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1.
Swiss Dent J ; 131(4): 349-352, 2021 Apr 06.
Artigo em Francês | MEDLINE | ID: mdl-33789418

RESUMO

Bone resorption is a consequence of the loss of a tooth. Alveolar ridge resorption can restrict the volume of bone available for the positioning of a dental implant. Bone graft is a routinely performed procedure in order to increase this volume and provide an adequate situation for the replacement of the tooth. However, autogenous bone is the gold standard for this procedure, xenogenous bone is a good alternative. It presents reliable results and a low complication rate. In this article, we describe the case of an infection resulting in a facial skin fistula following a guided bone regeneration. A 52-year-old woman visited a maxillofacial unit with complaints of persistent swelling of the right cheek, associated to a facial skin fistula. She had a history of xenograft with OsteoBiol Gen-os©, performed at a dental office nine months earlier. Clinical examination and computed tomography suggested that there was a migration process of the bone substitute inside the cheek, which had led to the infection with a facial skin fistula. Loss of stability of the bone graft and particular anatomy of the posterior region of the mandible could explain the migration of the particles and the formation of the fistula.


Assuntos
Aumento do Rebordo Alveolar , Fístula Cutânea , Regeneração Óssea , Fístula Cutânea/diagnóstico por imagem , Fístula Cutânea/etiologia , Fístula Cutânea/cirurgia , Implantação Dentária Endo-Óssea , Feminino , Humanos , Mandíbula/cirurgia , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/terapia
2.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 61-64, set./dez. 2020. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1121762

RESUMO

A displasia cemento-óssea florida (DCOF) é uma condição não neoplásica, esclerosante limitada aos ossos maxilares, relacionada ao osso do processo alveolar e, na maioria dos casos envolvendo bilateralmente a mandíbula. É uma condição rara que se apresenta nos maxilares, de forma autolimitante, evoluindo de um estágio osteolítico para osteoblástico, com prevalência pelo gênero feminino, de meia idade a idosas, melanoderma. Dessa forma, o objetivo do trabalho é relatar o caso clínico de uma paciente portadora de displasia cemento-óssea florida apresentando osteomielite local após exodontia.Paciente de 57 anos de idade, melanoderma, compareceu ao ambulatório do Hospital Manoel Victorino (Salvador, BA) do serviço de Cirurgia e Traumatologia Bucomaxilofacial, referindo histórico de exodontia do dente 47 há aproximadamente 02 anos, sem cicatrização local e presença de supuração e odor fétido. Ao exame intrabucal notou- se a presença fístula na região do dente 47 com secreção purulenta espontânea e presença de tecido necrótico. Ao exame de imagem (radiografia panorâmica), foi observado presença de lesões radiopacas multifocais das áreas posteriores mandibulares. Foi submetida a cirurgia, sob anestesia geral, para curetagem de sequestro ósseo e fechamento primário do defeito por primeira intenção e acompanhamento. O objetivo do trabalho foi relatar um caso clínico de um sequestro ósseo mandibular em uma paciente com displasia cemento- óssea florida(AU)


Flowery cementum-bone dysplasia (DCOF) is a non-neoplastic, sclerosing condition limited to maxillary bones, related to the alveolar process bone and, in most cases, bilaterally involving the mandible. When infected can lead to suppuration and kidnapping, resulting in a picture of osteomyelitis. It is a rare condition that occurs in the jaws, in a selflimiting way, evolving from an osteolytic stage to osteoblastic, with prevalence by the female gender, from middle age to the elderly, melanoderma. Therefore, the aim of this paper is to report a diagnosed case of florid cemento-ousseous dysplasia, presenting local osteomyelitis after a extraction. Patient 57 years old, melanoderma, attended the outpatient clinic of the Hospital Manoel Victorino (Salvador, BA) of the Bucomaxillofacial surgery and traumatology department, referring to a history of the right mandible exodontia for approximately 2 years, without local scarring and presence of odor and suppuration fetid The intraoral examination revealed the presence of a fistula in the region distal to the tooth 47 with spontaneous purulent secretion and necrotic tissue. At the imaging examination (panoramic radiography), the presence of multifocal radiopaque lesions of the mandibular posterior areas was observed. She underwent surgery under general anesthesia for curettage of bone sequestration and primary closure of the defect by first intention and follow-up. The objective of this study was to report a clinical case of a mandibular bone sequestration in a patient with florid cementoosseous dysplasia(AU)


