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1.
Quintessence Int ; 51(2): 128-141, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31942574

RESUMO

OBJECTIVES: The aim of this study was to determine the influence of patient-related systemic factors, local bone and intraoral factors, and implant-related factors on peri-implant marginal bone loss (MBL). METHOD AND MATERIALS: The following data were collected from patients who received dental implants and were recalled for examinations at least 3 years after treatment completion: medical history, age, sex, habits, periodontal health, implant size and surface, surgical procedure, prosthesis type, implant failure, Plaque Index, and oral hygiene. MBL was investigated using both baseline and follow-up panoramic radiographs. RESULTS: The study included 1,126 dental implants placed in 304 patients (185 [60.9%] women and 119 [39.1%] men). The mean age was 54.30 ± 13.52 years (range 22 to 83 years). The mean follow-up period was 58.8 ± 11.2 months. The MBL was observed in 271 (24.1%) implants, of which 160 (14.2%) were ≤ 2 mm and 111 (9.9%) were > 2 mm. Respective mean MBL values on mesial and distal sides were 0.42 ± 1.03 mm and 0.42 ± 1.02 mm. Of the implants, 19 (1.7%) were lost, leading to an implant success rate of 98.3%. Age, history of hysterectomy, history of periodontitis, oral hygiene, abrasions, smoking, implant location, implant surface, implant length, surgical procedure type, and prosthesis type were all found to be statistically significant for MBL (P < .05). Certain combinations of these factors resulted in increased MBL. CONCLUSION: In the present study, local factors had more significant effects on MBL than did systemic factors, and combinations of these factors had greater effects on MBL.


Assuntos
Perda do Osso Alveolar , Doenças Ósseas Metabólicas , Implantes Dentários , Adulto , Idoso , Idoso de 80 Anos ou mais , Planejamento de Prótese Dentária , Prótese Dentária Fixada por Implante , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia Panorâmica , Estudos Retrospectivos , Adulto Jovem
2.
J Dent Child (Chic) ; 81(3): 156-60, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25514261

RESUMO

The purpose of this case report is to discuss the four-year follow-up of a transalveolar transplantation of an impacted immature permanent mandibular left canine. A nine year-old-boy was referred to the dental school because of a mandibular swelling associated with the impacted canine. Under local anesthesia, the tooth was extracted and transplanted in its own space, followed by a two-week orthodontic fixation. The radiographic examination two months later revealed the presence of external inflammatory root resorption, which was treated with an apexification. The overall status of the transplanted tooth and the surrounding hard and soft tissues four years post-treatment indicates a successful outcome.


Assuntos
Dente Canino/transplante , Dente Impactado/cirurgia , Criança , Dente Canino/diagnóstico por imagem , Humanos , Masculino , Mandíbula , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/terapia , Radiografia , Reabsorção da Raiz/diagnóstico por imagem , Reabsorção da Raiz/terapia , Extração Dentária , Dente Impactado/diagnóstico por imagem
3.
ScientificWorldJournal ; 2012: 946060, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22778705

RESUMO

The aim of this study was to investigate whether there is any association between inflammation and the expression of markers of cell cycle entry (Ki-67 and MCM-2) in dental follicle (DF) of asymptomatic impacted teeth and odontogenic cysts. The study consisted of 70 DFs and 20 odontogenic cysts (radicular cyst (RC), dentigerous cyst (DC) and keratocytic odontogenic tumor (KCOT) located at posterior mandibular region. Histological findings of inflammation for all specimen and mucous cell prosoplasia, squamous metaplasia, glandular epithelium for all DFs were stained with hematoxyline and eosin, periodic acid schiff, alcian blue, and mucin. Epithelial cell proliferation was determined by using immunohistochemical labeling for Ki-67 and MCM-2. The histologic examinations showed 16% mucous cell prosoplasia, 54% squamous metaplasia, 20% glandular epithelium, 37% inflammation. Inflammation was detected in all RCs and %62 in DF, %43 in DC and KCOT. Positive correlation was found between the inflammation of DF and odontogenic cysts (P < 0.01). The mean Ki-67 and MCM-2 expressions were found 9, 64 ± 5, 99 and 6, 34 ± 3, 81 in DF, 11, 85 ± 9, 01 and 13, 6 ± 9, 94 in odontogenic cysts, respectively. While the mean Ki-67 expressions were statistically significant in DF and KCOT (P < 0.01), MCM-2 were significant in RC and KCOT (P < 0.01). MCM-2 expresion in RCs were statistically significant than KCOT (P < 0.01). The results of this study indicated that the higher MCM-2 expressions in RC than the KCOT might be related to the inflammation and this protein might be more sensitive to inflammation.


