentulous space. Treatment was done in two stages consisting of surgical exposure and traction of the impacted central incisor and fixed orthodontic treatment. Case #2: An 11.5-year-old girl presented for orthodontic treatment with the chief complaint of an unerupted tooth and the appearance of her upper anterior teeth. She was in the late mixed dentition period with a Class III skeletal pattern along with an anterior cross-bite with some maxillary transverse deficiency. The maxillary right canine and central incisor were absent, but the maxillary right deciduous canine was still present. Treatment included arch expansion followed by

  13. Early Eruption of Maxillary Pre Molar with Turner's Hypoplasia in a 5-Year-Old Boy.

    Science.gov (United States)

    Rai, Nitya; Mathur, Shivani; Sandhu, Meera; Sachdev, Vinod

    2016-08-01

    Early eruption of permanent maxillary premolar appears to be a unique finding, at such an early chronological age. Untimely eruption of permanent maxillary premolar is discussed in a 5-year-old male patient. On intra oral examination grossly carious primary maxillary first molar (tooth number 54,64) were reported. The erupting teeth presented with a hypomineralized cusp tip. Extraction following space maintainer in 64 region was given. Pediatric dentist should consider these kinds of rarities in eruption pattern while examining a pediatric patient.

  14. REVIEW OF NASAL CHANGES WITH MAXILLARY ORTHOGNATHIC SURGERY

    Directory of Open Access Journals (Sweden)

    Leila KHAMASHTA-LEDEZMA

    2017-02-01

    Full Text Available This article reviews the literature on nasal changes with maxillary orthognathic surgery. Understanding such changes is vital for surgical planning and for obtaining appropriate informed consent, and there are medico-legal implications. During orthognathic surgical planning a prediction of the effects of the different surgical movements is possible and this forms part of the basis of the planning stage. The predicted changes need to be identified and their desirability or not for each individual patient determined. Some techniques for managing undesirable nasal changes are discussed, including adjunct measures to minimize these potential effects (e.g. cinch sutures, and additional surgical procedures to manage the undesired nasal changes once they are produced.

  15. Management of an Unusual Ectopic Eruption of Maxillary Canine.

    Science.gov (United States)

    Aileni, Kaladhar Reddy; Rachala, Madhukar Reddy; Prathima, Chintakunta Reddy; Naveen, Pitalla Kumar; Soujanya, Donthula

    2017-05-01

    Transposition of teeth is a rare condition, with a prevalence of 0.3-0.4% in general population. They are more commonly observed in females, and may occur unilaterally/bilaterally with greater frequency of left side occurrence in unilateral transposition cases. A 17-year-old female patient reported with the chief complaint of unaesthetic smile. On clinical examination the patient was diagnosed with Angle's class I malocclusion with an ectopically erupted maxillary left canine labial to the left central incisor with retained deciduous canine. The treatment plan decided was to extract the retained deciduous canine, level and align the ectopic canine using an R-loop. The treatment for the patient was finished in 14 months and was retained using a fixed lingual retainer in the upper and lower arches.

  16. Regenerative Endodontic Treatment of a Maxillary Mature Premolar

    Directory of Open Access Journals (Sweden)

    Qingan Xu

    2018-01-01

    Full Text Available Regenerative endodontic treatment was performed on a mature maxillary premolar diagnosed as chronic pulpitis. The root canals were chemomechanically prepared and placed intracanal medicaments at the first appointment. Then 2 weeks later, a blood clot was created in the canals, over which mineral trioxide aggregate was placed. At 6-month follow-up, cementum-like tissue seemed to be formed in the root canal along with nearly recovered pulp vitality. At 12-month recall, the radiographic results revealed evidence of root wall thickening. At 30-month recall, no periapical lesion was found. This case report indicates that regenerative endodontic treatment for the mature premolar is feasible. More cases are needed for further validation.

  17. Radiological diagnosis of maxillary sinus aspergillosis. Radiologische Diagnostik der Kieferhoehlenaspergillose

    Energy Technology Data Exchange (ETDEWEB)

    Schulte, B.; Beyer, D. (Akademisches Lehrkrankenhaus, Porz (Germany). Radiologische Abt.)

    1992-11-01

    Aspergillosis of the maxillary sinuses shows an increasing incidence in even otherwise healthy patients. Next to inhalation as the mode of infection, a dental root canal filling with an orosinusal fistula can be the cause. As most infections remain initially undetected or underestimated as common sinusitis, early diagnosis must be achieved. Standard X-ray of the paranasal sinuses, conventional tomography as well as CT scans are of major importance. Centrally located hyperdense opacifications are a good criterion and can be best seen in CT. Even when the case has not progressed too much, radical surgery combined with Amphotericin B therapy is still the treatment of choice since the infection may progress rapidly. (orig.).

  18. Radiologic evaluation of the maxillary natural pathologic conditions in children

    International Nuclear Information System (INIS)

    Prk, Tae Won; Choi, Soon Chul

    1992-01-01

    The authors evaluated the distribution of the antral pathologic conditions and their radiographic features on the Waters' radiographs of 151 children patients who had been radiographed at the department of Oral Radiology, Seoul National University Hospitals. The obtained results were as follows : 1. The most common pathologic condition was inflammatory change (58%). Percentage of cases showing cystic lesion and fibro-osseous lesion were 25% and 11% respectively. 2. In cases of inflammatory change, odontogenic origins were 12 cases (13%) and bilateral occurrences were 37 cases (39%). 3. The most common radiographic feature of the inflammatory conditions was various types of mucosal thickening (78%). Percentage of cases showing totally increased radiopacity was 18%. 4. Intrinsic cystic lesions were 26 cases (65%) and dentigerous cyst was the most common extrinsic cyst. 5. Most of the fibro-osseous lesions (15 from 17 cases) were fobrous dysplasea. 6. Maxillary sinus hypoplasia (5 cases) and Burkitt's lymphoma (4 cases) were also observed.

  19. Radiologic evaluation of the maxillary natural pathologic conditions in children

    Energy Technology Data Exchange (ETDEWEB)

    Prk, Tae Won; Choi, Soon Chul [Dept. of Oral Radiology, College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1992-08-15

    The authors evaluated the distribution of the antral pathologic conditions and their radiographic features on the Waters' radiographs of 151 children patients who had been radiographed at the department of Oral Radiology, Seoul National University Hospitals. The obtained results were as follows : 1. The most common pathologic condition was inflammatory change (58%). Percentage of cases showing cystic lesion and fibro-osseous lesion were 25% and 11% respectively. 2. In cases of inflammatory change, odontogenic origins were 12 cases (13%) and bilateral occurrences were 37 cases (39%). 3. The most common radiographic feature of the inflammatory conditions was various types of mucosal thickening (78%). Percentage of cases showing totally increased radiopacity was 18%. 4. Intrinsic cystic lesions were 26 cases (65%) and dentigerous cyst was the most common extrinsic cyst. 5. Most of the fibro-osseous lesions (15 from 17 cases) were fobrous dysplasea. 6. Maxillary sinus hypoplasia (5 cases) and Burkitt's lymphoma (4 cases) were also observed.

  20. [A maxillary premolar reconstruction with a glass fiber reinforced post].

    Science.gov (United States)

    Viţalariu, Anca Mihaela; Antohe, Magda; Bahrim, Delia; Tatarciuc, Monica

    2006-01-01

    This paper presents the case of a 37 years old female patient who needed a reconstruction of an endodontic treated' second maxillary premolar. The patient presented large areas of occlusal abrasion caused by bruxism, therefore the solution consisted of a reconstruction with a non-metallic post reinforced with glass fibers. In such cases, the excessive occlusal forces developed by bruxism can produce a radicular fracture if the tooth would be reconstructed with a rigid metallic post. The glass-fiber reinforced post has some important qualities, which render it more suitable in most clinical cases: it is easy to use; has the ability to bond with restorative resins; decreases the risk of tooth fracture and provides better esthetics.

  1. Mucormycosis (Mucor fungus ball) of the maxillary sinus.

    Science.gov (United States)

    Cho, Hang Sun; Yang, Hoon Shik; Kim, Kyung Soo

    2014-01-01

    A fungus ball is an extramucosal fungal proliferation that completely fills one or more paranasal sinuses and usually occurs as a unilateral infection. It is mainly caused by Aspergillus spp in an immunocompetent host, but some cases of paranasal fungal balls reportedly have been caused by Mucor spp. A Mucor fungus ball is usually found in the maxillary sinus and/or the sphenoid sinus and may be black in color. Patients with mucormycosis, or a Mucor fungal ball infection, usually present with facial pain or headache. On computed tomography, there are no pathognomonic findings that are conclusive for a diagnosis of mucormycosis. In this article we report a case of mucormycosis in a 56-year-old woman and provide a comprehensive review of the literature on the "Mucor fungus ball." To the best of our knowledge, 5 case reports (8 patients) have been published in which the fungus ball was thought to be caused by Mucor spp.

  2. Severe maxillary osteomyelitis in a Gray Wolf (Canis lupus)

    Science.gov (United States)

    Barber-Meyer, Shannon

    2012-01-01

    Dental injuries to or abnormalities in functionally important teeth and associated bones in predators may significantly reduce the ability to kill and consume prey (Lazar et al. 2009). This impairment is likely exacerbated in coursing predators, such as Gray Wolves, that bite and hold onto fleeing and kicking prey with their teeth. Damage to carnassials (upper fourth premolar, P4, and lower first molar, M1) and associated bones in Gray Wolves may especially inhibit the consumption of prey because these teeth slice meat and crush bone. Here I report maxillary osteomyelitis involving the carnassials in a wild Gray Wolf from northeastern Minnesota of such severity that I hypothesize it ultimately caused the Gray Wolf to starve to death.

  3. Radiotherapy of maxillary sinuses carcinoma: state of art

    International Nuclear Information System (INIS)

    Chargari, C.; Bauduceau, O.; Vedrine, L.; Fayolle, M.; Ceccaldi, B.; Chargari, C.; Magne, N.; Haen, P.; Conessa, C.

    2009-01-01

    Maxillary sinus carcinomas are rare malignancies of the face, characterized by high local relapsing rate. Modalities of treatment are without consensus and respective roles of radiation therapy and surgery remain controversial. As those malignancies are often diagnosed at locally advanced stage, radiation therapy may frequently be used for patients having unresectable advanced disease. Nevertheless, surgery remains treatment of choice for more localized malignancies, in association with systematic postoperative radiotherapy. For those patients whose prognosis remains pejorative, it is necessary to precise the role of radiotherapy in first intention for inoperable tumors, to define necessity for nodal treatment performing and evaluate the place of neo-adjuvant or concomitant chemotherapy in a multimodal strategy. (authors)

  4. Sequence of oral manifestations in rhino-maxillary mucormycosis

    Directory of Open Access Journals (Sweden)

    Bharati R Doni

    2011-01-01

    Full Text Available Mucormycosis, caused by saprophytic fungi of the order Mucorales of the class Zygomycetes, is a rare opportunistic fungal infection, which has a rapidly progressive and fulminant course with fatal outcome. These fungi are ubiquitous, found in soil, bread molds, decaying fruits and vegetables. The most common form of mucormycosis is rhinocerebral and is usually seen in uncontrolled diabetes mellitus or in immunocompromised patients. This fungus invades the arteries, leading to thrombosis that subsequently causes necrosis of hard and soft tissues. We report a case of palatal perforation by rhino-maxillary mucormycosis in an immunocompromised patient. The aim of this article is to draw attention to the clinical presentation and pathogenesis of mucormycosis and to emphasize the need for high degree of suspicion in its diagnosis and management.

  5. Postretention stability after orthodontic closure of maxillary interincisor diastemas

    Directory of Open Access Journals (Sweden)

    Juliana Fernandes de MORAIS

    2014-10-01

    Full Text Available Anterior spaces may interfere with smile attractiveness and compromise dentofacial harmony. They are among the most frequent reasons why patients seek orthodontic treatment. However, midline diastema is commonly cited as a malocclusion with high relapse incidence by orthodontists. Objectives: This study aimed to evaluate the stability of maxillary interincisor diastemas closure and the association of their relapse and interincisor width, overjet, overbite and root parallelism. Material and Methods: Sample comprised 30 patients with at least a pretreatment midline diastema of 0.5 mm or greater after eruption of the maxillary permanent canines. Dental casts and panoramic radiographs were taken at pretreatment, posttreatment and postretention. Results: Before treatment, midline diastema width was 1.52 mm (SD=0.88 and right and left lateral diastema widths were 0.55 mm (SD=0.56 and 0.57 mm (SD=0.53, respectively. According to repeated measures analysis of variance, only midline diastema demonstrated significant relapse. In the overall sample the average relapse of midline diastema was 0.49 mm (SD=0.66, whilst the unstable patients showed a mean space reopening of 0.78 mm (SD=0.66. Diastema closure in the area between central and lateral incisors showed great stability. Multivariate correlation tests showed that only initial diastema width (β=0.60 and relapse of overjet (β=0.39 presented association with relapse of midline diastema. Conclusions: Midline diastema relapse was statistically significant and occurred in 60% of the sample, while lateral diastemas closure remained stable after treatment. Only initial diastema width and overjet relapse showed association with relapse of midline diastema. There was no association between relapse of interincisor diastema and root parallelism.

  6. Postretention stability after orthodontic closure of maxillary interincisor diastemas.

    Science.gov (United States)

    Morais, Juliana Fernandes de; Freitas, Marcos Roberto de; Freitas, Karina Maria Salvatore de; Janson, Guilherme; Castello Branco, Nuria

    2014-01-01

    Anterior spaces may interfere with smile attractiveness and compromise dentofacial harmony. They are among the most frequent reasons why patients seek orthodontic treatment. However, midline diastema is commonly cited as a malocclusion with high relapse incidence by orthodontists. This study aimed to evaluate the stability of maxillary interincisor diastemas closure and the association of their relapse and interincisor width, overjet, overbite and root parallelism. Sample comprised 30 patients with at least a pretreatment midline diastema of 0.5 mm or greater after eruption of the maxillary permanent canines. Dental casts and panoramic radiographs were taken at pretreatment, posttreatment and postretention. Before treatment, midline diastema width was 1.52 mm (SD=0.88) and right and left lateral diastema widths were 0.55 mm (SD=0.56) and 0.57 mm (SD=0.53), respectively. According to repeated measures analysis of variance, only midline diastema demonstrated significant relapse. In the overall sample the average relapse of midline diastema was 0.49 mm (SD=0.66), whilst the unstable patients showed a mean space reopening of 0.78 mm (SD=0.66). Diastema closure in the area between central and lateral incisors showed great stability. Multivariate correlation tests showed that only initial diastema width (β=0.60) and relapse of overjet (β=0.39) presented association with relapse of midline diastema. Midline diastema relapse was statistically significant and occurred in 60% of the sample, while lateral diastemas closure remained stable after treatment. Only initial diastema width and overjet relapse showed association with relapse of midline diastema. There was no association between relapse of interincisor diastema and root parallelism.

  7. Patients’ general satisfaction with the appearance of anterior maxillary teeth

    Directory of Open Access Journals (Sweden)

    Lajnert Vlatka

    2017-01-01

    Full Text Available Background/Aim. Dental appearance plays an important role in practically all personal social interactions. The main factors that define the dental appearance are tooth colour, shape and position, quality of restoration, and the general position of the teeth in arch, especially in the anterior region. The aim of this study was to evaluate the impact of dental status (tooth shape, fracture, dental and prosthetic restorations and presence of plaque on patient''s satisfaction with the dental appearance, controlling for the age and gender. Methods. A total of 700 Caucasian subjects (439 women aged 18–86 (median 45 years participated in the cross-sectional study. Study included clinical examination and self-administrated questionnaire based on selfperceived aesthetics and satisfaction with the appearance of their maxillary anterior teeth. Results. A regression analysis demonstrated that presence of dental plaque, tooth fracture, composite fillings and crowns had significant independent contribution and were negative predictors of satisfaction with teeth appearance. Participants with presence of plaque on upper teeth (p < 0.001, fractures (p = 0.005, composite fillings (p < 0.001 and crowns (p = 0.032 were less satisfied than those without it. Model explains 12% or variance of general satisfaction with the appearance of maxillary frontal teeth (p < 0.001 and the major contributors are composite fillings (5.3% and plaque (3.2%. Tooth shape, age and gender were not significant predictors of satisfaction. Conclusion. Satisfaction with the teeth appearance is under the influence of many factors with significant negative influence of presence of dental plaque, fractures, composite restorations, and crowns.

