RESUMO
After removal of an impacted maxillary third molar, an oroantral fistula developed in a patient with Wilson's disease. Management consisted of antibiotics, decongestants, irrigation, and surgical closure. Complications of treatment did not directly involve the disease but, rather, were related to the therapeutic agent penicillamine. Penicillamine causes interference between the cross links of tropocollagen molecules and cleaves newly formed molecules. Reduction in dosage is recommended when surgery is planned to increase collagen formation and, thus, healing. Such a measure was undertaken in this case. The patient healed uneventfully. A review of Wilson's disease and a case report are presented.
Assuntos
Degeneração Hepatolenticular/complicações , Fístula Bucoantral/cirurgia , Adulto , Degeneração Hepatolenticular/tratamento farmacológico , Humanos , Masculino , Dente Serotino/cirurgia , Fístula Bucoantral/etiologia , Penicilamina/efeitos adversos , Infecções Estreptocócicas/complicações , Extração Dentária/efeitos adversos , Dente Impactado/cirurgiaRESUMO
A 61-year-old white woman had a radiolucent lesion in the anterior portion of the mandible which was diagnosed as a keratinizing and calcifying odontogenic cyst. As it has a radiographic appearance similar to other pathologic processes, it should be considered in the differential diagnosis when a radiolucent-radiopaque lesion is encountered.