Day case oral surgery in pediatric patients during the year 2000 in the University of Barcelona Dental Clinic (Spain).

AIM: A study is made to show that most pediatric oral surgical interventions can be performed on a day case surgery or ambulatory basis, and to describe the activity of the Master of Oral Surgery and Implantology (Barcelona University Dental School, Spain) in the year 2000. DESIGN: The study documents the surgical activity of the Units of Oral Surgery and Laser Surgery in pediatric patients, in the context of the Master of Oral Surgery and Implantology (Barcelona University Dental School, Spain). RESULTS: Of the 3187 operations carried out in our Service in this period, 489 involved patients under 18 years of age. The surgical removal of third molars was the most common intervention (55.6%), followed by other surgical or non-surgical tooth extractions (33.6%) and other interventions (10.6%) comprising fenestration of impacted canines or other teeth, frenectomies, the removal of mucoceles, and tooth relocations. Complications after surgical third molar extraction were recorded in 15.93% of cases, the most frequent problem being the pain and swelling (4.35% each) characteristic of postoperative inflammation. CONCLUSIONS: Our experience shows that day case oral surgery can be safely performed in pediatric patients, provided the required means and health care personnel resources are available.

Cirugía Bucal Ambulatoria en pacientes pediátricos. Casuística del año 2000 en la Clínica Odontológica de la Universidad de Barcelona / Day case oral surgery in pediatric patients during the year 2000 in the University of Barcelona

Objetivos: Este trabajo pretende demostrar que se pueden realizarla mayoría de las intervenciones quirúrgicas de la cavidadbucal en la población pediátrica en un medio ambulatorio, asícomo valorar y mostrar la actividad realizada en el Máster deCirugía e Implantología Bucal de la Facultad de Odontologíade la Universidad de Barcelona durante el año 2000.Diseño del estudio: Para la realización de este trabajo se ha contabilizadola actividad quirúrgica de las unidades de cirugía bucal ycirugía con láser en la población pediátrica en el Máster de Cirugíae Implantología Bucal de la Universidad de Barcelona.Resultados: De las 3187 intervenciones quirúrgicas realizadas ennuestro servicio, 489 fueron en pacientes menores de 18 años.La exodoncia quirúrgica de terceros molares inferiores fue lamás frecuente (55´6%), seguida de otras extracciones dentarias(33´6%), quirúrgicas o no, y del resto de intervenciones (10´6%)que incluyeron: fenestraciones de caninos u otros dientes incluidos,exéresis de frenillos, de mucoceles y reubicacionesdentarias. Se presentaron complicaciones tras la extracciónquirúrgica de los terceros molares en un 15Ê93% de los casos,siendo las más frecuentes el dolor (4´35%) y la tumefacción(4´35%), signos propios de la inflamación postoperatoria.Conclusiones: Nuestra experiencia muestra que la cirugía bucalambulatoria puede practicarse de forma segura en la poblaciónpediátrica siempre y cuando se disponga de los medios y delpersonal sanitario adecuados

Aim: A study is made to show that most pediatric oral surgicalinterventions can be performed on a day case surgery or ambulatorybasis, and to describe the activity of the Master of OralSurgery and Implantology (Barcelona University Dental School,Spain) in the year 2000.Design: The study documents the surgical activity of the Unitsof Oral Surgery and Laser Surgery in pediatric patients, in thecontext of the Master of Oral Surgery and Implantology (BarcelonaUniversity Dental School, Spain).Results: Of the 3187 operations carried out in our Service inthis period, 489 involved patients under 18 years of age. Thesurgical removal of third molars was the most common intervention(55.6%), followed by other surgical or non-surgical toothextractions (33.6%) and other interventions (10.6%) comprisingfenestration of impacted canines or other teeth, frenectomies,the removal of mucoceles, and tooth relocations. Complicationsafter surgical third molar extraction were recorded in 15.93% ofcases the most frequent problem being the pain and swelling(4.35% each) characteristic of postoperative inflammation.Conclusions: Our experience shows that day case oral surgerycan be safely performed in pediatric patients, provided the requiredmeans and health care personnel resources are available

Granuloma periférico de células gigantes. A propósito de 5 casos y revisión de la literatura / Peripheral giant cell granuloma. A report of five cases and review of the literature