  8. Implementation of the Iterative Proportion Fitting Algorithm for Geostatistical Facies Modeling

    International Nuclear Information System (INIS)

    Li Yupeng; Deutsch, Clayton V.

    2012-01-01

    In geostatistics, most stochastic algorithm for simulation of categorical variables such as facies or rock types require a conditional probability distribution. The multivariate probability distribution of all the grouped locations including the unsampled location permits calculation of the conditional probability directly based on its definition. In this article, the iterative proportion fitting (IPF) algorithm is implemented to infer this multivariate probability. Using the IPF algorithm, the multivariate probability is obtained by iterative modification to an initial estimated multivariate probability using lower order bivariate probabilities as constraints. The imposed bivariate marginal probabilities are inferred from profiles along drill holes or wells. In the IPF process, a sparse matrix is used to calculate the marginal probabilities from the multivariate probability, which makes the iterative fitting more tractable and practical. This algorithm can be extended to higher order marginal probability constraints as used in multiple point statistics. The theoretical framework is developed and illustrated with estimation and simulation example.

  9. Lower Tertiary Sedimentary Turbidite Facies at the Chicontepec Basin, East-Central Mexico

    Directory of Open Access Journals (Sweden)

    Santillán-Piña N.

    2011-07-01

    Full Text Available The study area comprises the northwestern portion of the Chicontepec Basin at southeastern San Luis Potosí and northeastern Hidalgo States. At the stratigraphy sequences of the Chicontepec Formation from Lower Paleocene in isolated outocrops, were herein interpreted two major sedimentary sub-environments into the fan model: the middle and the external sedimentary settings; the applied criteria for their identification were: (a lithostratigraphic (thickness, geometry and distribution; (b internal and external primary sedimentary structures, and (c intra-formational deformation structures. The sedimentary facies are composed of siliciclastic and calcareous particles sourced from the Sierra Madre Oriental, western; the Tuxpan paleo-island, eastern; and from the Teziutlan Massif, southern; the sediments were massively transported by slideing, slumping, flow debris and turbidity currents, then deposited as massive, tabular, lenticular and lobely in shape at the slope foot and on the sea marine floor.

  10. Automatic interpretation of seismic micro facies using the fuzzy mathematics method

    Energy Technology Data Exchange (ETDEWEB)

    Dongrun, G.; Gardner, G.H.F.

    1988-01-01

    The interpretation of seismic micro facies concentrates on changes involving single reflection or several reflections, and endeavors to explain the relations between these changes and stratigraphic variation or hydrocarbon accumulation. In most cases, one can not determine the geological significance of reflection character anomalies on single or several seismic sections. But when one maps them on a plane, their distribution may on the whole indicate the geological significance. It is stated how the fuzzy method is used on a VAX computer to automatically construct a plane map of the reflection character changes in a time window. What an interpreter needs to do for whole interpretation is only to provide some parameters, such as time window, threshold, weight coefficients etc.

  11. Pennsylvanian coniferopsid forests in sabkha facies reveal the nature of seasonal tropical biome

    Science.gov (United States)

    Falcon-Lang, H. J.; Jud, N.A.; John, Nelson W.; DiMichele, W.A.; Chaney, D.S.; Lucas, S.G.

    2011-01-01

    Pennsylvanian fossil forests are known from hundreds of sites across tropical Pangea, but nearly all comprise remains of humid Coal Forests. Here we report a unique occurrence of seasonally dry vegetation, preserved in growth position along >5 km of strike, in the Pennsylvanian (early Kasimovian, Missourian) of New Mexico (United States). Analyses of stump anatomy, diameter, and spatial density, coupled with observations of vascular traces and associated megaflora, show that this was a deciduous, mixed-age, coniferopsid woodland (~100 trees per hectare) with an open canopy. The coniferopsids colonized coastal sabkha facies and show tree rings, confirming growth under seasonally dry conditions. Such woodlands probably served as the source of coniferopsids that replaced Coal Forests farther east in central Pangea during drier climate phases. Thus, the newly discovered woodland helps unravel biome-scale vegetation dynamics and allows calibration of climate models. ?? 2011 Geological Society of America.

  12. La validez prima facie y el principio de derrotabilidad de Las normas jurídicas

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    José Víctor García-Yzaguirre

    2012-01-01

    Full Text Available El presente artículo pretende explorar las implicancias teóricas del concepto prima facie y como este se relaciona con el principio de derrotabilidad, el cual es aplicable para justificar el incumplimiento de un deber jurídico a causa del acatamiento de otro en un contexto en el que ambos son incom- patibles entre sí. Partiremos desde su sustento conceptual analizando cuál es el rol y la importancia del contexto en el razonamiento jurídico hasta arribar a pautas concretas de cómo opera en la práctica judicial ofreciendo algunos ejemplos hipotéticos y jurisprudenciales.

  13. Facies volcánicas del depósito de avalancha de detritos del volcán Tata Sabaya, Andes Centrales Volcanic facies of the debris avalanche deposit of Tata Sabaya Volcano, Central Andes

    Directory of Open Access Journals (Sweden)

    Benigno Godoy

    2012-09-01

    Full Text Available Las avalanchas de detritos, asociadas a colapsos parciales de edificios volcánicos, son fenómenos comunes en la evolución de un volcán. Este tipo de flujos son por inestabilidades, que pueden deberse a factores tales como la existencia de zonas afectadas por alteración hidrotermal, cambios climáticos, terremotos, intrusión de magmas en zonas superficiales (criptodomos y/o diques y/o movimiento de fallas bajo el edificio volcánico o cercanas a él. El producto final de estos flujos -denominado depósito de avalancha de detritos (DAD- presenta morfologías típicas de cerrillos y drenajes cerrados. En los Andes Centrales se han reconocido, al menos, 14 centros volcánicos con depósitos de avalancha asociados, entre los que está el volcán Tata Sabaya (Bolivia. El colapso que ha dado origen a este depósito podría haberse generado por una combinación de actividad sísmica y magmática en el volcán. El depósito asociado al colapso parcial de este volcán se distribuye sobre la parte baja del flanco sur del volcán y sobre la parte noroccidental de la cuenca del salar de Coipasa. Cubre una superficie de más de 230 km² y tiene un volumen estimado de 6±1 km³. Sobre la base de las composiciones litológicas, se ha establecido que el depósito está constituido por 6 tipos distintos de cerrillos, los cuales son: lávicos, piroclásticos, sedimentarios mixtos, brecha piroclástica y andesítico-basálticos. Considerando el tipo predominante de cerrillos y su distribución espacial dentro del depósito, se ha definido 6 facies diferentes (Facies de Bloques Toreva, Facies de Cerrillos Volcánicos, Facies Central, Facies de Cerrillos Sedimentarios, Facies Mixta y Facies de Cerrillos de Brecha Piroclástica. Tomando en cuenta la distribución espacial de estas facies, se propone la estructura del paleovolcán previa a su colapso parcial.Debris avalanches associated with partial sector collapse of volcanic edifices are common phenomena in the

  14. 3D modeling of stratigraphic units and simulation of seismic facies in the Lion gulf margin; Modelisation 3D des unites stratigraphiques et simulation des facies sismiques dans la marge du golfe du Lion

    Energy Technology Data Exchange (ETDEWEB)

    Chihi, H.

    1997-05-12

    This work aims at providing a contribution to the studies carried out on reservoir characterization by use of seismic data. The study mainly consisted in the use of geostatistical methods in order to model the geometry of stratigraphic units of the Golfe du Lion margin and to simulate the seismic facies from high resolution seismic data. We propose, for the geometric modelling, a methodology based on the estimation of the surfaces and calculation afterwards of the thicknesses, if the modelling of the depth is possible. On the other hand the method consists in estimating the thickness variable directly and in deducing the boundary surfaces afterwards. In order to simulate the distribution of seismic facies within the units of the western domain, we used the truncated Gaussian method. The used approach gave a satisfactory results, when the seismic facies present slightly dipping reflectors with respect to the reference level. Otherwise the method reaches its limits because of the problems of definition of a reference level which allows to follow the clino-forms. In spite of these difficulties, this simulation allows us to estimate the distribution of seismic facies within the units and then to deduce their probable extension. (author) 150 refs.

  15. Upper Carboniferous retroarc volcanism with submarine and subaerial facies at the western Gondwana margin of Argentina

    Science.gov (United States)

    Koukharsky, M.; Kleiman, L.; Etcheverría, M.; Quenardelle, S.; Bercowski, F.

    2009-04-01

    During Late Carboniferous times a continental magmatic arc developed at the western margin of Gondwana in South America, as several marine sedimentary basins were formed at the same time in the retroarc region. North of 33°S, at Cordón Agua del Jagüel, Precordillera of Mendoza, Argentina, a volcanic sequence crops out which was emplaced in a submarine environment with some subaerial exposures, and it is intercalated in marine sediments of Agua del Jagüel Formation, which fills of one of these retroarc basins. This paper presents, for the first time, a facies analyses together with geochemical and isotopic data of this volcanic suite, suggesting its deposition in an ensialic retroarc marine basin. The volcanic succession comprises debris flows with either sedimentary or volcanic fragments, base surge, resedimented massive and laminated dacitic-andesitic hyaloclastite, pillow lava, basic hyaloclastite and dacitic-andesitic lavas and hyaloclastite facies. Its composition is bimodal, either basaltic or dacitic-andesitic. The geochemistry data indicate a subalkaline, low K calk-alkaline and metaluminous affinity. The geochemistry of the basalts points to an origin of the magmas from a depleted mantle source with some crustal contamination. Conversely, the geochemistry of the dacites-andesites shows an important participation of both crustal components and subduction related fluids. A different magmatic source for the basalts than for the dacites-andesites is also supported by Sr and Nd isotopic initial ratios and Nd model ages. The characteristics of this magmatic suite suggest its emplacement in an extensional setting probably associated with the presence of a steepened subduction zone at this latitude during Upper Carboniferous times.

  16. Coastal dune facies, Permian Cutler Formation (White Rim Sandstone), Capitol Reef National Park area, southern Utah

    Science.gov (United States)

    Kamola, Diane L.; Chan, Marjorie A.

    1988-04-01

    The Permian Cutler Formation (White Rim Sandstone) in the Capitol Reef National Park area in southern Utah is an excellent example of a coastal dune complex subjected to periodic flooding by marine waters. Wind-ripple, grainfall and grainflow laminae compose the cross-sets deposited by eolian dunes. However, wave-reworked structures such as oscillation ripples, the occurrence of the characteristically marine trace fossils Thalassinoides and Chondrites, and interfingering marine carbonate beds of the Kaibab Formation collectively indicate marine interaction with the eolian environment. Four facies are distinguished: cross-stratified sandstone, burrowed to bioturbated sandstone, brecciated and deformed sandstone, and ripple-laminated sandstone and thin carbonate beds. One unusual aspect of the cross-stratified sandstone facies is the abundance of coarse-grained sand. Coarse-grained sand is atypical in many ancient eolian slipface deposits, but occurs here in large slipface foresets as both grainflow and wind-ripple deposits. No water-laid structures are found in these slipface deposits. Coarse-grained sand was probably transported to the Cutler shoreline by fluvial systems draining the Uncompahgre Uplift to the east, and then concentrated as coarse-grained ripples in interdune areas. Some of these coarse-grained ripples migrated up the stoss side of the dunes and accumulations of coarse-grained sand avalanched down the crest to form grainflow deposits. An extensive amount of soft-sediment deformation is indicated by the presence of convolute bedding and brecciation. These features occur near the zone of interfingering with marine carbonate beds of the Kaibab Formation. The water-saturated and moist conditions required for extensive deformation may have been controlled by the proximity of these sandstones to the shoreline, and fluctuations in the associated groundwater table.

  17. Beaulieu-Boycott-Innes syndrome: an intellectual disability syndrome with characteristic facies.

    Science.gov (United States)

    Casey, Jillian; Jenkinson, Allan; Magee, Alex; Ennis, Sean; Monavari, Ahmad; Green, Andrew; Lynch, Sally A; Crushell, Ellen; Hughes, Joanne

    2016-10-01

    We report a female child from an Irish Traveller family presenting with severe intellectual disability, dysmorphic features, renal anomalies, dental caries and cyclical vomiting. Current health issues include global developmental delay, mild concentric left ventricular hypertrophy, dental malocclusion and caries and a single duplex left kidney. The proband and her mother also have multiple epiphyseal dysplasia. Whole-exome sequencing was performed to identify the underlying genetic cause. DNA from the proband was enriched with the Agilent Sure Select v5 Exon array and sequenced on an Illumina HiSeq. Rare homozygous variants were prioritized. Whole-exome sequencing identified three linked homozygous missense variants in THOC6 (c.298T>A, p.Trp100Arg; c.700G>C, p.Val234Leu; c.824G>A, p.Gly275Asp) as the likely cause of this child's intellectual disability syndrome, resulting in a molecular diagnosis of Beaulieu-Boycott-Innes syndrome (BBIS). This is the first report of BBIS in Europe. BBIS has been reported previously in two Hutterite families and one Saudi family. A review of all patients to date shows a relatively homogenous phenotype. Core clinical features include low birth weight with subsequent growth failure, short stature, intellectual disability with language delay, characteristic facies, renal anomalies and dental malocclusion with caries. Some patients also have cardiac defects. All patients show characteristic dysmorphic facial features including a tall forehead with high anterior hairline and deep-set eyes with upslanting palpebral fissures. The coexistence of intellectual disability together with these characteristic facies should provide a diagnostic clue for BBIS during patient evaluation.

  18. The Shape of the Maxillary Central Incisors and Its Correlation with Maxillary Anterior Papillary Display: A Clinical Study.

    Science.gov (United States)

    Nichani, Ashish S; Ahmed, Arshia Zainab; Ranganath, V

    2016-01-01

    The aim of this study was to define shapes of maxillary central incisors and determine their relationship with the visual display of interdental papillae during smiling. A sample of 100 patients aged 20 to 25 years were recruited. Photographs were taken and gingival angle, crown width (CW), crown length (CL), contact surface (CS), CW/CL ratio, CS/CL ratio, gingival smile line (GSL), and interdental smile line (ISL) were measured. The data showed an increase in GA leading to an increase in CW and CS/CL ratio. Women showed a higher percentage of papillary display compared with men. This study reinforces the proposed hypothesis that the shape of the teeth and papilla affect the periodontium.

  19. A novel anchorage technique for transnasal traction in rigid external maxillary distraction.

    Science.gov (United States)

    Varol, A; Basa, S

    2013-12-01

    We describe an effective technique for anchorage of transnasal traction in the management of maxillary rotation during external distraction. Copyright © 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  20. Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate.

    Science.gov (United States)

    Liu, Stanley Yung-Chuan; Guilleminault, Christian; Huon, Leh-Kiong; Yoon, Audrey

    2017-08-01

    A narrow maxilla with high arched palate characterizes a phenotype of obstructive sleep apnea (OSA) patients that is associated with increased nasal resistance and posterior tongue displacement. Current maxillary expansion techniques for adults are designed to correct dentofacial deformity. We describe distraction osteogenesis maxillary expansion (DOME) tailored to adult patients with OSA with narrow nasal floor and high arched palate without soft tissue redundancy. DOME is performed with placement of maxillary expanders secured by mini-implants along the midpalatal suture. This minimizes the maxillary osteotomies necessary to re-create sutural separation for reliable expansion at the nasal floor and palatal vault. We report the safety and efficacy profile of the first 20 patients at Stanford who underwent DOME.

  1. Radiographic study on maxillary sinus development and nasal septum deviation in cleft palate patient

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sam Sun; You, Dong Soo [Dept. of Oral Radiology, College of Dentistry, Seoul National University, Seoul (Korea, Republic of)

    1992-08-15

    This study was designed to investigate the effects of the maxillary sinus development and nasal septum deviation on diseases of maxillary sinus with cleft palate. The materials was 152 cephalometric Waters' projections consist of 76 cleft patients and 76 normal subjects. The results were as follows: 1. The disease of maxillary sinus was present in 49% of a cleft group and 14% of a control group, and prevalent in cleft side. 2. It showed no statistically significant difference in size of the maxillary sinus in cleft palate patients compared to the control population and in the cleft side to the noncleft side (p<0.05). 3. Nasal septum deviation was more severe in the cleft patient its average value was 3.55mm, compared to the control group, 0.99 mm (p<0.01) and 77% of the deviated nasal septum was deviated to the cleft side.