Assuntos
Cementoma , Cementoma/cirurgia , Osteomielite , Cirurgia Bucal , Doenças do Desenvolvimento Ósseo , Cementoma/diagnóstico , Fístula Bucal , Displasia Fibrosa Óssea
3.
Ned Tijdschr Tandheelkd ; 127(7-08): 406-408, 2020.
Artigo em Holandês | MEDLINE | ID: mdl-32840495

RESUMO

A 24-year-old woman presented with trismus, which had left her unable to open her mouth beyond 1 centimetre. It proved to be a pericoronitis with lingual swelling in the region of tooth 38. The trismus disappeared after removal of the 38. After a week, however, a submandibular swelling occurred. From this, an orocutaneous neck fistula developed from which a hay stalk was removed. In retrospect, the hay stalk ended up under the operculum of tooth 38 after eating meat cooked in hay, the stalk next made its way to the neck.


Assuntos
Fístula , Pericoronite , Adulto , Feminino , Humanos , Trismo , Adulto Jovem
4.
J Oral Maxillofac Surg ; 78(11): 1909-1918, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32640204

RESUMO

PURPOSE: The aim of the present study was to increase awareness of an underreported surgical complication by presenting the relevant findings of cases of herniated oroantral sinonasal polyp (OASNP) identified from our biopsy service and from previously reported cases. MATERIALS AND METHODS: The present study was a retrospective descriptive case series with a review of the reported data. Cases of OASNP were identified from our biopsy service, and the clinical, radiographic, surgical, and demographic information was retrieved. Previously reported cases of OASNP were also reviewed. RESULTS: We identified 14 cases of OASNP in our biopsy service and an additional 10 reported cases. Overall, OASNP was more prevalent in males (71%). The age range was 19 to 85 years (overall mean, 46.6 years; median, 43.5 years). OASNP typically presented as a red polypoid mass that was frequently pedunculated with a smooth or granular surface. The lesions were located on the maxillary alveolus in the molar region. The most commonly implicated tooth was a maxillary first molar (74%). In some cases, the OASNP had been mistaken for a tumor or pyogenic granuloma. Almost all were at least 1 cm in the greatest dimension, with 43% measuring at least 2 cm in size, and 1 lesion reaching 5 cm in diameter. The reported period for development of the lesion ranged from 2 days to 5 years, with 60% developing within 2 months of the extraction. All lesions had undergone surgical excision. Antibiotic use and surgical closure of the oroantral communication had been described for some of the cases. CONCLUSIONS: The results from our study suggest that herniation of a sinonasal polyp through an oroantral defect could be an underreported complication of maxillary exodontia. Additional research would help to enhance our knowledge and understanding of this interesting condition.


Assuntos
Fístula Bucoantral , Extração Dentária , Adulto , Idoso , Idoso de 80 Anos ou mais , Hérnia/diagnóstico por imagem , Hérnia/etiologia , Humanos , Masculino , Maxila , Pessoa de Meia-Idade , Fístula Bucoantral/etiologia , Estudos Retrospectivos , Extração Dentária/efeitos adversos , Adulto Jovem
5.
BMJ Case Rep ; 13(4)2020 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-32300040

RESUMO

This case study discusses the dental management of a patient with a history of multiple myeloma and pulmonary aspergillosis, whom was referred to a hospital-based dental service for urgent dental review. The patient had received a dental assessment in primary care prior to commencement of chemotherapy and had four teeth extracted without complications. However, following the commencement of chemotherapy, he presented with a significant infection associated with two of his wisdom teeth resulting in extraction. Despite atraumatic extraction, the upper right wisdom tooth socket developed an oroantral fistula. A multidisciplinary team approach was required to enable effective patient management in this complex patient regarding myeloma, aspergillosis and the medications used including bisphosphonates and chemotherapy. It highlights the higher risk of oral complications that can arise in myelosuppressed patients and emphasises the need to identify potential sources of dental infection prior to the commencement of chemotherapy.


