RESUMEN
The maxillary canines are amongst the most frequently impacted teeth, second only to the third molars. Several conservative orthodontic and surgical techniques are available to position the teeth properly in the dental arch, even in severe cases. However, when an extraction is necessary, it often leaves a critical alveolar defect of difficult management. The authors present the technique of partial maxillary osteotomy, in which a dento-alveolar segment is moved mesially, hence closing the remaining space, allowing for the formation of healthy periodontium and resulting in an adequate functional and aesthetic outcome. A case report is presented with a 10 year follow-up, proving the technique's stability in the long term.
Asunto(s)
Extrusión Ortodóncica/métodos , Osteotomía/métodos , Diente Impactado/cirugía , Adolescente , Femenino , Estudios de Seguimiento , Humanos , Maxilar/cirugía , Radiografía Panorámica , Diente Impactado/diagnóstico por imagen , Resultado del TratamientoRESUMEN
BACKGROUND: The formation of a Hairy Polyp on the dorsum of the tongue is a rare condition that may hinder vital functions such as swallowing and breathing due to mechanical obstruction. The authors present the situation on a child with an approach of significant academic value. METHODS: Imaging diagnostics with the application of a topical oral radiocontrastant was used to determine the extent of the tumor. Performed treatment was complete excision and diagnostics was confirmed with anatomopathological analysis. RESULTS: The patient was controlled for five months and, showing no signs of relapse, was considered free from the lesion. CONCLUSION: Accurate diagnostics of such a lesion must be performed in depth so that proper surgical treatment may be performed. The imaging method proposed has permitted the visualization of the tumoral insertion and volume, as well as the comprehension of its threatening dynamics.
Asunto(s)
Pólipos/diagnóstico , Enfermedades de la Lengua/diagnóstico , Femenino , Humanos , Lactante , Pólipos/diagnóstico por imagen , Pólipos/fisiopatología , Pólipos/cirugía , Tomografía Computarizada por Rayos X , Enfermedades de la Lengua/diagnóstico por imagen , Enfermedades de la Lengua/fisiopatología , Enfermedades de la Lengua/cirugíaRESUMEN
The maxillary canines are amongst the most frequently impacted teeth, second only to the third molars. Several conservative orthodontic and surgical techniques are available to position the teeth properly in the dental arch, even in severe cases. However, when an extraction is necessary, it often leaves a critical alveolar defect of difficult management. The authors present the technique of Partial Maxillary Osteotomy, in which a dento-alveolar segment is moved mesially, hence closing the remaining space, allowing for the formation of healthy periodontium and resulting in an adequate functional and aesthetic outcome. A case report is presented with a 10 year follow-up, proving the technique's stability in the long term.