Treatment of bilateral hyperplasia of the coronoid process of the mandible. Presentation of a case and review of the literature.

Bilateral hyperplasia of the coronoid process is infrequent. It consists of an elongation of the coronoid process of the mandible and is, accordingly, a mechanical problem, limiting mouth opening. This article looks at the case of a 28 year-old male with significant limitation on opening his mouth, secondary to bilateral hyperplasia of the coronoid process. We reviewed the literature and analysed the diagnostic and therapeutic procedures used, paying special attention to the surgical approaches to the coronoid process and emphasising the importance of early post-operative rehabilitation, describing our experience with the TheraBite (Atos Medical AB, PO Box 183, 242 22 Hörby, Sweden). The satisfactory result of the procedure is marked by the stable recovery of the mouth opening, achieved by a good combination of surgical and physiotherapeutic techniques.

Treatment of bilateral hyperplasia of the coronoid process of the mandible. Presentation of a case and review of the literature

No disponible

Bilateral hyperplasia of the coronoid process is infrequent. It consists of an elongation of the coronoid process of the mandible and is, accordingly, a mechanical problem, limiting mouth opening. This article looks at the case of a 28 year-old male with significant limitation on opening his mouth, secondary to bilateral hyperplasia of the coronoid process. We reviewed the literature and analysed the diagnostic and therapeutic procedures used, paying special attention to the surgical approaches to the coronoid process and emphasising the importance of early post-operativerehabilitation, describing our experience with the TheraBite® (Atos Medical AB, PO Box 183, 242 22 Hörby, Sweden). The satisfactory result of the procedure is marked by the stable recovery of the mouth opening, achieved by a good combination of surgical and physiotherapeutic techniques

Osteonecrosis of the jaws and bisphosphonates. Report of three cases.

Bisphosphonates are recently acquiring increasing relevance in the treatment of several diseases. In line with the increased use of these compounds, cases of mandibular osteonecrosis, and to a lesser extent, maxillary osteonecrosis, are being reported. This necrosis is difficult to treat in patients who usually have a previously limited quality of life. A surgical performance carried out by oral and maxillofacial surgeons, stomatologists and odontologists might lead to bone exposure. A treatment based on conservation and as harmless as possible seems to be the most advisable way of acting with these patients in order to minimize the incidence and treat the complications, once the lesions have been ascertained. We report three cases treated in our service of osteonecrosis of the jaws after exodontics. This side effect should be remembered before starting any surgical treatment in these patients.

Osteonecrosis maxilar y bisfosfonatos. Presentación de tres nuevos casos / Osteonecrosis of the jaws and bisphosphonates. Report of three cases

Los bisfosfonatos están adquiriendo una relevancia terapéutica cada vez mayor, dada su utilidad en el manejo de diversas patologías.Con el incremento de su uso, se están documentando casos de necrosis ósea mandibular, y en menor medida maxilar, de difícil solución y con una importante afectación de la calidad de vida de los pacientes en tratamiento con estos fármacos.El factor que con mayor frecuencia desencadena el proceso es la actuación de los profesionales: odontólogos, estomatólogos y cirujanos orales y maxilofaciales. La previsión, las intervenciones atraumáticas y el tratamiento conservador, parecen ser los medios más adecuados para minimizarla incidencia o resolver las complicaciones.Este artículo presenta tres casos, seguidos por nuestro servicio, de pacientes con necrosis ósea maxilar tras procedimientos dentales, fundamentalmente exodoncias.El conocimiento de este posible efecto secundario de los bisfosfonatos debería ser tenido en cuenta antes de cualquier intervenciónen este tipo de pacientes

Bisphosphonates are recently acquiring increasing relevance in the treatment of several diseases.In line with the increased use of these compounds, cases of mandibular osteonecrosis, and to a lesser extent, maxillary osteonecrosis,are being reported. This necrosis is difficult to treat in patients who usually have a previously limited quality of life.A surgical performance carried out by oral and maxillofacial surgeons, stomatologists and odontologists might lead to bone exposure.A treatment based on conservation and as harmless as possible seems to be the most advisable way of acting with these patients in order to minimize the incidence and treat the complications, once the lesions have been ascertained.We report three cases treated in our service of osteonecrosis of the jaws after exodontics.This side effect should be remembered before starting any surgical treatment in these patients

Carcinoma intraóseo primario originado en un quiste mandibular / Primary intraosseous carcinoma arising in a mandibular cyst

El carcinoma intraóseo primario de la mandíbula es un tumor poco común, aunque no es tan raro como se cree. Teóricamente pueden originarse de novo, presumiblemente de restos odontogénicos, o bien, surgir de la transformación maligna del revestimiento de un quiste o un tumor odontogénico. El diagnóstico es difícil, basándose principalmente en el estudio radiológico y en el anatomopatológico. Su pronóstico es favorable, especialmente cuando el origen es un quiste odontogénico. Es un tumor localmente agresivo que metastatiza en los ganglios regionales. Presentamos el caso de un paciente de 70 años de edad con un carcinoma intraóseo primario escamoso de la mandíbula desarrollado en un quiste odontogénico (AU)