7 research outputs found
Treatment of maxillary sinusitis of odontogenic origin
Rezumat.
Studiul nostru reprezintă unul retrospectiv
efectuat pe un lot de 27 pacienţi la care
s-a stabilit diagnoza sinuzita maxilară de origine
odontogenă. Pacienţii au fost divizaţi în
3 loturi: lotul I — a fost constituit din 21 de
pacienţi cu sinuzita maxilară de origine odontogenă,
la care ca tratament am efectuat numai
extracţia dintelui cauzal. Lotul II — a fost
alcătuit din 4 pacienţi la care s-a aplicat tratamentul
funcţional endoscopic, înlăturarea
dintelui cauzal și tratamentul medicamentos.
Lotul III — din 2 pacienţi, la care s-a efectuat
cura radicală și înlăturarea dintelui cauzal.
Rezultate: Din 21 de pacienţi din lotul I, la 18
pacienţi numai extracţia dintelui cauzal a fost
suficientă pentru a rezolva sinuzita (rata de
succes 85%.) și nici o intervenţie adaugătoare
asupra sinusului nu a fost necesară. Rata de
succes în lotul II și III de pacienţi a constituit
100%. Concluzie: Tratamentul sursei odontogene
de infecţie în majoritatea cazurilor va fi
suficient pentru tratamentul sinuzitei și cura
radicală a sinusului maxilar sau tratamentul
funcţional endoscopic nu este obligator în
managementul sinuzitei odontogene.Summary.
A retrospective study was performed,
which included 27 patients with the diagnosis
of CMSDO. Extraction of the causative tooth
was performed in all patients, the result of
the treatment being followed up. Functional
endoscopic sinus surgery or radical cure was
performed in patients with ineffective treatment.
Patients were divided into 3 groups:
The first group included 21 patients — only
extraction of the odontogenic source, the
second group (4 patients) was performed the
combination of tooth extraction and FESS, in
the third group (2 patients) b– extraction and
radical cure of the sinus. Results: In the first
group the success rate was 85 %, complete
treatment of sinusitis being achieved in 18 patients;
in the second and third groups the success
rate constituted 100%. Conclusion: Treatment
of odontogenic source in most cases is
sufficient for sinusitis treatment and FESS or
radical cure of the sinus are not mandatory
Effectiveness of causative tooth extraction in maxillary sinusitis of dental origin
Department of Oral and
Maxillofacial Surgery and Oral Implantology Arsenie Gutan,
Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of MoldovaIntroduction. Odontogenic maxillary sinusitis (OMS) is an inflammatory disease caused by the
spread of dental inflammation into the sinus. The rate of OMS was reported to be 25-40%. A lot
of methods of treatment were proposed starting with medicine administration only, till radical
sinusotomy. The question is what is the efficacy of the initial treatment, the one that includes the
treatment of causal tooth only.
Aim of the study. The purpose of this study was to identify the factors of significance that may
contribute to the results of the initial treatment of OMS.
Materials and methods. Twenty four patients were studied, which were divided in 2 groups,
depending on the result of the treatment: effective and non-effective. Efficacy of the treatment
was evaluated 3 months after causative tooth treatment with CT scan, which was compared with
initial one. First group included 21 patients and the second one 3 persons, that required surgical
treatment.
Conclusions. 1. Causal tooth treatment of OMS is an effective and miniinvasive method.
2. Maxillary ostium obstruction is an important factor to predict outcome of the treatmen
Lateral sinus floor elevation with simultaneous mucosal cysts management
Introduction. Specialists in the field often face uncertainty in deciding whether to perform sinus lifting surgery in the
presence of a mucosal cyst during the pre-implantation preparation of patients with maxillary sinus pathology. While
some specialists believe that the sinus lifting operation cannot be performed in the presence of sinus pathology and should
be resorted to after a long period of healing, others believe that it can be performed in the presence of sinus pathology
or simultaneously with sinus sanitation. As a result, there are more controversies about the treatment tactics, stages, and
timing required to achieve the rehabilitation of these patients, demonstrating the significance of the problem at hand.