Assuntos
Proteínas de Ciclo Celular/metabolismo , Saco Dentário/metabolismo , Inflamação/metabolismo , Antígeno Ki-67/metabolismo , Proteínas Nucleares/metabolismo , Cistos Odontogênicos/metabolismo , Dente Impactado/metabolismo , Adolescente , Adulto , Idoso , Biomarcadores/metabolismo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Componente 2 do Complexo de Manutenção de Minicromossomo , Distribuição Tecidual , Adulto Jovem
4.
Kulak Burun Bogaz Ihtis Derg ; 22(3): 181-5, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22663930

RESUMO

Although radiopaque lesions located in the maxillary sinus are rare, differential diagnosis should include a number of pathologies. Formation of stone, namely "antrolith" in the paranasal sinuses is a very rare phenomenon and it should be considered in the differential diagnosis, as it is usually located in the maxillary sinus. In this article, we present a 47-year-old male case with unilateral chronic sinusitis for a long time and calcification in maxillary sinus in the light of clinical/radiographic findings of the lesion and treatment strategy.


Assuntos
Litíase/diagnóstico por imagem , Litíase/patologia , Sinusite Maxilar/diagnóstico por imagem , Sinusite Maxilar/patologia , Doenças dos Seios Paranasais/diagnóstico por imagem , Doenças dos Seios Paranasais/patologia , Doença Crônica , Diagnóstico Diferencial , Humanos , Litíase/cirurgia , Masculino , Sinusite Maxilar/cirurgia , Pessoa de Meia-Idade , Necrose , Doenças dos Seios Paranasais/cirurgia , Radiografia
5.
ScientificWorldJournal ; 2012: 680397, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22454609

RESUMO

PURPOSE: The aim of this study was to evaluate different surgical treatment methods for keratocystic odontogenic tumors (KCOTs) and the outcome of those treatments over a 9-year period. PATIENTS AND METHODS: A retrospective review was performed on 43 KCOTs in 39 patients. In radiographic evaluations for diagnosis, follow ups and before and after treatment, panoramic, 3D CT and MR images were used. The three groups of different surgical treatment were (1) enucleation for small unilocular lesions without certainty of histology; (2) enucleation with Carnoy's solution, for small unilocular lesions after previous histological confirmation of KOCT; (3) marsupialization followed by enucleation with Carnoy's solution implemented for large often multilocular KCOTs with intact or destruction of cortical bone without infiltration of neighbouring tissue. RESULTS: 43 KCOT cases were mostly localized in mandible (76.7%), radiologically unilocular (72%), and parakeratocysts (88.4%). Inflammation and satellite cysts (daughter cysts) were detected histopathologically in 14 (32.5%) and 7 (16.3%), respectively. Among the 43 cysts, 20 (46.5%) were associated with the impacted third molar and of 21 (48.8%) was in tooth bearing area, and 5 (11, 6%) located on edentulous areas. It was located mostly in the anterior region of maxilla (90%) and in mandibular molar and ramus (62.8%). The treatments of KCOTs were 18 (41.9%) for group 1, and 10 (23.3%) group 2, and 15 (34.8%) group 3. A statistically significant relationship was found between the radiographic appearance and treatment methods (P = 0.00). No recurrence was found on 40.54 ± 23.02 months follow up. CONCLUSION: We concluded that successful treatment methods were enucleation and Carnoy's solution in small lesions and marsupialization in lesions that have reached a very large size, but because KCOT was observed in second decade mostly, long-term follows up are suggested.


Assuntos
Neoplasias Maxilomandibulares/cirurgia , Tumores Odontogênicos/cirurgia , Adulto , Feminino , Humanos , Neoplasias Maxilomandibulares/diagnóstico por imagem , Neoplasias Maxilomandibulares/patologia , Masculino , Pessoa de Meia-Idade , Tumores Odontogênicos/diagnóstico por imagem , Tumores Odontogênicos/patologia , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
6.
J Oral Maxillofac Surg ; 69(10): 2537-47, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21798642