Assuntos
Hospedeiro Imunocomprometido , Dente Serotino/cirurgia , Fístula Bucoantral/microbiologia , Doenças Periodontais/cirurgia , Aspergilose Pulmonar/complicações , Extração Dentária , Antineoplásicos/uso terapêutico , Diagnóstico Diferencial , Humanos , Comunicação Interdisciplinar , Masculino , Pessoa de Meia-Idade , Mieloma Múltiplo/tratamento farmacológico
6.
J Endod ; 46(6): 748-755, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32279884

RESUMO

INTRODUCTION: The pulpal involvement, ulceration, fistula, and abscess (PUFA) index was developed to screen for the clinical consequences of untreated dental caries. The aim of this study was to compare the diagnostic accuracy of the PUFA index and the periapical index (PAI) in identifying pulpal and periapical diseases. METHODS: A cross-sectional study was conducted using consecutive sampling. Each participant went through screening using the PUFA index, orthopantomography assessment using PAI, and comprehensive clinical examination to derive pulpal and apical diagnoses. The outcomes were dichotomized. Reliability was estimated using the Cohen kappa coefficient. Sensitivity, specificity, and predictive values were calculated. The area under the receiver operating characteristic curve was compared using the chi-square test. RESULTS: A total of 165 participants were examined, 98.2% of whom had a decayed, missing, or filled tooth index >0. Of 4115 teeth assessed, 16.2% (n = 666) were diagnosed with pulpal disease and 7.9% (n = 325) with periapical disease. Interexaminer reliability for the PUFA index and PAI was 0.87 and 0.80, respectively. Intraexaminer reliability was 0.83 and 0.76 for the PUFA index and 0.75 and 0.72 for PAI. For pulpal diagnosis, the sensitivity of the PUFA index and PAI was 67.6% and 41.7%, respectively; the specificity of the PUFA index and PAI was 99.8% and 99.2%, respectively. For apical diagnosis, the sensitivity of the PUFA index and PAI was 87.7% and 75.4%, respectively; the specificity of the PUFA index and PAI was 95.4% and 98.4%, respectively. The PUFA index is statistically more accurate than PAI for pulpal diagnosis and apical diagnosis (P < .05). CONCLUSIONS: The PUFA index can be used in screening for pulpal and periapical diseases with some limitations.


Assuntos
Cárie Dentária , Fístula , Periodontite Periapical , Abscesso , Estudos Transversais , Humanos , Reprodutibilidade dos Testes
7.
Niger J Clin Pract ; 23(3): 329-336, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32134031

RESUMO

Objectives: The aim of this study is to determine the type, frequency, and location of incidental findings in the maxillofacial region in patients undergoing cone beam computed tomography (CBCT) scan for implant treatment.[5]. Methods: In this study, 300 patients who underwent CBCT imaging for implant treatment planning were evaluated retrospectively. Patients were evaluated in four different categories, namely, maxillary sinus pathologies, temporomandibular joint (TMJ) findings, dentoalveolar findings, and soft-tissue calcifications. In maxillary sinus pathologies, we categorized patients by mucosal thickening, polypoidal lesion, air-liquid level, total opacification, oroantral fistula, periapical lesion related with maxillary sinus, antrolith, hypoplasia, and foreign body presence. In the TMJ findings category, we evaluated patients for erosion, osteophyte, sclerosis, flattening, and bifid condyle. For dentoalveolar findings, we looked for the residual root and impacted tooth. In soft-tissue calcifications, we examined patients for tonsillolith, sialolith, lymph node calcification, styloid ligament calcification, carotid artery calcifications, and osteoma cutis. Results: Mucosal thickening was mostly seen in maxillary sinus pathology. One hundred and forty-eight (49.3%) of the patients had at least one TMJ incidental finding. We detected at least one impacted tooth in 17 (5.7%) patients' maxilla and 14 (4.7%) patients' mandibles. The most frequently seen calcification was styloid ligament calcification. There was no statistically significant relationship between the age groups and incidental findings (P > 0.05). Conclusions: Oral radiologists should be aware of incidental findings and evaluate the possibilities of underlying diseases in a comprehensive way, and if there is a concern about the finding, they should refer the patient to the relevant specialist.


