REVIEWS

Odontogenic maxillary sinusitis: A review
Regimantas Simuntis, Ričardas Kubilius, Saulius Vaitkus
39-43

Reducing dental plaque formation and caries development. A review of current methods and implications for novel pharmaceuticals
Povilas Kalesinskas, Tomas Kačergius, Arvydas Ambrozaitis, Vytautė Pečiulienė, Dan Ericson
44-52

How various surgical protocols of the unilateral cleft lip and palate influence the facial growth and possible orthodontic problems? Which is the best timing of lip, palate and alveolus repair? Literature review
Giampietro Farronato, Laima Kairyte, Lucia Giannini, Guido Galbiati, Cinzia Maspero
53-60

SCIENTIFIC ARTICLES

Assessment of the lateral pterygoıd plate fractures durıng Le Fort I osteotomıes regardıng the angulatıon of the osteotome
Aydin Gulses, Hasan Ayberk Altug, Cenk Kılıc, Metin Sencımen
61-64

Self-reported oral health behavior and attitudes of dental and technology students in Lithuania
Ingrida M. Pacauskiene, Dalia Smailiene, Jolanta Siudikienė, Julija Savanevskyte, Irena Nedzelskiene
65-71

CASE REPORT

Non surgical treatment of Crouzon Syndrome
Cinzia Maspero, Lucia Giannini, Guido Galbiati, Laima Kairyte, Giampietro Farronato
72-80

Stomatologija 2014; 16 (2): 61-4 174 KB

Assessment of the lateral pterygoid plate fractures during Le Fort I osteotomies regarding the angulation of the osteotome

Aydin Gulses, Matthias Gierloff, Hasan Ayberk Altug, Cenk Kilic, Mustafa Ayna, Metin Sencimen, Yahya Açil

Summary

Aim. This study aimed to clarify the relation between the angulation of the curved osteotome and fracture of the pterygoid plate during Le Fort I osteotomy.

Material and methods. Twenty-one specimens of hemisectioned Turkish skulls were used for the study. The maxilla was sectioned transversely on the floor of the pyriform aperture and posteriorly to the lateral pterygoid plate with a mechanical saw. The pterygomaxillary junction was separated with a curved osteotome by angulating the osteotome with, 0° and -30° to the occlusal plane. The undesired fractures of the lateral pterygoid plate were determined. Among 21 specimens, 7 pterygomaxillary junctions were separated with an angle of +30° , 7 with 0° and 7 with -30° to the occlusal plane.

Results. In group +30°, the undesired fracture occured in 6 of the cases. In group -30°, the undesired fracture was determines in one case. In cases where the separation was performed by placing the osteotome paralell to the occlusal plane all plates remained safe.

Conclusion. Within the limited knowledge of the current study it can be concluded that the osteotome should be placed paralell to the occlusal plane.

---

¹Ankara Mevki Military Hospital, Centre for Oral & Dental Health, Ankara, Turkey

²Christian Albrechts University, Department of Oral and Maxillofacial Surgery, Kiel, Germany

³Gülhane Military Medical Academy Department of Oral and Maxillofacial Surgery, Etlik Ankara, Turkey

⁴Gülhane Military Medical Academy Department of Anatomy, Etlik Ankara, Turkey

⁵Periodontology and Oral Surgery Clinic, Private Practice, Duisburg, Germany

Aydin Gulses¹ – D.D.S., PhD

Matthias Gierloff² – D.D.S.

Hasan Ayberk Altug³ – D.D.S., PhD

Cenk Kılıc⁴ – MD,

Mustafa Ayna⁵ – D.D.S.

Metin Sencımen³ – D.D.S., PhD

Yahya Açil² – D.D.S.

Address correspondence to Aydin Gulses, Ankara Mevki Military Hospital, 06130 Diskapi Ankara, Turkey. E-mail address: aydingulses@gmail.com