RESUMO

PURPOSE: The purpose of this study was to compare Unilab Surgibone (USB) (Mississauga, Ontario, Canada), a bone xenograft (bovine), with platelet-rich plasma (PRP) and USB without PRP to augment the human maxillary sinus in preparation to receive dental implants. PATIENTS AND METHODS: Patients who had bilateral pneumatized maxillary sinuses were included. Sinuses on one side were augmented with the USB-PRP combination and formed the study group, whereas the opposite-side sinuses were augmented with USB alone and served as controls. Bone biopsy specimens were taken during implant placement at 6.8 ± 0.9 months after maxillary sinus floor augmentation. Resonance frequency analysis measurements were performed at implant placement (first control) and before the prosthetic stage (second control), at 6.5 ± 0.7 months after implant surgery. RESULTS: There were 10 patients (7 men and 3 women; mean age, 53.7 ± 0.8 years). Integration between new bone and residual grafts was histologically observed in all samples. The volumes of soft tissue were 59.9% ± 7.5% and 57.8% ± 4.4% in the control and study groups, respectively; residual graft, 21.9% ± 6.6% and 23.6% ± 5.9%, respectively; new bone, 15.8% ± 4.8% and 16.0% ± 3.8%, respectively; and trabecular bone, 64.7% ± 22.5% and 69.1% ± 18.6%, respectively. A positive correlation was found between new bone volume and trabecular bone volume (P = .0001). The mean Implant Stability Quotient (ISQ) values were 71.7 ± 4.9 and 70.3 ± 5.7 in the control and study groups, respectively, at first control and 75.4 ± 6.4 and 74.4 ± 6.4, respectively, at second control. The mean ISQ values at second control in both groups were significantly higher than at first control (P = .043 and P = .028, respectively). No statistically significant differences were observed between groups (P > .05). CONCLUSION: The combination of USB and PRP does not have any effect on new bone formation and implant stabilization.


Assuntos
Transplante Ósseo/métodos , Implantação Dentária Endo-Óssea , Seio Maxilar/cirurgia , Procedimentos Cirúrgicos Pré-Protéticos Bucais , Plasma Rico em Plaquetas , Idoso , Animais , Regeneração Óssea , Bovinos , Distribuição de Qui-Quadrado , Falha de Restauração Dentária , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estatísticas não Paramétricas , Resultado do Tratamento
7.
J Adhes Dent ; 12(1): 71-5, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20155233

RESUMO

The loss of anterior teeth due to trauma requires immediate attention for function and esthetics. While implant- supported or conventional fixed prostheses may be the treatments of choice for adults, relatively noninvasive and reversible provisional procedures for tooth replacement are necessary for adolescents. In recent years, developments in fiber and composite technology offer a conservative treatment approach to restore the anterior edentulous space as a fixed provisional tooth replacement. This case report presents the chairside procedures of anterior tooth replacement in an adolescent using the avulsed tooth crowns as pontics which were bonded to teeth on either side of the edentulous space and reinforced with a preimpregnated fiber.


Assuntos
Restauração Dentária Temporária/métodos , Incisivo/lesões , Mantenedor de Espaço em Ortodontia/métodos , Avulsão Dentária/terapia , Coroa do Dente , Dente Artificial , Adolescente , Processo Alveolar/lesões , Alveoloplastia , Resinas Compostas , Feminino , Humanos , Cura Luminosa de Adesivos Dentários , Maxila , Cimentos de Resina
8.
Artigo em Inglês | MEDLINE | ID: mdl-19716717

RESUMO

OBJECTIVE: Our hypothesis is that increased apoptosis in synovium might contribute to temporomandibular joint (TMJ) degeneration. To investigate this, we measured soluble Fas (sFas) and nuclear matrix protein (NMP) levels in TMJ synovial fluid from patients with disc displacement without reduction as indicators of apoptosis in the synovium. PATIENTS AND METHODS: Synovial fluid was obtained from 17 joints in 17 patients (11 female, 6 male; mean age, 31.5 +/- 11.9 years; range, 19 to 55). Patients were referred to our clinic because of limited mouth opening, joint sounds, or TMJ pain. Synovial fluid obtained by arthrocentesis for therapeutic reasons was analyzed by enzyme-linked immunosorbent assays for APO-1/Fas and cell death detection (NMP). RESULTS: We studied 12 left (71%) and 5 right (29%) joints with disc displacement without reduction. The chief complaint was pain on the affected side and limited mouth opening. Only 2 patients had a click in the affected joint, whereas 14 reported pain and 17 had the limited mouth opening. All patients experienced a significant (P < .01) increase in maximal mouth opening immediately after arthrocentesis. Mean sFas and NMP levels were 484.9 +/- 466.7 pg/mL (range, 17 to 1501) and 29.2 +/- 13.7 U/mL (range, 8 to 52.8) respectively. CONCLUSION: Considering reports that increased sFas blocks apoptosis by inhibiting binding of FasL to Fas on the cell membrane, low level of sFas in our patients' synovial fluid (compared with amounts reported in joint inflammation or degeneration) suggests vulnerability to apoptosis in patients with internal derangement.


