Ridge Area Research Articles

CME Dermatology 24/Answers: Porokeratosis

CME Dermatology 24/Answers: Porokeratosis Abstract. Porokeratoses are a heterogeneous group of cornification disorders with the characteristic histological feature of the cornoid lamellae in the area of the marginal ridge. It is a rare but characteristic disease that occurs primarily in adulthood. Men are slightly more likely to be affected. The etiopathogenesis that leads to the transformation of the keratinocytes remains unclear; associations with genetic mutations and trigger factors such as UV rays and immunosuppression were observed. Due to the risk of malignant degeneration, consistent sun protection and regular clinical controls should take place. Cryotherapy, ablative laser therapy, curettage, photodynamic therapy or topical application of fluorouracil (5-FU), imiquimod and retinoids can be used to treat itchy, painful or cosmetically disturbing porokeratoses, depending on the location and severity.

Effect of Different Techniques of CAD/CAM Designed BioHpp Frameworks on The Supporting Structures of Kennedy Class I Telescopic Partial Denture Cases

Objective: This study was carried out to radiographically evaluate the effect of the two different CAM techniques of BioHpp frameworks fabrication (milled and pressed) on the supporting structures of Kennedy Class I telescopic partial dentures using the digital parallel radiographic technique ( Digora software system). Materials and Methods: Fourteen patients with mandibular Kennedy class I and opposing short maxillary Kennedy class I were selected. The last standing abutments for all patients were the premolars. After receiving zirconia primary crowns, patients were divided into two groups, group I received milled BioHpp telescopic RPDs, and group II received pressed BioHpp telescopic RPDs. Patients of both groups were evaluated at the time of denture insertion, at six months, and at 12 months. The evaluation included measurements of bone height changes mesial of the first abutment and distal of the second abutment and at the crest of the residual ridge. Results: There was a statistically significant difference in the marginal bone height changes between the two groups. Group I (milled BioHpp) showed more bone resorption around the abutments than group II, while group II (pressed BioHpp) showed more resorption at the residual ridge crest than group I. Conclusion: Milled and pressed BioHpp telescopic partial denture produced acceptable treatment options regarding bone loss. Milled BioHpp frameworks (group I) had a greater effect on bone resorption around the abutments than pressed BioHpp (group II). Pressed BioHpp showed more bone height changes at the residual ridge area than the residual ridge milled one.

Geochemical Characteristics, Palaeoenvironment and Provenance of Uranium-Bearing Sandstone in the Sifangtai Formation, Northern Songliao Basin, Northeast China

During the Cretaceous period of the northern Songliao Basin (northeast of China), a 100 m thick layer of fluvial-phase sandstone (Sifangtai Formation) with uranium potential was widely deposited, but its geochemical characteristics, paleoenvironment, and provenance remain unknown. This research proposes a new set of relevant geochemical data for sandstones to investigate their paleoenvironment, provenance and tectonic setting. The results revealed that: (1) The sandstone of the Sifangtai Formation was dominated by feldspar lithic sandstone. Geochemical signatures demonstrate that these sandstones have a high silicon content (SiO2 = 68.30~83.60 wt%) and total alkali content, but are poor in magnesium and calcium. They are also enriched in Rb, Th, U, K and LREE, and depleted HFSE (e.g., Nb, Ta), with crustal magmatic source. (2) The paleoclimate discriminant indicated that the rocks of the Sifangtai Formation might that the climate of Sifangtai Formation is semi-arid, and the chemical weathering of the source rocks is weak under the semi-arid climate environment. (3) The combination of element Sr/Ba, 100 MgO/Al2O3 and the combination of v/v + Ni, V/Cr, Ni/Co, and Sr/Cu indicated that the paleo-water medium was deposited in an oxygen-rich freshwater environment when the Sifangtai Formation was deposited. (4) The discriminate diagrams showed that almost all the sandstones of the Sifangtai Formation fell in the range of the active continental margin, indicating that the source area of the sandstones of Sifangtai Formations is an active continental margin tectonic environment, and the source is a felsic rock developed in the Xiaoxing’an Ridge and Zhangguangcailing area.