  2. Radiographic study on maxillary sinus development and nasal septum deviation in cleft palate patient

    International Nuclear Information System (INIS)

    Lee, Sam Sun; You, Dong Soo

    1992-01-01

    This study was designed to investigate the effects of the maxillary sinus development and nasal septum deviation on diseases of maxillary sinus with cleft palate. The materials was 152 cephalometric Waters' projections consist of 76 cleft patients and 76 normal subjects. The results were as follows: 1. The disease of maxillary sinus was present in 49% of a cleft group and 14% of a control group, and prevalent in cleft side. 2. It showed no statistically significant difference in size of the maxillary sinus in cleft palate patients compared to the control population and in the cleft side to the noncleft side (p<0.05). 3. Nasal septum deviation was more severe in the cleft patient its average value was 3.55mm, compared to the control group, 0.99 mm (p<0.01) and 77% of the deviated nasal septum was deviated to the cleft side.

  3. Bone grafting with granular biomaterial in segmental maxillary osteotomy: A case report

    Directory of Open Access Journals (Sweden)

    Orion Luiz Haas Junior

    2016-01-01

    Conclusion: This is the first report of bone grafting with a granular biomaterial in segmental maxillary osteotomy. Successful formation of new bone with density greater than that of the surrounding tissue was achieved, preventing pseudarthrosis and postoperative instability.

  4. Evaluation of sexual dimorphism using permanent maxillary first molar in Sri Ganganagar population

    Directory of Open Access Journals (Sweden)

    Sakshi Mehta

    2017-01-01

    Full Text Available Aim of Study: The aim is to evaluate existence of sexual dimorphism by variation in right and left permanent maxillary molars using buccolingual width (BLW and mesio-distal width (MDW measured intraorally and on study casts among Sri Ganganagar population. Materials and Methods: Fifty patients (25 males and 25 females with 17–25 years of age were selected. Impressions of maxillary arch were taken and the BLW and MDW were measured using digital Vernier calipers on study casts and intraorally. Results: Highly significant correlation was found between MDW and BLW of both the maxillary permanent first molars for both genders (P < 0.05 intraorally. The MDW and BLW on study cast of both sides in both gender were more on left side in males while on right side in females. Conclusion: Left maxillary permanent first molar showed minimum mean difference of measurements on study cast and introrally than right, thus better predictor for gender dimorphism in forensics.

  5. Correction of complete maxillary crossbite with severe crowding using Hyrax expansion and fixed appliance.

    Science.gov (United States)

    Wangsrimongkol, Tasanee; Manosudprasit, Montian; Pisek, Poonsak; Leelasinjaroen, Pornnapha

    2013-09-01

    An 18-year-old Thai man who presented with a secondary cleft palate, maxillary hypoplasia and severe crowding was treated by rapid maxillary expansion and fixed orthodontic appliances. Initial assessment found skeletal Class III malrelationship and dental Class II malocclusion with anterior and bilateral posterior crossbites. Camouflage orthodontic treatment was planned using a rapid maxillary expansion appliance and correcting crowding with extraction all four premolar teeth. A Hyrax appliance and vertical loop arch wire were placed for maxillary arch expansion of 9.5 mms at first molars and canines, and 5.5 mms at the premolars and obtained positive overjet. Both acceptable skeletal and soft tissue relationships and satisfactory occlusion were produced. After 14 months of postoperative follow-up, the occlusal result was stable and no skeletal reversals could be detected.

  6. C-shaped root canal in a maxillary first molar: a case report.

    Science.gov (United States)

    Yilmaz, Z; Tuncel, B; Serper, A; Calt, S

    2006-02-01

    This case report presents an unusual C-shaped root canal system in a maxillary first molar tooth. Although C-shaped root canals are most frequently seen in the mandibular second molar, they may also appear in maxillary molars. A literature search revealed only a few case reports of C-shaped root canal systems in maxillary molars. The present case describes a C-shaped canal in the buccal root of a maxillary first molar. The endodontic access cavity displayed two canal orifices, one leading to the canal system in the buccal root, the other into the palatal root canal system. In the buccal root, what appeared to be the mesial and distal canals joined to form a single C-shaped canal. --Careful examination of radiographs and the internal anatomy of teeth is essential.-- The location and morphology of root canals should be identified at high magnification under the microscope.

  7. Permanent maxillary canines - review of eruption pattern and local etiological factors leading to impaction.

    Science.gov (United States)

    Sajnani, Anand K

    2015-02-01

    The position of the permanent maxillary canine at the angle of the mouth is strategically significant in maintaining the harmony and symmetry of the occlusal relationship. However, the maxillary canine is the second most frequently impacted tooth, with prevalence reported to be between 1% and 2%. Moreover, treatment of this condition is often complex and involves substantial time and financial cost. Hence, it is only prudent to monitor the eruption and identify the etiological factors that lead to impaction of the maxillary canine. Numerous researchers have tried to identify specific and nonspecific etiological factors responsible for displacement of canines. The purpose of this review was to track the development processes of maxillary canines and determine the hindrances that affect the eruption at different ages. Awareness of the eruption process and etiology of noneruption will help to reduce the incidence of impacted canines by allowing for early recognition and interceptive treatment. © 2013 Wiley Publishing Asia Pty Ltd.

  8. Dental anomalies in an orthodontic patient population with maxillary lateral incisor agenesis.

    Science.gov (United States)

    Citak, Mehmet; Cakici, Elif Bahar; Benkli, Yasin Atakan; Cakici, Fatih; Bektas, Bircan; Buyuk, Suleyman Kutalmış

    2016-01-01

    The purpose of this study was to evaluate the prevalence of dental anomalies in a subpopulation of orthodontic patients with agenesis of maxillary lateral incisors (MLI). The material of the present study included the records of the 1964 orthodontic patients. Panoramic radiographs and dental casts were used to analyze other associated eight dental anomalies, including agenesis of other teeth, dens invaginatus, dens evaginatus, peg shaped MLI, taurodontism, pulp stone, root dilaceration and maxillary canine impaction. Out of the 1964 patients examined, 90 were found to have agenesis of MLI, representing a prevalence of 4.6%. The most commonly found associated-anomalies were agenesis of other teeth (23.3%), peg-shaped MLIs (15.6%), taurodontism (42.2%), and dilacerated teeth (18.9%). Permanent tooth agenesis, taurodontism, peg-shaped maxillary lateral incisor, and root dilacerations are frequently associated with maxillary lateral incisor agenesis.

  9. Long-term space changes after premature loss of a primary maxillary first molar

    Directory of Open Access Journals (Sweden)

    Yng-Tzer J. Lin

    2017-03-01

    Conclusion: The anterior and posterior arch dimensions significantly increased 81 months after premature loss of a primary maxillary first molar, which suggested that space maintainers were not needed in these cases.

  10. Root Canal Configuration of Maxillary First Permanent Molars in an Iranian Population

    Directory of Open Access Journals (Sweden)

    Saeed Rahimi

    2007-06-01

    Full Text Available

    Background and aims. It is critical to have a proper knowledge of the normal anatomy of the pulp and its variations for the success of endodontic treatment. The purpose of this study was to investigate variations in the root canal system of maxillary first permanent molars in an Iranian population.

    Materials and methods. In this study, 137 maxillary first molars were decalcified, dye-injected, cleared and studied.

    Results. The results demonstrated that 37.96% of the maxillary first molars under study had three canals, 58.4% had four canals and 3.64% had five canals.

    Conclusion. According to the results of this study and considering variations in the root canal systems of maxillary first molars, it seems that great care should be taken in the root canal treatment of these teeth.

  11. Oxygenation in carbonate microbialites and associated facies after the end-Permian mass extinction: Problems and potential solutions

    Directory of Open Access Journals (Sweden)

    Stephen Kershaw

    2018-01-01

    The oxygenation state of post-end-Permian extinction shallow marine facies continues to present a challenge of interpretation, and requires high-resolution sampling and careful attention to small-scale changes, as well as loss of rock through pressure solution, as the next step to resolve the issue.

  12. Objective justification and Prima Facie anti-competitive unilateral conduct : an exploration of EU Law and beyond

    NARCIS (Netherlands)

    Vijver, Tjarda Desiderius Oscar van der

    2014-01-01

    The prohibition of anti-competitive unilateral conduct by firms with market power is not absolute, but allows for derogation. For the purposes of EU law, the ECJ has accepted that a so-called ‘objective justification’ plea may be invoked in the case of a prima facie abuse of dominance. Even though

  13. Tectonic controls on preservation of Middle Triassic Halfway reservoir facies, Peejay Field, northeastern British Columbia: a new hydrocarbon exploration model

    Energy Technology Data Exchange (ETDEWEB)

    Caplan, M. L. [British Columbia Univ., Vancouver, BC (Canada). Dept. of Geological Sciences; Moslow, T. F. [Calgary Univ., AB (Canada). Dept. of Geology and Geophysics

    1997-12-01

    The Peejay Field in northeastern British Columbia was chosen as the site of a detailed study to establish the paleogeography, geological history and genesis of reservoir facies of Middle Triassic strata. A total of 132 cores and well logs from 345 wells were examined to establish the depositional model, to identify the origin of all reservoir facies and to construct an exploration model to improve the prediction of reservoir facies. Results show that the Middle Triassic Halfway Formation of northeastern British Columbia is comprised of at least four west-southwest prograding paleoshorelines. The Lithofacies Succession One quartz-arenites paleoshore faces have less porosity and permeability and are laterally discontinuous. For these reasons shoreface facies have minimal reservoir quality. The tidal inlet fill successions were found to have the greatest observed porosity, permeability and lateral continuity in the Peejay Field. The geometry and orientation of these tidal inlet fill deposits are controlled by tectonic processes. It was suggested that the success of hydrocarbon exploration in this structurally complex area of northeastern British Columbia and west-central Alberta depends on further stratigraphic and sedimentological examination of Middle Triassic strata on a regional scale to obtain a complete understanding of the geological history of the area. 39 refs., 13 refs.

  14. The Student-Athlete and the National Collegiate Athletic Association: The Need for a Prima Facie Tort Doctrine

    Science.gov (United States)

    Duckworth, Roy D., III

    1975-01-01

    In examining whether courts have jurisdiction to hear student-athlete grievances against the National Collegiate Athletic Association (NCAA) the author rejects the position that the NCAA's activities are under cover of state law, and instead proposes that the student-athlete's remedy lies in an action against the NCAA for a prima facie tort. (JT)

  15. Technical Modifications of Tooth-borne Distraction Device for Anterior Maxillary Distraction in Cleft Patients

    Directory of Open Access Journals (Sweden)

    Dhivakar Selvaraj

    2014-01-01

    Full Text Available The tooth-borne distractor gained popularity for anterior maxillary distraction because of the effective treatment outcome, no need for external fixation, noninvasive, less chewing difficulty, social tolerance and economical. Tooth-borne distractor device needs modification in terms of maxillary deficiency, tooth position, retained deciduous tooth, and fistula. Hence, we recommend the following modifications in certain circumstances for the successful treatment outcome.

  16. Pharyngeal airway changes associated with maxillary distraction osteogenesis in adult cleft lip and palate patients.

    Science.gov (United States)

    Aksu, Muge; Taner, Tülin; Sahin-Veske, Pınar; Kocadereli, Ilken; Konas, Ersoy; Mavili, Mehmet Emin

    2012-02-01

    To investigate 1) the changes in pharyngeal airway sizes associated with maxillary distraction osteogenesis and 2) the correlations between maxillary skeletal variables and the pharyngeal airway in adult patients with cleft lip and palate. The study was carried out in 14 adult subjects with cleft lip and palate. Predistraction records were taken at a mean age of 22.7 ± 4.6 years. All patients had placement of a rigid external distraction device (RED I; KLS Martin, Tuttlingen, Germany) after Le Fort I osteotomy. Lateral cephalograms were assessed before surgery and at short-term follow-up (8.0 ± 6.4 months). The cephalometric skeletal and pharyngeal airway variables were statistically evaluated by use of the Wilcoxon signed-rank test. Spearman ρ correlation was performed to check the correlations between maxillary skeletal and pharyngeal variables. The maxillary movement was 8.7 mm (P maxillary depth angle (+7.9°) and effective maxillary length (9.4 mm) increased significantly (P distraction, whereas the palatal plane angle remained unchanged. Anterior nasal spine (8.2 mm) and Posterior nasal spine (6.9 mm) moved anteriorly. The overjet increased (9.5 mm) significantly (P maxillary movement. PNS changes showed the highest correlation with posterior airway changes. The significant anterior movement of the maxilla resulted in significant increases in posterior, superoposterior, and middle airway spaces. The posterior airway space showed the highest significant positive correlation with the movement of PNS. The posterior and superoposterior airway spaces also showed significant positive correlations with the maxillary skeletal variables. Copyright © 2012 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  17. Myxoid Type of Malignant Fibrous Histiocytoma of the Maxillary Sinus: A Case Report

    Directory of Open Access Journals (Sweden)

    Amir Hossein Jafarian

    2011-04-01

    Full Text Available Introduction: Myxofibrosarcoma was originally described as the myxoid variant of Malignant Fibrous Histiocytoma (MFH, a high-grade and aggressive sarcoma, which is very uncommon in the head and neck region, with about 100 cases reported up to now. MFH occurring in the maxillary sinus is so rare that only 23 cases have been reported. We hereby report a case of myxofibrosarcoma in the maxillary sinus. Case Report: The case was a 54-year-old male with symptoms of toothache in the right posterior maxillary teeth, a swelling adjacent to maxillary molar region and symptoms of chronic maxillary sinusitis. In clinical examination, the teeth were sensitive to percussion and palpation, but no caries and restoration was detected on his molar teeth. He was suffering from local pain and tenderness over his midface and mild fever, fatigue and some nonspecific vague pain. CT scan showed a mass lesion involving right nasal cavity, maxillary and ethmoidal sinuses. A low-grade malignancy arising from the right maxillary sinus was highly suspected. A surgery was done to remove the mass. The histological and immunohistochemical studies proved the diagnosis of myxoid variant of Malignant Fibrous Histiocytoma. Therefore radiotherapy and chemotherapy was started for the patient but six months later the symptoms returned and CT scan showed a right maxillary and ethmoidal mass that extended to base of the skull. Maxillectomy and ethmoidectomy were performed for the patient, but 2 months later he died because of the extension of the tumor, which confirmed the necessity of early diagnosis. Conclusion: Amplified radical surgery is the first choice of treatment. The second surgery has special value to the recurrent patients. Radiotherapy alone or chemotherapy alone is not effective to MFH of head and neck region

  18. A New Anatomically Based Nomenclature for the Roots and Root Canals—Part 1: Maxillary Molars

    OpenAIRE

    Kottoor, Jojo; Albuquerque, Denzil Valerian; Velmurugan, Natanasabapathy

    2012-01-01

    Numerous terminologies have been employed in the dental literature to describe the roots and root canal systems of maxillary molars. This multiplicity in naming of roots and canals makes the reader susceptible to misinterpretation and confusion. No consensus thus far has been arrived at for defining the names of roots and root canals in maxillary molars, including their various morphological aberrations. The anatomical relation of roots and their root canals were identified and were subsequen...

  19. Two-Rooted Maxillary First Molars with Two Canals: A Case Series

    OpenAIRE

    Shakouie, Sahar; Mokhtari, Hadi; Ghasemi, Negin; Gholizadeh, Seddigheh

    2013-01-01

    Thorough understanding of the anatomic and internal morphology of a root canal system is absolutely essential for the success of endodontic treatment. Since permanent maxillary first molars have shown variation in internal anatomy, morphology, this tooth has been reviewed extensively. Presence of two canals in a two-rooted maxillary first molar has rarely been reported in studies describing tooth and root canal anatomies. In this report, three cases are presented, which involve the root canal...

  20. Endodontic Treatment of a Maxillary Second Molar with Developmental Anomaly: A Case Report

    OpenAIRE

    Asgary, Saeed

    2007-01-01

    Fusion is a rare occurrence in molar teeth. The purpose of this rare case presentation is to describe the nonsurgical endodontic treatment of maxillary molar. A 28-year-old patient was referred for endodontic treatment of her chronic apical abscess of right maxillary second molar. In the clinical examination, a sinus tract adjacent to involved tooth and a small crown of supernumerary tooth fused to the buccal surface of the molar at gingival margin was observed. Endodontic treatment was decid...

