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Treatment of massive obesity by prolonged jaw immobilization for edentulous patients

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Treatment of massive obesity by prolonged jaw immobilization for edentulous patients

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

Source :

International Journal of Oral Surgery [ 0300-9785 ] ; 1980.

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.

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https://api.istex.fr/document/BFF2578B96DCBB3AF17963B82AD3DE6B0E6B75D8/fulltext/pdf

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

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P. Harding

<affiliation><mods:affiliation>Royal Adelaide Hospital</mods:affiliation>
<wicri:noCountry code="no comma">Royal Adelaide Hospital</wicri:noCountry>
</affiliation>

S. Rodgers

<affiliation><mods:affiliation>Royal Adelaide Hospital</mods:affiliation>
<wicri:noCountry code="no comma">Royal Adelaide Hospital</wicri:noCountry>
</affiliation>

D. W. Thomas

<affiliation><mods:affiliation>Royal Adelaide Hospital</mods:affiliation>
<wicri:noCountry code="no comma">Royal Adelaide Hospital</wicri:noCountry>
</affiliation>

R. S. Kalucy

<affiliation><mods:affiliation>Flinders Medical Centre</mods:affiliation>
<wicri:noCountry code="no comma">Flinders Medical Centre</wicri:noCountry>
</affiliation>

P. H. Wise

<affiliation><mods:affiliation>Flinders Medical Centre</mods:affiliation>
<wicri:noCountry code="no comma">Flinders Medical Centre</wicri:noCountry>
</affiliation>

M. H. Alp

<affiliation><mods:affiliation>Queen Elizabeth Hospital</mods:affiliation>
<wicri:noCountry code="no comma">Queen Elizabeth Hospital</wicri:noCountry>
</affiliation>

B. A. Higgins

<affiliation><mods:affiliation>Queen Elizabeth Hospital</mods:affiliation>
<wicri:noCountry code="no comma">Queen Elizabeth Hospital</wicri:noCountry>
</affiliation>

C. G. Barrow

<affiliation><mods:affiliation>Queen Elizabeth Hospital</mods:affiliation>
<wicri:noCountry code="no comma">Queen Elizabeth Hospital</wicri:noCountry>
</affiliation>

Le document en format XML

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<front><div type="abstract" xml: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.</div>
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Treatment of massive obesity by prolonged jaw immobilization for edentulous patients

Treatment of massive obesity by prolonged jaw immobilization for edentulous patients

Source :

English descriptors

Abstract

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