Assuntos
Apoptose , Líquido Sinovial/química , Membrana Sinovial/patologia , Disco da Articulação Temporomandibular/patologia , Transtornos da Articulação Temporomandibular/patologia , Adulto , Feminino , Humanos , Luxações Articulares/complicações , Luxações Articulares/patologia , Luxações Articulares/fisiopatologia , Masculino , Pessoa de Meia-Idade , Proteínas Associadas à Matriz Nuclear/análise , Proteínas Associadas à Matriz Nuclear/metabolismo , Osteoartrite/etiologia , Paracentese , Membrana Sinovial/fisiopatologia , Disco da Articulação Temporomandibular/fisiopatologia , Transtornos da Articulação Temporomandibular/metabolismo , Transtornos da Articulação Temporomandibular/fisiopatologia , Adulto Jovem , Receptor fas/análise , Receptor fas/metabolismo
9.
Dent Traumatol ; 25(4): 447-50, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19519858

RESUMO

Injuries to the face may cause long-term defects both aesthetic and functional consequences when the treatment is delayed, inadequate or absent. The varieties of osteotomy techniques are applied to improve posttraumatic malposition of the maxillofacial bones and occlusal function. In this article, a 21-year-old female involved in a traffic accident presented a severe deformity in maxilla and treated by anterolateral osteotomy is presented.


Assuntos
Má Oclusão/cirurgia , Maxila/cirurgia , Fraturas Maxilares/cirurgia , Osteotomia/métodos , Acidentes de Trânsito , Processo Alveolar/lesões , Placas Ósseas , Dente Canino/lesões , Arco Dental/lesões , Restauração Dentária Permanente , Assimetria Facial/cirurgia , Feminino , Fixação Interna de Fraturas/instrumentação , Humanos , Incisivo/lesões , Má Oclusão/etiologia , Fraturas Maxilares/complicações , Fraturas dos Dentes/terapia , Adulto Jovem
10.
J Oral Maxillofac Surg ; 66(10): 2004-11, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18848095

RESUMO

PURPOSE: The aim of this study is to determine the proliferative potentials of dental follicles (DF) of radiographically asymptomatic impacted third molar teeth by using Ki-67 and mini-chromosome maintenance protein 2 (MCM-2) proliferation markers, and to discuss whether there is any necessity for the removal of all impacted third molars by detecting the potential of the developing cysts and tumors of its DF. MATERIALS AND METHODS: This study involved 59 DF of 54 patients referred for clinically and radiographically asymptomatic lower impacted third molars. Thirteen healthy gingiva tissues obtained during the impacted third molar operation in 13 patients served as a control group. DF widths on periapical radiographs below 2.5 mm were included in the study. The epithelial and mesenchymal components of DF were examined histologically. All specimens were stained with periodic acid Schiff, Alcian blue, and mucin for the evaluation of mucous cell prosoplasia. Epithelial cell proliferation was determined by using immunohistochemical labeling. RESULTS: The histologic examinations showed 11.9% mucous cell prosoplasia, 55.9% squamous metaplasia, 15.3% glandular epithelium, and 33.9% inflammation. Ki-67 expression was found to have higher values than MCM-2 expression in controls 6.15 (3.18) and 10.53 (5.77) and in DF 4.46 (1.39) and 5.89 (2.89), respectively. The expression of both proliferation markers in the basal epithelial cells, mucous, and squamous epithelium and inflammatory cells were statistically significant (P < .01). CONCLUSION: The results of this study indicate that the odontogenic epithelium in DF of asymptomatic impacted third molars might be actively proliferating and may be an indicator for the differentiation potential of DF. It would also seem that the inflammation observed in the mesenchymal components of DF up-regulate the cell turnover of odontogenic epithelium and lead to proliferation. Based on these observations, we support prophylactic removal of impacted third molars.


