Publications
Articles by Dr. Le
Here are a series of articles co-written by Dr. Le. To read the full articles, click on the titles. You will need Adobe Acrobat Reader to view the pdf articles. If you don't have the acrobat reader plugin, you can download it for free from Adobe's website.
Alveolar ridge augmentation using autogenous block grafts is a predictable method to augment localized alveolar ridge defects for implant placement. However, large severely atrophic edentulous segments may require extraoral donor sites.
Ridge contour defects around dental implants are caused by under-lying bony defects. Although adequate bone may exist to obtain stability of the implant, irregular bony anatomy can result in an unnatural appearance of the final crown.
Injury to the inferior alveolar nerve during implant placement in the posterior atrophic mandible is a rare but serious complication. The routine use of intraoperative periapical radiographs during the drilling sequence is an inexpensive and reliable tool, allowing the operator to confidently adjust the direction and depth of the implant during placement.
This course focuses on atraumatic dental extractions.
We report a case of epidural hemorrhage after removal of an external distraction device.
A review of maxillary sinus floor elevation as an integral part of restoring the posterior maxilla is discussed.
This continuing dental education course has been written to discuss the etiology and management of complications associated with post-operative extractions.
Papillon-Lefevre Syndrome is characterized by generalized rapid destruction of the dental alveolar supporting bone and diffused palmoplantar hyperkeratosis. A case is reported of dental implant placement in a 13-year-old patient diagnosed with Papillon-Lefevre Syndrome.
The purpose of this study was to report the incidence, causes, and patterns of maxillofacial injury associated with domestic violence.
Distraction osteogenesis has recently become a popular topic for reconstruction of vertical alveolar defects. The use of bone grafts to correct vertical defects in the atrophic edentulous alveolar ridge leads to donor site morbidity and the results can be unpredictable.
Over the past six years, three out of five patients treated for Apert syndrome at our hospital have developed corneal ulcers. We present a case series discussing each patient, reasons for the development of ulceration, treatment and outcomes. Morbidities suffered in our group of patients included: decreased visual acuity, opacified corneas, amblyopia and blindness.
The management of facial trauma is an integral part of the training of several specialties, including general plastic surgery, otolaryngology (ear/nose/throat –– ENT), and oral and maxillofacial surgery (OMFS). Referral patterns of patients, however, vary at different institutions. The purpose of this article is to examine the referral patterns of facial trauma in the United States at teaching hospitals.
Recently, with the introduction of distraction osteogenesis to the craniofacial skeleton, the halo device is seeing its application adapted in this arena in the form of rigid external distraction devices for the maxilla. Indications for use are severe cases of maxillary hypoplasia requiring large advancements and repaired palatal clefts with a resulting scar. An osteotomy is performed and the distraction device is attached to a prefabricated occlusal splint which is attached to a halo device secured with three scalp screws on each side.
Patients with an edentulous atrophic mandible restored with endosseous dental implants frequently have an inadequate zone of keratinized tissue in the peri-implant area. Dr. Le and co-authors present a technique utilizing the skin harvested from an upper eyelid blepharoplasty to augment the zone of keratinized tissue in edentulous implant patients.
The purpose of this study is to report the incidence, causes, and patterns of maxillofacial injury associated with domestic violence. A retrospective review of patients treated for domestic violence injuries at an inner-city hospital over a 5-year period was done and data were collected on type and location of injury, mechanism of injury, alcohol involvement and treatment.
Intraoperative complications of tracheostomy are well described in the literature. These include hemorrhage, perforation of the walls of the trachea and esophagus, recurrent laryngeal nerve injury, intraoperative fire, pneumothorax and pneumomediastinum, and tube displacement. We present an unusual complication encountered during a routine tracheostomy that resulted from severe tracheomalacia.
Patients with cleft lip and palate deformity require multiple surgical procedures over long periods by multiple specialists in various fields. Prosthetic rehabilitation of those patients with missing teeth is the goal in the final stages of treatment.
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