Abstract
This thesis attempts to use a retrospective evidenced base review of a series of five patients afflicted with juvenile rheumatoid arthritis and its inherent dento-facial deformity as a basis for establishing a proposal for a surgical protocol.
A review of pertinent and current literature is performed in describing the disease process as it relates to epidemiology, histopathophysiology, immunology, and clinical presentation. General treatment options are reviewed for the acutely and chronically afflicted patients as well as specific approaches to dento-facial reconstruction.
The studies reviews a series of five female patients who were evaluated and treated by the same surgeon at Loma Linda University Medical Center. All patients were treated by performing concurrent ramus and condylar reconstruction as well maxillomandibular corrective surgery. All patients were treated similarly by LeFort I, inferior border sliding, and inverted "L" osteotomies with immediate autogenous bilateral costochondral bone and interpositional iliac particulate bone grafting.
Cephalometric analysis was utilized to establish multiple elements of long term surgical stability in all patients.
Utilizing the evidence of relative stability in all patients and a review of the literature, a conclusion can be drawn supporting the adopted surgical protocol.
Department
Dentistry
School
Graduate School
First Advisor
Dale E. Stringer
Second Advisor
Lorenz F. de Julien
Third Advisor
Wayne K. Tanaka
Degree Name
Master of Science (MS)
Degree Level
M.S.
Year Degree Awarded
2000
Date (Title Page)
6-2000
Language
English
Library of Congress/MESH Subject Headings
Arthritis, Juvenile; Oral Surgical Procedures
Type
Thesis
Page Count
vii; 70
Digital Format
Digital Publisher
Loma Linda University Libraries
Copyright
Author
Usage Rights
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Recommended Citation
Gilbert, David H., "Orthognathic Surgery in the Juvenile Rheumatoid Arthritic Patient" (2000). Loma Linda University Electronic Theses, Dissertations & Projects. 2384.
https://scholarsrepository.llu.edu/etd/2384
Collection
Loma Linda University Electronic Theses and Dissertations
Collection Website
http://scholarsrepository.llu.edu/etd/
Repository
Loma Linda University. Del E. Webb Memorial Library. University Archives