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  1. Article ; Online: Use of a 'low and short' medial cut limits sagittal ramus osteotomy interferences.

    Posnick, J C / Kinard, B E

    International journal of oral and maxillofacial surgery

    2021  Volume 50, Issue 12, Page(s) 1583–1587

    Abstract: The traditional 'high and short' medial cut of the sagittal ramus osteotomy (Hunsuck modification) is a frequent cause of lingual plate interferences in patients undergoing mandibular yaw or cant corrections. We describe how the modified 'low and short' ... ...

    Abstract The traditional 'high and short' medial cut of the sagittal ramus osteotomy (Hunsuck modification) is a frequent cause of lingual plate interferences in patients undergoing mandibular yaw or cant corrections. We describe how the modified 'low and short' medial cut of the sagittal ramus osteotomy reduces lingual plate interferences with improved passive alignment of the osteotomy segments.
    MeSH term(s) Bone Plates ; Humans ; Mandible/diagnostic imaging ; Mandible/surgery ; Osteotomy, Sagittal Split Ramus ; Tongue
    Language English
    Publishing date 2021-03-09
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 353721-3
    ISSN 1399-0020 ; 0901-5027
    ISSN (online) 1399-0020
    ISSN 0901-5027
    DOI 10.1016/j.ijom.2021.02.021
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  2. Article ; Online: A conceptual framework for treating jaw deformities in patients with abnormal condyles: preservation versus replacement of the glenoid fossa-disc-condyle-ramus.

    Posnick, J C / Kaban, L B

    International journal of oral and maxillofacial surgery

    2021  Volume 51, Issue 1, Page(s) 98–103

    Abstract: This article outlines a conceptual approach to the reconstruction of jaw deformities associated with abnormalities in the mandibular condyle. The authors describe a hierarchy of reconstruction, emphasizing use of the least invasive and progressing to the ...

    Abstract This article outlines a conceptual approach to the reconstruction of jaw deformities associated with abnormalities in the mandibular condyle. The authors describe a hierarchy of reconstruction, emphasizing use of the least invasive and progressing to the most complex and invasive techniques, depending on the nature and severity of the underlying deformity, prior operations, patient age, and stage of growth. Consider joint preservation orthognathic surgical correction, followed by biological techniques for replacement of the condyle, and avoid replacing a functional temporomandibular joint based only on radiographic remodeling and concerns about potential future flare-ups of disease based on anecdotal data.
    MeSH term(s) Glenoid Cavity ; Humans ; Mandibular Condyle ; Orthognathic Surgical Procedures ; Temporomandibular Joint ; Temporomandibular Joint Disorders
    Language English
    Publishing date 2021-04-10
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 353721-3
    ISSN 1399-0020 ; 0901-5027
    ISSN (online) 1399-0020
    ISSN 0901-5027
    DOI 10.1016/j.ijom.2021.03.010
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  3. Article ; Online: RE: Sinn DP, Tandon R, Tiwana P: Can Alloplastic Total Temporomandibular Joint Reconstruction (TMJR) Be Used In The Growing Patient? A Preliminary Report. J Oral & Maxillofac Surg 2021; (in press).

    Kaban, Leonard B / Posnick, Jeffrey C

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2021  Volume 79, Issue 12, Page(s) 2377

    MeSH term(s) Humans ; Joint Prosthesis ; Temporomandibular Joint/surgery
    Language English
    Publishing date 2021-09-20
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2021.07.031
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  4. Article ; Online: Re: Alimanovic D, Pedersen TK, Matzen LH, Stoustrup P. Comparing Clinical and Radiological Manifestations of Adolescent Idiopathic Condylar Resorption and Juvenile Idiopathic Arthritis in the Temporomandibular Joint. J Oral Maxillofac Surg 79(4):774-785, 2021.

    Posnick, Jeffrey C / Kaban, Leonard B

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2021  Volume 79, Issue 9, Page(s) 1809

    MeSH term(s) Adolescent ; Arthritis, Juvenile/complications ; Arthritis, Juvenile/diagnostic imaging ; Humans ; Radiography ; Temporomandibular Joint ; Temporomandibular Joint Disorders/diagnostic imaging
    Language English
    Publishing date 2021-06-04
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2021.04.025
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  5. Article ; Online: Selected Orthodontic Principles for Management of Cranio-Maxillofacial Deformities.

