CHERUBISM - SURGICAL AND NON SURGICAL TREATMENT
CHERUBISM - SURGICAL AND NONSURGICAL TREATMENT OPTIONS
A Prosthetic treatment Approach for Cherubism Patient, The Journal of Prosthetic Dentistry 96 (5): 313-316, 2006, Yilmaz, Burak; Ozan, Oguz; Karaagaclioglu, Lale; Ersoy, A. Ersan
The authors describe their procedure for creating over dentures for a 21 year old with cherubism who was missing maxillary canines and second and third molars and all teeth but the right canine and 1st and 2nd premolars and left 1st and 2nd premolars in the mandible. Implants were ruled out due to the extent of lesions and porosity of the bone and partial dentures were ruled out due to lack of abutment teeth.
Two Stage Surgical Treatment of Severe Cherubism, Annals of Plastic Surgery 58 (6): 645-651, 2007, Raposo-Amaral, Cassio Eduardo; Guidi, Marcelo de Campos; Warren, Stephen; Almeida, Ana Beatriz; Amstalden, Elaine M. Ingrid; Tiziane, Valdenize and Raposo-Amaral, Cassio Menezes.
This article discusses the treatment of 8 patients (ages 6-15) exhibiting “severe cherubism” in a 2 stage surgical “debulking” operation performed by Cassio Menezes Raposo-Amaral between 1987 and 2005. All patients had “massivly growing, aggressive and extensively deforming juvenile lesions involving maxilla and mandible [and in some cases] orbits,” stage 5 and 6 on a modified Motamedi grading scale. Stage 1, performed in 5 cases: the anterior wall of the maxilla was osteotomized and removed, the cherubic lesion was curetted from maxilla and orbits, and the maxilla was recontoured and orthotopically fitted with wires. Stage 1, performed in 3 cases: corticle bone windows were created, the maxilla and orbital lesions were curetted, and the maxilla was infractured and recontoured in situ with manual pressure. Six month later, stage 2 was undertaken: the mandible was recountoured using “bony access windows and manual infracture.” The authors report satisfactory esthetic results in all patients. The article provides detailed discussion and photographic and diagrammatic representation of the procedures as well as CT images documenting the extent of the cherubism in these “severe” cases.
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