Abstracts from the World Federation for Laser Dentistry—Asia Pacific Division Virtual Conference July 16–17, 2021

Abstracts from the World Federation for Laser Dentistry—Asia Pacific Division Virtual Conference July 16–17, 2021

The atomic arrangement-dependent electrical transport behavior of excimer laser induced graphene ridges on 4H-SiC

In this paper, the sub-micron graphene ridge structures commonly observed in laser irradiation on the 4H-SiC surface are analyzed to explore the formation mechanism and the electrical transfer properties. The cross-section morphologies of irradiated SiC indicate that the atomic arrangement of graphene sheets in flat and ridge areas is different significantly. The atom distributed direction of laser induced graphene layer is more prefer to be morphology-dependent rather than the SiC atomic distribution-dependent. The difference of carbon atoms arrangement is considered to be the reason of the various electrical transport properties on the graphene ridge and the flat graphene sheets. The electron transfer behavior along the gap between graphene layers is found to be stronger than that from layer to layer. The formation of such graphene sheets is attributed to the high energy photons irradiation-induced decomposition of SiC and the reconstruction of carbon atoms on SiC surface. The study on the formation of laser induced graphene ridge with different atomic distributions and the corresponding mechanism of electrical transport property is significant for the growth analysis of graphene on silicon carbide during thermal destruction.

Development of latent fingermarks by unbalanced magnetron sputtering deposited ultra-thin metal film

Thin metal films with thickness above 50 nm have been successful used for developing level 1 features of latent fingermarks. In order to easily show the level 2 and level 3 features of the fingermarks, thinner films are needed to be fabricated. Three kinds of metal films including cooper, chromium and aluminum with film thickness ranging from 5 nm to 30 nm were deposited by unbalanced magnetron sputtering. The efficacy of film thickness and metal type on developing latent fingermark was investigated. The most clearly developed fingermark was obtained by films with thickness of 10–20 nm. Cooper films exhibit better effects on showing Level 2 features than chromium and aluminum films with the same thickness. The optical contrast of fingermark ridges and valleys was influenced by the morphology difference of film deposited on ridge and valley areas, which were related to shadowing effect affected by film thickness and metal type determined re-emission effect.

CME Dermatology 24: Porokeratosis

CME Dermatology 24: Porokeratosis Abstract. Porokeratoses are a heterogeneous group of cornification disorders with the characteristic histological feature of the cornoid lamellae in the area of the marginal ridge. It is a rare but characteristic disease that occurs primarily in adulthood. Men are slightly more likely to be affected. The etiopathogenesis that leads to the transformation of the keratinocytes remains unclear; associations with genetic mutations and trigger factors such as UV rays and immunosuppression were observed. Due to the risk of malignant degeneration, consistent sun protection and regular clinical controls should take place. Cryotherapy, ablative laser therapy, curettage, photodynamic therapy or topical application of fluorouracil (5-FU), imiquimod and retinoids can be used to treat itchy, painful or cosmetically disturbing porokeratoses, depending on the location and severity.

Native Plants of the Fryers Ridge Area

Native Plants of the Fryers Ridge Area

Biodiversity of radiolarians in surface sediments from the East Indian Ocean and their implication for water masses

This study focused on radiolarian diversity in the deep-sea sediments of the East Indian Ocean (EIO) to demonstrate their potential as a paleoceanogrpahic proxy. Radiolarians are in general abundant in deep-sea sediment of the EIO. However, around Sri Lanka, their abundances decrease potentially because of terrigenous matter inputs. The significantly high abundance of radiolarians in the northern Ninety-East Ridge (NER) area may indicate high levels of productivity in the overlying waters. Further, redundancy analysis (RDA) demonstrated that, in the EIO, Tetrapyle group and Phorticium group mainly inhabited the water depth between 25 m and 100 m; Acanthodesmia vinculata, Botryostrobus scutum and Dictyocoryne group can potentially be a nutrient indicator; the distribution of Didymocryrtis tetrathalamus tetrathalamus may possibly be related to the dissolved oxygen concentration; the distributions of Cornutella profunda, Cycladophora sp., and Cycladophora cornuta may be mainly influenced by flows of AAIW. Our analysis documented that the distribution of an Equatorial Undercurrent (EUC) assemblage, including A. vinculata, B. scutum, Dictyocryphalus hispidus, D. tetrathalamus tetrathalamus, Tetrapyle group, Phorticium group and Dictyocoryne group, may be controlled by the eastward-flowing EUC with the salinity-high and dissolved oxygen-rich waters. The Antarctic Intermediate Water may also affect the distribution pattern of Intermediate-Deep assemblage, including Cycladophora sp., C. profunda, Clathrocanium diadema and C. cornuta, with a possible northward spread along the NER into the southern Bay of Bengal.