El granuloma periférico de células gigantes (GPCG) es una lesión reactiva benigna relativamente frecuente de la cavidad bucal. Se origina a partir del periostio o de la membrana periodontal tras una irritación o un traumatismo crónico que actúa localmente. Se manifiesta en forma de nódulo de color rojo-púrpura, situado en la encía o en el reborde alveolar edéntulo, preferentemente en la mandíbula. Aparece a cualquier edad, con una mayor incidencia entre la quinta y sexta décadas de la vida, con una ligera predilección por el sexo femenino. Es una lesión de las partes blandas que muy rara vez implica el hueso subyacente, aunque puede causarle una erosión superficial. Se han revisado cinco casos de GPCG que afectaban a 3 hombres y a 2 mujeres de edades comprendidas entre los 19 y 66 años, presentándose tres de ellos en el maxilar superior. En dos casos se observaba radiográficamente una reabsorción ósea en forma de “aplanamiento”.El tratamiento consistió en realizar la exéresis-biopsia, efectuándose dos casos mediante láser de CO2 y tres con bisturí frío. No se ha observado ninguna recidiva en el seguimiento postoperatorio (rango de 10 meses a 4 años). En el diagnóstico diferencial se deben descartar lesiones de características clínicas e histológicas muy similares –como el granuloma central de células gigantes-, que asientan en el interior del propio maxilary cuyo comportamiento es más agresivo; solamente el estudio radiológico permitirá esta distinción. El diagnóstico precoz y preciso de esta lesión permite efectuar un tratamiento conservador sin riesgo para los dientes vecinos ni para el hueso adyacente

Peripheral giant cell granuloma (PGCG) is a relatively frequent benign reactive lesion of the oral cavity, originating from the periosteum or periodontal membrane following local irritation or chronic trauma. PGCG manifests as a red-purple nodule located in the region of the gums or edentulous alveolar margins, fundamentally in the lower jaw. The lesion can develop at any age, though it is more common between the fifth and sixth decades of life, and shows a slight female predilection. PGCG is a soft tissue lesion that very rarely affects the underlying bone, though the latter may suffer superficial erosion.The present study reviews 5 cases of PGCG, involving 3 malesand 2 females between 19-66 years of age, and with presentation in the upper jaw in three cases. Two patients showed radiological concave depression images corresponding to bone resorption. Treatment consisted of resection and biopsy, using a carbon dioxide laser in 2 cases and a cold scalpel in the remaining 3. There were no relapses during postoperative follow-up (range 10 months to 4 years). The differential diagnosis of PGCG includes lesions with very similar clinical and histological characteristics, such as central giant cell granuloma, which are located with in the jaw it self and exhibit a more aggressive behavior. Only radiological evaluation can establish a distinction. The early and precise diagnosis of these lesions allows conservative management without risk to the adjacent teeth or bone

Peripheral giant cell granuloma. A report of five cases and review of the literature.

Peripheral giant cell granuloma (PGCG) is a relatively frequent benign reactive lesion of the oral cavity, originating from the periosteum or periodontal membrane following local irritation or chronic trauma. PGCG manifests as a red-purple nodule located in the region of the gums or edentulous alveolar margins, fundamentally in the lower jaw. The lesion can develop at any age, though it is more common between the fifth and sixth decades of life, and shows a slight female predilection. PGCG is a soft tissue lesion that very rarely affects the underlying bone, though the latter may suffer superficial erosion. The present study reviews 5 cases of PGCG, involving 3 males and 2 females between 19-66 years of age, and with presentation in the upper jaw in three cases. Two patients showed radiological concave depression images corresponding to bone resorption. Treatment consisted of resection and biopsy, using a carbon dioxide laser in 2 cases and a cold scalpel in the remaining 3. There were no relapses during postoperative follow-up (range 10 months to 4 years). The differential diagnosis of PGCG includes lesions with very similar clinical and histological characteristics, such as central giant cell granuloma, which are located within the jaw itself and exhibit a more aggressive behavior. Only radiological evaluation can establish a distinction. The early and precise diagnosis of these lesions allows conservative management without risk to the adjacent teeth or bone.