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The use of the compressed air-driven turbine for the activation of surgical burs and saws as developed by Dr. Robert M. Hall has been a boon for the plastic, max illofacial, and oral surgeon. The development of air instrument surgery coincided with the opening of new vistas in surgery in the area of craniofacial surgery. Cranio facial osteotomies for orbital (ocular) hypertelorism, for the deformities of cranio stenosis (Cronzon's disease, Apert's syndrome) and subcranial osteotomies at various levels of the facial skeleton have brought about dramatic improvements in the form of the facial substructure in patients with gross deformities. In many of these maxillofacial deformities the facial skeleton and dento-alveolar processes must be advanced, recessed or expanded in the lateral dimension. In such cases maloc clusion of the tceth is usual; this is corrected by intermaxillary fixation of the mo bilized bony structures which also reestablishes adequate relationships between the dento-alveolar processes of the upper and lower jaws. This brings us to the subject of surgical orthodontics, a field that is just beginning to expand; its development should bring about closer collaboration between surgeon and orthodontist, resulting in rapid and efficient improvement of malocclusion. The absence of vibration characteristic of the air-driven turbine, in contrast to the mechanically driven drill, allows the surgeon to carry out delicate and precise surgical procedures with less fatigue to himself.
This chapter deals with so me surgical uses of an air-powered bone-biter, Ronjair®. The to01 has been developed in response to the need to prevent hand cramping, blisters, fatigue, and consequent cIumsiness after extensive bone removal. The Instru ment, which has been in operative use since April 1971, has also proved to be more precisely controllable by the surgeon than comparable hand-powered instruments. The instrument is a new Air Instrument conceived with considerable attention, to full contral of the biting tips, to versatility and ease of use. Still, a little directed learning is essential for comfortable bone-cutting. Some hints are included in "How to use the Ronjair®, Air-Powered Rongeur" and "Technique suggestions", but it is ad visable to practice outside the operating room to get the feel of it. In aseries of presentations to so me 3,000 neurosurgeons and orthopedists in the past two years at large national meetings, it was cIear that nearly all could become adept in the use of the instrument after some 5 -10 minutes. The Ronjair® Air-Powered Rongeur was developed by Hall International Inc. with the suggestions and effort of N. Edalatpour, M.D. N. Edalatpour, M.D., F.A.C.S.
**Selected for Doody's Core Titles® 2024 with "Essential Purchase" designation in Oral & Maxillofacial Surgery** One of the most respected dental surgery books in the world, Contemporary Oral and Maxillofacial Surgery, 7th Edition helps you develop skills in evaluation, diagnosis, and patient management. This comprehensive text on oral surgery procedures features full-color photographs and drawings that show how to perform basic surgical techniques, including an overview of more advanced surgical procedures and the latest developments in dental implants, instrumentation, and current technology. A detailed patient evaluation section includes guidelines on when to refer patients to specialists and how to provide supportive postoperative care. New to this edition is a chapter focusing on anesthesia in greater depth than any of the previous editions. Written by well-known OMS educators James R. Hupp, and Edward Ellis III, and Myron R. Tucker, this book is a valuable reference for dentistry and dental hygiene students alike! - UPDATED! Chapter, Contemporary Implant Dentistry, includes new and updated implant surgical techniques and virtual planning. - UPDATED! Chapter, Treatment of Complex Implant Cases, features new and updated cases requiring more complex treatment, including bone augmentation surgery in combination with implants. - UPDATED! Coverage of Management of Sinus Disease updated outline of the fundamental principles for evaluation and treatment of the patient with sinus disease, including endoscopic therapy. - UPDATED! Coverage of Management of Medication-related Osteonecrosis of the Jaw outlines the fundamental principles for evaluation and treatment of the patient. - UPDATED! Facial Cosmetic Surgery chapter is organized by nonsurgical and surgical procedures, covering popular procedures such as dermal fillers, botox, facial resurfacing, browlift and forehead procedures, blepharoplasty, rhinoplasty, and rhytidectomy. - UPDATED! Content on implants, new instruments, and the latest technology help you treat your patients more effectively. - Basic techniques of evaluation, diagnosis, and medical management described in enough detail to facilitate immediate clinical application. - Excellent instrumentation chapter covers a wide variety of instruments and tray set-ups that OMS surgeons use. - Complex Exodontia chapter describes techniques for surgical tooth extraction, including the principles of flap design, development, management, and suturing, as well as open extraction of single- and multi-rooted teeth, multiple extractions, and concomitant alveoloplasty. - Hundreds of detailed, close-up photographs of intraoperative sites clarify textual descriptions - Coverage of complex OMS procedures give you a basic understanding of what you will face later in advanced OMS cases. - NEW! Chapter, Anesthesia in Dentistry focuses on anesthesia in greater depth than any of the previous editions including local anesthesia and nitrous oxide sedation. - NEW! Expert Consult TM eBook version included with purchase allows you to search all of the text, figures, and references from the book on a variety of devices