The Development and Implementation of Nourish to Rank and Track the Nutritional Quality of Food Bank Foods

Describe the value of Nourish to help food banks rank and track the nutritional quality of food bank foods. Underemployment, stagnant wages, and most recently the COVID-19 pandemic, have led to an unprecedented number of Americans relying on charitable food assistance. The Blue Ridge Area Food Bank (BRAFB), located in central and western Virginia, feeds nearly 130,000 Virginians each month with help from 200 food pantries and 175 feeding programs. The connections between hunger and health are undeniable and access to nutritious food is paramount in preventing and managing chronic disease, especially for those who rely on pantries as a primary source of nutrition. The BRAFB has developed policies and systems that prioritize the acquisition of nutrient-dense foods. In 2019, the BRAFB and academic partners developed and implemented Nourish, a unique cloud-based platform that ranks and tracks the nutritional quality of food bank foods and recently updated Nourish to reflect Healthy Eating Research Nutrition Guidelines for the Charitable Food System. Nourish reliably and quickly searches for foods using USDA’s Food Data Central, automatically ranks foods using a stop-light hierarchy for easy visualization and integrates with inventory management for tracking. Nourish provides BRAFB with important data to make adjustments to food acquisition practices and meet nutrition goals consistent with the strategic operating plan. The nutrition information created through Nourish is disseminated to BRAFB partner agencies through the food bank’s ordering process. Pantries focused on nutrition and health can leverage stoplight ranking as an element of their educational efforts with clients. Multiple stakeholders are currently exploring additional collaborations to enhance the utility of the system at pantries and for clients.

Flabby Ridge, a Challenge for Making Complete Dentures

In the case of old mobile denture wearers, one of the main problems is related to the dentures’ retention and insufficient stability. Our goal was to improve support and stability using a different type of final impression, with different types of impression materials. In this study we chose a number of three complete edentulous patients who presented for complete oral rehabilitation. They were wearing full acrylic dentures with poor support and stability. Complete examination revealed the presence of the flabby ridge. The impression methods for the prosthetic fields with a flabby ridge differ from the classical method by using techniques that involve the use of at least two impression materials with fluid consistency to record all the details of the prosthetic fields in the final impression, this being done in two steps; the impression of the flabby ridge areas must be done without pressure, in its resting position. The impression methods we applied led to the expected results, and the dentures succeeded in offering the patient the desired functional comfort. Using fluid impression material for the flabby ridge in a resting position, and a fenestrated custom tray, offered a good quality in adaptation, maintenance and stability of the final dentures.

Sustainable saltwater intrusion management in coastal aquifers under climatic changes for humid and hyper-arid regions

Saltwater Intrusion (SWI) in many coastal areas is accelerated by freshwater boundary changes due to over-pumping and decreasing aquifer recharge and sea-level rise. This study aims to control SWI due to the rise in sea levels in three climate regions: (i) humid and wet regions using storage dams at different heads and recharge ponds, (ii) hyper-arid and arid regions using physical barriers and wastewater treatment aquifer, brackish water abstraction, and desalination (TRAD) method, and (iii) semi-arid and semi-humid regions using a combination of flooding water recharge well-field and cut-off wall. The study was developed using the world benchmark problem of Henry's problem and Biscayne aquifer in the Cutler Ridge area near Deering Estate, Florida, USA. The finite-difference code SEAWAT was used in numerical simulations. The numerical results indicated that increasing the artificial recharge lake capacity minimizes the SWI in humid and wet regions with a high level of flooding. Moreover, the intrusion is mitigated using physical barriers and the TRAD method for hyper-arid and arid regions. Combining physical barriers during dry seasons and recharge wells for wet seasons resulted in suitable measures to managed the SWI in semi-arid and semi-humid regions. Finally, the best strategy to mitigate the SWI and minimize the desalination costs depends on the precipitation rates. Therefore, the methodology applied to this study represents a valuable tool in order to select the best method based on the climate conditions and particularly the precipitation intensity to increase the water budget in freshwater aquifers.

