Loma Linda University

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Alan Herford, DDS, MD
Chair, Oral and Maxillofacial Surgery
School of Dentistry
Director, Advanced Education, Oral and Maxillofacial Surgery
School of Dentistry
Professor, Oral and Maxillofacial Surgery
School of Dentistry
Associate Professor, Surgery
School of Medicine
Member, Oral&Maxillofacial Surgery, SD, Faculty of Graduate Studies
Publications    Book Review - Scholarly Journals--Published
  • Herford AS.  rhBMP as an option for reconstructing mandibular continuity defects.  J Oral Maxillofac Surg 67:2679-84, 2009. ( 12/2009 )
  • Elo JA, Herford AS, Boyne PJ.  Implant success in distracted bone versus autogenous bone-grafted sitesJ Oral Implantology Vol 35, No. 4, 2009. ( 1/2009 ) Link...
  • Rungcharassaeng K, Kan JK, Caruso JM, Herford AS.  Temporary anchorage and segmental distraction osteogenesis devices:  Surgical and orthodontic rationales.  Pract Proced Aesthet Dent 21(1):43-50, 2009 Jan-Feb. ( 1/2009 ) Link...
  • Herford AS, Cicciu M, Clark T.  Traumatic eyelid defects:  A review of reconstructive options. J Oral Maxillofac Surg 67:3-9, 2009. ( 1/2009 ) Link...
  • Herford AS, Boyne PJ.  Reconstruction of mandibular continuity defects with bone morphogenetic protein-2 (rhBMP-2).  J Oral Maxillofac Surg 66:616-24, 2008. ( 4/2008 ) Link...
  • Herford AS.  Use of a plate guided distraction device for transport distraction osteogenesis of the mandible.  J Oral Maxillofac Surg 62(4):412-20, 2004. ( 4/2004 ) Link...
  • Herford AS, King BJ, Audia F.  Medical approach for tibial bone graft: anatomic study and clinical techniques.  J Oral Maxillofac Surg 61(3):358-63, 2003 ( 3/2003 ) Link...
  Scholarly Journals--Published
  • Herford AS and Boyne PJ.  Loma Linda University Oral and Maxillofacial Surgery Program.  J Oral Maxillofac Surg 66:613-615, 2008     ( 4/2008 ) Link...
  • Elo JA, Slater LJ, Herford AS, Tanaka TK, King BJ, Moretta CM.  Squamous cell carcinoma radiographically resembling a dentigerous cyst:  report of a case.  J Oral Maxillofac Surg 65:2559-62, 2007. ( 12/2007 ) Link...
  • Herford AS, Boyne PJ, Rawson R, Williams RP.  Bone morphogenetic protein-induced repair of the premaxillary cleft.  J Oral Maxillofac Surg 65:2136-41, 2007. ( 11/2007 ) Link...
    Bone Morphogenetic Protein-Induced Repair of the Premaxillary Cleft   Alan S. Herford, DDS, MD, Philip J. Boyne, DMD, MS, DSc(hon), Rick Rawson, DDS, MS, Roland P. Williams, DDS§     Abstract  Purpose The purpose of this study is to evaluate the bony regeneration of premaxillary clefts in humans using recombinant human bone morphogenetic protein type 2 in a collagen sponge carrier. Patients and Methods Twelve patients with unilateral clefted premaxillas were evaluated preoperatively and 4 months postoperatively. Ten patients were repaired with recombinant human bone morphogenetic protein type 2 while 2 others were grafted with anterior iliac crest particulate marrow cancellous bone. Computed tomographic studies were used to evaluate preoperative alveolar cleft volumes, postoperative bone bridge volumes, and preoperative and postoperative volume ratios. Results A preoperative and postoperative volume ratio for patients repaired with recombinant human bone morphogenetic protein type 2 ranged from 24.1% to 90.6% with a mean of 71.7%. Patients who were grafted with particulate marrow cancellous bone had similar preoperative and postoperative volume ratios ranging from 71.3% to 84.9% with a mean of 78.1%. Conclusions Clefts of the anterior maxilla can have complete osseous regeneration induced by recombinant human bone morphogenetic protein type 2 as an effective alternative to conventional anterior iliac particulate marrow cancellous bone grafts.
  • Stringer DE, Gilbert DH, Herford AS, Boyne PJ.  A method of treating the patient with postpubescent juvenile rheumatoid arthritis.  J Oral Maxillofac Surg 63:1998-2004, 2007. ( 10/2007 ) Link...