Assuntos
Saco Dentário/patologia , Células Epiteliais/patologia , Dente Serotino/patologia , Extração Dentária/estatística & dados numéricos , Dente Impactado/patologia , Adolescente , Adulto , Idoso , Estudos de Casos e Controles , Proteínas de Ciclo Celular/biossíntese , Proliferação de Células , Células Epiteliais/metabolismo , Feminino , Humanos , Imuno-Histoquímica , Antígeno Ki-67/biossíntese , Masculino , Metaplasia/patologia , Pessoa de Meia-Idade , Componente 2 do Complexo de Manutenção de Minicromossomo , Dente Serotino/citologia , Dente Serotino/cirurgia , Proteínas Nucleares/biossíntese , Cistos Odontogênicos/prevenção & controle , Tumores Odontogênicos/prevenção & controle , Dente Impactado/cirurgia , Regulação para Cima
11.
Quintessence Int ; 38(5): e238-9, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17568827

RESUMO

Migration or displacement of dental implants into the anatomical sites is a possible but rare complication. This article describes 2 cases of ectopic dental implants in the maxillary sinus, 1 of which was displaced at the time of surgery and the other which migrated 8 years after placement.


Assuntos
Implantes Dentários , Migração de Corpo Estranho/diagnóstico por imagem , Seio Maxilar/diagnóstico por imagem , Feminino , Humanos , Pessoa de Meia-Idade , Radiografia
12.
Artigo em Inglês | MEDLINE | ID: mdl-16731388

RESUMO

OBJECTIVE: Mandibular midline distraction osteogenesis represents a new option for creation of intra-arch space in the mandibular arch. The aim of this paper is to introduce a simple device (hyrax expander) and method for mandibular midline distraction. STUDY DESIGN: The sample consisted of 24 patients (mean age: 18.07 years) treated with mandibular midline distraction. Hyrax expanders were used as symphyseal distractors, and distraction procedure was carried out with a rate of 1 mm and rhythm of twice daily. RESULTS: Mandibular midline distraction was completed successfully in all patients and the distraction amount was 7.01 mm. No major complication other than mild mucosal irritation and gingival recession was observed. CONCLUSION: The presented method is a viable option for mandibular midline distraction osteogenesis.


Assuntos
Má Oclusão/cirurgia , Mandíbula/cirurgia , Procedimentos Cirúrgicos Bucais/instrumentação , Osteogênese por Distração/instrumentação , Adolescente , Cefalometria , Queixo/cirurgia , Humanos , Masculino , Ortodontia Corretiva , Osteotomia/instrumentação
13.
Artigo em Inglês | MEDLINE | ID: mdl-16243234

RESUMO

OBJECTIVE: Mandibular midline distraction osteogenesis represents a new option for creation of intra-arch space in the mandibular arch. The aim of this paper is to introduce a simple device (hyrax expander) and method for mandibular midline distraction. STUDY DESIGN: The sample consisted of 24 patients (mean age: 18.07 years) treated with mandibular midline distraction. Hyrax expanders were used as symphyseal distractors, and distraction procedure was carried out with a rate of 1 mm and rhythm of twice daily. RESULTS: Mandibular midline distraction was completed successfully in all patients and the distraction amount was 7.01 mm. No major complication other than mild mucosal irritation and gingival recession was observed. CONCLUSION: The presented method is a viable option for mandibular midline distraction osteogenesis.


Assuntos
Má Oclusão/cirurgia , Mandíbula/cirurgia , Procedimentos Cirúrgicos Bucais/instrumentação , Osteogênese por Distração/instrumentação , Adolescente , Cefalometria , Análise do Estresse Dentário , Humanos , Masculino , Aparelhos Ortodônticos , Técnicas de Movimentação Dentária
14.
N Y State Dent J ; 71(4): 38-42, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16146306

RESUMO

OBJECTIVE: The aim of this study was to assess the efficacy of low-dose amitriptyline in patients with atypical facial pain for one-year follow-ups. PATIENTS AND METHODS: Sixteen patients, ten females and six males, ranging in age from 15 to 77 years (mean 46.6 +/- 15.95 years), participated in the study. The onset, duration and temporal pattern of pain, events related to pain, drugs used before treatment and side effects of amitriptyline were recorded. The severity of pain was evaluated by using the visual analogue scale (VAS). Patients were followed for up to 12 months. RESULTS: The results showed that the onset of pain was related to dental pain in half of patients; and 10 patients had continuous pain. The mean VAS scores for pretreatment, post treatment, and 1, 3, 6, and 12 months were 9.6, 4.8, 2, 0.8, 0.3 respectively. In 12 patients, pain was reduced at the first month (p<0.05). All patients, except one, were pain-free at 12 months. It was statistically significant in achieving pain relief for 12 months (p<0.05). The common side effects of the drug were dry mouth and drowsiness. CONCLUSION: Data obtained from this study suggested that amitriptyline may be preferred in patients with atypical facial pain for rapid, satisfying analgesic effects. Long-term follow-up should be conducted to determine the analgesic effects and to prevent recurrence, even if the analgesic effect occurs in a short time.