Pendekatan Hidrogeomorfologi Dan Pendugaan Geolistrik Untuk Identifikasi Potensi Airtanah Di Jedong Malang

This study aims to identify the potential groundwater in Jedong, Malang, East Java. The hydrogeomorphological approach is a suitable approach to describe the relationship between hydrological and geomorphological processes on and below the earth's surface. The survey of geoelectricity complements the hydrogeomorphological approach. It will give a better description of the groundwater conditions below the earth's surface. Based on the research, there are 2 hydrogeomorphological units in the study area, which are: Volcanic Foot Valley Unit and Volcanic Foot Ridge Unit. The best groundwater potential is in Volcanic Foot Valley Hydrogeomorphological unit, namely Awar-awar Valley and Cokro Valley. The valleys are dominated by gully erosion and landslides. They have surface deposits up to a depth of 7 meters, and lots of outcrops of breccia, pumice, and andesite boulders. The valley’s springs discharge between 56 - 198 m3/day. The average infiltration rate in the valley is 1776 mm / hour, with sandy soil material. The best aquifer consisting of sandy material is more than 10 meters in depth, based on the geoelectrical survey. Water in the aquiclude layer, cannot be exploited because it is breccia and tuff material. The Sawah valley cannot be exploited further because the groundwater potential is very low. This can be identified by the thick water outflow seepage. In the Volcanic Foot Ridge Hydrogeomorphological unit, the groundwater potential is also very small. Hydrogeomorphically, water will flow down the slope to the valley. It will reduce the infiltration rate. In general, the ridge area is only used for settlement, while the slopes are used for dryland agriculture. The geoelectric analysis results show that the groundwater potential is at a depth of more than 45 meters. This research’s results show that the combination of the hydrogeomorphological approach and the geoelectric use will provide a better description of the potential groundwater.

The speckled ground squirrel (Spermophilus suslicus) in Belarus: new localities, old threats, and prospects of conservation

The study was carried out as part of the project "Superrodent" and is devoted to the description of new record localities of the spotted ground squirrel (Spermophilus suslicus s. l.) discovered by the authors during 2019–2020. It is one of the rarest species of rodents and mammals in the fauna of Belarus in general. This species suffers from anthropogenic changes in the environment and its agricultural development and to ensure its protection it is listed in a number of ‘red lists’, including the IUCN Red List and the Red Book of the Republic of Belarus (since 2015). The search for ground squirrel habitats was carried out in two stages. The first included the analysis of the literature on already known localities and biotope preferences, including cartographic data to identify promising areas to search for. The second stage provides a direct survey of prospective sites, their photo documentation and a detailed description. In total, nine new habitats of the species were identified within four administrative districts of Minsk Oblast of Belarus: Nesvizh Raion (4), Stowbtsy Raion (1), Baranivka Raion (1) and Kapyl Raion (2). In addition, an inspection of the sites previously identified by the authors revealed that some of them have already disappeared or are in critical state, the reason for which is primarily the land ploughing. In fact, today there are only six viable suslik settlements in Belarus. All of them are confined to elevated areas of the Kopyl ridge, which is located in the northern part of the Continental biogeographic region. Most of the surviving colonies are not large and consist of a few dozen to 150 living burrows. The number of the only large colony (Yushevichi) is estimated at 10 to 11 thousand individuals. All other inhabited colonies are located at a distance as far as 6 km from the Yushevichi colony. In other regions of Belarus, despite searches, ground squirrels are currently not found. The key threats to the species' existence are the ploughing of colonies and the overgrowth of tall grasses and trees and shrubs. In our opinion, for the long-term preservation of the species in the country, it is necessary to establish an appropriate protection regime (management), as well as the implementation of comprehensive monitoring: monitoring of threats, successions of plant communities, and the state of ground squirrel populations. Suggestions for protection and further monitoring of locations are given. Among other initiatives, the authors sent proposals to local authorities on granting protection status to areas with settlements of ground squirrels.