    Tremont, Timothy J / Posnick, Jeffrey C

    Oral and maxillofacial surgery clinics of North America

    2020  Volume 32, Issue 2, Page(s) 321–338

    Abstract: An understanding of fundamental orthodontic principles involving diagnosis, treatment planning, and clinical strategies is essential for achieving successful outcomes in the treatment of craniofacial patients, particularly cleft lip/palate. This article ... ...

    Abstract An understanding of fundamental orthodontic principles involving diagnosis, treatment planning, and clinical strategies is essential for achieving successful outcomes in the treatment of craniofacial patients, particularly cleft lip/palate. This article focuses on: customizing a mandibular dental arch form using the WALA ridge; accurately diagnosing the maxillary skeletal transverse dimension (cusp to cusp/fossa to fossa); coordinating the upper dental arch with the lower; using a smiling profile and glabella vertical to assess anteroposterior jaw position; and leveling the mandibular curve of Spee while considering the lower one-third of the face. These concepts influence treatment outcomes to the extent they are used.
    MeSH term(s) Cephalometry ; Cleft Lip ; Cleft Palate ; Humans ; Maxilla
    Language English
    Publishing date 2020-03-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1316546-x
    ISSN 1558-1365 ; 1042-3699
    ISSN (online) 1558-1365
    ISSN 1042-3699
    DOI 10.1016/j.coms.2020.01.006
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  6. Article ; Online: Orthodontists' role in the treatment of dentofacial deformities: Where we are and where we need to be.

    Posnick, Jeffrey C / Tremont, Timothy J / Kaban, Leonard B

    American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics

    2021  Volume 160, Issue 4, Page(s) 487–488

    MeSH term(s) Dentofacial Deformities ; Humans ; Malocclusion ; Orthodontics ; Orthodontists
    Language English
    Publishing date 2021-09-28
    Publishing country United States
    Document type Editorial
    ZDB-ID 356699-7
    ISSN 1097-6752 ; 0889-5406 ; 0002-9416
    ISSN (online) 1097-6752
    ISSN 0889-5406 ; 0002-9416
    DOI 10.1016/j.ajodo.2021.08.003
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  7. Article ; Online: Orthodontic Trends in the Treatment of Dentofacial Deformities.

    Posnick, Jeffrey C / Mandelaris, George A / Tremont, Timothy J

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2020  Volume 79, Issue 3, Page(s) 518–519

    MeSH term(s) Dentofacial Deformities ; Humans ; Orthognathic Surgical Procedures
    Language English
    Publishing date 2020-10-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2020.10.023
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  8. Article ; Online: Primary Mandibular Deficiency Dentofacial Deformities: Occlusion and Facial Aesthetic Surgical Outcomes.

    Posnick, Jeffrey C / Egolum, Nkemakonam / Tremont, Timothy J

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2018  Volume 76, Issue 10, Page(s) 2209.e1–2209.e15

    Abstract: Purpose: The purpose of the present study was to document the malocclusion and facial dysmorphology in primary mandibular deficiency (PMD) subjects with chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, ...

    Abstract Purpose: The purpose of the present study was to document the malocclusion and facial dysmorphology in primary mandibular deficiency (PMD) subjects with chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, genioplasty, and intranasal surgery.
    Patients and methods: A retrospective cohort study of PMD subjects undergoing bimaxillary, chin, and intranasal surgery was implemented. The predictor variables were grouped into demographic, anatomic, operative, and longitudinal categories. The primary outcome variables were the initial postoperative occlusion achieved at 5 weeks postoperatively (T
    Results: Forty subjects met the inclusion criteria. Their age at surgery averaged 32 years (range 13 to 63). The study included 25 females (63%). The findings confirmed that the occlusion after initial surgical healing (T
    Conclusions: Most PMD subjects achieved and maintained a corrected occlusion in the long-term. In the untreated subjects, a "facial type" was identified. Orthognathic surgery proved effective in correcting the associated facial dysmorphology in most patients.
    MeSH term(s) Adolescent ; Adult ; Dentofacial Deformities/surgery ; Esthetics, Dental ; Female ; Genioplasty ; Humans ; Male ; Malocclusion/surgery ; Mandible/abnormalities ; Middle Aged ; Nasal Obstruction/surgery ; Orthognathic Surgical Procedures ; Photography ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2018-06-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2018.06.009
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  9. Article ; Online: Method of osteotomy fixation and need for removal following bimaxillary orthognathic, osseous genioplasty, and intranasal surgery: a retrospective cohort study.