Materials and methods. The study included twenty patients who were referred to the Department of OMF Surgery and
Oral Implantology “Arsenie Guţan” and the dental clinic “OmniDent” between 20.06.2016 and 01.01.2019 for implant-prosthetic rehabilitation due to partial edentulism in the upper jaw in the lateral area and the presence of a mucosal cyst in
the maxillary sinus. The first group comprised of seven patients in whom the mucosal cyst was completely removed while
simultaneously undergoing lateral sinus lifting. The second group consisted of five patients, aged between 18 and 67 years
(average 45 years), who underwent marsupialization of the mucosal cyst. The third group comprised of six patients in
whom the cyst content was only aspirated, without removal or marsupialization of the cyst.
Results. All three methods were found to be effective, although total perforations of the sinus mucosa were recorded in
the first two groups, preventing the performance of sinus lifting at that stage. The method of aspirating the cystic content,
however, is a simple and low-risk procedure that does not carry the risk of perforating the sinus membrane and provides
predictable results.
Conclusions. The mucosal cyst does not present a contraindication to sinus lifting but requires additional surgical procedures
Minimally invasive surgical method of oroantral communication closure
Rezumat.
Comunicarea oro-sinusală reprezintă o soluţie de continuitate între cavitatea
bucală şi sinusul maxilar. Cea mai frecventă cauză a comunicarii orosinusale
este extracţia dinţilor laterali la maxilarul superior. Metodele de
închidere a comunicării oro-sinusale sunt multiple. În studiul actual au fost
comparate metodele tradiţionale prin crearea lambourilor mucoperiostale
cu o metoda miniinvazivă prin utilizarea materialului sintetic „Kolapol KP
3LM“. În studiul au fost incluşi 34 pacienţi. Pentru analiza comparativă a
metodelor în grupurile studiate am analizat 5 criterii: prezenţa edemului
ţesuturilor moi, modificarea laţimii gingiei cheratinizate, modificarea inalţimii
vestibulului oral, necesitatea operatiilor repetate, prezenţa sau lipsa recidivei
postoperatorii, inalţimea osului subantral si posibilitatea implantării
la acest nivel dupa perioada de vindecare. Metoda de plastie cu materialul
„Kollapol KP3 LM“ a dovedit eficienţa sa si traumatism minimal.Summary. Oroantral communications are communications between oral cavity
and maxillary sinus. The most common cause of oroantral communications
is upper first molar extraction. There are a lot of methods of oroantral
closure. In this study we compared the method of oro-antral communication
closure using vestibular flap versus mini-invasive method using grafting
of tooth socket using „Collapol KP3“ (collagen with hydroxyapatite).
In study were included 34 patients. To compare 2 groups we used 5 criteria:
presence or absence of edema of soft tissues, modification of the width of
vestibular keratinized gingiva, modification of the length of the vestibulum
of the mouth, the necessity of the repeated operations, the recurrence of
OA C, the length of the remaining alveolar bone and possibility of implant
placement. The method of OA C closure using osteoconductive material
„Collapol KP3“ proved to be effective and minimally traumatic
Surgical aspects of implantprosthetic rehabilitation using Knifethread®, nanostructured implants, with surface in-built calc
Rezumat
În cadrul studiului retro- şi prospectiv
au fost incluşi 165 pacienţi (58 bărbaţi şi 107
femei), cu vârsta cuprinsă între 19 şi 74 ani
(vârsta medie - 42,46 ani; ES±0,88 ani; DS
11,42), care s-au adresat în Clinica Stomatologică SRL “Omni Dent” (Chişinău, Republica
Moldova), în perioada aprilie 2016 – decembrie 2017, pentru reabilitare implanto-protetică. Au fost inserate 443 implante dentare endoosoase AnyRidge (Megagen, Gyeongsang,
Korea), dintre care s-au studiat 235 implante,
după perioada de osteointegrare, care a constituit 7,07 luni. S-a evaluat eficacitatea utilizării acestui tip de implante în funcţie de: timpii de reabilitare, varietatea situaţiilor clinice,
oferta osoasă calitativă/cantitativă şi rezultatele obţinute în dinamică.Summary
In this retro and prospective study were
included 165 patients (58 men and 107 women), with ages between 19 and 74 years (average age - 42,46 years; ES±0,88 years; DS
11,42), patients who addressed for treatment
in SRL “Omni Dent” Dental Clinic (Chisinau, Republic of Moldova) during April
2016 – December 2017. There were placed
443 AnyRidge (Megagen, Gyeongsang, Korea) implants. From this total number, by the
end of the osteointegration period, which
had an average of 7,07 months, 235 implants
were studied. We studied the efficiency of
this implant system according to: treatment
stages, the variability of clinical indications,
bone disponibility and the clinical results
over time