Assuntos
Tomografia Computadorizada de Feixe Cônico/métodos , Seio Maxilar/diagnóstico por imagem , Articulação Temporomandibular/diagnóstico por imagem , Dente Impactado/diagnóstico por imagem , Adulto , Feminino , Humanos , Achados Incidentais , Masculino , Maxila , Seio Maxilar/patologia , Pessoa de Meia-Idade , Fístula Bucoantral/diagnóstico por imagem , Doenças Faríngeas , Estudos Retrospectivos , Dente Impactado/patologia
8.
J Am Vet Med Assoc ; 256(4): 463-468, 2020 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-31999513

RESUMO

CASE DESCRIPTION: A 9-year-old pony gelding was evaluated because it was suspected that a persistent oronasal fistula had developed after a fractured right maxillary second premolar tooth had been extracted via repulsion 6 months earlier. CLINICAL FINDINGS: Unilateral mucopurulent nasal discharge and malodorous breath were noted on clinical examination. Examination of the oral cavity revealed a 1 × 0.5-cm defect at the oral aspect of the right maxillary second premolar alveolus, from which feed material was extracted. Endoscopic examination revealed feed material in the rostral aspect of the right nasal cavity, confirming the diagnosis of oronasal fistula. TREATMENT AND OUTCOME: The pony initially underwent a reconstructive surgical procedure that combined an alveolar bone flap with a sliding mucoperiosteal hard palate flap to repair the oronasal fistula. The fistula reoccurred 5 months later and was ultimately repaired by means of a novel 2-layer flap closure method involving an autogenous fascia lata graft and oral mucosa flap. CLINICAL RELEVANCE: Fascia lata was effective as a scaffolding graft for repair of the oronasal fistula in this pony and may be useful for repair of oronasal fistulas in other equids as well.


Assuntos
Fístula/veterinária , Doenças dos Cavalos/cirurgia , Doenças Nasais/veterinária , Procedimentos Cirúrgicos Reconstrutivos/veterinária , Animais , Fascia Lata , Fístula/cirurgia , Cavalos , Masculino , Doenças Nasais/cirurgia , Fístula Bucal/cirurgia , Fístula Bucal/veterinária , Retalhos Cirúrgicos/veterinária
9.
Curr Opin Otolaryngol Head Neck Surg ; 28(1): 36-45, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31851019

RESUMO

PURPOSE OF REVIEW: To give an overview of technical considerations and relevant literature in the management odontogenic pathology with involvement of the maxillary sinus. RECENT FINDINGS: Infections, cysts, benign neoplasms (odontogenic and nonodontogenic), and inflammatory conditions impact the maxillary sinus in various ways, could result in significant expansion within the maxillary sinus and significant infections. SUMMARY: This manuscript provides an overview of common pathologic entities of the oral cavity proper that impacts the maxillary sinus health, with discussion of the role of the otorhinolaryngologist and the dental specialist.


Assuntos
Arcada Osseodentária/patologia , Sinusite Maxilar/terapia , Cistos Odontogênicos/terapia , Fístula Bucoantral/etiologia , Osteonecrose/induzido quimicamente , Doenças Dentárias/complicações , Humanos , Arcada Osseodentária/efeitos dos fármacos , Seio Maxilar/microbiologia , Seio Maxilar/cirurgia , Sinusite Maxilar/etiologia , Cistos Odontogênicos/etiologia , Fístula Bucoantral/diagnóstico , Fístula Bucoantral/terapia , Procedimentos Cirúrgicos Ortognáticos , Osteonecrose/terapia , Equipe de Assistência ao Paciente , Doenças Dentárias/terapia
10.
Pan Afr Med J ; 37: 204, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33505573

RESUMO

A cutaneous sinus tract of dental origin is relatively uncommon and may easily be misdiagnosed because of its unusual occurrence and absence of dental symptoms. Extraoral drainage depends on the location of the affected tooth as well as on specific factors such as the virulence of the microorganism, resistance of the patient's body, and the relationship between anatomy and muscle facial attachments.


