Orbital floor reconstruction based on 3d printed model - case report.

Orbital fractures, constituting 10-25% of facial traumas, result from diverse mechanisms such as traffic accidents and assaults. These fractures present with characteristic symptoms like edema, diplopia, and infraorbital paraesthesia. Timely diagnosis and surgical intervention are paramount to mitigate long-term complications. Recent advancements in materials science and surgical methodologies have ushered in innovative approaches including 3D printing and computer-aided design implants. This article details a case study of successful reconstructive orbital surgery in a patient following a traumatic incident where a car accident caused extensive facial fractures. Leveraging 3D printing technology, a precisely tailored titanium mesh aided in the meticulous restoration of the orbital floor. During surgery, entrapped soft tissues were released, and the zygomatic-maxillary complex was carefully repositioned. Postoperative evaluation revealed promising outcomes, affirming the efficacy of contemporary surgical strategies. This case highlights the evolving role of 3D printing in enhancing the accuracy, cost-effectiveness, and accessibility of orbital reconstruction procedures, demonstrating its potential for broader clinical applications.

Comprehensive management of pericoronitis in lower third molars: extraction, operculectomy, and coronectomy approaches.

Pericoronitis is a common dental condition involving the inflammation of soft tissues around a partially erupted wisdom tooth, typically the lower third molars. It is most frequently diagnosed in young adults aged 20-29, with a higher prevalence in women. The condition often results from the accumulation of bacteria and food debris under the operculum, leading to infection and inflammation. Common symptoms include localized pain, gum swelling, trismus, and sometimes pus discharge. This study aims to discuss the types of clinical management of pericoronitis of the lower third molar as described in the literatureTooth extraction eliminates the source of inflammation, providing long-term relief but carries a higher risk of inferior alveolar nerve damage and greater postoperative discomfort compared to other methods.This minimally invasive procedure removes the gingival cap to prevent food and bacteria accumulation. It is suitable for patients with good oral hygiene and proper tooth angulation. Electrosurgery and laser methods reduce bleeding and swelling but have contraindications. Coronectomy, an alternative to extraction, avoids nerve damage by leaving the roots in place. Suitable for non-carious, pathology-free teeth, it shows lower risk of sensory disturbances and postoperative complications, though root migration may occur. Pericoronitis requires personalized treatment based on patient condition and tooth positioning. Thorough diagnostics and tailored approaches are crucial for effective management and improved outcomes.

Surgical methods of managing the upper lip frenulum - a literature review.

The upper lip frenulum with an overgrown structure or improper attachment is a common cause of hygienic, orthodontic, or prosthetic issues that prompt surgical intervention. The following article presents the surgical methods for the elimination of the overgrown frenulum, discussing and comparing them. Commonly used and described in the literature methods for surgical correction of the upper lip frenulum include frenulectomy, frenuloplasty, and laser excision of the frenulum. The article presents, discusses, and compares the methods of surgical correction of the upper lip frenulum, highlighting the advantages and disadvantages of each procedure. According to researchers, when comparing methods using a scalpel, Z-frenuloplasty is characterized by the lowest recurrence rate and consequently the highest effectiveness in eliminating the problem of an overgrown frenulum. The article also outlines several advantages of using laser methods (diode laser, CO2 laser), such as the elimination of bleeding, reduced postoperative pain reported by patients, and the lack of need for suturing the postoperative wound. Each case depends on a thorough clinical examination of the patient, identifying the specific problem, making an accurate diagnosis, and ultimately adjusting the choice of one of the methods to the individual conditions and medical issue of the patient.

Kinesio Taping as an Adjunct Therapy in Postoperative Care after Extraction of Impacted Third Lower Molars-A Randomized Pilot Study.

Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly administered according to protocol for the management of complications such as pain, swelling, and trismus following the removal of the third impacted lower molar; however, treatment with NSAIDs may result in multiple adverse effects. The aim of this study was to compare the effectiveness of kinesio taping (KT) and the use of NSAIDs in the treatment of postoperative complications after extraction of an impacted third lower molar. MATERIAL AND METHODS: The study comprised a group of 30 patients, randomly divided into the test group (with KT, n = 15) or the control group (without KT, n = 15). The surgery was performed according to standard procedures. In the test group, KT was applied immediately after surgery. Pain, swelling, and trismus were assessed. The VAS scale was used to assess pain. Swelling was measured based on six reference points on the face using a tailor's meter, and a caliper was used to measure the distance between the upper and lower medial incisors of the upper and lower teeth to determine the extent of trismus. Measurements were performed three times: on the day of the surgery, on the second day following the surgery, and on the 7th day after the surgery. RESULTS: Pain intensity (day of procedures), maximum mouth opening (on the seventh day after the surgery), and the use of NSAIDs (day of surgery) were significantly lower (p < 0.05) in the test group than in the control group. CONCLUSIONS: Kinesio taping in addition to NSAIDs was found to be more effective than NSAIDs alone in increasing the degree of jaw opening, decreasing pain intensity, and reducing the non-steroid anti-inflammatory dosage in patients after impacted mandibular wisdom teeth surgery.