  1. The Maxillary Palp of Aedes aegypti, a Model of Multisensory Integration

    Science.gov (United States)

    2014-01-01

    The maxillary palp of Aedes aegypti, a model of multisensory integration Jonathan D. Bohbot, Jackson T. Sparks, Joseph C. Dickens* United States...24 February 2014 Keywords: Aedes aegypti Olfaction Mosquito Maxillary palp Thermosensation Mechanosensation a b s t r a c t Female yellow-fever...mosquitoes, Aedes aegypti, are obligate blood-feeders and vectors of the pathogens that cause dengue fever, yellow fever and Chikungunya. This feeding

  2. Radiodense concretions in maxillary sinus aspergillosis: pathogenesis and the role of CT densitometry

    International Nuclear Information System (INIS)

    Lenglinger, F.X.; Krennmair, G.; Mueller-Schelken, H.; Artmann, W.

    1996-01-01

    The purpose of this study was to investigate by CT the origin of radiodense maxillary sinus concretions and whether CT densitometry is effective in the prediction of maxillary sinus aspergillosis and in the differentiation of the origin of these concretions. In a prospective study in 21 patients with radiodense maxillary sinus concretions detected by radiography, a preoperative CT study of the paranasal sinuses and the concretions was undertaken. Additional scans of the upper alveolar ridge were also performed. Radiological findings were compared with clinical symptoms and with CT findings, especially CT densitometry of the sinus concretions and dental root-filling material. All patients underwent a functional Caldwell-Luc operation; histological and microbiological examinations were performed. Fifteen of the 21 patients (71.4%) with radiodense concretions had a histological and microbiological diagnosis of sinus aspergillosis. The sinus concretions had CT densities higher than 2000 HU (Housfield units) in 15 patients and lower than 2000 HU in 6. Fourteen of 15 patients (93.3%) with concretions ahving CT densities higher than 2000 HU had a postoperative diagnosis of maxillary sinus aspergillosis. The mean CT density of the sinus concretions in patients with maxillary sinus aspergillosis was 2868 HU (range 1870-3070 HU), and in patients without aspergiollosis was 778 HU (range 228-2644 HU). The mean CT density of the dental root-filling material was 2866 HU (range 2156-3070 HU). Paranasal sinus CT with CT densitometry of a sinus concretion has a higher accuracy than standard radiogrpahy and clinical findings in the prediction of maxillary sinus aspergillosis (93.3% vs 71.4%). CT densitometry helps to confirm the dental origin of maxillary sinus concretions and to explain a possible dental pathogenesis of maxillary sinus aspergillosis. (orig.)

  3. Maxillary first molars with six canals confirmed with the aid of cone-beam computed tomography

    Directory of Open Access Journals (Sweden)

    Tahra Mohammad Al-Habboubi

    2016-01-01

    Full Text Available The maxillary first molar exhibits unpredictable root canal morphology. Different number of root canals has been reported with the aids of new tools. It is very important to clinically detect all canals for better outcome results. The purpose of the present case is to present a case of the maxillary first molar in a Saudi male patient with an anatomical variation of having six root canals that were confirmed with cone-beam computed tomography.

  4. Supernumerary Teeth in the Maxillary Anterior Region: The Dilemma of Early Versus Late Surgical Intervention.

    Science.gov (United States)

    Sarne, Ofer; Shapira, Yehoshua; Blumer, Sigalit; Finkelstein, Tamar; Schonberger, Shirley; Bechor, Naomi; Shpack, Nir

    Supernumerary teeth are the most common developmental dental anomalies in the maxillary anterior region causing interference to the developing permanent incisors resulting in poor dental and facial esthetics. Two different opinions regarding the timing for surgical removal of the supernumerary teeth are presented. In this case report, three brothers with supernumerary teeth in the maxillary anterior region are presented, their surgical and orthodontic management and outcome are discussed.

  5. A Case of Maxillary Protrusion with Congenitally Missing Canine Teeth in the Mandible

    OpenAIRE

    松井, 啓至; 酒徳, 明彦

    1996-01-01

    A patient that had a maxillary protrusion with congenitally missing canine teeth in the mandible was successfully treated with the extraction of the maxillary first premolars. The patient's cooperation in wearing headgear appliance was highly favorable. Her profile changes were pronounced and esthetically pleasing. A review of her post-treatment records revealed an excellent esthetic and occlusal result even though the first premolars were aligned instead of the canine teeth in the mandible. ...

  6. The role of proper treatment of maxillary sinusitis in the healing of persistent oroantral fistula

    Directory of Open Access Journals (Sweden)

    David B. Kamadjaja

    2008-09-01

    Full Text Available Background: Oroantral communication (OAC is one of the possible complications after extraction of the upper teeth. If not identified and treated properly, a large OAC may develop into oroantral fistula (OAF which means that there is a permanent epithelium-lined communication between antrum and oral cavity. Such fistulas may cause ingress of microorganism from oral cavity into the antrum leading to maxillary sinusitis. Oroantral fistula usually persists if the infection in the maxillary antrum is not eliminated. Therefore, treatment of oroantral fistula should include management of maxillary sinusitis in which surgical closure of oroantral fistula should be done only when the sinusitis has been cured. Purpose: This case report emphasizes on the importance of proper management of maxillary sinusitis in the healing of oroantral fistula. Case: A case of an oroantral fistula following removal of upper left third molar is presented. As the maxillary sinusitis was not identified pre-operatively, two surgical procedures to close the fistula had ended up in dehiscence. Case management: The diagnosis of maxillary sinusitis was finally made and the sinusitis subsequently treated with combination of trans-alveolar sinus wash out, insertion of an acrylic splint, and two series of nasal and sinus physiotherapy procedures. The size of the defect decreased gradually during the treatment of the sinusitis and finally closed up without any further surgical intervention. Conclusion: This case report points out that it is important to detect intraoperatively an antral perforation after any surgery of the maxillary teeth and to close any oroantral communication as early as possible and that it is important to treat properly any pre-existing maxillary sinusitis before any surgical method is done to close the fistula.

  7. Long-term space changes after premature loss of a primary maxillary first molar

    OpenAIRE

    Lin, Yng-Tzer J.; Lin, Yai-Tin

    2016-01-01

    Background/purpose: The consequence of premature loss of primary teeth resulting in the need for space maintainers has been controversial for many years. There is no longitudinal long-term report in literature regarding the premature loss of a primary maxillary first molar. The aim of this study was to continue observing the long-term space changes of 19 cases following premature loss of a primary maxillary first molar during the transition from primary to permanent dentition. Materials an...

  8. Immediate and six-month space changes after premature loss of a primary maxillary first molar.

    Science.gov (United States)

    Lin, Yai-Tin; Lin, Wen-Hsien; Lin, Yng-Tzer J

    2007-03-01

    Premature loss of primary maxillary first molars has been associated with a number of consequences (such as tipping of the first permanent molar). The aim of the authors' study was to investigate dental-arch space problems arising as a result of premature loss of a primary maxillary first molar. This study was composed of 19 children who experienced unilateral premature loss of a primary maxillary first molar. The authors used each patient's intact contralateral arch segment as a control. The authors obtained maxillary dental study casts two or three days after the tooth was extracted, as well as six months later. The D + E space from the extraction side six months after removal of the tooth (mean +/- standard deviation, 15.62 +/- 1.13 millimeters) was significantly smaller than the space on the control side (16.88 +/- 1.12 mm) and the initial D + E space (16.70 +/- 0.69 mm). The authors found a significantly shorter arch length (25.47 +/- 1.58 mm) and larger intercanine width (31.29 +/- 2.49 mm) six months after the tooth was extracted compared with the initial arch length (25.66 +/- 1.64 mm) and intercanine width (30.42 +/- 2.64 mm). The early space changes to the maxillary arch subsequent to premature loss of a primary maxillary first molar are primarily distal drift of the primary canines toward the extraction space and palatal migration of the maxillary incisors. Although 1 mm of space was lost, which is statistically significant, this is not likely to be of sufficient clinical significance to warrant use of a space maintainer. If palatal movement appears to be needed, the dentist should consider use of a palatal arch rather than a band-and-loop maintainer. The effects of space maintainers need to be re-evaluated in cases of unilateral premature loss of a primary maxillary first molar.

  9. Facies analysis, depositional environments and paleoclimate of the Cretaceous Bima Formation in the Gongola Sub - Basin, Northern Benue Trough, NE Nigeria

    Science.gov (United States)

    Shettima, B.; Abubakar, M. B.; Kuku, A.; Haruna, A. I.

    2018-01-01

    Facies analysis of the Cretaceous Bima Formation in the Gongola Sub -basin of the Northern Benue Trough northeastern Nigeria indicated that the Lower Bima Member is composed of alluvial fan and braided river facies associations. The alluvial fan depositional environment dominantly consists of debris flow facies that commonly occur as matrix supported conglomerate. This facies is locally associated with grain supported conglomerate and mudstone facies, representing sieve channel and mud flow deposits respectively, and these deposits may account for the proximal alluvial fan region of the Lower Bima Member. The distal fan facies were represented by gravel-bed braided river system of probably Scot - type model. This grade into sandy braided river systems with well developed floodplains facies, forming probably at the lowermost portion of the alluvial fan depositional gradient, where it inter-fingers with basinal facies. In the Middle Bima Member, the facies architecture is dominantly suggestive of deep perennial sand-bed braided river system with thickly developed amalgamated trough crossbedded sandstone facies fining to mudstone. Couplets of shallow channels are also locally common, attesting to the varying topography of the basin. The Upper Bima Member is characterized by shallow perennial sand-bed braided river system composed of successive succession of planar and trough crossbedded sandstone facies associations, and shallower channels of the flashy ephemeral sheetflood sand - bed river systems defined by interbedded succession of small scale trough crossbedded sandstone facies and parallel laminated sandstone facies. The overall stacking pattern of the facies succession of the Bima Formation in the Gongola Sub - basin is generally thinning and fining upwards cycles, indicating scarp retreat and deposition in a relatively passive margin setting. Dominance of kaolinite in the clay mineral fraction of the Bima Formation points to predominance of humid sub - tropical

  10. Mechanical properties, mineralogical composition, and micro fabric of Opalinus Clay. Sandy and shaly facies (Mont Terri, Switzerland)

    International Nuclear Information System (INIS)

    Kaufhold, Annette; Graesle, Werner; Plischke, Ingo

    2015-01-01

    For the safe disposal of high-level radioactive waste, different host rocks are currently considered. The favorable properties of claystone are low permeability, retention capacity for some radionuclides, and the ability to self-seal cracks, e.g. by swelling or time-dependent compaction creep. For the understanding of the long-term behavior of clay host rocks, the interaction between mechanical behavior, micro fabric, and mineral composition has to be understood (Bock et al., 2010). In the international research project Mont Terri (Switzerland) the Opalinus Clay (Jurassic Formation) is investigated in an underground rock laboratory (URL). In the present study the relationship between mechanical, mineralogical and micro fabric properties were studied on representative samples of the sandy and shaly facies of the Opalinus Clay (OPA) from Mont Terri. The mineral composition of all samples was analysed by using a complex mineral phase analysis. Therefore, the results of the X-ray diffraction, X-ray fluoreszence, organic and inorganic carbonate analysis (LECO) were adjusted with each other. In the case of the sandy facies (OPA) the mechanical strength inrcreases with increasing carbonate content. Here small carbonate particles form the matrix and act as stabilisator. The carbonates of the shaly facies (OPA), on the other hand, are mainly fossil fragments (e.g. shells) aligned parallel to bedding. These large carbonate particles are acting as predetermined breaking surfaces. Hence, in the case of shaly facies (OPA) the mechanical strength decreases with increasing carbonate content. Image Analyses (Fiji registered ) of scattering electron microscope images of polished sections proved the determined microstructural differences. Besides, carbonate particles in the sandy facies are mostly isometric, in contrast carbonates of the shaly facies show different shapes. This is explained further in terms of the aspect ratio. The mechanical tests were carried out as triaxial

  11. Mechanical properties, mineralogical composition, and micro fabric of Opalinus Clay. Sandy and shaly facies (Mont Terri, Switzerland)

    Energy Technology Data Exchange (ETDEWEB)

    Kaufhold, Annette; Graesle, Werner [BGR Hannover (Germany); Plischke, Ingo

    2015-07-01

    For the safe disposal of high-level radioactive waste, different host rocks are currently considered. The favorable properties of claystone are low permeability, retention capacity for some radionuclides, and the ability to self-seal cracks, e.g. by swelling or time-dependent compaction creep. For the understanding of the long-term behavior of clay host rocks, the interaction between mechanical behavior, micro fabric, and mineral composition has to be understood (Bock et al., 2010). In the international research project Mont Terri (Switzerland) the Opalinus Clay (Jurassic Formation) is investigated in an underground rock laboratory (URL). In the present study the relationship between mechanical, mineralogical and micro fabric properties were studied on representative samples of the sandy and shaly facies of the Opalinus Clay (OPA) from Mont Terri. The mineral composition of all samples was analysed by using a complex mineral phase analysis. Therefore, the results of the X-ray diffraction, X-ray fluoreszence, organic and inorganic carbonate analysis (LECO) were adjusted with each other. In the case of the sandy facies (OPA) the mechanical strength inrcreases with increasing carbonate content. Here small carbonate particles form the matrix and act as stabilisator. The carbonates of the shaly facies (OPA), on the other hand, are mainly fossil fragments (e.g. shells) aligned parallel to bedding. These large carbonate particles are acting as predetermined breaking surfaces. Hence, in the case of shaly facies (OPA) the mechanical strength decreases with increasing carbonate content. Image Analyses (Fiji {sup registered}) of scattering electron microscope images of polished sections proved the determined microstructural differences. Besides, carbonate particles in the sandy facies are mostly isometric, in contrast carbonates of the shaly facies show different shapes. This is explained further in terms of the aspect ratio. The mechanical tests were carried out as triaxial

  12. Incomplete mobilization of the maxilla resulting in failed maxillary distraction: a case report.

    Science.gov (United States)

    Alkan, Alper; Inal, Samet; Baş, Burcu; Ozer, Mete

    2007-12-01

    Maxillary distraction osteogenesis has become an accepted alternative method in the treatment of patients with severe maxillary hypoplasia in craniofacial syndromes and cleft-related deformities. Insufficient distraction, undesirable soft tissue changes, and occurrence of defective distraction vectors are among the potential complications of intraoral maxillary distraction osteogenesis. A 2-stage procedure combining maxillary advancement by distraction technique with genioplasty and mandibular setback surgery was planned to correct jaw deformities in a 22-year-old patient with severe maxillary retrusion, mandibular prognathism, and excessive lower facial height. In the first stage, osteotomies were performed and maxilla was lightly mobilized after down-fracture. Distractors were placed to the maxilla intraorally. During activation period, the maxilla rotated in a clockwise direction, producing a discrepancy between the planned and the actual vectors. Complete distraction was unsatisfactory and the complication was due to surgical technique. This case report presents the failure of maxillary distraction due to incomplete mobilization of the maxilla. Treatment of the case was achieved by the conventional osteotomy techniques at final operation. The maxilla was successfully advanced to the desired position producing good occlusion and an improved facial profile.

  13. [Effects of maxillary distraction osteogenesis on the velopharyngeal configuration of cleft palate patients].

    Science.gov (United States)

    Wang, Xiao-xia; Wang, Xing; Yi, Biao; Li, Zi-li; Liang, Cheng

    2005-12-18

    To study the effects of internal maxillary distraction osteogenesis(DO) on the velopharyngeal configuration of cleft palate patients. Ten patients with severe maxillary hypoplasia secondary to cleft lip and palate patients (7 males and 3 females, average age 20.1 years old) had undertaken high step LeFort I osteotomy, and internal maxillary distraction devices were applied to advance the maxilla. Before surgery, when DO was completed and 6 months after DO was completed, oriented lateral cephalograms at rest position of each patient were taken, and 6 measure indexes of velopharyngeal configuration were collected and analyzed. All patients had successfully accomplished maxillary DO and the maxilla had been averagely advanced 11.3 mm. PNS-PhW, C-PhW, UL and ANS-PNS-T had all significantly increased, and UD had significantly decreased when DO was completed and 6 months after DO was completed as compared with pre-surgery. No significant linear correlation was found between maxilla advancement distance and velopharyngeal configuration changes. Correction of maxillary hypoplasia secondary to cleft palate surgery by using internal maxillary DO can increase the velopharyngeal cavity depth, and may impair velopharyngeal competence, but the compensatory changes of velopharyngeal soft tissue can alleviate this impairment to certain extent.