Assuntos
Fístula Cutânea/diagnóstico , Fístula Dentária/diagnóstico , Drenagem/métodos , Adolescente , Fístula Cutânea/cirurgia , Fístula Dentária/cirurgia , Estética , Feminino , Humanos
12.
J Craniofac Surg ; 30(7): 2048-2051, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31524752

RESUMO

The purpose of this study was to evaluate a single center's experience with adult patients who had cleft lip, cleft palate, or both. The authors aimed to identify common long-term needs in this patient population and evaluated the relationship of team-based care in meeting those needs. To do so, the authors retrospectively reviewed chart records from a single private practice and tertiary referral cleft center for all patients who were ≥15 years of age and who had a history of clefts of the lip or palate, or both, from January 1, 2013, to June 30, 2014. The authors compared the concerns of the patients who received cleft-team-based care by a single, multidisciplinary cleft team; multiple multidisciplinary cleft teams; or no formal cleft team. The authors analyzed data for 142 patients. The most common patient concerns were lip aesthetics (64%), nose aesthetics (61%), septal deviations (47%), nasal obstruction (44%), malocclusion (32%), oronasal fistulas (29%), and speech (21%). Oronasal fistulas were more commonly reported in the group of patients who had care by multiple teams (42.9%; P < .001). Malocclusion was more commonly reported in the group of patients who had care by multiple teams (50%; P = .001). The authors found that adult patients who have undergone rehabilitation for cleft lip and palate appear to have a common set of long-term needs. Multidisciplinary cleft-team-based care appears to be the most effective way to address these needs.


Assuntos
Fenda Labial/cirurgia , Fissura Palatina/cirurgia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Má Oclusão , Pessoa de Meia-Idade , Nariz , Fístula Bucal/epidemiologia , Fístula Bucal/etiologia , Estudos Retrospectivos , Fala , Fatores de Tempo , Resultado do Tratamento , Adulto Jovem
13.
BMJ Case Rep ; 12(9)2019 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-31511260

RESUMO

Chronic periapical abscess drains through a sinus tract either intraorally or extraorally. However, intraoral drainage is more common than extraoral in both dentitions. Nevertheless, the simultaneous presentation of extraoral and intraoral sinus tract is very rarely reported in primary dentition. This case report discussed the management of a girl aged 7 years with a chronic periapical abscess of tooth no. 85 with both non-healing extraoral and intraoral sinus tract having multiple stomata. Non-vital pulpectomy using calcium hydroxide paste intracanal dressing was performed initially until 2 weeks without remarkable healing; then antibiotic dressing consisting of a mixture of ciprofloxacin, metronidazole and clindamycin was placed as an intracanal medicament for 1 week, which shows uneventful healing of both intraoral and extraoral sinus tract. This case report clearly indicates about how history, correct diagnosis and appropriate treatment of endodontic infection associated with sinus tract can be conservatively healed with endodontic treatment alone.


Assuntos
Antibacterianos/uso terapêutico , Fístula Cutânea/terapia , Fístula Dentária/terapia , Abscesso Periapical/terapia , Pulpectomia , Criança , Doença Crônica , Fístula Cutânea/etiologia , Fístula Dentária/etiologia , Feminino , Humanos , Dente Molar , Abscesso Periapical/complicações , Dente Decíduo
14.
Rev. odontol. Univ. Cid. São Paulo (Online) ; 31(1): 95-105, jan.2019. il.
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1009855

