RESUMO
BACKGROUND: Evaluating 2-years implant loss and marginal bone loss in patients with hereditary coagulopathies, comparing with a healthy control group. MATERIAL AND METHODS: 37 implants in 13 patients (17 haemophilia A, 20 Von-Willebrand disease) versus 26 implants in 13 healthy patients. Data measured through Lagervall-Jansson index (after surgery, at prosthetic loading, at 2 years). STATISTICS: Chi-square, Haberman's, ANOVA, Mann-Whitney-U. Significance p<0.05. RESULTS: Haemorrhagic accidents in 2 coagulopathies patients (non-statistical differences). Hereditary coagulopathies patients suffered more hepatitis (p<0.05), HIV (p<0.05) and less previous periodontitis (p<0.01). Non-statistical differences in marginal bone loss among groups. 2 implants were lost in the hereditary coagulopathies and none in the control group (non-statistical differences). Hereditary coagulopathies patients had longer (p<0.001), and narrower implants (p<0.05) placed. 43.2% external prosthetic connection in hereditary coagulopathies patients (p<0.001); change of prosthetic platform more frequent in control group (p<0.05). 2 implants lost: external connection (p<0.05). Survival rate 96.8% (hereditary coagulopathies 94.6%, control group 100%). CONCLUSIONS: Implant and marginal bone loss at 2 years is similar in patients with hereditary coagulopathies and control group. Precautions should be taken on the treatment for hereditary coagulopathies patients, through prior haematological protocol. Implant loss only occurred in in a patient with Von-Willebrand´s disease.
Assuntos
Perda do Osso Alveolar , Implantes Dentários , Humanos , Implantação Dentária Endóssea/métodos , Estudos Retrospectivos , Implantes Dentários/efeitos adversos , Perda do Osso Alveolar/etiologia , Estudos de Casos e Controles , Prótese Dentária Fixada por Implante , Seguimentos , Planejamento de Prótese DentáriaRESUMO
Durante la última década se ha introducido el tornillo de bloqueointermaxilar como método de fijación maxilomandibular en el tratamientode las fracturas de mandíbula. El propósito del estudio es evaluar las complicacionesde la técnica y la yatrogenia dental que derivan de su aplicacióndurante un periodo de 4 años. Se han revisado un total de 62 pacientesy 272 tornillos y, aunque han aparecido complicaciones, su incidencia esbaja(AU)
In the last decade, self-tapping bone screws have beenused widely as a temporary maxillomandibular fixation method inthe treatment of jaw fractures. The purpose of the present studywas to evaluate the complications of the technique and potentialdental iatrogenesis over a period of 4 years. We reviewed a total of62 patients and 272 screws. Although complications appeared, thecomplication rate was low(AU)
Assuntos
Humanos , Fixação Interna de Fraturas/métodos , Fraturas Mandibulares/cirurgia , Parafusos Ósseos/efeitos adversos , Doença Iatrogênica/epidemiologia , Estudos Retrospectivos , Radiculopatia/etiologiaRESUMO
La utilización de robots en cirugía como ayudantes o como cirujanosdespierta interés desde hace décadas. Sus características de precisión,incansabilidad y muchas otras ventajas auguran a esta tecnologíaun papel destacado en la cirugía maxilofacial del futuro. No obstante, lasexperiencias en nuestro campo y en otras especialidades quirúrgicas hanpuesto de manifiesto la falta de madurez de la tecnología robótica paraincorporarse a corto plazo a los quirófanos. La introducción de tecnologíaspara una mayor miniaturización, su actuación cooperativa y una mejorinteracción con el medio pueden aportar las características que necesitanpara ser útiles y definitivamente incorporarse a nuestra actividad(AU)
The use of robots in surgery as operating room assistantsor as surgical agents has attracted interest for decades. Theiraccuracy, resistance to fatigue and many other features augur aprominent role of this technology in maxillofacial surgery in thefuture. Nevertheless, experience in this field and other surgicalspecialities has shown that robotic technology is not yet matureenough to be used routinely in operating rooms. The introductionof new technologies to improve miniaturization, cooperative work,and better interactive behavior may endow robots with the necessaryfeatures to make them useful enough to include them in our surgicalactivities(AU)
Assuntos
Humanos , Procedimentos Cirúrgicos Bucais/tendências , Doenças Estomatognáticas/cirurgia , Robótica/métodos , Desenvolvimento Tecnológico/análiseRESUMO
No disponible
Assuntos
Humanos , Masculino , Adulto , Penfigoide Mucomembranoso Benigno/diagnóstico , Diagnóstico Diferencial , Doenças Autoimunes/diagnóstico , Técnica Direta de Fluorescência para Anticorpo/métodosRESUMO
La expansión rápida de paladar asistida quirúrgicamente (SARPE)es una de las opciones terapeuticas de los transtornos transversales delmaxilar superior. Presentamos nuestra experiencia inicial con una variantetécnica consistente en una corticotomía de la pared lateral del maxilar combinadacon una osteotomía palatina media transincisal, y efectuadas a travésde tres pequeñas incisiones verticales
Surgically assisted rapid palatal expansion (SARPE)is one of the therapeutic options for the correction oftransverse maxillary collapse. We present our initial experiencewith a technique consisting in a lateral corticotomy of themaxilla plus a transincisal midpalatal osteotomy, bothperformed through minimal vertical incisions