  • Herford AS, Boyne PJ, Williams RP. Clinical applications of rhBMP-2 in maxillofacial surgery. J Calif Dent Assoc 35.5: 335-341, 2007. ( 5/2007 ) Link...
  • Herford AS. Distraction osteogenesis: A surgical option for restoring missing tissue in the anterior esthetic zone. J Calif Dental Assoc 33.11: 889-895, 2005. ( 11/2005 ) Link...
  • Herford AS, Ying T, Brown B. Outcomes of severely comminuted (Type III) nasoorobitoethmoid fractures. J Oral Maxillofac Surg 63.9: 1266-1277, 2005. ( 9/2005 ) Link...
    Outcomes of Severely Comminuted (Type III) Nasoorbitoethmoid Fractures   Alan S. Herford, DDS, MD, Thomas Ying, DDS, Brandon Brown, DDS     Abstract Purpose Nasoorbitoethmoid (NOE) fractures are complex and often challenging to repair. Inadequate treatment may result in secondary deformities which are difficult to treat. Severely comminuted fractures require repositioning of the medial canthal tendon. The purpose of this study was to evaluate all results in treating these challenging injuries. The work is to be used as a basis for continuing quality improvement of our surgical technique. Patents and Methods Ten consecutive patients who sustained a comminuted NOE (type III) fracture were included in this study. All patients had comminution of the central fragment involving the detachment of the medial canthus. Results Transnasal reduction, primary grafting, and plate and screw fixation were used for all patients. Two patients demonstrated slight asymmetry between the medial canthi. Two patients were observed to have overprojection in the nasofrontal region. Conclusion Severely comminuted type III NOE fractures are best treated primarily to avoid secondary deformities.  
  • Alan S. Herford, R Hoffmann and S Demirdji. A comparison of synovial fluid pressure after immediate versus gradual mandibular advancement in the miniature pig. J Oral Maxillofac Surg 63.6: 775-785, 2005. ( 6/2005 ) Link...
  • Herford AS and Audia F. Maintaining vector control during alveolar distraction osteogenesis. International J of Oral Maxillofac Implants 19.5: 758-762, 2004. ( 9/2004 )
  • Boyne PJ and Herford AS. Distraction Osteogenesis of the nasal and antral osseous floor to enhance alveolar height. J of Oral Maxillofac Surg 62.9 (Suppl 2): 123-130, 2004. ( 9/2004 ) Link...
  • Herford AS. Dorsal nasal reconstruction using bone harvested from the mandible. J of Oral Maxillofac Surg 62.9:1082-1087, 2004. ( 9/2004 ) Link...
  • Herford AS. Early repair of avulsive facial wounds secondary to trauma using interpolation flaps. J of Oral Maxillofac Surg 62.8: 959-965, 2004. ( 8/2004 ) Link...
    Early repair of avulsive facial wounds secondary to trauma using interpolation flaps   Alan S Herford, DDS, MD     Abstract  Purpose This article describes the use of various local interpolation flaps for the reconstruction of facial defects resulting from trauma. Patients and methods Fifteen interpolation flaps were used to restore missing tissue of 14 patients who sustained trauma. Two of the procedures were performed as a single stage, whereas 13 flaps required a separate surgery to “take down” the pedicle. All flap procedures were performed within 72 hours from the time of trauma. Four types of interpolation flaps were used. Results All flaps healed without evidence of infection, dehiscence, or necrosis. Two patients required secondary treatment 6 months after the flap procedure. Conclusion Various local interpolation flaps provide a reliable and aesthetic treatment option for early repair of soft tissue defects secondary to trauma.
  Books and Chapters
  • Boyne PJ, Herford AS, Stringer DE. Prevention of relapse following cleftal bone grafting and the future use BMP cytokines to regenerate osseous clefts without grafting.  Chapter in Text:  CLEFT LIP AND PALATE 2nd Ed).  S. Berkowitz, Editor, Springer-Verlag-Berlin, New York 2005 (pp. 587-600) ( 1/2005 )
  Non-Scholarly Journals
  • Herford AS.  Utilizing distraction osteogenesis for regenerating missing tissues.  Loma Linda University Dentistry, Winter 2004 vol 15, No. 1, 11-13. ( 12/2004 )