- Email: [email protected]
The anatomy of the maxillary artery in the pterygopalatine fossa
P26 - Poster session: Monday, April 26, 1999
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analyzed statistically using SPSS PC+. Clicking sound, visual discomfort index, medio-lateral and sagittal rotational displacement of the condyle were evaluated. IVSRO showed significant improvement of discomfort and less displacement compared with SSRO. Both IVSRO and SSRO showed significant improvement of clicking sound and similar tendancy of postoperative sagittal rotational displacement. But in IVSRO, there was no significant statistical change in medio-lateral displacement of the condyle when compared before and after surgery. Improvement of preoperative TMJ symptoms in all cases and among them 45.8% were symptom free, which seems to be condylotomy effect. IVSRO seems to be more effective on TMJ compared with SSRO.
Future studies using a longer sample will provide more accurate information about the treatment length and dosification.
37. Oral Miconazole for the Treatment of Candida-Associated Denture Stomatitis
38. The Anatomy of the Maxiflary Artery in the Pterygopalatine Fossa
Del Valle, S., Mata, M., Guerrero, C.
Choi, J.~, Kim, L 1, Park, H. 2, Kim, H. 3
Caracas, Venezuela
1Department of Dentistry, Inha University Hospital, Inchon, Korea, 2Department of Oral and Maxi!lofacial Surgery, 3Division of Anatomy, Department of Oral Biology, Dental College, Yonsei University, Seoul, Korea
Introduction One of the most common causes of Candida-assoeiated denture stomatitis is the use of non-stable total or partial prosthesis. 65% of denture wearers undergo Candida-associated denture stomatitis. Conventional treatments to eliminate the Candida are not, sometimes, followed by the patients because of their bitter flavor and there is subsequent relapse. Miconazole in oral jelly is an alternative for the treatment due to its improved flavor. This allows the patients to maintain the product for longer periods of time in the mouth. Objective The purpose of this clinical research is to prove the effectiveness of Miconazole in oral jelly for-the treatment of Candida-associated denture stomatitis in a short term and the acceptance of this new presentation. Methodology Forty patients, with total or partial prosthesis and diagnosed with Candida-associated denture stomatitis, were selected. Group A: twenty patients who were treated with Miconazole in oral jelly 4 times a day. Group B: twenty patients were the control group. Group B was treated with no medication. Both groups were recommended to wear the prosthesis only socially, The treatment lasted fifteen 15 days. Results Group A: in 19 patients out of twenty 20i signs and symptoms disappeared. Group B: 18 patients out of twenty 20 did not improve. Two patients showed diminishing signs and symptoms. Conclusions This clinical study indicates that patient compliance is easily obtained using Miconazole in oral jelly with high effectiveness in the short term follow up. The effectiveness of this new antifungal in oral jelly presentation would be an advantage for patients with Candida-associated denture stomatitis.
References 1. -ARIKANA, KULAK Y, NADIR T. Comparison of different treatment methods for localized and generalized simple denture stomatitis. J Oral Rebabil 1995: 22(5): 365-9. 2. BUDTZ-JOR~ENSENE, CARLrNOR A Miconazole lacquer in the treatment of Candida-associated denture stomatitis. Mycoses 1994: 37: 131-5. 3. DAWNPORT JC, BASrdaR R M . The oral distribution of Candida in denture stomatitis. British Dental Journal 1970: 129: 151.
Maxillary osteotomy is a commonly performed maxillary surgical procedure for the correction of dentofacial deformities. Maxillary osteotomy necessitate separation of the skeleton of the middle third of the face from its posterior attachments to the cranium. To separate the pterygomaxillary junction safely, knowledge of the anatomy of the maxillary artery is essential to surgeons to perform surgical approach to the pterygopalatine fossa as well as oral and maxillofacial surgeons. So, to clarify the 'anatomical structures, 30 sides of Korean hemisectioned heads were dissected to study the anatomy of the maxillary artery in the pterygopalatine fossa. A part of results is as follows: 1. On the courses of the maxillary artery, posterior superior alveolar artery, infraorbital artery, artery of the pterygoid artery, descending palatine artery, and shenopalatine artery were divided in order of arterial branches from the pterygomaxillary junction to the pterygopalatine fossa area (85.7%). The others were the cases that the branching pattern of the arteries had variable orders. 2. The morphology of the maxillary artery according to the contours of the third portion of maxillary artery was classified into 5 types. Type "Y" or 180 degree pattern was observed in the proportion of 19.0% (4/21). The prevalencies of type "intermediate", type "T" and type "M" was observed in the proportion of 33.3% (7/21), 23.8% (5/21), and 14.3% (3/21), respectively. The other cases which had the variable branching orders and locations of the arterial branches were observed in the proportion of 9.6%. Authors think that the result of this report helps those who perform diverse surgical procedures to the maxilla, especially pterygopalatine fossa. And the result of this report will be meaningful guidelines for safely conducting maxillary surgical procedures.
