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.

Cortical Tenting Grafting Technique in the Severely Atrophic Alveolar Ridge for Implant Site Preparation
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.

Esthetic Grafting for Small Volume Hard and Soft Tissue Contour Defects for Implant Site Development
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.

Avoiding Injury to the Inferior Alveolar Nerve by Routine Use of Intraoperative Radiographs during Implant Placement
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.

Atraumatic Extractions, Academy of Dental Therapeutics and Stomatology (ADTS)
This course focuses on atraumatic dental extractions.

Epidural Hemorrhage After Removal of a Rigid External Distraction Device
We report a case of epidural hemorrhage after removal of an external distraction device.

Maxillary Sinus Floor Elevation: Review of Anatomy and Two Techniques
A review of maxillary sinus floor elevation as an integral part of restoring the posterior maxilla is discussed.

Etiology, Prevention & Management of Post-Extraction Complications
This continuing dental education course has been written to discuss the etiology and management of complications associated with post-operative extractions.

Dental Implants in a Young Patient with Papillon-Lefevre Syndrome: A Case Report
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.

Maxillofacial Injuries Associated With Domestic Violence
The purpose of this study was to report the incidence, causes, and patterns of maxillofacial injury associated with domestic violence.

Distraction Osteogenesis for Regeneration of Vertical Alveolar Defects: A technical review
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.

Corneal Ulcers in Patients with Apert Syndrome
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.

Referral Patterns for the Treatment of Facial Trauma in Teaching Hospitals in the United States
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.

Intracranial Migration of Halo Fixation Pins: A Complication of Using an Extraoral Distraction Device
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.

A Technique for Utilizing Upper Lid Blepharoplasty Full thickness Skin for Peri-Implant Keratinized Tissue Grafting
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.

Maxillofacial Injuries Associated With Domestic Violence
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.

A Tracheostomy Complication Resulting from Acquired Tracheomalacia: A Case report
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.

Alveolar Cleft Repair in Adults Using Guided Bone Regeneration with Mineralized Allograft for Dental Implant Site Development: A Report of 2 Cases
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.

Screw Pole Tent Graft Technique

Angulation Implant

Labial Bone Thickness in Area of Anterior

Assessment of Short Dental Implants Restored With Single Unit Nonsplinted Restorations

Effect of Buccal Gap Distance on Alveolar Ridge

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