Reconstruction


Reconstruction of Lower Eyelid Fistula with the Combined Four local flaps: A case report and review of literature

Mehrdad Dehghanpour Brouj, Arash Khojasteh

Journal of "Regeneration, Reconstruction & Restoration" (Triple R), Vol. 3 No. 3 (2018), 12 June 2019, Page x-x
https://doi.org/10.22037/rrr.v3i3.29424

Introduction: Lower eyelid retraction or ectropion often is caused by trauma, infections, graft skin contractures, failed blepharoplasty, or other factors. This defect not only affects the cosmetic appearance of the lower eyelid but also leads to hypophasis.

Report of a case: Herein, we report a reconstruction of lower eyelid fistula following a trauma due to car accident with combined four local flap in a 26 years old man. A review of the relevant literature is also presented. Nine relevant articles were assessment and all of this article show the using flap for the correction of severe ectropion may be an appropriate treatment modality.

Conclusion: Using of four combined flap is a good and safe method for correction of severe lower eyelid ectropion with good result versus using of this flaps alone.

Nasal Floor Membrane Lifting for Dental Implant Placement in an Atrophic Premaxilla.

Sahand Samiee rad, Farid Shiezadeh, Elahe Tohidi, Ali Labafchi

Journal of "Regeneration, Reconstruction & Restoration" (Triple R), Vol. 3 No. 3 (2018), 12 June 2019, Page x-x
https://doi.org/10.22037/rrr.v3i3.29722

Introduction: Augmentation of atrophic alveolar ridges is an important aspect of functional restoration in modern oral rehabilitation. Vertical bone resorption of the dentoalveolar ridges remains a serious challenge for successful dental implant placement. The premaxilla region is one of the most challenging areas for implant restoration. Nasal floor approximation in anterior maxilla in concomitant with atrophy made where sufficient amount of augmentation is not possible make nasal lifting as an alternative technique.

Report of a case: In this report, we described a successful case of nasal floor lifting for dental implant placement in an atrophic premaxilla.

Conclusion: It might be concluded that nasal floor membrane lifting may be a reliable technique for implant recipient site rehabilitation in severe vertically atrophied premaxilla. However, further clinical trials are needed to support its relevancy.

Restoration


Controlling gag reflex whit low power laser acupuncture for tooth restoration: A case report

Javad Sarabadani, Ali Labafchi, Nasim Chiniforush

Journal of "Regeneration, Reconstruction & Restoration" (Triple R), Vol. 3 No. 3 (2018), 12 June 2019, Page x-x
https://doi.org/10.22037/rrr.v3i3.23171

Introduction: Gag reflex is common during dental procedure such as, taking radiography, oral examination and alginate impression. This reflex has negative impact on the quality of any dental procedure. Acupuncture is traditional alternative medicine by inserting needle in special point in body. Because of cross-infection and other risks; studies have suggested the laser acupuncture that use low level laser (LLLT) or photobiomodulation instead of needle.  Various anti-gagging points have been identified; include Neiguan Pericardium 6 (PC6), large intestine point or He Gu point (LI4), Conception Vessel 24 (CV24) and Shenmen, Stomach and Throat points on ears and P6 point is a one of the best point to control nausea and vomiting and is located at medial of the forearm below the palm. The purpose of this study was to report controlling gag reflex during routine dental procedure whit stimulation P6 acupuncture point with low power laser. A patient who has sever gag reflex and for this reason this reason her oral hygiene level is awful, also clinical examination showed multiple caries. The gag reflex was controlled with stimulation P6 point on her wrist whit 6 J/cm2 energy density and 980 nm wavelengths. Gag reflex was successfully controlled.

Conclusion: LLLT acupuncture needs less time, low invasive and much safer than other methods. Because of point P6 location it seems this point is more suitable than other anti-gaging points. Dentist who tried LLLT acupuncture must be trained and also adequate equipment should be in their dental office.