  14. The effects of uncinectomy and natural ostial dilatation on maxillary sinus ventilation: a clinical experimental study.

    Science.gov (United States)

    Kutluhan, Ahmet; Şalvız, Mehti; Bozdemir, Kazım; Kanbak, Orhan; Ulu, Mustafa; Yalçıner, Gökhan; Bilgen, Akif Sinan

    2011-04-01

    The purpose of this study was to determine the effect of uncinectomy without sinusotomy and natural ostial dilatation on maxillary sinus ventilation in chronic rhinosinusitis. Twenty patients with chronic rhinosinusitis were included in this study. The patients were randomly divided into two groups. Group 1 consisted of patients with uncinectomy (n = 10), while group 2 was made up of patients treated with natural ostial dilatation (n = 10). The CO(2) tension and pressure levels of the maxillary sinus during inspiration and expiration phases were obtained and compared before and after the procedures within and between the groups. The mean CO(2) tension levels in both groups were significantly decreased after the procedures. The mean maxillary sinus pressure during inspiration was significantly decreased to a negative value after uncinectomy; however, no significant change was observed during expiration. There were no significant changes in maxillary sinus pressures after natural ostial dilatation procedure. Both uncinectomy and natural ostial dilatation seem to be equally effective in decreasing maxillary sinus pCO(2) levels. The effects of decreased maxillary sinus pressure during inspiration after uncinectomy on mucociliary clearance and development mechanisms of chronic rhinosinusitis seem to be worth investigating.

  15. Dual odontogenic origins develop at the early stage of rat maxillary incisor development.

    Science.gov (United States)

    Kriangkrai, Rungarun; Iseki, Sachiko; Eto, Kazuhiro; Chareonvit, Suconta

    2006-03-01

    Developmental process of rat maxillary incisor has been studied through histological analysis and investigation of tooth-related gene expression patterns at initial tooth development. The tooth-related genes studied here are fibroblast growth factor-8 (Fgf-8), pituitary homeobox gene-2 (Pitx-2), sonic hedgehog (Shh), muscle segment homeobox-1 (Msx-1), paired box-9 (Pax-9) and bone morphogenetic protein-4 (Bmp-4). The genes are expressed in oral epithelium and/or ectomesenchyme at the stage of epithelial thickening to the early bud stage of tooth development. Both the histological observation and tooth-related gene expression patterns during early stage of maxillary incisor development demonstrate that dual odontogenic origins aligned medio-laterally in the medial nasal process develop, subsequently only single functional maxillary incisor dental placode forms. The cascade of tooth-related gene expression patterns in rat maxillary incisor studied here is quite similar to those of the previous studies in mouse mandibular molar, even though the origins of oral epithelium and ectomesenchyme involved in development of maxillary incisor and mandibular molar are different. Thus, we conclude that maxillary incisor and mandibular molar share a similar signaling control of Fgf-8, Pitx-2, Shh, Msx-1, Pax-9 and Bmp-4 genes at the stage of oral epithelial thickening to the early bud stage of tooth development.

  16. Maxillary hypoplasia in the cleft patient: contribution of orthodontic dental space closure to orthognathic surgery.

    Science.gov (United States)

    Lee, Justine C; Slack, Ginger C; Walker, Ryann; Graves, Lindsay; Yen, Sandra; Woo, Jessica; Ambaram, Rishal; Martz, Martin G; Kawamoto, Henry K; Bradley, James P

    2014-02-01

    Cleft lip and palate surgery in the developing child is known to be associated with maxillary hypoplasia. However, the effects of nonsurgical manipulations on maxillary growth have not been well investigated. The authors present the contribution of orthodontic dental space closure with canine substitution to maxillary hypoplasia and the need for orthognathic surgery. Cleft lip/palate and cleft palate patients older than 15 years of age were reviewed for dental anomalies, orthodontic canine substitution, and Le Fort I advancement. Skeletal relationships of the maxilla to the skull base (SNA), mandible (ANB), and facial height were determined on lateral cephalograms. Logistic regression analyses were performed to estimate odds ratios. Ninety-five patients were reviewed (mean age, 18.1 years). In 65 patients with congenitally missing teeth, 55 percent with patent dental spaces required Le Fort I advancement. In contrast, 89 percent who underwent canine substitution required Le Fort I advancement (p = 0.004). Canine substitution is associated with a statistically significant increase in maxillary retrognathia when compared with dental space preservation on lateral cephalograms (mean SNA, 75.2 and 79.0, respectively; p = 0.006). Adjusting for missing dentition, logistic regression analyses demonstrated that canine substitution is an independent predictor for orthognathic surgery (OR, 6.47) and maxillary retrusion defined by SNA orthodontic cleft closure using canine substitution with maxillary hypoplasia and subsequent Le Fort I advancement, and suggest systematic criteria for management of cleft-related dental agenesis. Therapeutic, III.

  17. Prevalence and distribution of dental anomalies: a comparison between maxillary and mandibular tooth agenesis.

    Science.gov (United States)

    Al-Abdallah, Mariam; AlHadidi, Abeer; Hammad, Mohammad; Al-Ahmad, Hazem; Saleh, Raja'

    2015-11-01

    The aim of this study was to compare the pattern and prevalence of associated dental anomalies between maxillary and mandibular tooth agenesis (hypodontia). A sample of 3315 dental patients, aged 8.6 to 25.4 years, was surveyed for tooth agenesis (excluding third molars): 106 subjects were diagnosed with maxillary hypodontia (group 1) and 70 with mandibular hypodontia (group 2). Both groups were examined for the following dental anomalies: retained deciduous molars, infraocclusion of deciduous molars, impaction, microdontia of maxillary lateral incisors, supernumerary teeth, transposition, transmigration, and ectopic eruption of the permanent molars. For statistical testing, the chi-square test (P anomalies among the groups. We found that 77.5% of the patients in the mandibular hypodontia group had at least 1 dental anomaly compared with 49.5% in the maxillary hypodontia group (P dental anomaly with a significantly increased prevalence in the maxillary hypodontia group compared with the mandibular hypodontia group was microdontia of the maxillary lateral incisors (groups 1, 46.7%; group 2, 12.9%; P dental development in both jaws. Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  18. Progressive immediate loading of a perforated maxillary sinus dental implant: a case report

    Directory of Open Access Journals (Sweden)

    Al-Juboori MJ

    2015-01-01

    Full Text Available Mohammed Jasim Al-Juboori Department of Oral Surgery, MAHSA University, Kuala Lumpur, Malaysia Abstract: The displacement of a dental implant into the maxillary sinus may lead to implant failure due to exposure of the apical third or the tip of the implant beyond the bone, resulting in soft tissue growth. This case report discusses dental implant placement in the upper first molar area with maxillary sinus involvement of approximately 2 mm. A new technique for progressive implant loading was used, involving immediately loaded implants with maxillary sinus perforation and low primary stability. Follow-up was performed with resonance frequency analysis and compared with an implant placed adjacent in the upper second premolar area using a conventional delayed loading protocol. Implants with maxillary sinus involvement showed increasing stability during the healing period. We found that progressive implant loading may be a safe technique for the placement of immediately loaded implants with maxillary sinus involvement. Keywords: progressive implant loading, resonance frequency analysis, implant stability, provisional crown, bone density, maxillary sinus

  19. Three-dimensional space changes after premature loss of a maxillary primary first molar.

    Science.gov (United States)

    Park, Kitae; Jung, Da-Woon; Kim, Ji-Yeon

    2009-11-01

    A space maintainer is generally preferred when a primary first molar is lost before or during active eruption of the first permanent molars in order to prevent space loss. However, controversy prevails regarding the space loss after eruption of the permanent first molars. The purpose of this study was to examine spatial changes subsequent to premature loss of a maxillary primary first molar after the eruption of the permanent first molars. Thirteen children, five girls and eight boys, expecting premature extraction of a maxillary primary first molar because of caries and/or failed pulp therapy, were selected. Spatial changes were investigated using a three-dimensional laser scanner by comparing the primary molar space, arch width, arch length, and arch perimeter before and after the extraction of a maxillary primary first molar. Also, the inclination and angulation changes in the maxillary primary canines, primary second molars, and permanent first molars adjacent to the extraction site were investigated before and after the extraction of the maxillary primary first molar in order to examine the source of space loss. There was no statistically significant space loss on the extraction side compared to the control side (P = 0.33). No consistent findings were seen on the inclination and angulation changes on the extraction side. The premature loss of a maxillary primary first molar, in cases with class I molar relationship, has limited influence on the space in permanent dentition.

  20. The sedimentary facies characteristics and lithofacies palaeogeography during Middle-Late Cambrian, Sichuan Basin and adjacent area

    Directory of Open Access Journals (Sweden)

    Feifan Lu

    2017-06-01

    Full Text Available Combined with the regional strata filling characteristics of Middle-Upper Cambrian, the present paper conducts a systematic research on sedimentary facies in the basin and its peripheral area by utilizing 164 field outcrops and drilling and coring data. Further, the method of “multi-factor comprehensive synthesis based on single-factor analysis” was employed to investigate the sedimentary facies and palaeogeography of the study area and establish the sedimentary facies model. Stratigraphic reveals that the study area represents the pattern of thin-northwest and thick-southeast by stretching northeast-southwest. Within the present basin, the pattern of “one thin and two thick” predominates, while outside the basin “four thin and three thick” filling feature was found. Sedimentary facies shows that the study area was featured by rimmed carbonate platform. Specifically, carbonate platform, slope and northeastern corner Qinling paleooceanic Basin and southeastern corner Jiangnan Bain was identified from the west to the east. The carbonate platform contains restricted platform, evaporation-restricted platform, semi-restricted platform and the platform margin. Single factor analysis and lithofacies palaeogeographic characteristics manifests that during Middle-Late Cambrian, the western Old land evolved into peneplain stage, and that the eastern and southwestern sub-sags remained connected to the open-sea to some extent. At the time, the shllow seawater circulation was relatively restricted, while the ancient seabed tended to be flat and evaporation characteristics significantly diminished. Secondary sea-level fluctuation intensively influenced the development of scaled grain beach. It is suggested that tide marginal beach, intraplatform shoal subfacies zone, along with Shiqian-SangZhi in southeast and Zhenba-Xinshan in northeast platform-margin beach subfacies zone to be preferable targets for the favorable reservoir facies zone and

  1. A radiographic study of the experimental lesions in the maxillary sinus

    International Nuclear Information System (INIS)

    Lee, Joo Hyun; Hwang, Eui Hwan; Lee, Sang Rae

    1994-01-01

    The purpose of this study was to examine the differences in representation of a globular radiopaque mass on the pantomograms and Waters' views and to compare the efficacy of periapical radiograms, pantomograms and Waters' views in detection of defects on the internal walls of the maxillary sinus. This study was performed with dried human skull. For the study of difference of radiopaque mass shadow in the two views, rubber ball with a diameter of 10mm was used as the experimental lesion. It was placed successively on the internal wall of the anterior, posterior, medial, lateral walls and floor of the maxillary sinus. To examine the detectability of defects for radiographic techniques, defects were formed in the anterior, posterior, medial, lateral walls, and floor of the maxillary sinus. They were formed with 0.5 mm, 0.75 mm, 1.0 mm, 2.0 mm and 3.0 mm sized steel round burs with a slow speed dental handpiece. By subsequently plugging the holes with zinc oxide eugenol paste, radiopaque defects were produced. After that the periapical radiograms, the pantomograms and the Waters' views were taken each and every defect. The obtained results were as follows: 1. Rubber balls placed on each internal wall of maxillary sinus were correctly depicted on the posterior wall and the floor in case of the pantomogram, and on the anterior wall and the medial wall in case of the Waters' view. 2. On the detectability of defects for each radiographic technique, radiolucent defects were detected in different places of each technique. Periapical radiogram could detect 1.0 mm defect on the floor of the maxillary sinus, pantomogram could detect 2.0 mm defect on every internal wall of the maxillary sinus, and Waters' view could detect 3.0 mm defect on the anterior wall of the maxillary sinus. 3. On the detectability of defects for each radiographic technique, radiopaque defects were detected in different places for each technique. Periapical radiogram could clearly detect 0.5 mm defect on

  2. A radiographic study on the morphology of the maxillary sinus in adolescents and adults

    International Nuclear Information System (INIS)

    Ko, Kang Joon; Lee, Sang Rae

    1984-01-01

    The purpose of this study was radiographic analysis of the morphology of maxillary sinus in adolescents and adults. In order to analyze the morphology of maxillary sinus in view point of anteroposterior width of medial wall, vertical distance between antral floor and nasal floor level, anterior extension, distance between antral floor and maxillary 1st molar apex, and types of lower border of maxillary sinus, specialized maxillary projection and periapical view with paralleling technique was taken. The author examined orthopantomograms and intraoral standard views taken from 400 adolescents and adults ranged 15-65 years-old. The obtained results were as follows: 1. The antero-posterior width of medial wall of maxillary sinus was 32.80 mm in 15-19 year-old group, 33.86 mm in 20-24 year-old group, 34.09 mm in 25-29 year-old group, and 33.67 mm in 30-65 year-old group, and left maxillary sinus was somewhat smaller than the right. 2. The vertical distance between antral floor and nasal floor level was 8.49 mm in 15-19 year-old group, 9.05 mm i n 20-24 year-old group, 8.95 mm in 25-29 year-old group, and 8.32 mm in 30-65 year-old group. 3. The order of anterior extension of maxillary sinus were distal half of canine, mesial half of canine, mesial half of 1st premolar, and distal half of 1st premolar. 4. The distance between antral floor and maxillary 1st molar were 4.36 mm in 15-19 year-old group, 4.77 mm in 20-24 yea r-old group, 3.58 mm in 25-29 year-old group, and 2.33 mm in 30-65 year-old group. 5. The order of the types of lower border of maxillary sinus were entire downward type, close type, partially downward type, waving type, separating type, and indistinct. In the types of antral floor, there was a tendency to increase the separating type with age.

  3. Alveolar bone changes after asymmetric rapid maxillary expansion.

    Science.gov (United States)

    Akin, Mehmet; Baka, Zeliha Muge; Ileri, Zehra; Basciftci, Faruk Ayhan

    2015-09-01

    To quantitatively evaluate the effects of asymmetric rapid maxillary expansion (ARME) on cortical bone thickness and buccal alveolar bone height (BABH), and to determine the formation of dehiscence and fenestration in the alveolar bone surrounding the posterior teeth, using cone-beam computed tomography (CBCT). The CBCT records of 23 patients with true unilateral posterior skeletal crossbite (10 boys, 14.06 ± 1.08 years old, and 13 girls, 13.64 ± 1.32 years old) who had undergone ARME were selected from our clinic archives. The bonded acrylic ARME appliance, including an occlusal stopper, was used on all patients. CBCT records had been taken before ARME (T1) and after the 3-month retention period (T2). Axial slices of the CBCT images at 3 vertical levels were used to evaluate the buccal and palatal aspects of the canines, first and second premolars, and first molars. Paired samples and independent sample t-tests were used for statistical comparison. The results suggest that buccal cortical bone thickness of the affected side was significantly more affected by the expansion than was the unaffected side (P ARME significantly reduced the BABH of the canines (P ARME also increased the incidence of dehiscence and fenestration on the affected side. ARME may quantitatively decrease buccal cortical bone thickness and height on the affected side.

