Article: Inlay-onlay grafting for three-dimensional reconstruction of the posterior atrophic maxilla with mandibular bone.[show abstract] [hide abstract]
ABSTRACT: This prospective study describes and evaluates a surgical approach for 3D reconstruction of the posterior maxilla with autogenous mandibular bone in 16 patients (mean age 51 years). Bone blocks were harvested from the mandible and used as lateral or vertical block grafts (onlay); they were also partially milled and used for sinus elevation (inlay). In 4 cases, anorganic bovine bone was added at the periphery of the blocks. 4 months after grafting, implants were placed in a second operation and loaded after 12 weeks. Lateral and vertical augmentations were measured immediately after grafting and at re-entry for implant placement. Mean lateral augmentation performed was 5.5mm, reduced to 4.3mm (p<0.01) after 4 months' healing. Mean vertical augmentation was 3.2mm, reduced to 2.1mm (p<0.01) after healing. The amounts of lateral and vertical graft resorption were similar (1.2mm vs. 1.1mm) but were different when compared with the original graft (22% vs. 34%). 49 implants were placed 4 months after grafting. Implant parameters were evaluated after 32-48 months follow up and demonstrated 100% survival rates. The use of mandibular bone grafts for 3D augmentation of the posterior maxilla has shown good results and minor complications.International Journal of Oral and Maxillofacial Surgery 03/2010; 39(4):350-7. · 1.51 Impact Factor
Article: [The morphology of the base of the cranium in prognathism. A cephalometric study of adult patients].[show abstract] [hide abstract]
ABSTRACT: The cranial base of 60 adults affected by mandibular prognathism was studied with the aid of a computerized cephalometric analysis. The means and standard deviations of the values measured on the sample where compared with the cephalometric standards of the University of Michigan. The studied sample showed a significant reduction in length of the floor of the anterior cranial fossa, the cranial base angle showed no deviation from the control but the whole cranial base was backward and upward rotated in relation to the Frankfurt plane. The cranial base morphology was similar in patients with or without maxillary retrusion. The data in our possession may indicate that mid-facial sagittal growth in patients affected by mandibular prognathism is somehow impaired by altered cranial base growth. In any case the sagittal projection of the frontal and nasal bones appears to be reduced in our patients and this data must be kept in mind when studying these patients with the aid of cephalometry.Minerva stomatologica 01/1992; 40(12):761-8.
P Cascone, L Cordaro[show abstract] [hide abstract]
ABSTRACT: On the base of some papers previously published on the anatomy and physiology of the Tmj the Authors have studied the intracapsular dynamics of the cranio mandibular articulation. The intracapsular movements are guided by some biomechanical restrictions that have been cautiously studied and analized. The biological advantages of the presence of the meniscus between the two articular surfaces is clearly stated. The role of the lateral capsular ligament in stabilizing the disk over the condyle head is clearly demonstrated on the base of previous studies both on the microscopic and macroscopic anatomy of the ligament and the capsule. According to the Authors the disk is stabilized over the condyle head by the lateral capsular ligament, the temporomandibular ligament and by the histological structure of the meniscus that permits its compression and distorsion during the mandibular movements. The disk distorsion increases the anatomical correspondence between the intracapsular structures.Dental Cadmos 04/1990; 58(4):44-6, 49-55.
Article: Condylar hyperplasia: cephalometric study, treatment planning, and surgical correction (our experience).[show abstract] [hide abstract]
ABSTRACT: We have studied and treated 12 selected cases of condylar hyperplasia. All of our cases showed no clinical or instrumental sign of still active hyperplastic growth of the mandibular condyle. The cephalometric studies demonstrated in all cases a pathologic vertical growth of the maxilla interesting the posterior segments on the same side of the hyperplastic condyle. We decided not to perform a condylectomy because we did not expect the condyle to grow any further. The treatment consisted of Le Fort I osteotomies and sagittal split osteotomies sometimes in combination with genioplasty and mandibular remodeling. The mandibular physiologic movements were preserved in all cases.Oral Surgery Oral Medicine Oral Pathology 01/1990; 68(6):673-81.
L Cordaro, M CordaroDental Cadmos 12/1987; 55(18):69-77.