RESUMO

O cisto periapical tem origem associada à proliferação dos restos epiteliais de Malassez, após um processo inflamatório crônico decorrente de uma extensa lesão cariosa com acometimento pulpar. Quando um cisto periapical passa por um processo de reagudização infecciosa o quadro clínico é denominado de abscesso Fênix. O objetivo deste trabalho é relatar um caso de abscesso Fênix associado à raiz residual do dente 44. Paciente M.R.G, 19 anos, apresentou queixa principal de "espinha no meu queixo". Ao exame clínico, foi observada uma fístula cutânea na região mentual, com drenagem purulenta. Ao exame intraoral, foi observada a raiz residual do dente 44. Ao exame imaginológico, observou-se um cisto periapical associado ao dente 44 que se estendia anteriormente até a região anterior de mandíbula, fenestrando a cortical vestibular (mais espessa) e drenando para a região de mento. O paciente foi então tratado com a enucleção da lesão, seguida de plastia da fístula cutânea. Após exame histopatológico foi confirmado o diagnóstico de cisto periapical com processo de inflamação aguda. O paciente evoluiu bem após o tratamento, sem queixas álgicas. Portanto, é fundamental que o Cirurgião-Dentista conheça a etiopatogenia das lesões odontogênicas para o correto diagnóstico e tratamento em casos atípicos como o relatado


The periapical cyst origin is associated to the proliferation of epithelial cell rests of Malassez after a chronic inflammatory process due to an extensive carious lesion with pulp involvement. When a periapical cyst goes through a process of infectious exudation, clinically, it gets denominated phoenix abscess. The purpose of this study is to report a case of phoenix abscess associated to the residual root of the tooth 44. Patient M.R.G., 19 years old, presenting as main complaint a "pimple on my chin". After the clinical exam it was observed an exudating cutaneous fistula on the mentual region. After the intra-oral exam it was observed a residual root of the tooth 44. Radiographically, it was observed a periapical cyst associated to the tooth 44 wich reaches the anterior region of the jaw penetrating the vestibular cortical and draining on the mentual region. The patient has been treated with an enucleation procedure followed by a fistuloplasty. After hystological exam it was confirmed the diagnostic of periapical cyst with an acute inflammatory process. Patient has evolved well after treatment without any pain complaints. Therefore, it is fundamental that the dentists know the etiopathology of the odontogenics lesions to have a correct diagnostic and treatment of unusual cases as same as the reported.


Assuntos
Humanos , Feminino , Adulto , Cisto Radicular , Fístula Cutânea , Infecção Focal Dentária , Abscesso
15.
Acta Otolaryngol ; 139(8): 701-706, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31107127

RESUMO

Background: Many techniques have been proposed to close an oroantral fistula (OAF), with most of them involving transoral repairs with oral soft tissue flaps. An additional Caldwell-Luc approach or endoscopic sinus surgery (ESS) is required to address coexisting maxillary sinusitis. Objectives: This study presents the endonasal closure of an OAF through modified endoscopic medial maxillectomy (MEMM) with a free nasal mucoperichondrial-osteal graft. Materials and methods: Sixteen OAF patients who underwent closure operations in our department from May 2013 to June 2018 were retrospectively reviewed. Results: The main cause of OAF was maxillary dental cysts (56.25%). The OAF size ranged from 2 × 2 to 10 × 15 mm. The first molar (62.5%) was the most frequently involved tooth. All closures were made via MEMM, using nasal mucoperichondrial-osteal grafts harvested from the septum or nasal base. All patients were followed up for at least six months. Successful closure after a single procedure was achieved in 93.75% of cases. No obvious complications or recurrences were observed. Conclusions: Endonasal repair of OAFs via MEMM with free nasal mucosal grafts is feasible and promising. The approach preserves the normal oral and nasal physiology after surgery. It could be used alone for the closure of small to medium-sized OAFs.


Assuntos
Endoscopia/métodos , Cistos Maxilomandibulares/complicações , Fístula Bucoantral/cirurgia , Adulto , Feminino , Humanos , Cistos Maxilomandibulares/patologia , Masculino , Maxila/cirurgia , Seio Maxilar/cirurgia , Sinusite Maxilar/complicações , Pessoa de Meia-Idade , Mucosa Nasal/transplante , Septo Nasal/transplante , Fístula Bucoantral/etiologia , Estudos Retrospectivos
16.
Wiad Lek ; 72(10): 2056-2059, 2019 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-31983152

RESUMO

Impacted teeth are one of causes of patients visits to maxillofacial surgeons or dental surgeons. They are often detected accidentally when diagnosing other diseases in area of the nose, paranasal sinuses or oral cavity. This paper presents the process of diagnostics and treatment of a rare case of a 53-year-old patient, who developed hard palate abscess as a result of caries of impacted tooth accompanied by lateral periodontal cyst and nasopalatine fistula located in jaw.


