FASCEÍTE NECROTIZANTE DE ORIGEM ODONTOGÊNICA: RELATO DE CASO

Fasceíte Necrotizante (FN) é uma infecção rara, rápida e progressiva da fáscia e do tecido adiposo subcutâneo

Successful Use of Lower-Level Laser Therapy in the Treatment of Medication-Related Osteonecrosis of the Jaw

Case Presentation: This study aimed to report a case of medication related osteonecrosis of the jaw (MRONJ) of a 65-year-old female patient referred to the Oral and Maxillofacial Surgery team from Araçatuba Dental School, complaining about mobility of a previously dental implant placed on the posterior maxillary region. Clinical examination revealed an extensive necrosis area around the implant region. The patient reported bisphosphonate therapy with sodium alendronate for prevention of osteoporosis 5 years ago. A diagnosis of MRONJ was reached and the treatment decided was to remove the dental implant damaged and use the lower-level laser therapy (LLLT) associated with antibiotic therapy with clindamycin 300 mg and mouth rinses with chlorhexidine 0.12%.Conclusion: Six months after the treatment with LLLT a complete healing of the affected area was observed and 12 months after treatment the patient was rehabilitated with fixed dental prosthesis and showed excellent tissue healing of the necrosis areas. It was concluded that the use of LLLT showed to be a good option in the treatment of MRONJ

TRATAMENTO CIRÚRGICO DE ODONTOMA COMPLEXO EM MANDÍBULA COM O AUXÍLIO DE MOTOR ULTRASSÔNICO

O odontoma é o tipo mais comum dos tumores odontogênicos, sua composição é, principalmente, de esmalte e dentina, com quantidade variável de polpa e cemento

Influence of surgical ultrasound used in the detachment of flaps, osteotomy and odontosection in lower third molar surgeries. A prospective, randomized, and ?split-mouth? clinical study

As third molar surgery is the most commonly procedure performed in Dentistry and has been accompanied by serious postoperative disorders such as pain, edema and trismus, the study aimed to evaluate if ultrasound device would be able to reduce such postoperative features. The aim of this study was to assess the effects of soft tissue flap elevation, osteotomy and odontosection using piezosurgery versus conventional technique in mandibular third molar extractions. Twenty patients with impacted mandibular third molars underwent tooth extractions using two different methods. Ten patients were included in the Piezo Flap Group (PFG - the flap was elevated using piezosurgery) and ten patients were part of the Piezo Ostectomy Group (POG - osteotomy and odontosection were carried out with ultrasound tips). The contralateral tooth was included in the Control Group (CG - conventional technique). The patients were evaluated at postoperative periods of 1, 3, 7 and 14-days. The measured parameters were duration of surgery, pain, trismus and swelling. The mean duration of surgery for the PFG was 17.21 minutes (CG 10.07 minutes) and POG was 40.09 minutes (CG 15.97 minutes). There was no statistically significant difference in pain and trismus for any of the postoperative periods evaluated in PFG and POG (p>0.05). There was a statistically significant difference in swelling between the PFG and POG, presenting less swelling at the 3-day postoperative period (p=0.038; p0.05). Piezosurgery for tissue elevation of the surgical flap, osteotomy and dental sectioning in mandibular third molar extraction surgery promoted less edema in the early postoperative stages in mandibular third molar extractions despite the longer surgical duration

RECONSTRUÇÃO CIRÚRGICA COM ENXERTO DE CRISTA ILÍACA DE UM AMELOBLASTOMA MULTICÍSTICO - RELATO DE CASO

O Ameloblastoma multicístico é um tumor Odontogênico benigno que acomete os maxilares apresentando-se de forma agressiva, necessitando de tratamento imediato que na grande maioria das vezes deixa sequelas que impossibilitam a reabilitação protética do paciente

TÉCNICA ALTERNATIVA PARA FIXAÇÃO DE FRATURA DO ARCO ZIGOMÁTICO: RELATO DE CASO

As injúrias maxilofaciais estão presentes em uma porção substancial dos casos de trauma, sendo em muitos casos o complexo zigomático maxilar a segunda área da face mais atingida por traumatismos, superada apenas pelos ossos nasais

REMOÇÃO DE SIALOLITO GIGANTE EM DUCTO DE WHARTON: RELATO DE CASO

A sialolitíase é uma condição clínica relativamente comum, caracterizada pela obstrução da glândula salivar ou de seu ducto excretor por um cálculo, o qual recebe a denominação de sialolito

FECHAMENTO DE COMUNICAÇÃO BUCOSSINUSAL INFECTADA: RELATO DE CASO

A comunicação bucossinusal após exodontia é um tipo de complicação que deve ser revertida o mais prontamente possível, a fim de minimizar os riscos de infecções do seio maxilar