  4. Recurring fibrous dysplasia of anthro maxillary with cranial base invasion

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    Sousa, Kátia Maria Marabuco de

    2009-09-01

    Full Text Available Introduction: Fibrous dysplasia is an osseous lesion with an unknown etiology. It is characterized by the osseous maturation insufficiency. It may affect any bone, but the affection of craniofacial bones is the most critical for otorhinolaryngology. Maxilla is the most affected facial bone and the orbitary invasion is an uncommon event. The symptoms are unspecific and for its low suspicion and uncommonness, the diagnosis is generally late. The monostotic form presents a slow growth and asymptomatic course and needs to be followed up. The polyostotic type has a progressive behavior and is associated to recurrence and complications. Objective: To present two cases of patients with fibrous dysplasia diagnosis and describe the clinical presentation, radiological findings and the treatment of this pathology. Cases Report: Two cases of fibrous dysplasia are reported, which initially presented unspecific symptomatology, but with characteristic radiologic signs. They were submitted to surgical treatment for resection of the lesions and evolved with frequent recurrences with extensive affection of the facial sinuses, one patient had cranial base invasion and frontal craniotomy was needed for tumoral excision. Final Comments: Fibrous dysplasia is an uncommon osteopathy. The tomography is the choice method for characterization of the tumoral expansion, and helps in the surgical planning. The surgical strategy is indicated for symptomatic lesions, functions alterations or anatomic disorders. This article describes two uncommon manifestations of recurrent fibrous dysplasia with an extensive affection of anthro maxillary, ethmoidal and sphenoid sinuses, in addition to orbitary and cranial base invasion.

  5. Craniofacial and maxillary anomalies: Anesthetic implications and management

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    Sukhminder Jit Singh Bajwa

    2014-01-01

    Full Text Available The advancement in the craniofacial surgery has imposed challenges on the attending anesthesiologist for the successful conduct reconstructive surgery. The anesthesiologist remains a key person in the multidisciplinary tasks involved in such surgery. Most of these patients belong to smaller age group and have difficult airway due to various syndromes associated with it. The other major problems faced by the anesthesiologist in such surgery are intra-operative hypothermia due to prolonged surgery and significant blood loss as well as fluid shifts associated with it. A well-equipped intensive care unit is a must for the post-operative care of such patients. Even the adult patients coming for maxillofacial trauma surgery require careful vigilance both intra-operatively as well as post-operatively due to frequent difficult airway associated with it. A careful pre-operative evaluation and discussion with the surgeons, proper planning for airway management, intra-operative care and post-operative intensive care backup is required for the successful outcome in these surgeries. The current review is an attempt to describe in short the important anesthesia aspects and challenges related to various cranio-maxillary lesions.

  6. Malignant tumors arising in the maxillary region after radiation therapy

    International Nuclear Information System (INIS)

    Shimizu, Sawamichi; Shirahata, Yuichi; Uchida, Yutaka

    1984-01-01

    Although radiotherapy has proven of great therapeutic value in the treatment of malignant tumors, it should also be borne in mind that radiation has a serious potential risk of giving rise to a secondary malignancy. We recently experienced 2 cases each of carcinoma and sarcoma arising in the irradiated areas long after radiation therapy for malignant tumors. In these 4 cases, 2 males and 2 females, the primary neoplastic diseases were squamous cell carcinoma, epidermoid carcinoma, carcinoma of unknown pathology and malignant lymphoma, and the secondary tumors were epidermoid carcinoma, squamous cell carcinoma, osteosarcoma and chondrosarcoma, respectively. The sites of occurrence of these malignancies were invariably in the maxillary region; the mean latent period was 15 years, aside from an infantile case with a latent period of 5 years. In view of the primary diseases being malignant tumors the following criteria were set up for the diagnosis of radiation-induced malignancies: (1) the site of occurrence is within the confines of a previously irradiated area, (2) the latent period is prolonged and (3) the malignancy occurs as a double tumor. Therapy was primarily by operation. The prognosis was exceedingly ominous, the average survival time being 22 months. This was probably and mainly because of rapidity of tumor growth. Thus, the secondary tumors had already spread back to inward by the time they were first discovered. This should be kept in mind during a long-term follow-up of patients receiving radiotherapy for malignancy. (author)

  7. Measurement of Distraction Force in Cleft Lip and Palate Patients During Le Fort I Maxillary Advancement With Rigid External Distraction.

    Science.gov (United States)

    Sawada, Hiromi; Ogawa, Takuya; Kataoka, Keiichi; Baba, Yoshiyuki; Moriyama, Keiji

    2017-03-01

    Maxillary distraction osteogenesis (DO) is a mainstream surgical technique for patients who have severe maxillary hypoplasia associated with craniofacial syndromes and cleft-related deformities. However, limited information about the biomechanical aspects of maxillary DO is available limiting broad utilization and improvements to the procedure. The objective of this study was to analyze force levels during the active distraction process and to investigate the relationship between distraction force and maxillary movement during Le Fort I maxillary DO using a rigid external distraction (RED) system. Microtension gauges were integrated into the distraction wires on each side of the RED system. Six patients with cleft lip and palate aged 12.8 to 23.5 years underwent strain gauge measurements during maxillary advancement with DO using an RED system. Lateral cephalograms were taken to measure maxillary horizontal, vertical, and linear movements after DO. The average linear maxillary movement was 11.2 mm (range 8.5-15.9 mm). The applied forces ranged from 13.4 to 26.8 N. The distance of maxillary movement was proportional to the distraction force. The measurement of distraction forces during DO provides important information with which to establish appropriate protocols. Patients requiring more advancement may require more distraction force. However, other factors such as scarring, patient anatomy, surgical freedom of the osteotomized maxilla, and the like, may affect the required force during DO with the RED system.

  8. Three dimensional analysis of CT image on naso-maxillary complex in cleft lip and palate patients

    International Nuclear Information System (INIS)

    Ma, Rong-Rong

    1994-01-01

    This study was designed to clarify the three dimensional features of naso-maxillary complex in cleft lip and palate (CLP) by using computed tomography (CT) and to examine its change following an upper dental arch expansion. Sequential CT images with 2mm-thickness were obtained for 11 unilateral CLP boys (UCLP), 6 bilateral CLP boys (BCLP) and 4 boys without cleft (non-cleft). Additionally, two serial sets of upper dental cast before and after dental arch expansion coupled with CT images in UCLP were used to evaluate the effect of dental arch expansion on the naso-maxillary complex. UCLP demonstrated a remarkable naso-maxillary deformity characterized by a decreased volume of maxillary sinus in comparison with the non-cleft patients. Both the volume and shape of nasal cavity were significantly different between the cleft and non cleft side. Naso-maxillary morphology of BCLP, however, was similar to that of the non cleft except for the decreased volume of alveolar arch. Comparative study of UCLP and BCLP showed a significant difference in naso-maxillary morphology. There were some significant correlations between the dental arch expansion and change of each naso-maxillary component, suggesting the effect of expansion stress on the naso-maxillary complex in UCLP. However, deformation caused by expansion stress varied, depending on each component of the naso-maxillary complex. (author) 61 refs

  9. Three dimensional analysis of CT image on naso-maxillary complex in cleft lip and palate patients

    Energy Technology Data Exchange (ETDEWEB)

    Ma, Rong-Rong [Tokyo Medical and Dental Univ. (Japan). School of Dentistry

    1994-12-01

    This study was designed to clarify the three dimensional features of naso-maxillary complex in cleft lip and palate (CLP) by using computed tomography (CT) and to examine its change following an upper dental arch expansion. Sequential CT images with 2mm-thickness were obtained for 11 unilateral CLP boys (UCLP), 6 bilateral CLP boys (BCLP) and 4 boys without cleft (non-cleft). Additionally, two serial sets of upper dental cast before and after dental arch expansion coupled with CT images in UCLP were used to evaluate the effect of dental arch expansion on the naso-maxillary complex. UCLP demonstrated a remarkable naso-maxillary deformity characterized by a decreased volume of maxillary sinus in comparison with the non-cleft patients. Both the volume and shape of nasal cavity were significantly different between the cleft and non cleft side. Naso-maxillary morphology of BCLP, however, was similar to that of the non cleft except for the decreased volume of alveolar arch. Comparative study of UCLP and BCLP showed a significant difference in naso-maxillary morphology. There were some significant correlations between the dental arch expansion and change of each naso-maxillary component, suggesting the effect of expansion stress on the naso-maxillary complex in UCLP. However, deformation caused by expansion stress varied, depending on each component of the naso-maxillary complex. (author) 61 refs.

  10. The single-tooth implant treatment of congenitally missing maxillary lateral incisors using angled abutments: A clinical report

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    Suleyman Hakan Tuna

    2009-01-01

    Full Text Available The maxillary lateral incisor is the second most common congenitally absent tooth. There are several treatment options for replacing the missing maxillary lateral incisor, including canine substitution, tooth-supported restoration, or single-tooth implant. Dental implants are an appropriate treatment option for replacing missing maxillary lateral incisor teeth in adolescents when their dental and skeletal development is complete. This case report presents the treatment of a patient with congenitally missing maxillary lateral incisors using dental implants with angled abutments.

  11. Use of repeat anterior maxillary distraction to correct residual midface hypoplasia in cleft patients.

    Science.gov (United States)

    Richardson, Sunil; Krishna, Shreya; Bansal, Avi

    2017-12-01

    The study was designed to evaluate the efficacy of performing a second, repeat anterior maxillary distraction (AMD) to treat residual cleft maxillary hypoplasia. Five patients between the ages of 12 to 15 years with a history of AMD and with residual cleft maxillary hypoplasia were included in the study. Inclusion was irrespective of gender, type of cleft lip and palate, and the amount of advancement needed. Repeat AMD was executed in these patients 4 to 5 years after the primary AMD procedure to correct the cleft maxillary hypoplasia that had developed since the initial procedure. Orthopantomogram (OPG) and lateral cephalograms were taken for evaluation preoperatively, immediately after distraction, after consolidation, and one year postoperatively. The data obtained was tabulated and a Mann Whitney U-test was used for statistical comparisons. At the time of presentation, a residual maxillary hypoplasia was observed with a well maintained distraction gap on the OPG which ruled out the occurrence of a relapse. Favorable movement of the segments without any resistance was seen in all patients. Mean maxillary advancement of 10.56 mm was achieved at repeat AMD. Statistically significant increases in midfacial length, SNA angle, and nasion perpendicular to point A distance was achieved ( P =0.012, P =0.011, and P =0.012, respectively). Good profile was achieved for all patients. Minimal transient complications, for example anterior open bite and bleeding episodes, were managed. Addressing the problem of cleft maxillary hypoplasia at an early age (12-15 years) is beneficial for the child. Residual hypoplasia may develop in some patients, which may require additional corrective procedures. The results of our study show that AMD can be repeated when residual deformity develops with the previous procedure having no negative impact on the results of the repeat procedure.

  12. The mean visible labial length of maxillary and mandibular anterior teeth at rest

    International Nuclear Information System (INIS)

    Khan, F.; Abbas, M.

    2014-01-01

    To determine the mean visible labial length of maxillary and mandibular anterior teeth at rest. Study Design: Cross-sectional study. Place and Duration of Study: Department of Prosthodontics, Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences, Karachi, from October 2012 to March 2013. Methodology: A total of 200 subjects were included. Measurements were carried out using digital caliper from the border of the lip to the incisal edges of incisor and to the cusp tip for the canines. The length of the upper lip was measured from subnasale to stomion. Statistical analyses were performed by Mann Whitney-U test and Kruskal Walli's test. Results: The age of the participant ranged between 20 and 65 years. At rest, females significantly displayed more of the maxillary central incisor (2.93 +- 1.57 mm; p=0.003), lateral incisor (1.87 +- 1.12 mm; p=0.005) and canine (0.59 +- 0.62 mm; p=0.031). With increasing age, the amount of maxillary anterior teeth visible at rest significantly decreased (p < 0.001), and increased for the mandibular teeth (p < 0.001). Subjects with shorter upper lips significantly displayed more maxillary anterior incisor structure than subjects with longer upper lip (p < 0.001). Conclusion: Females displayed significantly more labial length of the maxillary anterior teeth. The mean visible labial length of maxillary anterior teeth significantly decreased with increasing age and increased for the mandibular teeth. As the upper lip length increased, the mean visible labial length of maxillary anterior teeth significantly decreased. (author)

  13. Prevalence Of Maxillary Sinus Jaw Mucuous Cysts In University Dental Radiology Service

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    Joaquim Lira Saraiva Neto

    2017-07-01

    Full Text Available Background: Mucosal cyst of the maxillary sinus or antral pseudocyst is one of great importance injury, being the pathology that affects more the maxillary sinus. Their discovery, in most cases, it is for the interpretation of the images in routine panoramic radiography. Aims: The research aimed to evaluate the prevalence of mucous cyst in maxillary sinus in radiology clinic at Ceara Federal University. Material and Methods: To this study conduction, were analyzed 1996 panoramic radiographs from a digital file obtained between April 2011 to April 2013 Results:. Aspects as gender, affected side and teeth absence next to the cyst in the respective quadrant were evaluated.It was observed in the sample the occurrence of 45 patients with suggested images of mucous cysts in maxillary sinus,making a prevalence of 2,25%. From them, 26 (57,8%were female and 19 (42,2% were male. 48 maxillary sinuswere affected with the wound, from which28 (58,3% it was in the left side and 20 (41,7% in the right site. Three patients presented the wound in both sides, what represents 6,7% of the affected patients. From those 48 Mucous retention cyst, 40 (83,3% were not related to an edentulous area in ipsilateral quadrant and 8 (16,7% were shown next to an edentulous area. Conclusion: The conclusion was that the cyst of retention mucous in the maxillary sinus had prevalence in males and in the left side of the maxillary sinus. It was not found a relation between the cyst and the edentulous area.

  14. Analysis of the width ratio and wear rate of maxillary anterior teeth in the Korean population.

    Science.gov (United States)

    Oh, Yeon-Ah; Yang, Hong-So; Park, Sang-Won; Lim, Hyun-Pil; Yun, Kwi-Dug; Park, Chan

    2017-04-01

    The purpose of this study was to compare the width ratio of maxillary anterior teeth according to age in the Korean population and to evaluate the maxillary central incisor width-to-length (W/L) ratio, given differences in age and gender. Ninety-three Korean adults were divided into 3 groups (n = 31) by age. Group I was 20 - 39 years old, Group II was 40 - 59 years old, and Group III was over 60 years of age. After taking an impression and a cast model of the maxillary arch, the anterior teeth width ratio and central incisor W/L ratio were calculated from standard digital images of the cast models using a graph paper with a digital single lens reflex (DSLR) camera. The calculated ratios were compared among all groups and central incisor W/L ratio were analyzed according to age and gender. All comparative data were statistically analyzed with one-sample t-tests, one-way ANOVAs with Tukey tests, and independent t-tests. No significant differences in maxillary anterior teeth ratios were found among the age groups. The maxillary central incisor W/L ratios in Group III were the greatest and were significantly higher than those in the other groups. The central incisor W/L ratio of men was higher than that of women in Group II. Maxillary anterior teeth width ratios were similar in all age groups in the Korean population. The maxillary central incisor was observed as worn teeth in the group over 60 years of age, and a significant difference between genders was found in 40 to 50 year olds.

  15. Maxillary complete denture outcome with two-implant supported mandibular overdentures. A systematic review.

    Science.gov (United States)

    Rutkunas, Vygandas; Mizutani, Hiroshi; Peciuliene, Vytaute; Bendinskaite, Ruta; Linkevicius, Tomas

    2008-01-01

    Research data regarding maxillary complete denture outcome with two-implant supported mandibular overdentures are not consistent. Considering multiple publications on implant supported mandibular overdentures, it was decided to summarize currently present evidence on the maxillary complete dentures opposed by implant-supported mandibular overdentures, and analyze factors that could potentially influence the outcomes. The articles from 1985 to 2007 related to the topic were identified in the online MEDLINE/Pubmed and other databases and manually. Primary articles were scanned, and irrelevant studies were excluded from the further review process. Potentially relevant titles and abstracts were provisionally included for consideration on the basis of full text articles. Full text articles were obtained from on-line and printed sources. The data from the studies were extracted and reviewed. The study has failed to identify any prospective satisfying inclusion/exclusion criteria RCT reporting on maxillary bone resorption. The number of maxillary complete denture relining incidences per patient was constantly increasing during the 10-year period. Maxillary complete denture remake incidences comprised 16-33 % of the number of patients followed during the 10-year period. Comparing patient satisfaction with upper dentures at the baseline and after two years, no decrease in satisfaction was noticed. There is no evidence that maxillary ridge resorption is accelerated with certain types of two-implant supported mandibular overdenture attachments. Most common complication for the maxilla - prosthetic maintenance. There is a risk of decreased patient satisfaction with bar-supported mandibular overdenture. Further studies are needed to provide evidence for the maxillary complete denture outcome with two-implant supported mandibular overdentures.