Assuntos
Fístula , Dente Impactado , Abscesso , Humanos , Pessoa de Meia-Idade , Nariz , Palato Duro
17.
J Craniofac Surg ; 30(1): e45-e49, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30480627

RESUMO

The aim of this study was to compare the clinical outcomes of buccal advancement flap surgery to platelet-rich fibrin (PRF) application for the closure of acute oroantral communications (AOACs). In 36 patients, following the extractions of posterior maxillary teeth, AOACs which were larger than 3 mm diameter were detected. In group A, PRF clots were used in 21 patients and group B, classic buccal advancement flap was used in 15 patients. Baseline variables such as pain, the analgesic doses are taken, and swelling was assessed preoperatively. These were also examined on postoperative days 1, 2, 3, and 7, and patients were seen again in the 3rd week. In group A, statistically significant reduction was examined (P < 0.05) in pain and the analgesic doses are taken (sum of 1st, 2nd, 3rd, and 7th days on days 1 and 2) (PRF). The swelling was also significantly less in group A (P < 0.05). The mean duration did not differ between the groups (P > 0.05). In conclusion, both methods were successful for the immediate closure of AOACs. However, a lesser amount of pain and no swelling observed with the use of PRF clots for the immediate closure of AOACs compared to buccal advancement flap surgery.


Assuntos
Analgésicos/uso terapêutico , Fístula Bucoantral/terapia , Dor Pós-Operatória/tratamento farmacológico , Fibrina Rica em Plaquetas , Retalhos Cirúrgicos , Doença Aguda , Feminino , Humanos , Masculino , Fístula Bucoantral/etiologia , Dor Pós-Operatória/etiologia , Extração Dentária/efeitos adversos
18.
Oral Health Prev Dent ; 16(5): 467-472, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30460360

RESUMO

PURPOSE: To determine the clinical consequences of untreated dental caries among preschool children by using the pufa index (visible pulp, ulceration of the oral mucosa due to root fragments, a fistula or an abscess) and the incorporation of some risk factors. MATERIALS AND METHODS: Data were collected via structured, pre-tested questionnaires from 729 parents in Turkey's capital, Ankara. Examinations were performed under field conditions by one examiner. The decayed teeth were scored according to the International Caries Detection and Assessment System (ICDAS) II criteria. The filled and missing teeth and surfaces were also recorded as dmft and dmfs, and the pufa index was used for the consequences of untreated caries. The associations were evaluated by univariate analysis and logistic regression. RESULTS: The means age of the study population was 58.8 ± 8.6 months. 45% of the children were female and 55% were male. Mean dmft and dmfs were 4.8 ± 4.7 and 8.3 ± 10.2, respectively. 73.8% of the children had early childhood caries (ECC), while 51.0% had severe cases. Only 58 children (8.0%) had totally healthy primary teeth according to ICDAS II. Of the children with caries (n = 538), 17.5% had at least one pufa tooth. According to the logistic regression analysis, sex, having at least one sibling, extraction experience, and father's educational level were found to be the factors associated with the existence of pufa. CONCLUSION: Healthcare providers' attention must be drawn to both untreated carious lesions and the high ECC proportion among preschool children.