Passive envelope solutions to aid design of sustainable livestock buildings in Mediterranean climate

The dairy cattle sector is responsible of significant greenhouse gas emissions such as methane, carbon dioxide, nitrous oxide. The reduction of heat stress of dairy cows plays a crucial role in the improvement of dairy productivity and avoid greenhouse emissions. In this study a parametric analysis about several traditional or innovative passive solutions for building envelope of livestock housing is carried out, with the aim to achieve the thermal comfort of animals without active energy systems.The different energy efficiency measures designed for the building envelope are evaluated on the basis of different indexes for animal comfort, by means of the combination of the Building Energy Performance Simulations (BEPS) and computational fluid dynamics (CFD) simulations.The proposed method starts from the numerical model definition of a semi-closed, naturally ventilated, loose housing system, characterized by criteria traditionally recognized or accepted by the scientific community for designing a dairy cow housing. Different interventions, referred to the shape of the building and its envelope materials, are taken into account, such as cool materials or cross laminated timber, as well as polyurethane insulation or shading systems.Basing on the both temperature-humidity index (THI) and black globe temperature humidity index (BGHI) the optimal building envelope solutions are: opening ridge area with 1.8 m width, window to wall ratio equal to 79%, roof made by polyurethane foam with a slope of 15°. The environmental indexes calculated by means of BEPS numerical models simpler than CFD analysis bring a difference in results by a maximum of 18%.The results can support the decision-making process in the design of a sustainable barn for dairy cows taking animals welfare as reference. Moreover, the methodological approach could be easily replicated for other livestock type or other climatic zones.

P-velocity of the upper mantle

The authors have constructed models featuring seismic P-wave velocity distribution in the upper mantle beneath oceanic, continental and transition regions, such as mid-ocean ridges, basins, trenches, island arcs, and back-arc troughs, Atlantic transitional zones, flanking plateaus of mid-ocean ridges, platforms, geosynclines, rifts, recent activation zones. The models are in agreement with the deep-seated processes in the tectonosphere as predicted in terms of the advection-polymorphism hypothesis. The models for areas of island arcs and coastal ridges are similar to those for alpine geosynclines disturbed by recent activation. The models for areas of mid-ocean ridges and back-arc troughs are identical. They fit the pattern of recent heat-and-mass transfer in the case of rifting, which, given the basic crust with continental thickness, leads to oceanization. The model for the basin reflects the effect of thermal anomalies smoothing beneath mid-ocean ridges or back-arc troughs about 60 million years later. The model for the trench and flanking plateau reflects the result of lateral heating of the mantle’s upper layers beneath the quiescent block from the direction of the island arc and basin (trench) and mid-ocean ridge and basin (flanking plateau).
 A detailed bibliography on regions covered by studies was presented in the authors’ earlier publications over past eight years. There are quite significant differences between models for regions of the same type that are described in publications of other authors. This is largely due to the fact that individual authors adopt a priori concepts on the velocity structure of the upper mantle.
 High variability of seismic P-wave velocities within the subsurface depth interval has been detected as a result of all sufficiently detailed studies. This variability is responsible for the sharp increase in the scatter of arrival times of waves from earthquakes at small angular distances. The corresponding segments of travel-time graphs were simply ignored, and the graphs started from about 3° after which the scatter of arrival time acquired a stable character. Accordingly, velocity profiles were constructed, as a rule, starting from depths of about 50 km. The constructed velocity profiles vary little from region to region with the same type of endogenous regimes. This enables us to maintain that the models represent standard (typical) VP distributions in the mantle beneath the regions, just as presumed in terms of the theory.

Large tree species composition, not growth rates, is affected by topography in a Bornean tropical forest

AbstractLarge trees (diameter at breast height ≥50 cm) play a vital role in providing ecological services in tropical forests and can store up to 50% of aboveground biomass. We expected that topography (as a nutrient and drought proxy) would affect large tree dynamics, biomass, diversity, and composition patterns. To test this, we established a 15‐ha permanent plot at Andulau Forest Reserve (Brunei Darussalam, Borneo) with an elevation ranging from 42 m (swamp) to 92 m (ridge tops). All 559 large trees (131 species) were labeled, identified, and fitted with dendrometers. Stem density, basal area (BA), soil and litter properties, absolute diameter growth rate (AGR), and recruitment and mortality rates of large trees were determined for five elevational zones for the period 2016–2019. Stem density and BA of large trees were significantly higher in the upslope and ridge areas of the plot, and a clear shift in large tree species composition was found across the elevational zones, with the swampy area differing most from all others. However, AGR did not differ between elevational zones. Large tree mortality was balanced by recruitment, but sample size was too low to detect topographical patterns. Our findings suggest that the large tree community retained similar growth rates across soil water and nutrient gradient via a shift in species composition. If so, predicted declines in large tree productivity with climate change may, over time, also be offset by changes in species composition.