  16. Mesozoic Alpine facies deposition as a result of past latitudinal plate motion.

    Science.gov (United States)

    Muttoni, Giovanni; Erba, Elisabetta; Kent, Dennis V; Bachtadse, Valerian

    2005-03-03

    The fragmentation of Pangaea as a consequence of the opening of the Atlantic Ocean is documented in the Alpine-Mediterranean region by the onset of widespread pelagic sedimentation. Shallow-water sediments were replaced by mainly pelagic limestones in the Early Jurassic period, radiolarian cherts in the Middle-Late Jurassic period, and again pelagic limestones in the Late Jurassic-Cretaceous period. During initial extension, basin subsidence below the carbonate compensation depth (CCD) is thought to have triggered the transition from Early Jurassic limestones to Middle-Late Jurassic radiolarites. It has been proposed that the transition from radiolarites to limestones in the Late Jurassic period was due to an increase in calcareous nannoplankton abundance when the CCD was depressed below the ocean floor. But in modern oceans, sediments below the CCD are not necessarily radiolaritic. Here we present palaeomagnetic samples from the Jurassic-Cretaceous pelagic succession exposed in the Lombardian basin, Italy. On the basis of an analysis of our palaeolatitudinal data in a broader palaeogeographic context, we propose an alternative explanation for the above facies tripartition. We suggest that the Lombardian basin drifted initially towards, and subsequently away from, a near-equatorial upwelling zone of high biosiliceous productivity. Our tectonic model for the genesis of radiolarites adds an essential horizontal plate motion component to explanations involving only vertical variations of CCD relative to the ocean floor. It may explain the deposition of radiolarites throughout the Mediterranean and Middle Eastern region during the Jurassic period.

  17. Towards the definition of AMS facies in the deposits of pyroclastic density currents

    Science.gov (United States)

    Ort, M.H.; Newkirk, T.T.; Vilas, J.F.; Vazquez, J.A.; Ort, M.H.; Porreca, Massimiliano; Geissman, J.W.

    2014-01-01

    Anisotropy of magnetic susceptibility (AMS) provides a statistically robust technique to characterize the fabrics of deposits of pyroclastic density currents (PDCs). AMS fabrics in two types of pyroclastic deposits (small-volume phreatomagmatic currents in the Hopi Buttes volcanic field, Arizona, USA, and large-volume caldera-forming currents, Caviahue Caldera, Neuquén, Argentina) show similar patterns. Near the vent and in areas of high topographical roughness, AMS depositional fabrics are poorly grouped, with weak lineations and foliations. In a densely welded proximal ignimbrite, this fabric is overprinted by a foliation formed as the rock compacted and deformed. Medial deposits have moderate–strong AMS lineations and foliations. The most distal deposits have strong foliations but weak lineations. Based on these facies and existing models for pyroclastic density currents, deposition in the medial areas occurs from the strongly sheared, high-particle-concentration base of a density-stratified current. In proximal areas and where topography mixes this denser base upwards into the current, deposition occurs rapidly from a current with little uniformity to the shear, in which particles fall and collide in a chaotic fashion. Distal deposits are emplaced by a slowing or stalled current so that the dominant particle motion is vertical, leading to weak lineation and strong foliation.

  18. MAPPING OF RESERVOIR PROPERTIES AND FACIES THROUGH INTEGRATION OF STATIC AND DYNAMIC DATA

    Energy Technology Data Exchange (ETDEWEB)

    Albert C. Reynolds; Dean S. Oliver; Yannong Dong; Ning Liu; Guohua Gao; Fengjun Zhang; Ruijian Li

    2004-12-01

    Knowledge of the distribution of permeability and porosity in a reservoir is necessary for the prediction of future oil production, estimation of the location of bypassed oil, and optimization of reservoir management. The volume of data that can potentially provide information on reservoir architecture and fluid distributions has increased enormously in the past decade. The techniques developed in this research will make it easier to use all the available data in an integrated fashion. While it is relatively easy to generate plausible reservoir models that honor static data such as core, log, and seismic data, it is far more difficult to generate plausible reservoir models that honor dynamic data such as transient pressures, saturations, and flow rates. As a result, the uncertainty in reservoir properties is higher than it could be and reservoir management can not be optimized. In this project, we have developed computationally efficient automatic history matching techniques for generating geologically plausible reservoir models which honor both static and dynamic data. Specifically, we have developed methods for adjusting porosity and permeability fields to match both production and time-lapse seismic data and have also developed a procedure to adjust the locations of boundaries between facies to match production data. In all cases, the history matched rock property fields are consistent with a prior model based on static data and geologic information. Our work also indicates that it is possible to adjust relative permeability curves when history matching production data.

  19. Autoantibodies to neuronal antigens in children with focal epilepsy and no prima facie signs of encephalitis.

    Science.gov (United States)

    Borusiak, Peter; Bettendorf, Ulrich; Wiegand, Gert; Bast, Thomas; Kluger, Gerhard; Philippi, Heike; Münstermann, Dieter; Bien, Christian G

    2016-07-01

    There is increasing awareness of neuronal autoantibodies and their impact on the pathogenesis of epilepsy. We investigated children with focal epilepsy in order to provide an estimate of autoantibody frequency within a pediatric population without prima facie evidence of encephalitis using a broad panel of autoantibodies. This was done to assess the specificity of antibodies and to see whether antibodies might be of modifying influence on the course of focal epilepsies. We searched for autoantibodies in 124 patients with focal epilepsy (1-18 years; mean 10; 6 years). Sera were tested using a broad panel of surface and intracellular antigens. We found autoantibodies in 5/124 patients (4%): high-positive GAD65 antibodies (n = 1), low-positive GAD65 antibodies (N = 1), VGKC complex antibodies not reactive with LGI1 or CASPR2 (n = 3). We did not find any distinctive features distinguishing antibody positive patients from those without antibodies. The antibodies found in this cohort are probably neither disease-specific nor pathogenic. This has been suggested before for these antigenic targets. Moreover, they do not seem to modify disease severity in the antibody-positive epilepsy patients. Copyright © 2016 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

  20. Late Neogene organic-rich facies from the Mediterranean region: the role of productivity and anoxia

    Energy Technology Data Exchange (ETDEWEB)

    Howell, M.W.; Thunell, R.C.; Tappa, E.

    1985-01-01

    Various factors influence the deposition of organic-rich facies in the marine environment, including: bulk sedimentation rate, water depth, primary productivity and oxygen content of bottom waters. Organic-rich sediments have been periodically deposited during the Neogene within both the deep basins and the marginal areas of the Mediterranean, and have been attributed to either the development of bottom water anoxia or greatly increased surface productivity. In order to evaluate the relative importance of each of these factors, organic-rich sediments from both the deep eastern Mediterranean and an uplifted sequence at Vrica (Calabria, Italy) have been studied. The deep sea sapropels examined were deposited during the last full interglacial (approx. 125,000 YBP) and preceeding glacial (approx. 160,000 YBP), while the laminites from Vrica are late Pliocene and early Pleistocene in age. The sapropels have maximum organic carbon contents of 10%, with C/N ratios typically between 15-20. In contrast, the maximum organic carbon content of the laminites if approx. 1%, and the C/N ratios are between 5-10. The C/N ratios, particularly those for the sapropels, are indicative of a multiple source, and may reflect some terrestrial organic matter input. The oxygen isotopic composition of calcareous plankton associated with both laminite and sapropel deposition is suggestive of reduced surface water salinities, while the carbon isotopic composition is suggestive of a change in source of surface waters which maybe responsible for increased productivity.

  1. Application of Musical Information Retrieval (MIR Techniques to Seismic Facies Classification. Examples in Hydrocarbon Exploration

    Directory of Open Access Journals (Sweden)

    Paolo Dell’Aversana

    2016-12-01

    Full Text Available In this paper, we introduce a novel approach for automatic pattern recognition and classification of geophysical data based on digital music technology. We import and apply in the geophysical domain the same approaches commonly used for Musical Information Retrieval (MIR. After accurate conversion from geophysical formats (example: SEG-Y to musical formats (example: Musical Instrument Digital Interface, or briefly MIDI, we extract musical features from the converted data. These can be single-valued attributes, such as pitch and sound intensity, or multi-valued attributes, such as pitch histograms, melodic, harmonic and rhythmic paths. Using a real data set, we show that these musical features can be diagnostic for seismic facies classification in a complex exploration area. They can be complementary with respect to “conventional” seismic attributes. Using a supervised machine learning approach based on the k-Nearest Neighbors algorithm and on Automatic Neural Networks, we classify three gas-bearing channels. The good performance of our classification approach is confirmed by borehole data available in the same area.

  2. Stepped fans and facies-equivalent phyllosilicates in Coprates Catena, Mars

    Science.gov (United States)

    Grindrod, P. M.; Warner, N. H.; Hobley, D. E. J.; Schwartz, C.; Gupta, S.

    2018-06-01

    Stepped fan deposits and phyllosilicate mineralogies are relatively common features on Mars but have not previously been found in association with each other. Both of these features are widely accepted to be the result of aqueous processes, but the assumed role and nature of any water varies. In this study we have investigated two stepped fan deposits in Coprates Catena, Mars, which have a genetic link to light-toned material that is rich in Fe-Mg phyllosilicate phases. Although of different sizes and in separate, but adjacent, trough-like depressions, we identify similar features at these stepped fans and phyllosilicates that are indicative of similar formation conditions and processes. Our observations of the overall geomorphology, mineralogy and chronology of these features are consistent with a two stage formation process, whereby deposition in the troughs first occurs into shallow standing water or playas, forming fluvial or alluvial fans that terminate in delta deposits and interfinger with interpreted lacustrine facies, with a later period of deposition under sub-aerial conditions, forming alluvial fan deposits. We suggest that the distinctive stepped appearance of these fans is the result of aeolian erosion, and is not a primary depositional feature. This combined formation framework for stepped fans and phyllosilicates can also explain other similar features on Mars, and adds to the growing evidence of fluvial activity in the equatorial region of Mars during the Hesperian and Amazonian.

  3. Phosphate-rich sedimentary rocks: significance for organic facies and petroleum exploration

    Energy Technology Data Exchange (ETDEWEB)

    Waples, D W

    1982-03-01

    Phosphorus-bearing rocks and sediments can be divided into two genetically distinct classes: phosphatic shales or limestones and phosphorites. Phosphatic shales are primary sediments in which phosphate nodules or micronodules have formed diagenetically by precipitation of calcium phosphates derived mainly from organic phosphorus. The nodules form in reducing environments at shallow depths within the sediments, where loss of phosphate by diffusion to the overlying water column is minimized. Highly biogenic sediments containing large amounts of organic matter and some fine clastic debris provide ideal environments for the formation of phosphate nodules. Phosphorites, in contrast, represent concentrated accumulations of reworked phosphate nodules which originated in phosphatic shales or limestones. Currents, wave action, recrystallization, and erosion and resedimentation are important mechanisms in the concentration process. Phosphatic shales and limestones may become excellent oil source rocks if thermal maturity is achieved. They are useful facies indicators for anoxic or nearly anoxic depositional environments, and are often associated with restricted basins, or, during certain geologic periods, with broad shelves developed during transgressions. Phosphorites, in contrast, are often correlated with sea-level regressions or uplifts. They are modest source rocks because of their low organic carbon contents and the fact that they were reworked under oxidizing conditions. Nevertheless, because phosphorites are derived from, and often grade into, phosphatic shales, they also are of potential utility in the search for oil source beds.

  4. Facies associations, depositional environments and stratigraphic framework of the Early Miocene-Pleistocene successions of the Mukah-Balingian Area, Sarawak, Malaysia

    Science.gov (United States)

    Murtaza, Muhammad; Rahman, Abdul Hadi Abdul; Sum, Chow Weng; Konjing, Zainey

    2018-02-01

    Thirty-five stratigraphic section exposed along the Mukah-Selangau road in the Mukah-Balingian area have been studied. Sedimentological and palynological data have been integrated to gain a better insight into the depositional architecture of the area. Broadly, the Mukah-Balingian area is dominated by fluvial, floodplain and estuarine related coal-bearing deposits. The Balingian, Begrih and Liang formations have been described and interpreted in terms of seven facies association. These are: FA1 - Fluvial-dominated channel facies association; FA2 - Tide-influenced channel facies association; FA3 - Tide-dominated channel facies association; FA4 - Floodplain facies association; FA5 - Estuarine central basin-mud flats facies association; FA6 - Tidal flat facies association and FA7 - Coastal swamps and marshes facies association. The Balingian Formation is characterised by the transgressive phase in the base, followed by a regressive phase in the upper part. On the basis of the occurrence of Florscheutzia trilobata with Florscheutzia levipoli, the Early to Middle Miocene age has been assigned to the Balingian Formation. The distinct facies pattern and foraminifera species found from the samples taken from the Begrih outcrop imply deposition in the intertidal flats having pronounced fluvio-tidal interactions along the paleo-margin. Foraminiferal data combined with the pronounced occurrence of Stenochlaena laurifolia suggest at least the Late Miocene age for the Begrih Formation. The internal stratigraphic architecture of the Liang Formation is a function of a combination of sea level, stable tectonic and autogenic control. Based on stratigraphic position, the Middle Pliocene to Pleistocene age for the Liang Formation is probable. The Balingian, Begrih and Liang formations display deposits of multiple regressive-transgressive cycles while the sediments were derived from the uplifted Penian high and Rajang group.

  5. A new ‘superassemblage’ model explaining proximal-to-distal and lateral facies changes in fluvial environments, based on the Proterozoic Sanjauli Formation (Lesser Himalaya, India

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    Ananya Mukhopadhyay

    2016-09-01

    Full Text Available Facies analysis of fluvial deposits of the Proterozoic Sanjauli Formation in the Lesser Himalaya was combined with an architectural analysis. On this basis, a model was developed that may be applied to other fluvial systems as well, whether old or recent. The new model, which might be considered as an assemblage of previous models, explains lateral variations in architecture and facies but is not in all respects consistent with the standard fluvial models. The Sanjauli fluvial model is unique in that it deals with lateral facies variations due to shifts of the base-level along with fluctuations in accommodation space owing to changes in palaeoclimate.

  6. Calcareous nannofossils and sedimentary facies in the Upper Cretaceous Bozeş Formation (Southern Apuseni Mountains, Romania

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    Ramona Balc

    2012-02-01

    Full Text Available The lithology, sedimentology and biostratigraphy of the Bozes Formation, which crop out in the SE Metaliferi Mountains (Apuseni Mts. have been investigated in order to establish the age of the deposits and the depositional environment. The sedimentary structures and facies are interpreted as indicating a deep-water depositional environment, representing part of a submarine fan lobe. Three facies assemblages have been identified and described. Calcareous nannofossils were used to determine the age of the investigated deposits. The presence of Lucianorhabdus cayeuxii and Calculites obscurus indicates the CC17 biozone, while UC13 Zone is pointed out by the continuous occurrence of Arkhangelskiella cymbiformis and the absence of Broinsonia parca parca. Thus, the age of the studied deposits is Late Santonian -?Early Campanian.

  7. ) Organic Facies Variations in the Middle Cretaceous Black Shales of the Abakaliki Fold Belt, South-East, Nigeria

    International Nuclear Information System (INIS)

    Ehinola, O. A.; Badejoko, T.A.; Ekweozor, C.M.; Adebowale, K. O.

