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Treatment of massive obesity by prolonged jaw immobilization for edentulous patients

Identifieur interne : 005F58 ( Istex/Corpus ); précédent : 005F57; suivant : 005F59

Treatment of massive obesity by prolonged jaw immobilization for edentulous patients

Auteurs : Alastair N. Goss ; P. Harding ; S. Rodgers ; D. W. Thomas ; R. S. Kalucy ; P. H. Wise ; M. H. Alp ; B. A. Higgins ; C. G. Barrow

Source :

RBID : ISTEX:BFF2578B96DCBB3AF17963B82AD3DE6B0E6B75D8

English descriptors

Abstract

Abstract: Twenty massively obese patients who were edentulous in one or both jaws were treated by prolonged jaw immobilization. Dentures were secured under general anaesthesia to the edentulous jaws by various direct wiring methods and the jaws immobilized by interdental wires, where teeth were present, and intermaxillary wires. The wired-in dentures were generally well tolerated with minimal mucosal reaction but with a high incidence of infection around the attachment wires. Patients edentulous in one jaw alone, (11 maxilla, two mandible), managed well and 11 achieved a satisfactory weight loss. The seven patients edentulous in both jaws had considerable difficulty with pain and infection, three having the fixation appliances removed in the immediate post-operative period and only one achieved a satisfactory weight loss. Thus prolonged jaw immobilization is an effective means of treating massively obese patients if they are edentulous in one jaw alone but less so if they are completely edentulous.

