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76
postpone bracketing of the maxillary arch and following this a lateral oblique radiograph was
requested, which confirmed the presence of an extensive cystic lesion involving most of the left
mandibular body and ramus. The maxillary fourth molar was, in reality, the mandibular third molar
displaced into the coronoid process by the cyst.
The patient was referred for operative intervention. It was found necessary to remove all the
premolar and molar teeth in the affected quadrant. The defect was grafted with iliac bone followed by
a period of inter-maxillary fixation, making use of the original upper fixed appliance.
Conclusions
Cases of third molars in the coronoid process have been reported previously (Rowe and
Broadway, 1955). With thorough clinical examination and study of the original orthopantomograph
this cystic lesion could have been diagnosed. Owing to an absence of symptoms, however, and
radiographic superimposition a potentially serious lesion was almost missed.
Acknowledgements
I wish to thank Mr R. T. Reed Consultant Orthodontist, Basingstoke District Hospital, for his
help and permission to report the case. I should also like to thank Mr R. T. Broadway, Consultant
Orthodontist, Royal Hampshire County Hospital, for his interest. Thanks are also due to Miss K. Ball
for secretarial assistance, and Mr F. Hartles and staff of the Department of Medical Illustration.
References
Rowe, N. L. and Broadway, R. T. (1955).
A case of an inverted third molar in the coronoid process associated with a dentigerous cyst,
Dental Practitioner, 12, 421-423.
TEXT 4
Converting a fixed partial denture to an interim complete denture:
Esthetic and functional considerations
Maya Zalkind, Nira Hochman
Abstract. This article describes a practical and expeditious method of converting an existing fixed
partial denture into an interim complete-denture prosthesis with minimal inconvenience to the patient The
esthetic, phonetic, and functional demands are maintained during the fabrication of the prosthesis.
Clinical relevance
An interim restoration duplicates the existing condition of the mouth prior to the extraction phase
and provides function during the period following the removal of the natural teeth; and the techniques for
fabrication and placement of these prostheses are of great importance.
Introduction
postpone bracketing of the maxillary arch and following this a lateral oblique radiograph was requested, which confirmed the presence of an extensive cystic lesion involving most of the left mandibular body and ramus. The maxillary fourth molar was, in reality, the mandibular third molar displaced into the coronoid process by the cyst. The patient was referred for operative intervention. It was found necessary to remove all the premolar and molar teeth in the affected quadrant. The defect was grafted with iliac bone followed by a period of inter-maxillary fixation, making use of the original upper fixed appliance. Conclusions Cases of third molars in the coronoid process have been reported previously (Rowe and Broadway, 1955). With thorough clinical examination and study of the original orthopantomograph this cystic lesion could have been diagnosed. Owing to an absence of symptoms, however, and radiographic superimposition a potentially serious lesion was almost missed. Acknowledgements I wish to thank Mr R. T. Reed Consultant Orthodontist, Basingstoke District Hospital, for his help and permission to report the case. I should also like to thank Mr R. T. Broadway, Consultant Orthodontist, Royal Hampshire County Hospital, for his interest. Thanks are also due to Miss K. Ball for secretarial assistance, and Mr F. Hartles and staff of the Department of Medical Illustration. References Rowe, N. L. and Broadway, R. T. (1955). A case of an inverted third molar in the coronoid process associated with a dentigerous cyst, Dental Practitioner, 12, 421-423. TEXT 4 Converting a fixed partial denture to an interim complete denture: Esthetic and functional considerations Maya Zalkind, Nira Hochman Abstract. This article describes a practical and expeditious method of converting an existing fixed partial denture into an interim complete-denture prosthesis with minimal inconvenience to the patient The esthetic, phonetic, and functional demands are maintained during the fabrication of the prosthesis. Clinical relevance An interim restoration duplicates the existing condition of the mouth prior to the extraction phase and provides function during the period following the removal of the natural teeth; and the techniques for fabrication and placement of these prostheses are of great importance. Introduction 76
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