Assuntos
Abscesso/epidemiologia , Cárie Dentária/epidemiologia , Polpa Dentária , Fístula Bucal/epidemiologia , Úlceras Orais/epidemiologia , Pré-Escolar , Estudos Transversais , Índice CPO , Escolaridade , Características da Família , Feminino , Humanos , Modelos Logísticos , Masculino , Doenças da Boca/epidemiologia , Prevalência , Inquéritos e Questionários , Extração Dentária/estatística & dados numéricos , Dente Decíduo , Turquia/epidemiologia
19.
Dent Med Probl ; 55(1): 69-74, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30152638

RESUMO

The removal of the upper third molar is a procedure commonly performed in oral and maxillofacial surgery. Maxillary third molars are generally less difficult to extract than mandibular third molars. The surgical removal of maxillary third molars is usually associated with low complication rates and low morbidity. This procedure involves the risk of developing complications such as oroantral communication, displacement into adjacent anatomic spaces, fracture of the maxillary tuberosity, and root fracture. Orthopantomograms are the standard preoperative imaging modality, but there is no proven tool for predicting oroantral communication. New possibilities have been offered by cone-beam computed tomography, which is increasingly used in dentistry and is an innovative technique that provides more information as it eliminates the superimposition of surrounding structures and allows the acquisition of 3-dimensional images and their qualitative assessment. The aim of this systematic review was to assess risk factors during the extraction of the upper third molar using orthopantomograms and cone-beam computed tomography.


Assuntos
Dente Serotino/diagnóstico por imagem , Dente Serotino/cirurgia , Extração Dentária/efeitos adversos , Tomografia Computadorizada de Feixe Cônico , Humanos , Fraturas Maxilares/etiologia , Seio Maxilar/diagnóstico por imagem , Fístula Bucoantral/etiologia , Radiografia Panorâmica , Fatores de Risco , Fraturas dos Dentes/etiologia , Raiz Dentária/diagnóstico por imagem , Raiz Dentária/lesões
20.
Rev. ADM ; 75(3): 153-158, mayo-jun. 2018. ilus
Artigo em Espanhol | LILACS | ID: biblio-908849

RESUMO

Una comunicación oroantral es el espacio creado entre el seno maxilar y la cavidad oral, si ésta no es tratada a tiempo puede desencadenar una fístula e inclusive la presencia de sinusitis crónica. La comunicación oroantral es una de las complicaciones con mayor prevalencia que puede presentarse durante los procedimientos quirúrgicos cercanos a la zona donde se vea involucrado el seno maxilar. Con mayor incidencia encontramos los primeros molares, seguidos de los segundos molares y por último los terceros molares. El manejo convencional de una comunicación oroantral va desde su cierre espontáneo hasta el manejo quirúrgico; esto dependerá del tamaño de la lesión y el tiempo transcurrido de ésta. El caso clínico se trata de un paciente de 42 años de edad con antecedente de extracción del O.D. 16 por facultativo particular, desarrollando posteriormente un cuadro de sinusitis, por lo que acude al Servicio de Urgencias del Hospital Regional 1o de Octubre, I.S.S.S.T.E. en la CDMX, siendo valorado por nuestro servicio, donde se observa una comunicación franca entre la cavidad bucal y el seno maxilar, realizándose cierre de la misma con una membrana de plasma rico en factores de crecimiento plaquetario (AU)


Oroantral communication is the space created between the maxillary sinus and the oral cavity, if the communication is not treated on time, it would progress to oroantral fi stula or chronic sinus disease. An oroantral communication is the most common complication during surgical procedures closer to the maxillary sinus. With greater incidence we found sites of upper fi rst molar, followed by the second molar and fi nally third molars. The conventional handling of an oroantral communication goes between spontaneously closure or surgical closure management, it will depend in the size of the lesion and the time elapsed. The present article shows a clinical case, is a male patient of 42 years old with a previous extraction of tooth 16, by a private doctor, later developing a picture of sinusitis. Then he goes to the emergency department of the Hospital 1o of October, ISSSTE in the CDMX, being evaluated by our service, where there is a frank communication between the oral cavity and the maxillary sinus, closing it with a plasma membrane rich in growth factors (AU)


Assuntos
Humanos , Masculino , Adulto , Seio Maxilar , Membranas Artificiais , Fístula Bucoantral , Fator de Crescimento Derivado de Plaquetas , Plasma Rico em Plaquetas , Unidade Hospitalar de Odontologia , México , Procedimentos Cirúrgicos Bucais , Cuidados Pós-Operatórios , Retalhos Cirúrgicos , Extração Dentária
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