Url:
DOI: 10.1016/S0300-9785(80)80031-7

Links to Exploration step

ISTEX:BFF2578B96DCBB3AF17963B82AD3DE6B0E6B75D8

Le document en format XML

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<p>Abstract: Twenty massively obese patients who were edentulous in one or both jaws were treated by prolonged jaw immobilization. Dentures were secured under general anaesthesia to the edentulous jaws by various direct wiring methods and the jaws immobilized by interdental wires, where teeth were present, and intermaxillary wires. The wired-in dentures were generally well tolerated with minimal mucosal reaction but with a high incidence of infection around the attachment wires. Patients edentulous in one jaw alone, (11 maxilla, two mandible), managed well and 11 achieved a satisfactory weight loss. The seven patients edentulous in both jaws had considerable difficulty with pain and infection, three having the fixation appliances removed in the immediate post-operative period and only one achieved a satisfactory weight loss. Thus prolonged jaw immobilization is an effective means of treating massively obese patients if they are edentulous in one jaw alone but less so if they are completely edentulous.</p>
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<head>
<ce:title>Treatment of massive obesity by prolonged jaw immobilization for edentulous patients</ce:title>
<ce:author-group>
<ce:author>
<ce:given-name>Alastair N.</ce:given-name>
<ce:surname>Goss</ce:surname>
<ce:cross-ref refid="cor1">
<ce:sup>*</ce:sup>
</ce:cross-ref>
</ce:author>
<ce:collaboration>
<ce:text>The Adelaide Obesity Group</ce:text>
</ce:collaboration>
<ce:affiliation>
<ce:textfn>Department of Oral Pathology and Oral Surgery, The University of Adelaide, Adelaide, South Australia</ce:textfn>
</ce:affiliation>
<ce:correspondence id="cor1">
<ce:label>*</ce:label>
<ce:text>Department of Oral Pathology & Oral Surgery The University of Adelaide, Adelaide, South Australia 5001, Australia</ce:text>
</ce:correspondence>
</ce:author-group>
<ce:author-group>
<ce:author>
<ce:given-name>P.</ce:given-name>
<ce:surname>Harding</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>S.</ce:given-name>
<ce:surname>Rodgers</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>D.W.</ce:given-name>
<ce:surname>Thomas</ce:surname>
</ce:author>
<ce:affiliation>
<ce:textfn>Royal Adelaide Hospital</ce:textfn>
</ce:affiliation>
</ce:author-group>
<ce:author-group>
<ce:author>
<ce:given-name>R.S.</ce:given-name>
<ce:surname>Kalucy</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>P.H.</ce:given-name>
<ce:surname>Wise</ce:surname>
</ce:author>
<ce:affiliation>
<ce:textfn>Flinders Medical Centre</ce:textfn>
</ce:affiliation>
</ce:author-group>
<ce:author-group>
<ce:author>
<ce:given-name>M.H.</ce:given-name>
<ce:surname>Alp</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>B.A.</ce:given-name>
<ce:surname>Higgins</ce:surname>
</ce:author>
<ce:author>
<ce:given-name>C.G.</ce:given-name>
<ce:surname>Barrow</ce:surname>
</ce:author>
<ce:affiliation>
<ce:textfn>Queen Elizabeth Hospital</ce:textfn>
</ce:affiliation>
</ce:author-group>
<ce:date-received day="24" month="9" year="1979"></ce:date-received>
<ce:date-accepted day="12" month="10" year="1979"></ce:date-accepted>
<ce:abstract id="ab1" xml:lang="en">
<ce:section-title>Abstract</ce:section-title>
<ce:abstract-sec>
<ce:simple-para>Twenty massively obese patients who were edentulous in one or both jaws were treated by prolonged jaw immobilization. Dentures were secured under general anaesthesia to the edentulous jaws by various direct wiring methods and the jaws immobilized by interdental wires, where teeth were present, and intermaxillary wires. The wired-in dentures were generally well tolerated with minimal mucosal reaction but with a high incidence of infection around the attachment wires. Patients edentulous in one jaw alone, (11 maxilla, two mandible), managed well and 11 achieved a satisfactory weight loss. The seven patients edentulous in both jaws had considerable difficulty with pain and infection, three having the fixation appliances removed in the immediate post-operative period and only one achieved a satisfactory weight loss. Thus prolonged jaw immobilization is an effective means of treating massively obese patients if they are edentulous in one jaw alone but less so if they are completely edentulous.</ce:simple-para>
</ce:abstract-sec>
</ce:abstract>
<ce:keywords class="keyword" xml:lang="en">
<ce:section-title>Key words</ce:section-title>
<ce:keyword>
<ce:text>edentulous</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>fixation, intermaxillary</ce:text>
</ce:keyword>
<ce:keyword>
<ce:text>obesity</ce:text>
</ce:keyword>
</ce:keywords>
</head>
<tail>
<ce:bibliography>
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<affiliation>Flinders Medical Centre</affiliation>
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<name type="personal">
<namePart type="given">P.H.</namePart>
<namePart type="family">Wise</namePart>
<affiliation>Flinders Medical Centre</affiliation>
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<name type="personal">
<namePart type="given">M.H.</namePart>
<namePart type="family">Alp</namePart>
<affiliation>Queen Elizabeth Hospital</affiliation>
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<name type="personal">
<namePart type="given">B.A.</namePart>
<namePart type="family">Higgins</namePart>
<affiliation>Queen Elizabeth Hospital</affiliation>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">C.G.</namePart>
<namePart type="family">Barrow</namePart>
<affiliation>Queen Elizabeth Hospital</affiliation>
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<abstract lang="en">Abstract: Twenty massively obese patients who were edentulous in one or both jaws were treated by prolonged jaw immobilization. Dentures were secured under general anaesthesia to the edentulous jaws by various direct wiring methods and the jaws immobilized by interdental wires, where teeth were present, and intermaxillary wires. The wired-in dentures were generally well tolerated with minimal mucosal reaction but with a high incidence of infection around the attachment wires. Patients edentulous in one jaw alone, (11 maxilla, two mandible), managed well and 11 achieved a satisfactory weight loss. The seven patients edentulous in both jaws had considerable difficulty with pain and infection, three having the fixation appliances removed in the immediate post-operative period and only one achieved a satisfactory weight loss. Thus prolonged jaw immobilization is an effective means of treating massively obese patients if they are edentulous in one jaw alone but less so if they are completely edentulous.</abstract>
<subject lang="en">
<genre>Key words</genre>
<topic>edentulous</topic>
<topic>fixation, intermaxillary</topic>
<topic>obesity</topic>
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<title>International Journal of Oral Surgery</title>
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<title>IJOS</title>
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<dateIssued encoding="w3cdtf">1980</dateIssued>
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<identifier type="ISSN">0300-9785</identifier>
<identifier type="PII">S0300-9785(80)X8030-X</identifier>
<part>
<date>1980</date>
<detail type="volume">
<number>9</number>
<caption>vol.</caption>
</detail>
<detail type="issue">
<number>4</number>
<caption>no.</caption>
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<extent unit="issue-pages">
<start>243</start>
<end>320</end>
</extent>
<extent unit="pages">
<start>253</start>
<end>258</end>
</extent>
</part>
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<identifier type="istex">BFF2578B96DCBB3AF17963B82AD3DE6B0E6B75D8</identifier>
<identifier type="ark">ark:/67375/6H6-SSLXXLGJ-3</identifier>
<identifier type="DOI">10.1016/S0300-9785(80)80031-7</identifier>
<identifier type="PII">S0300-9785(80)80031-7</identifier>
<identifier type="ArticleID">80031</identifier>
<accessCondition type="use and reproduction" contentType="copyright">©1980 Munksgaard International Publishers Ltd.</accessCondition>
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<recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource>
<recordOrigin>Munksgaard International Publishers Ltd., ©1980</recordOrigin>
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