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H D Pape

Publications and source records attributed to H D Pape.

At least 19 recordsLinked to original sources

Teeth in the fracture line.

The department of maxillo-facial surgery in Cologne University has, for some 15 years, routinely treated patients with mandibular fractures, in which a tooth lies in the fracture line, by means of Champy miniplates. A review of such cases was conducted to determine the viability of such teeth not electively extracted at the time of fracture reduction. It was found that only rarely did the "salvaged" tooth subsequently require extraction and we believe our results should encourage the clinician to attempt to retain "fracture line" teeth unless there is an absolute contraindication.

Adolescent

[Densitometry of the bony structures of the human TMJ].

Four millimeter sagittal section of 65 formalin-fixed human TMJs were prepared. The X-rays of these specimen were evaluated numerically in a densitometer. The distribution of bone material and densities in condyle and fossa led to a classification of condylar and fossa types. In 48 specimen a combination of increased density of the condyle on the facial aspect with a thin bony lamella in the roof of the fossa, which either shows high density or very little material of low density, a so-called parchment fossa, was observed. The varying degrees of density as a function of mechanical stresses are discussed. The transfer of forces in the human TMJ during mastication exposes the superio-anterior or superio-facial segments of the condyle and the posterior slope of the articular tubercle to loading forces, while at the same time the roof of the fossa remains free of load.

Bone Density

[Is resection still a timely procedure in the treatment of keratocysts?].

Between 1977 and 1987 a total of 31 patients with keratocysts were treated at the maxillofacial surgery department of the University of Cologne. In two patient groups with 11 major mandibular cysts each, two different approaches were used: mandibular resection in one, and enucleation following previous fixation of the cyst epithelium with Carnoy's solution in the other group. The fact that only one recurrence was observed in the second group, gives us reason to recommend this safe and, for the patient, unstressful procedure.

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