Treatment of Oral Fistulas

The term “fistula” can be defined as an improper connection between different body compartments. It can occur in different parts of the body. Although, fistulae mostly develop due to untreated chronic infections, traumatic injuries and congenital deformities, specific infections or diseases, and post-surgical healing abnormalities can also cause fistula formation. Although, there is a general classification system made by the World Health Organization to identify fistulae, specifically, in this chapter oral fistulae are divided into four different categories, namely dentoalveolar, oroantral, oronasal and orocutaneous fistulae. The diagnosis and the treatment protocols for oral fistulas are described using this specific classification and with additional new techniques introduced for the correction of the lesions. Conventional surgical methods also are summarized. The importance of the radiological examination is emphasized and the practitioners are informed of possible complications

Keratocystic Odontogenic Tumors: Predictive Factors of Recurrence by Ki-67 and AgNOR Labelling

Purpose: The purpose of the present study was to investigate the possible role of Ki-67 and argyrophilic nucleolar organizing regions (AgNOR) between the recurrent and nonrecurrent keratocystic odontogenic tumors (KCOTs). Another aim was to compare the correlation between these two markers

Iatrogenic Mandibular Fracture Associated with Third Molar Removal

Third molar extraction is one of the most common procedures performed in oral and maxillofacial surgery units. It is sometimes accompanied by complications such as alveolar osteitis, secondary infection, hemorrhage, dysesthesia and, most severely, iatrogenic fracture. This article describes two mandibular angle fractures that occurred in two patients during the surgical extraction of one erupted and one unerupted third molar, including a brief review of the literature

Delayed Removal of a Maxillary Third Molar Accidentally Displaced Into the Infratemporal Fossa

The removal of an impacted maxillary third molar is an easy procedure for an oral and maxillofacial surgeon. The most commonly seen complications associated with this type of surgery are excessive hemorrhage, infection, pain, swelling, trismus, and root fractures. Although rarely encountered, unexpected complications may also arise during this procedure, such as the displacement of the tooth into an anatomic space. In this article, a case of a maxillary left third molar accidentally displaced into the infratemporal fossa is presented, and the delayed removal of the tooth after 3 weeks from the initial unsuccessful attempt is described, along with the correlating reasons. The role of the radiologic analysis in determining the localization of the tooth, including the routine panoramic radiographs and more importantly the volumetric computed tomographic scans, is stated. The different surgical treatment options are classified, and the potential for morbidity in the surgical removal of the tooth from the infratemporal fossa is presented by ranging the vital anatomic structures running through it

5-year follow-up of a patient with an impacted maxillary canine transplantation and a single-tooth implant: A case report

International audienc

Decompression, Enucleation, and Implant Placement in the Management of a Large Dentigerous Cyst

The dentigerous cyst is a developmental odontogenic cyst, accounting for 10% of all cysts of the jaws. The treatment options are decompression, marsupialization, or enucleation regarding the features of the lesions. In this article, a case of a 17-year-old adolescent girl having a large mandibular dentigerous cyst associated with an unerupted third molar is presented. The treatment is composed of decompression for 6 months and enucleation

Keratocystic odontogenic tumors: predictive factors of recurrence by Ki-67 and AgNOR labelling.

Purpose: The purpose of the present study was to investigate the possible role of Ki-67 and argyrophilic nucleolar organizing regions (AgNOR) between the recurrent and nonrecurrent keratocystic odontogenic tumors (KCOTs). Another aim was to compare the correlation between these two markers

Detection of the anaerobic bacteria in the odontogenic cyst fluids using polymerase chain reaction (PCR) method

Odontogenic cysts are slow growing lesions which are formed by epithelium. They may reach to a substantial size without symptoms for a long time. Radicular cysts' (RCs) and odontogenic keratocysts' (OKCs) are common odontogenic cysts of jaws. The main purpose of this study is to evaluate if anaerobic bacteria play a role in the pathogenesis of the RCs and OKCs fluids by polymerase chain reaction (PCR). Odontogenic cyst fluid samples with a history of infection were collected from a total of 28 odontogenic cysts consisting of 16 samples of OKCs and 12 samples of RCs. Anaerobic bacteria detection were performed by PCR based on bacterial 16S rRNA genes. Porphyromonas gingivalis existed more frequently compared to the other bacteria, in all samples (39.2%). Following this, F. nucleatum (32.1%), Provetella intermedia and Campylobacter rectus (25.5%), Treponema denticola (25%), Provetella nigrescens and Tannerella forsythia (17.8%), Dialister pneumosintes (14.2%), Filifactor alocis (10.7%), Porphyromonas endodontalis and Provetella pallens (7.1%) were seen. The 58.3% of the Fusobacterium nucleatum positive cyst fluids were in the RCs group. In D. pneumosintes positive cysts liquid samples, C. rectus was found to be positive (p=0.025). The same correlation was observed between F. alocis and C. rectus (p= 0.003). On the other hand, in F. alocis positive cysts liquid samples, F. nucleatum also was found to be positive (p=0.026). Odontogenic cysts fluid contained numerous anaerobic bacteria of various types, thus suggesting that oral bacteria may cause symptoms in odontogenic cyst fluids. Further studies are needed to assess the role of these bacteria in the pathogenesis of odontogenic cysts