Assuntos
Amitriptilina/uso terapêutico , Analgésicos não Entorpecentes/uso terapêutico , Dor Facial/tratamento farmacológico , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor
16.
Dent Traumatol ; 21(4): 188-94, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16026523

RESUMO

The aim of this study was to evaluate etiology, types of traumatic dental injuries, treatment and to determine the incidence of complications according to dental injuries in patients who referred to Yeditepe University, Faculty of Dentistry, Istanbul, Turkey. The study was based on the clinical data of the 161 traumatized teeth in 92 patients. WHO classification slightly modified by Andreasen & Andreasen for dental trauma was used. The causes and localization of trauma, traumatized teeth classification, treatment and complications were evaluated both primary and permanent teeth. The distribution of complications according to diagnosis and treatment of the injured teeth were evaluated. Of 35 (38%) girls and 56 (72%) boys with a mean age 7.6 +/- 3.5 (ranging 1-14.2) participated to study and the mean followed up was 1.72 +/- 1.28 years (ranging 0.10-3.8 years). From the 161 affected teeth, 69 (42.9%) were in primary teeth and 92 (57.1%) in permanent teeth. The highest frequency of trauma occurred in the 6-12 year age group. Overall boys significantly outnumbered girls by approximately 1:1.6. The most common type of injury in the primary and permanent teeth was seen as luxation (38%) and enamel fracture (20%) of the maxillary central incisors, respectively. Falls were the major sources of trauma both the primary (90%) and the permanent teeth (84%). In the primary dentition, the most common type of soft tissue injury is contusion (62.5%) and in the permanent dentition, it is laceration (49%). The most of the treatment choice was determined as examination only and extraction in primary teeth (58 and 24.6%, respectively) while it was applied as restoration and pulpectomy in permanent teeth (31.5 and 18.5%, respectively). Complications were recorded on 37 teeth (23%) with a most common type of necrosis (10.5%) and dental abscess (7.4%). Necrosis was more frequent in luxation whereas dental abscess were in crown fracture with pulpal involvement in both dentitions. The study showed that boys were more prone to dental traumas than girls. Falls were more frequent trauma type with a high complication risk. It reveals that the time of the immediate treatment showed the important predisposing factors that increase the success of treatment and decrease the risk of complication. The correct diagnosis of dental injuries is more important for eliminating the occurrence of complications.


Assuntos
Traumatismos Dentários/epidemiologia , Abscesso/epidemiologia , Acidentes por Quedas/estatística & dados numéricos , Adolescente , Fatores Etários , Criança , Pré-Escolar , Contusões/epidemiologia , Restauração Dentária Permanente/estatística & dados numéricos , Feminino , Seguimentos , Humanos , Incisivo/lesões , Lactente , Lacerações/epidemiologia , Masculino , Mucosa Bucal/lesões , Pulpectomia/estatística & dados numéricos , Estudos Retrospectivos , Fatores Sexuais , Avulsão Dentária/epidemiologia , Extração Dentária/estatística & dados numéricos , Fraturas dos Dentes/epidemiologia , Dente Decíduo/lesões , Turquia/epidemiologia
17.
Artigo em Inglês | MEDLINE | ID: mdl-15829868

RESUMO

Bilateral migration of teeth into the coronoid process in a patient with ectodermal dysplasia has not been reported in the literature except one report in which severe hypodontia and bilaterally ectopic impacted teeth in the coronoid processes of a nonsyndromic patient occurred. This article presents a 15-year-old female with hypohidrotic ectodermal dysplasia who had surgical removal of bilaterally impacted teeth in the coronoid process and was rehabilitated with a dental implant-retained fixed prosthesis in the mandible and over-denture in the maxilla.


Assuntos
Anodontia/reabilitação , Implantes Dentários , Prótese Dentária Fixada por Implante , Displasia Ectodérmica/complicações , Dente Impactado/etiologia , Adolescente , Anodontia/etiologia , Implantação Dentária Endo-Óssea , Planejamento de Prótese Dentária , Revestimento de Dentadura , Prótese Parcial Fixa , Feminino , Humanos , Hipo-Hidrose/complicações , Mandíbula/patologia , Mandíbula/cirurgia , Miniaturização , Extração Dentária , Dente Impactado/cirurgia
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