    Posnick, J C / Choi, E / Chavda, A

    International journal of oral and maxillofacial surgery

    2017  Volume 46, Issue 10, Page(s) 1276–1283

    Abstract: The purpose of this study was to determine the incidence and causes of fixation hardware removal after bimaxillary orthognathic, osseous genioplasty, and intranasal surgery. A retrospective study was performed, involving subjects with a bimaxillary ... ...

    Abstract The purpose of this study was to determine the incidence and causes of fixation hardware removal after bimaxillary orthognathic, osseous genioplasty, and intranasal surgery. A retrospective study was performed, involving subjects with a bimaxillary developmental dentofacial deformity (DFD) and symptomatic chronic obstructive nasal breathing. At a minimum, subjects underwent Le Fort I osteotomy, bilateral sagittal ramus osteotomies (SROs), septoplasty, inferior turbinate reduction, and osseous genioplasty. The primary outcome variable studied was fixation hardware removal. Demographic, anatomical, and surgical predictor variables were assessed. Two hundred sixty-two subjects met the inclusion criteria. Their mean age at operation was 25 years (range 13-63 years); 134 were female (51.1%). Simultaneous removal of a third molar was performed in 39.9% of SROs. Three of 262 Le Fort I procedures (1.1%) and two of 524 SROs (0.4%) required hardware removal. There were four cases of ramus wound dehiscence, four of ramus surgical site infection (SSI), one of chin SSI, two of maxillary sinusitis, and one of lingual nerve injury; none of these subjects underwent hardware removal. A limited need for fixation hardware removal after orthognathic procedures was confirmed. There was no statistical correlation between hardware removal and patient sex, age, pattern of DFD, simultaneous removal of a third molar, or occurrence of wound dehiscence, SSI, or lingual nerve injury.
    Language English
    Publishing date 2017-10
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 353721-3
    ISSN 1399-0020 ; 0901-5027
    ISSN (online) 1399-0020
    ISSN 0901-5027
    DOI 10.1016/j.ijom.2017.05.014
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  10. Article ; Online: Long-Face Dentofacial Deformities: Occlusion and Facial Esthetic Surgical Outcomes.

    Posnick, Jeffrey C / Liu, Samuel / Tremont, Timothy J

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2017  Volume 76, Issue 6, Page(s) 1291–1308

    Abstract: Purpose: The purpose of this study was to document malocclusion and facial dysmorphology in a series of patients with long face (LF) and chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, osseous ... ...

    Abstract Purpose: The purpose of this study was to document malocclusion and facial dysmorphology in a series of patients with long face (LF) and chronic obstructive nasal breathing before treatment and the outcomes after bimaxillary orthognathic, osseous genioplasty, and intranasal surgery.
    Materials and methods: A retrospective cohort study of patients with LF undergoing bimaxillary, chin, and intranasal (septoplasty and inferior turbinate reduction) surgery was implemented. Predictor variables were grouped into demographic, anatomic, operative, and longitudinal follow-up categories. Primary outcome variables were the initial postoperative occlusion achieved (T
    Results: Seventy-eight patients met the inclusion criteria. Average age at surgery was 24 years (range, 13 to 54 yr). The study included 53 female patients (68%). Findings confirmed that occlusion after initial surgical healing (T
    Conclusion: Using orthognathic surgery techniques, patients with LF dentofacial deformity achieved the planned occlusion and most maintained the corrected occlusion long-term. In unoperated patients with LF, a "facial esthetic type" was identified. Orthognathic surgery proved effective in correcting associated facial dysmorphology in most patients.
    MeSH term(s) Adolescent ; Adult ; Dental Occlusion ; Dentofacial Deformities/surgery ; Esthetics, Dental ; Female ; Genioplasty/methods ; Humans ; Male ; Middle Aged ; Nasal Obstruction/surgery ; Orthodontics, Corrective ; Orthognathic Surgical Procedures/methods ; Treatment Outcome
    Language English
    Publishing date 2017-12-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2017.11.006
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