Forening af Specialtandlæger i Tand- Mund- og Kæbekirurgi

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Results: Fourty-one patients were included. Thirtythree had received i.v. bisphosphonate (BP), either zolendronate or pamidronate or a combination, for multiple myeloma, breast cancer, or prostate cancer, and 8 had received oral BP for osteoporosis. Clinical and radiologic features of BRONJ were associated with a clear signal on SPECT-CT corresponding to the areas of exposed bone. At initial examination patients were classified as stage-1 in 21 cases (51 %), stage-2 in 16 cases (36%) and stage-3 in 4 cases (10 %). Treatment was conservative without antibiotics in 4 cases (10%). Antibiotics were administered in 37 cases (90%). Seqvestrectomy was performed in 26 cases (63%) and continuity resection in 3 cases (7%). During the clinical course the severity of BRONJ increased to stage-2 in 42% and to stage-3 in 24% of the patients. However, after treatment, at latest follow-up examination, 12 patients (29%) were clinically free of disease (stage-0), 18 patients in stage-1 (44%), 7 patients in stage-2 (17%) and 4 patients in stage-3 (10%). Summary: Treatment and natural history of BRONJ was assessed in a Danish cohort of 41 patients. The natural history of BRONJ is characterized by a general increase in severity as assessed by stage classification. BRONJ could be controlled by conservative treatment regimen in 30%, by seqvestrectomy in 63% and by continuity resection in 7%. By the present treatment regimen the proportion of patients at each stage was moved towards a less severe stage. Thus, the proportion of stage-3 patients was reduced from 24% to 10%, stage-2 patients reduced from 42% to 17%, and at latest follow-up 29% were free of BRONJ (stage-0). It is concluded that the staging classification is a useful tool for continuous monitoring of the natural history as well as treatment assessment of BRONJ and may be used in controlled trials. 15.35-15.50 Curvilinear Mandibular Distraction Osteogenese - 5 year experiences Kofod T,overtandlæge, Vedtofte P, overtandlæge, Madsen J. Department of Oral and Maxillofacial Surgery, Rigshospitalet Patients with unilateral or bilateral mandibular hypoplasia have been treated using the Ostemed curvilinear distraction apparatus for skeletal correction. Indications, Treatment planning and Results will be presented and discussed. 15.50-16.05 Marx’s Tent pole-based osseous reconstruction - initial experiences Kofod T. Department of Oral and Maxillofacial Surgery Rigshospitalet Four patients have had dental implant driven osseous reconstruction in case of extreme atrophic of their mandibles. Indications and results will be presented and discussed. [14]
Lørdag okt. 30., 2010 09.00-09.15 OsiriX/Landmarker ‐ Patient # 1 Søren Krarup, udd.tdl. Rigshospitalet Abstract Ansigtets fysiognomi afspejler det underliggende ansigtsskelet. Sammenhængen mellem afvigelser i ansigtsskelettet og ansigtets blødtvæv er fortsat ufuldstændigt belyst, og det samme er den kirurgiske behandlings indflydelse på ansigtets blødtvæv. CBCT samt 3dmd stereofotogrammetriske optagelser giver mulighed for at vurdere, hvilken effekt et kirurgisk indgreb på ansigtsskelettet har på ansigtets blødtvæv. Den anvendte software (Osirix/Landmarker) beskrives og resultaterne fra den første patient i ph.d.‐projektet gennemgås. 09.20-09.30 Forlængningsosteotomi til behandling af malokklusion efter mandibelfraktur. Lone Fuks, RH, udd.tdl. Rigshospitalet Abstrakt: Blandt alle mandibelfrakturer er den subkondylære fraktur med ca. 40% den hyppigste og den, der har den mest komplicerede kirurgiske tilgang. En del subkondylære frakturer behandles operativt, men mange behandles fortsat non-operativt. Heling efter nonoperativ behandling kan resultere i tab af ramushøjde og deraf følgende malokklusion. Formålet med behandling af kæbe- og ansigtsfrakturer er at genskabe tændernes okklusion, kæbeleddets funktion og ansigtets normale fysiognomi. De fleste subkondylære mandibelfrakturer heler på tilfredsstillende måde; hvorved patienternes habituelle okklusion og underansigts symmetri genskabes, men et fåtal heler med forkortning og malokklusion til følge. Behandling af collum mandibulae frakturer har gennem en lang årrække væsentligst været nonkirurgisk i form af immobilisering ved hjælp af dentale skinner og intermaxillær fiksation. Også ved malokklusion har man typisk behandlet med intermaksillær fiksation i håbet om at genskabe muskulær støtte, ramushøjde og ledstøtte efter heling. Denne forudsætning har vist sig ikke at holde i en række tilfælde, hvor pt. efter behandlingen har oplevet malokklusion. Der er på Rigshospitalet i en 5-årig periode registreret 136 subkondylære frakturer med nonkirurgisk behandling, hvoraf 6 (4,4%) patienter havde brug for korrigerende [15]
Page 1 and 2: Program 19.09.2010 The Danish Assoc
Page 3 and 4: 14.40-15.15 Kaffe og Udstilling 15.
Page 5 and 6: Baggrund: Et nyt implantat design (
Page 7 and 8: Mange patienter er ofte meget nerv
Page 9 and 10: Distraktionsosteogenese - 16 års e
Page 11 and 12: Baggrund: Installation af korte den
Page 13: Brugen af partikuleret knogle resul

Forening af Specialtandlæger i Tand- Mund- og Kæbekirurgi

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