agement of significant soft-tissue wounds, and crani-omaxillofacial fractures.

References

Haug RH, Foss J: Maxillofacial injuries in the pediatric patient. OralSurg Oral Med Oral Pathol Oral Radiol Endod 90:126, 2000

Dodson TB, Kaban LB: Special considerations for the pediatric emer-gency patient. Emerg Med Clin North Am 18:539, 2000

Fida S, Matsuya: Paediatric maxillofacial fractures: Their aetiologicalcharacteristics and patterns. J Craniomaxillofac Surg 30:237, 2002

S302Aesthetic Zone Reconstruction: Synergyof Hard and Soft Tissue Augmentationfor Optimal Implant PlacementMichael Pikos, DDS, Palm Harbor, FL

The loss of alveolar ridge contour in the aesthetic zonecompromises both aesthetics and function. This uniqueclinical course will focus on the application of both hardand soft tissue grafting in the aesthetic zone for optimalimplant reconstruction. Emphasis will be on indications,timing, and surgical protocol using mandibular blockautografts in conjunction with connective tissue grafts,acellular dermis matrix, and related soft tissue proce-dures to avoid functional and aesthetic pitfalls. Bothsingle and multiple tooth cases will be presented.

References

Pikos MA: Block autografts for localized ridge augmentation, part I:The posterior maxilla. Implant Dent 8:279, 1999

Pikos MA: Block autografts for localized ridge augmentation, part II:The posterior mandible. Implant Dent 9:67, 2000

Langer B, Calagna L: The subepithelial connective tissue graft: A newapproach to the enhancement of anterior esthetics. Int J PeriodontsRestorative Dent 2:23, 1982

S303Rhinoplasty: Principles and Pitfalls toAvoidGeorge Sandor, DDS, MD, PhD, FRCD(C), FRCS(C),

FACS, Toronto, Ontario, CanadaCameron Clokie, DDS, PhD, Toronto, Ontario, Canada

(no abstract provided)

S305Implant Anchored Orthodontics for theOral and Maxillofacial SurgeonKeith Sherwood, DDS, Fort Lauderdale, FL

There has been a surge in research efforts in the past10 years exploring the use of dental implants, screws,miniplates, and other devices for orthodontic anchorage.

Osteotomy plates and palatal implants in particular arebeing used in creative ways by orthodontists to correctcertain malocclusions.

There is a great deal of interest and study in theorthodontic community about implant-anchored orth-odontics. This surgical clinic will bring the Oral andMaxillofacial Surgeon up to date on current research,treatment planning, and technical application in thisrapidly expanding field.

References

Umemori M, Sugawara J, Mitani H, et al: Skeletal anchorage for openbite correction. Am J Orthod Dentofac Orthop 115:166, 1999

Wherbein H, et al: Palatal implant anchorage reinforcement of posteriorteeth: A prospective study. Am J Orthod Dentofac Orthop 116:678, 1999

Sherwood KH, Burch JG, Thompson WJ: Closing anterior open bitesby intrusion of molars using titanium miniplate anchorage. Am JOrthod Dentofac Orthop 122:593, 2002

S306Maxillofacial Dermatologic SurgeryMichael Goldwasser, DDS, MD, Urbana, ILJonathan Bailey, DMD, MD, Urbana, IL

Skin cancer is the most common malignancy in hu-mans, accounting for over 1,000,000 cases/year. Leftuntreated, these lesions may become locally destructiveand have the potential for metastatic spread. As oral andmaxillofacial surgeons, we have the opportunity to eval-uate, diagnose, and treat patients presenting with max-illofacial dermatologic neoplasms.

Basal cell carcinoma and squamous cell carcinoma arethe most common non-melanotic cutaneous neoplasms.Malignant melanoma is an aggressive cutaneous neo-plasm whose incidence continues to increase dramati-cally. Other premalignant lesions such as actinic kerato-ses and dysplastic nevi may also be treated by the oraland maxillofacial surgeon.

Diagnosis of cutaneous neoplasms is accomplishedwith multiple techniques including shave biopsy, inci-sional biopsy, or excisional biopsy. Each technique hasits indications, advantages, and potential disadvantages.

The primary treatment of cutaneous head and neckneoplasms is surgical excision. The histologic subtypedictates surgical margins. Other treatment modalitiessuch as cryotherapy, topical chemotherapy, and rarelyradiation therapy may also be indicated. Management ofcutaneous neoplasms located within each facial subunithas its own surgical implications. A thorough under-standing of the regional anatomy is paramount. Maxillo-facial dermatologic surgery must be based on soundoncologic principals, yet preserve the available recon-structive options.

Oral and maxillofacial surgeons are intimately familiarwith the regional anatomy and available reconstructivetechniques. Therefore, we are uniquely qualified to treat

Surgical Clinics

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