RESUMO
The objectives of this study were to evaluate the survival after 5 years of implants placed using inferior alveolar nerve (IAN) lateralization in cases of mandibular atrophy and to determine the incidence of complications. Twenty-seven patients received 74 implants by means of the IAN lateralization technique. Implant survival after 5 years of loading was 98.6%. Eighteen months after surgery, the recovery of sensitivity was complete in 26 cases. Implant placement with IAN lateralization was seen to be a satisfactory and predictable technique. IAN lateralization requires a high level of technical skill, and strict criteria should be applied when prescribing this treatment.
Assuntos
Implantação Dentária Endóssea/métodos , Falha de Restauração Dentária/estatística & dados numéricos , Mandíbula/inervação , Mandíbula/patologia , Nervo Mandibular/cirurgia , Complicações Pós-Operatórias/epidemiologia , Perda do Osso Alveolar , Implantação Dentária Endóssea/efeitos adversos , Implantes Dentários , Prótese Dentária Fixada por Implante , Seguimentos , Humanos , Incidência , Estudos Prospectivos , Recuperação de Função Fisiológica , Sensação , Fatores de Tempo , Resultado do TratamentoRESUMO
El fibroma ameloblástico es un tumor benigno mixto. Se trata de una lesión poco frecuente que afecta a pacientes jóvenes y se localiza con mayor frecuencia en la zona molar mandibular, pudiendo bloquear la erupción de algún diente permanente. Se presenta el caso de un niño de 15 años de edad, sin antecedentes médicos ni odontológicos de interés, que acudió al servicio de cirugía remitido por su ortodoncista (..) (AU)
The ameloblastic fibroma is a mixed benign tumor. It is an unusual injury that often affects young patients and it is frequently located in the mandible molar region and it could block the eruption of any permanent tooth. A fifteen years old child with nomedical history or dentistry interest arrived at the emergency department. He was referred by the orthodontist for the extraction of the lower left wisdom tooth germ and value second lower left molar which is impacted. Clinical intraoral examination revealed the absence of the second lower left molar with no inflammation in the area. Radiographic examination confirmed a multilobulated radiolucent area surrounded by (..) (AU)
Assuntos
Humanos , Masculino , Adolescente , Fibroma/patologia , Ameloblastoma/patologia , Dente não Erupcionado/etiologia , Tumores Odontogênicos/patologia , Neoplasias Bucais/patologiaRESUMO
La hiperplasia coronoidea es una rara alteración que se caracteriza por el desarrollo exagerado de la apófisis coronoides, de carácter progresivo, tanto en altura como en volumen, durante períodos de meses a años. Objetivos: Determinar los diferentes aspectos epidemiológicos de la hiperplasia de la apófisis coronoides, analizar los signos más característicos, evaluar los tratamientos realizados y valorar la apertura bucal pretratamiento y postratamiento. Diseño del estudio: Revisión bibliográfica sobre casos diagnosticados de hiperplasia de la apófisis coronoides, analizando un total de 27 artículos que han proporcionado un total de 85 casos. Resultados: La hiperplasia de la apófisis coronoides presentó una mayor incidencia en hombres respecto a las mujeres con una ratio 1.5:1, siendo la edad media de diagnóstico de 25.5 años. Los signos característicos de diagnóstico son la limitación de la apertura bucal con un 100% de los casos, seguido de la asimetría facial. La actitud terapéutica llevada a cabo fue de cirugía seguida de la fisioterapia. Con respecto a la apertura bucal es de 18.5 mm en pretratamiento y 33.1 mm postratamiento. Conclusiones: La hiperplasia de la apófisis coronoides es una entidad poco frecuente que afecta más a varones entre la 2ª y 3ªdécada de la vida. El signo característico es la limitación de la apertura bucal, que se diagnostica con la ortopantomografía, y el tratamiento más utilizado es la coronoidectomía seguida de la fisioterapia (AU)
Coronoid hyperplasia is a rare disorder that is characterized by the exaggerated development of the coronoid apophysis, having a progressive nature in both height and volume, during periods of months to years. Objectives: Determine the different epidemiological aspects of hyperplasia of the coronoid apophysis, analyze the most characteristics signs, evaluate the treatments conducted and assess the pre-treatment and post-treatment buccal opening. Study design: Bibliographic review of diagnosed cases of hyperplasia of the coronoid apophyses, analyzing a total of 27 articles that provided a total of 85 cases. Results: The hyperplasia of the coronoid apophysis presented a greater incidence in men than women with a ratio of 1.5:1, with the average age of diagnosis being 25.5 years of age. The characteristic diagnostic signs are the limitation of the buccal opening in 100% of the cases, followed by facial asymmetry. The therapeutic approach carried out was surgery followed by physiotherapy. With respect to the buccal opening, it was 18.5 mm pre-treatment and 33.1 mm post-treatment. Conclusions: Hyperplasia of the coronoid apophysis is a rare disorder that affects more men in the second and third decade of life. The characteristic sign is the limitation of the buccal opening, which is diagnosed with orthopantomography and the treatment most used is the coronoidectomy, followed by physiotherapy (AU)