RESUMO
To ensure eruption of the dentition in patients with cleidocranial dysostosis, close collatoration between the oral surgeon and the orthodontist is essential to determine the sequence of extraction, the teeth to be ligated, the preferred technique of ligation, and the approach for surgical exposure.
Assuntos
Displasia Cleidocraniana/terapia , Doenças Dentárias/cirurgia , Técnicas de Movimentação Dentária , Criança , Feminino , Humanos , Erupção Dentária , Dente Impactado/cirurgia , Dente Supranumerário/cirurgia , Dente não Erupcionado/cirurgiaRESUMO
A 47-year-old woman had a swelling in the floor of the mouth and in the submandibular area on the left side. About four hours earlier, a dentist had extracted the mandibular left second premolar and first molar. The rate and degree of the distension were alarming; the floor of the mouth was at a level with the incisal edges of the mandibular incisors. Five hours later, the floor of the mouth was elevated about 1 1/2 cm above the incisal edges of the teeth. Treatment of the patient and her unusual sensitivity to meperidine and promethazine that caused a depression into Cheyne-Stokes respiration and hypotension are described.
Assuntos
Hematoma/etiologia , Hemorragia Bucal/etiologia , Extração Dentária/efeitos adversos , Pressão Sanguínea , Respiração de Cheyne-Stokes , Feminino , Hematoma/tratamento farmacológico , Humanos , Intubação Intratraqueal , Lidocaína/uso terapêutico , Meperidina/uso terapêutico , Pessoa de Meia-Idade , Soalho Bucal , Naloxona/uso terapêutico , Hemorragia Bucal/tratamento farmacológico , Oxigênio/uso terapêutico , Penicilinas/uso terapêutico , Prometazina/uso terapêutico , Pulso Arterial , Respiração , Insuficiência Respiratória/terapiaAssuntos
Apicectomia , Hemofilia A , Abscesso Periapical/cirurgia , Criança , Humanos , Masculino , Tratamento do Canal RadicularAssuntos
Cistos não Odontogênicos/cirurgia , Adulto , Humanos , Masculino , Métodos , Palato/cirurgiaRESUMO
The diagnosis and management of a fractured mandible of a 4-year old child has been presented. A brief review of the literature is given. The remarkable aspect of the case is its reported cause of dog bite. The patient was managed conservatively by closed reduction, and use of Oliver loops. The maxillomandibular fixation was lost on the 11th postoperative day. At that time, no mandibular deviation or limitation of movement was noted. Further immobilization was not deemed necessary. During a three-month follow-up period, no complications occurred.
Assuntos
Mordeduras e Picadas/complicações , Cães , Fraturas Mandibulares/etiologia , Animais , Traumatismos Faciais/etiologia , Humanos , MasculinoRESUMO
The immediate treatment of a transected parotid duct has been presented along with a brief review of the literature. The importance of exploration of wounds in the facial area cannot be overemphasized, as early repair of a severed duct is of utmost importance for establishing its patency.
Assuntos
Glândula Parótida/lesões , Adulto , Cateterismo , Paralisia Facial/complicações , Humanos , Masculino , Glândula Parótida/cirurgiaRESUMO
The following case report describes the evaluation, assessment, and treatment of a facial infection due to Salmonella typhi, caused by bites from the family's pet dog. The causative agent and the mode of transmission are unique in that there are no reported cases of this nature in the literature at this time.
Assuntos
Face , Febre Tifoide/etiologia , Mordeduras e Picadas/complicações , Pré-Escolar , Traumatismos Faciais/complicações , Feminino , Humanos , Salmonella typhi , Febre Tifoide/microbiologiaRESUMO
A case of a dentigerous cyst with proliferating odontogenic epithelium in a 5-year-old black boy is presented. A controversy exists in the histologic diagnosis and surgical treatment of this lesion. The accuracy of the pathologic diagnosis is imperative, as it will determine to a great extent the surgical modality of treatment.
Assuntos
Cisto Dentígero/patologia , Neoplasias Mandibulares/patologia , Ameloblastoma/patologia , Pré-Escolar , Cisto Dentígero/fisiopatologia , Diagnóstico Diferencial , Epitélio/patologia , Epitélio/fisiopatologia , Humanos , Masculino , Neoplasias Mandibulares/fisiopatologia , OdontogêneseRESUMO
Reported is the case of a well-circumscribed radiopaque ameloblastoma of the maxilla. Treatment was by means of a conservative partial resection of the maxilla. The procedure was successful in completely removing the tumor mass without causing any noticeable facial disfigurement. Long-term follow-up was stressed to the patient for early detection of any recurrence.
Assuntos
Ameloblastoma/patologia , Neoplasias Maxilares/patologia , Adulto , Ameloblastoma/cirurgia , Feminino , Humanos , Maxila/cirurgia , Neoplasias Maxilares/cirurgiaRESUMO
The case of a highly unusual lesion present in the mandibular area is reported. Operative intervention was successful, and healing was uneventful. The pathologic diagnosis was difficult to make because of the nature of the lesion.
Assuntos
Fáscia/patologia , Neoplasias de Tecidos Moles/patologia , Pré-Escolar , Tecido Conjuntivo/patologia , Células do Tecido Conjuntivo , Diagnóstico Diferencial , Fáscia/diagnóstico por imagem , Fibroblastos/patologia , Humanos , Masculino , Mandíbula , RadiografiaRESUMO
Two cases of dentoalveolar abnormality have been presented that were treated successfully in a relatively short time by using the combined efforts of the oral surgeon and orthodontist. Although corticotomy has limited applications, it has a place in the armamentarium of the orthognathic surgeon.