Evaluation of the accuracy of multiple digital impression systems on a fully edentulous maxilla.

This study aimed to compare the accuracy performance of five different intraoral scanning systems for a full-arch scan on an edentulous cadaver maxilla. Five digital intraoral impression systems were used to scan a fully edentulous cadaver maxilla. A master scan obtained with an ATOS Capsule industrial grade scanner provided the point of comparison. Experimental scans were compared to the master scan using a metrology software that allows images to be overlayed on one another and deviations interpreted. Once aligned, three comparisons were made between the experimental scans and the reference: the entire maxilla, the ridge area only, and the palate area only. Trueness deviations between the experimental scans and the master digital model were up to 0.1 mm in the 75th percentile. For the whole maxilla, only the Medit scanner had statistically significantly inferior trueness compared to other scanners. When only the palate was considered, Medit was significantly different from Element (P = .0025) and Trios 4 (P = .0040), with no differences found between other scanners. For the ridge region the results replicate the trend observed for the whole maxilla. In regard to precision, differences were found only in the whole maxilla and the ridge area. In both areas, only Medit's precision was significantly different compared to other scanners, with the exception of Element. However, Element performance was similar to all other scanners. Most intraoral scanners exhibited similar performance. Although several statistically significant differences were identified, the clinical impact of these variances is probably not meaningful. (Quintessence Int 2021;52:488-495; doi: 10.3290/j.qi.b1244373).

Comparison between cryoballoon and hot balloon ablation in patients with paroxysmal atrial fibrillation.

Pulmonary vein (PV) isolation using balloon ablation was developed as a technique for patients with paroxysmal atrial fibrillation (PAF). While most studies examined cryoballoon ablation (CBA), there have also been many reports on hot balloon ablation (HBA). We aimed to evaluate the clinical characteristics and outcomes between HBA and CBA. In a total of 103 consecutive patients with PAF who underwent catheter ablation, 60 propensity score-matched (30 CBA and 30 HBA) patients were enrolled. The procedural differences and clinical outcomes between the two groups were analyzed. The requirement for additional touch-up ablation was more frequent in the left superior pulmonary vein (LSP) in the HBA group than in the CBA group. Pre-procedural computed tomography (CT) images showed that a thicker left pulmonary vein ridge and larger cross-sectional area of the LSPV were significantly associated with residual PV potentials after HBA. However, post-procedural CT images showed that PV stenosis (> 25%) was higher in the HBA group (33%) than in the CBA group (0%). PV stenosis after HBA was observed most frequently in the right superior PV (50%). The atrial fibrillation/atrial tachycardia-free survival rate during follow-up (365 ± 102 days) was similar between the two groups (CBA vs. HBA, 83% vs. 90%). Although both balloon modalities can relieve atrial arrhythmia after the procedure, careful attention is required during HBA procedures, especially for the right superior PV, to avoid PV stenosis.

Bone Graft Materials for Alveolar Bone Defects in Orthodontic Tooth Movement

Clinically, orthodontic tooth movement (OTM) across the narrow alveolar ridge area inevitably entails some adverse reactions such as limited movement and periodontal tissue damage. Hence, it is essential to reconstruct the morphology of the alveolar crest before the tooth movement. Unlike the routine reconstruction of alveolar ridge in the field of implant, the orthodontic practices are distinctive, which require dental movement across the constructed alveolar ridge with safety and stability. Herein, we addressed the pros and cons of reconstruction of the defected orthodontic alveolar ridge with different bone graft materials. Attention is also paid to other factors such as the postgraft initiation time of OTM that can substantially influence the bone reconstruction and tooth movement effect. Rather, considering the lack of a unified standard in orthodontic clinics related to bone reconstruction for OTM, we provide some recommendations and guidance for OTM through alveolar ridge defect area. Impact statement Re-establishment of the atrophic alveolar bone before orthodontic tooth movement (OTM) is important for safe and efficient tooth movement. The most prevalent approach to regenerate alveolar bone in the defect rests on the application of bone grafts. This review evaluates the application of different bone graft materials to the reconstruction of alveolar ridge defects, and provides some recommendations and guidance for OTM through alveolar ridge defect area.