133
analyzed statistically using SPSS PC+. Clicking sound, visual discomfort index, medio-lateral and sagittal rotational displacement of the condyle were evaluated. IVSRO showed significant improvement of discomfort and less displacement compared with SSRO. Both IVSRO and SSRO showed significant improvement of clicking sound and similar tendancy of postoperative sagittal rotational displacement. But in IVSRO, there was no significant statistical change in medio-lateral displacement of the condyle when compared before and after surgery. Improvement of preoperative TMJ symptoms in all cases and among them 45.8% were symptom free, which seems to be condylotomy effect. IVSRO seems to be more effective on TMJ compared with SSRO.
Future studies using a longer sample will provide more accurate information about the treatment length and dosification.
37. Oral Miconazole for the Treatment of Candida-Associated Denture Stomatitis
38. The Anatomy of the Maxiflary Artery in the Pterygopalatine Fossa
Del Valle, S., Mata, M., Guerrero, C.
Choi, J.~, Kim, L 1, Park, H. 2, Kim, H. 3
Caracas, Venezuela
1Department of Dentistry, Inha University Hospital, Inchon, Korea, 2Department of Oral and Maxi!lofacial Surgery, 3Division of Anatomy, Department of Oral Biology, Dental College, Yonsei University, Seoul, Korea
Introduction One of the most common causes of Candida-assoeiated denture stomatitis is the use of non-stable total or partial prosthesis. 65% of denture wearers undergo Candida-associated denture stomatitis. Conventional treatments to eliminate the Candida are not, sometimes, followed by the patients because of their bitter flavor and there is subsequent relapse. Miconazole in oral jelly is an alternative for the treatment due to its improved flavor. This allows the patients to maintain the product for longer periods of time in the mouth. Objective The purpose of this clinical research is to prove the effectiveness of Miconazole in oral jelly for-the treatment of Candida-associated denture stomatitis in a short term and the acceptance of this new presentation. Methodology Forty patients, with total or partial prosthesis and diagnosed with Candida-associated denture stomatitis, were selected. Group A: twenty patients who were treated with Miconazole in oral jelly 4 times a day. Group B: twenty patients were the control group. Group B was treated with no medication. Both groups were recommended to wear the prosthesis only socially, The treatment lasted fifteen 15 days. Results Group A: in 19 patients out of twenty 20i signs and symptoms disappeared. Group B: 18 patients out of twenty 20 did not improve. Two patients showed diminishing signs and symptoms. Conclusions This clinical study indicates that patient compliance is easily obtained using Miconazole in oral jelly with high effectiveness in the short term follow up. The effectiveness of this new antifungal in oral jelly presentation would be an advantage for patients with Candida-associated denture stomatitis.
References 1. -ARIKANA, KULAK Y, NADIR T. Comparison of different treatment methods for localized and generalized simple denture stomatitis. J Oral Rebabil 1995: 22(5): 365-9. 2. BUDTZ-JOR~ENSENE, CARLrNOR A Miconazole lacquer in the treatment of Candida-associated denture stomatitis. Mycoses 1994: 37: 131-5. 3. DAWNPORT JC, BASrdaR R M . The oral distribution of Candida in denture stomatitis. British Dental Journal 1970: 129: 151.
Maxillary osteotomy is a commonly performed maxillary surgical procedure for the correction of dentofacial deformities. Maxillary osteotomy necessitate separation of the skeleton of the middle third of the face from its posterior attachments to the cranium. To separate the pterygomaxillary junction safely, knowledge of the anatomy of the maxillary artery is essential to surgeons to perform surgical approach to the pterygopalatine fossa as well as oral and maxillofacial surgeons. So, to clarify the 'anatomical structures, 30 sides of Korean hemisectioned heads were dissected to study the anatomy of the maxillary artery in the pterygopalatine fossa. A part of results is as follows: 1. On the courses of the maxillary artery, posterior superior alveolar artery, infraorbital artery, artery of the pterygoid artery, descending palatine artery, and shenopalatine artery were divided in order of arterial branches from the pterygomaxillary junction to the pterygopalatine fossa area (85.7%). The others were the cases that the branching pattern of the arteries had variable orders. 2. The morphology of the maxillary artery according to the contours of the third portion of maxillary artery was classified into 5 types. Type "Y" or 180 degree pattern was observed in the proportion of 19.0% (4/21). The prevalencies of type "intermediate", type "T" and type "M" was observed in the proportion of 33.3% (7/21), 23.8% (5/21), and 14.3% (3/21), respectively. The other cases which had the variable branching orders and locations of the arterial branches were observed in the proportion of 9.6%. Authors think that the result of this report helps those who perform diverse surgical procedures to the maxilla, especially pterygopalatine fossa. And the result of this report will be meaningful guidelines for safely conducting maxillary surgical procedures.