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Biomedical subjects

P W Connole

Publications and source records attributed to P W Connole.

10 recordsLinked to original sources

Costochondral grafting in condylar replacement and mandibular reconstruction.

Thirty costochondral grafts in 22 patients were retrospectively studied with a mean follow-up of five (range, 2 to 11) years. The functional results, esthetics, and incidence of complications in these patients were determined. A discussion of these findings as well as the surgical technique is included. The results confirm previous studies and indicate that free costochondral grafting is a successful and physiologically sound method for reconstruction of portions of the mandible and its temporal articulation.

Adolescent

Diffuse mandibular enlargement.

Paget's disease of the jaw has the following characteristics: slow progression of jaw enlargement; bilateral jaw involvement; often polyostotic, but not generalized skeletal disease; diffuse, irregular radiopaque areas of the jaw; elevated serum alkaline phosphatase level; and a biopsy specimen showing thick, irregular bone trabeculae with a mosaic pattern of reversal lines and numerous osteoblasts and osteoclasts in a fibrovascular stroma. Management of a patient with Paget's disease of bone usually is carried out by treating the symptoms of the disease as they arise. Bone can be removed for esthetic reasons when needed.

Follow-Up Studies

Vital root retention in humans: an interim report.

A protocol based upon findings in laboratory animal studies was established for the retention of vital roots for overdenture support in humans. Ten patients with a mean age of 54.5 years and a postsurgical mean time of 11.1 months had 45 vital teeth buried submucosally under complete overdentures. Of the 45 teeth, 37 remained vital, seven were endodontically treated due to acute pulpal response following surgery, and one tooth has been extracted. A mean interproximal bone loss of 1.1 mm had occurred at the time the data were tabulated for this report. This project included a cross section of patient types, tooth selection, and surgical and prosthodontic management that varied slightly from the methods utilized in earlier patient treatment. The inclusion of maxillary teeth, the increased thoroughness of root surface roundings, and the utilization of root canal therapy with subsequent reburying of apulpally involved teeth expanded the scope of this research. A final report on this project will be forthcoming when all patients have been followed for a 24-month period.

Adult

Long-term results of alveolar ridge augmentation.

Autologous onlay rib grafts in 22 patients were evaluated for bone remodeling patterns. The patients had been followed up for four to ten years; the mean was 6.2 years. The unquantitated increase in bony mass of the mandible, with altered ridge form and subsequent soft tissue surgery, provided consistent, predictable results and return to excellent denture function with long-term stability.

Alveolar Process

Preprosthetic augmentation grafting--autogenous bone.

Alveolar bone graft augmentation has returned successful prosthetic denture function to patients with deficient alveolar ridges who were beyond the scope of treatment by preprosthetic soft tissue surgical procedures alone. The results of a 30.7-month mean postoperative follow-up of 15 patients with panoramic radiographs were recorded. Emphasis was placed on evaluation by functional improvement rather than on radiographic interpretation. Ideal results were not obtained in all instances; however, in the majority of cases, the patient benefitted by improved prosthetic function.

Alveoloplasty