    2003-01-01

    An assessment, based on organic facies characteristics, have been carried out on the middle Cretaceous black shales, in order to determine their hydrocarbon source potential, thermal maturity, and depositional environments. The methods employed include evaluation of organic carbon content, rockeval pyrolysis, extractable organic matter, maceral composition and biomarker distributions.Organic facies criteria such as TOC, HI, Tmax, liptinite content, SOMIFOC and SHC/AHC indicate that Albian to middle Cenomanian shales are could only generate gas. The late Cenomanian to early Turonian shales are characterized by Type I/II kerogen, mature and could generate both oil and characterized by Type III kerogen, immature and could generate gas with little oil. The biomarker distributions indicate immature to mature source rock, moderately biodegraded and with reduced marine environment prevailing during the deposition of the lack shales. The late Cenomanian to early Turonian black shales show the highest source-rock potential

  8. Facies and sedimentary environments of the Abu Qada Formation at Gabal El-Gunna, Southeastern Sinai, Egypt

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    Tarek Y.M.A. El-Hariri

    2012-06-01

    Full Text Available The biostratigraphy, microfacies association, mineralogical interferences, depositional environments and geochemical properties of the Abu Qada Formation, which exposed at Gabal El-Gunna Southeastern Sinai, Egypt were delineated. It belongs to the planktonic foraminiferal Whiteinella archaeocretacea Zone of the Late Cenomanian-Early Turonian and consists of calcareous shale and limestone. The calcareous shale facies is characterized by chlorite, smectite and illite with high concentration of P2O5, Zn, Ni, V, and Cr. The carbonate rocks are characterized by foraminiferal wakestone and bioclastic grainstone. These microfacies associations are characterized by barite with high content of Sr. The facies types with faunal contents, geochemical and mineralogical studies suggest a restricted to shelf lagoon open circulation environment.

  9. Maxillary anterior segmental distraction osteogenesis with 2 different types of distractors.

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    Choi, Hye-Young; Hwang, Chung-Ju; Kim, Hee-Jin; Yu, Hyung-Seog; Cha, Jung-Yul

    2012-05-01

    Maxillary anterior segmental distraction osteogenesis (DO) has been the alternative treatment option for patients with midfacial retrusion. To investigate a potentially more effective maxillary anterior segmental DO, a newly designed intraoral alveolar distractor was applied. The objectives of this study were to investigate the skeletal and dental effects of maxillary anterior segmental DO and the relapse pattern. The study was carried out for 8 patients with unilateral cleft lip and palate (mean age, 16 years 7 months). Four patients were treated with an intraoral appliance (IA), and the remaining with a rigid external distractor (RED). Dental and skeletal measurements were obtained for both groups. These measurements were compared for different time points including pre-DO (T1), post-DO (T2), postconsolidation (T3), and 1-year follow-up (T4). Horizontal change of A point was significantly larger after distraction period (T2) in the RED group (mean, 11.0 mm; median, 10.1 mm) than in the IA group (mean, 6.6 mm; median, 7.4 mm) (P distraction, showing a significant difference between groups (P Maxillary anterior segmental DO is effective for the treatment of patients with cleft lip and palate. The alveolar space is regained, and the facial profile is improved without velopharyngeal problems. Superior results are obtained using the RED appliance for maxillary anterior segmental DO relative to the use of the intraoral distractor appliance.

  10. The correction of maxillary defciency with internal distraction devices: a multidisciplinary approach.

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    Oz, A Alper; Ozer, Mete; Eroglu, Lütfi; Ozdemir, Oguz Suleyman

    2013-09-01

    The purpose of this case report is to present the orthodontic, surgical and restorative treatments in the case of an operated cleft lip and palate and severe maxillary defciency in a 14-year-old female patient. Only orthodontic treatment could be ineffcient for cleft lip and palate patients characterized with maxillary hypoplasia. Orthodontic and surgical treatment shows suffcient results, especially with severe skeletal defciency. A cleft lip and palate patient required complex multidisciplinary treatment to preserve health and restore esthetics. Dental leveling and alignment of the maxillary and mandibular teeth were provided before the surgery. Maxillary advancement and clockwise rotation of the maxillary-mandibular complex was applied by a Le Fort 1 osteotomy with two internal distraction devices. After the active treatment including orthodontic treatment and orthognathic surgery, upper full mouth ceramic restoration was applied. This report shows the efficiency of internal distraction devices in cleft lip palate patients and exemplifes the multidisciplinary care required for such diffcult cases. Clinical signifcance: Stable improved occlusion and skeletal relations were observed after a follow-up examination period of 12 months.

  11. Mandibular effects of maxillary distraction osteogenesis in cleft lip and palate.

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    Doucet, J-C; Herlin, C; Bigorre, M; Bäumler, C; Subsol, G; Captier, G

    2014-06-01

    Maxillary distraction osteogenesis (DO) is a reliable treatment for severe maxillary deficiency in cleft lip and palate (CLP). The objective was to analyze its long-term effects on the mandible. A retrospective study of 24 CLP treated with maxillary DO using the Polley and Figueroa technique was done; patients were followed for more than 4 years. Preoperative (T0), 6-12 months postoperative (T1), and ≥ 4 years postoperative (T2) cephalometric radiographs were evaluated. A classical cephalometric analysis was used to assess treatment stability, and a Procrustes superimposition method was used to assess local changes in the shape of the mandible. The mean age of patients at T0 was 15.4 ± 4.1 years. SNA increased at T1 and T2 (P Maxillary DO in CLP had no significant effect on the shape or rotation of the mandible. The maxillary advancement remained stable after 1 year. Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  12. Use of anterior maxillary distraction osteogenesis in two cleft lip and palate patients

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    Srivastava, Dhirendra; Ghassemi, Alireza; Ghassemi, Mehrangiz; Showkatbakhsh, Rahman; Jamilian, Abdolreza

    2015-01-01

    Distraction osteogenesis (DO) has become a mainstream surgical technique for patients with jaw deformities. The aim of this study was to report the effect of DO done by a hyrax screw incorporated in an acrylic plate in the treatment of two maxillary deficient cases with cleft lip and palate. Two patients, a 24-year-old female and a 29-year-old male who suffered from maxillary deficiency and cleft lip and palate, were treated by DO. After making vertical cuts between the premolars on both sides and horizontal cuts similar to Le Fort 1, a hyrax screw was mounted on an acrylic plate for the slow anteroposterior expansion of maxillary arch. The expansion was achieved by turning the hyrax screw 0.8 mm per day after the latency period. Treatment was discontinued after achieving satisfactory over jet and occlusion. This study showed that anterior maxillary distraction is a reliable technique for correction of midfacial deformity arising out of cleft lip and palate. Incidences of complications are negligible compared to total maxillary distraction. PMID:26668459

  13. Use of anterior maxillary distraction osteogenesis in two cleft lip and palate patients.

    Science.gov (United States)

    Srivastava, Dhirendra; Ghassemi, Alireza; Ghassemi, Mehrangiz; Showkatbakhsh, Rahman; Jamilian, Abdolreza

    2015-01-01

    Distraction osteogenesis (DO) has become a mainstream surgical technique for patients with jaw deformities. The aim of this study was to report the effect of DO done by a hyrax screw incorporated in an acrylic plate in the treatment of two maxillary deficient cases with cleft lip and palate. Two patients, a 24-year-old female and a 29-year-old male who suffered from maxillary deficiency and cleft lip and palate, were treated by DO. After making vertical cuts between the premolars on both sides and horizontal cuts similar to Le Fort 1, a hyrax screw was mounted on an acrylic plate for the slow anteroposterior expansion of maxillary arch. The expansion was achieved by turning the hyrax screw 0.8 mm per day after the latency period. Treatment was discontinued after achieving satisfactory over jet and occlusion. This study showed that anterior maxillary distraction is a reliable technique for correction of midfacial deformity arising out of cleft lip and palate. Incidences of complications are negligible compared to total maxillary distraction.

  14. Trans-sinusal maxillary distraction for correction of midfacial hypoplasia: long-term clinical results.

    Science.gov (United States)

    Nadjmi, N; Schutyser, F; Van Erum, R

    2006-10-01

    Maxillary distraction osteogenesis is indicated in severe angle class III malocclusions, and severe maxillary hypoplasia among some cleft patients and other craniofacial deformities. Twenty patients, aged 8-48 years (mean 17.8+/-10.5 SD) with maxillary and midfacial hypoplasia were treated. The follow-up period was 13-65 months (mean 35+/-16.3 SD). A trans-sinusal maxillary distractor was placed intraorally at each side of the maxilla. The distraction vector was predicted using specialist software, and was transferred to the patients using stereolithographic models and individual templates. A (high) Le Fort I type osteotomy was performed. The amount of activation varied from 8 to 17.5 mm (mean 13.1+/-2.9 SD). Soft and hard tissue formation resulted in complete healing across the distraction gaps. The distractors are almost completely submerged, and can be left in place as long as necessary to avoid relapse. Wit's appraisal was used to measure the stability of the long-term distraction results. Results up to 5 years after distraction showed considerable maxillary advancement with long-term stability. Ongoing growth of the facial skeleton must be considered when distraction osteogenesis is chosen in growing patients.

  15. Effect of maxillary distraction osteogenesis on velopharyngeal function: a pilot study.

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    Harada, Kiyoshi; Ishii, Yoshimasa; Ishii, Masatoshi; Imaizumi, Humiko; Mibu, Michiko; Omura, Ken

    2002-05-01

    The purpose of this study was to examine preoperative and postoperative changes of velopharyngeal function in cleft patients who underwent maxillary distraction osteogenesis using the Rigid External Distraction System. Six cleft patients followed for a minimum of 12 months after maxillary distraction were examined. Plain and contrast lateral-cephalograms were obtained preoperatively and postoperatively, and speech evaluation was performed by the same authorized speech therapist at the same time points. The mean distraction amount at the anterior nasal spine was 11.7 mm (range, 7.4 mm - 15.0 mm). Both the nasopharyngeal depth and velar length increased after maxillary distraction, but the need ratio (nasopharyngeal depth/velar length) also increased after distraction. Although scores for velopharyngeal closure dropped a few points after maxillary distraction, the rating for hypernasality remained unchanged in all patients but the patient whose distraction amount was 15.0 mm. These results suggest that maxillary distraction of less than 15 mm may not markedly affect velopharyngeal function in cleft patients.

  16. Atypical Case of Three Dental Implants Displaced into the Maxillary Sinus

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    João Felipe Bonatto Bruniera

    2015-01-01

    Full Text Available Oral rehabilitation with dental implants has become a routine treatment in contemporary dentistry. The displacement of dental implants into the sinus membrane, a complication related to the maxillary sinus, is one of the most common accidents reported in the literature. The treatment for this complication is the surgical removal of the implant. A 60-year-old woman with three dental implants displaced into the maxillary sinus (one implant displaced into the left maxillary sinus and two implants displaced into the right maxillary sinus underwent surgery for removal of the implants. The surgery to remove the implants was performed under local anesthesia through the Caldwell-Luc technique. The patient was subsequently administered antibiotic, anti-inflammatory, and analgesic drugs. The patient returned 7 days after the surgery for suture removal and is being regularly monitored to determine whether future rehabilitation of the edentulous area is necessary. In conclusion, surgical removal of the dental implant displaced into the maxillary sinus is the treatment of choice. This technique is appropriate because it allows the use of local anesthesia and provides direct visualization for the removal of the implants.

  17. "TuNa-saving" endoscopic medial maxillectomy: a surgical technique for maxillary inverted papilloma.

    Science.gov (United States)

    Pagella, Fabio; Pusateri, Alessandro; Matti, Elina; Avato, Irene; Zaccari, Dario; Emanuelli, Enzo; Volo, Tiziana; Cazzador, Diego; Citraro, Leonardo; Ricci, Giampiero; Tomacelli, Giovanni Leo

    2017-07-01

    The maxillary sinus is the most common site of sinonasal inverted papilloma. Endoscopic sinus surgery, in particular endoscopic medial maxillectomy, is currently the gold standard for treatment of maxillary sinus papilloma. Although a common technique, complications such as stenosis of the lacrimal pathway and consequent development of epiphora are still possible. To avoid these problems, we propose a modification of this surgical technique that preserves the head of the inferior turbinate and the nasolacrimal duct. A retrospective analysis was performed on patients treated for maxillary inverted papilloma in three tertiary medical centres between 2006 and 2014. Pedicle-oriented endoscopic surgery principles were applied and, in select cases where the tumour pedicle was located on the anterior wall, a modified endoscopic medial maxillectomy was carried out as described in this paper. From 2006 to 2014 a total of 84 patients were treated. A standard endoscopic medial maxillectomy was performed in 55 patients (65.4%), while the remaining 29 (34.6%) had a modified technique performed. Three recurrences (3/84; 3.6%) were observed after a minimum follow-up of 24 months. A new surgical approach for select cases of maxillary sinus inverted papilloma is proposed in this paper. In this technique, the endoscopic medial maxillectomy was performed while preserving the head of the inferior turbinate and the nasolacrimal duct ("TuNa-saving"). This technique allowed for good visualization of the maxillary sinus, good oncological control and a reduction in the rate of complications.

  18. Role of Modified Endoscopic Medial Maxillectomy in Persistent Chronic Maxillary Sinusitis

    Science.gov (United States)

    Thulasidas, Ponnaiah; Vaidyanathan, Venkatraman

    2014-01-01

    Introduction Functional endoscopic sinus surgery has a long-term high rate of success for symptomatic improvement in patients with medically refractory chronic rhinosinusitis. As the popularity of the technique continues to grow, however, so does the population of patients with postsurgical persistent sinus disease, especially in those with a large window for ventilation and drainage. In addition, chronic infections of the sinuses especially fungal sinusitis have a higher incidence of recurrence even though a wide maxillary ostium had been performed earlier. This subset of patients often represents a challenge to the otorhinolaryngologist. Objectives To identify the patients with chronic recalcitrant maxillary sinusitis and devise treatment protocols for this subset of patients. Methods A retrospective review was done of all patients with persistent maxillary sinus disease who had undergone modified endoscopic medial maxillectomy between 2009 and 2012. We studied patient demographics, previous surgical history, and follow-up details and categorized the types of endoscopic medial maxillectomies performed in different disease situations. Results We performed modified endoscopic medial maxillectomies in 37 maxillary sinuses of 24 patients. The average age was 43.83 years. Average follow-up was 14.58 months. All patients had good disease control in postoperative visits with no clinical evidence of recurrences. Conclusion Modified endoscopic medial maxillectomy appears to be an effective surgery for treatment of chronic, recalcitrant maxillary sinusitis. PMID:25992084

  19. Role of Modified Endoscopic Medial Maxillectomy in Persistent Chronic Maxillary Sinusitis

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    Thulasidas, Ponnaiah

    2014-02-01

    Full Text Available Introduction Functional endoscopic sinus surgery has a long-term high rate of success for symptomatic improvement in patients with medically refractory chronic rhinosinusitis. As the popularity of the technique continues to grow, however, so does the population of patients with postsurgical persistent sinus disease, especially in those with a large window for ventilation and drainage. In addition, chronic infections of the sinuses especially fungal sinusitis have a higher incidence of recurrence even though a wide maxillary ostium had been performed earlier. This subset of patients often represents a challenge to the otorhinolaryngologist. Objectives To identify the patients with chronic recalcitrant maxillary sinusitis and devise treatment protocols for this subset of patients. Methods A retrospective review was done of all patients with persistent maxillary sinus disease who had undergone modified endoscopic medial maxillectomy between 2009 and 2012. We studied patient demographics, previous surgical history, and follow-up details and categorized the types of endoscopic medial maxillectomies performed in different disease situations. Results We performed modified endoscopic medial maxillectomies in 37 maxillary sinuses of 24 patients. The average age was 43.83 years. Average follow-up was 14.58 months. All patients had good disease control in postoperative visits with no clinical evidence of recurrences. Conclusion Modified endoscopic medial maxillectomy appears to be an effective surgery for treatment of chronic, recalcitrant maxillary sinusitis.

  20. Exophthalmos associated to orbital zygomatic mucocele and complex maxillary malformation in a puppy

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    Alessandro Cirla

    2017-08-01

    Full Text Available A case of exophthalmos due to zygomatic mucocele in a puppy with ipsilateral segmental maxillary atrophy is reported. A 7-month-old, mixed breed, male dog suffered the sudden-onset of unilateral painful exophthalmos and a gradual swelling of the right temporal region. A compressing, right retrobulbar mass was observed by ultrasound. Computed tomography revealed a large multiloculated cyst-like lesion of the right zygomatic gland projecting into the orbital space, thus displacing the eyeball. The ipsilateral molar part of the maxillary bone was underdeveloped, besides showing crowded, abnormal, multiple, unerupted maxillary molar teeth in the caudal maxillary region. Modified lateral orbitotomy and a selective caudal maxillary bone access were performed. The cyst-like lesion was removed and the zygomatic gland and the wall was collected for histology, which confirmed the mucocele. Clinical and imaging examinations six months after surgery showed neither recurrence of the mucocele nor ocular abnormalities. A possible common pathogenic mechanism involving these two conditions could be hypothesized.