Comparison of postoperation bone defects healing of alveolar processes of maxilla and mandible with the use of Bio-Gen and Bio-Oss

Bone defects of mandible and maxilla alveolar processes have often iatrogenic origins, because they appear as a consequence of performed operations. Bone atrophy may be stopped by filling bone defects with augmentative biomaterial directly after an oral surgery procedure. To achieve this aim augmentative biomaterials are used. Many years of experimental studies confirmed xenogenic biomaterials as the most ef fective. The aim of this study was clinical assessment of bone lesions healing with the use of Bio-Gen and Bio-Oss materials. A comparison of radiological imaging of healed defects was performed, as well as histological analysis of biopsies obtained from the defect sites. The structure analysis of both materials was performed with the use of electron microscopy. Chemical ingredients of analyzed biomaterials were assessed with the use of X-ray microanalysis. Postoperation follow-up in all groups was done. Histological and radiological analysis of regeneration course were performed. Radiological analysis was performed with the use of Digora 2,1 system, which allows to asses optical density of images. Histopathologic regenerates were analyzed morfometrically. The results of this study confirmed effectiveness of Bio-Gen and Bio-Oss materials in regeneration of bone defects. Six month long follow-up period confirmed a significant increase of the optical density of regenerates augmented with Bio-Gen and Bio-Oss comparing to lesions healed without biomaterial augmentation

An evaluation of selected oral health indicators and cariogenic bacteria titer in patients with Helicobacter pylori

Background. Studies based on polymerase chain reaction (PCR) techniques indicate that Helicobacter pylori can be constantly or temporarily present in the oral cavity in virulent or non-virulent form. Streptococcus mutans exerts a strong inhibitory effect on H. pylori. Objectives. The aim of the present study was to investigate the prevalence and virulence of H. pylori in the oral cavity and the correlation of these factors with oral health and cariogenic bacteria titer. Material and methods. The study involved 108 adults who were positive in urease tests for H. pylori presence in the gastric mucosa. Group I consisted of 50 patients with positive saliva tests using PCR for the presence of H. pylori DNA, while group II comprised 58 patients with negative tests. The research material consisted of saliva and dental plaque. To determine the density of S. mutans and Lactobacillus, commercially available S. mutans and LB sets were used. Results. H. pylori DNA was found in the oral cavities of 46% of the patients who had tested positive in urease tests for the presence of these bacteria in the stomach. Among those who tested positive for the presence of H. pylori in the oral cavity, virulent strains were identified in 16% of the patients. Approximal plaque index (API) and bleeding on probing (BOP) were found to be significantly higher in patients with confirmed H. pylori in the oral cavity. This group also had a smaller number of S. mutans colonies. Conclusions. H. pylori is found more often in patients with poor oral hygiene. Oral sanitation and hygiene instructions should be considered relevant as a complement to eradication therapy

Intraosseous lipoma of the mandibula: A case report and review of the literature

Lipoma is a benign tumour originating from mature adipose tissue. It can occur in any place in the body where adipose tissue is located. Intraosseous lipoma is a very rare bone tumour. The authors present an infrequent case involving intraosseous lipoma of the mandible in a 32-year old man and provide a review of case studies documented earlier in the literature

Canine transmigration accompanying mandibular retrognathism secondary to osteitis

Transmigration is a tooth pathology in which the migrating tooth bud passes the median plane. Methods: This study is a presentation of the diagnostic and therapeutic outcomes in the cases of 4 stomach teeth transmigrations diagnosed in 3 patients with mandibular retrognathia which was a complication after osteitis in the postnatal period and infancy. Results: Extending imaging diagnostics to include CT, most preferably CBCT, makes it possible to precisely evaluate a transmigrated canine’s position and to plan a course of treatment. Conclusions: Planning of the treatment of teeth in transmigration in patients with temporomandibular ankylosis should be done by a team consisting of an orthodontist and a surgeon

CBCT for estimation of the cemento-enamel junction and crestal bone of anterior teeth

The aim of the study is to evaluate the usefulness of cone-beam computed tomography (CBCT) in the assessment of the relationship between the cemento-enamel junction (CEJ) and bone crest of the anterior mandibular cortex. The study population comprised 39 males and 61 females, aged 18–71. A GENDEX GXCB-500 machine, i-CAT Vision and CorelDraw 9 software were used. The distances between the CEJ and bone crest at buccal and lingual sides of six anterior mandibular teeth were measured. Descriptive statistical methods, Student’s t-test and ANOVA were used. The mean distance between the bone crest and CEJ was 2.32 mm ± 0.78 mm at the buccal and 2.52 mm ± 0.85 mm at the lingual side. It was found that in males aged over 50 years, the mean distance at the buccal side was 2.84 mm ± 0.79 mm and was significantly higher than in males aged 49 and less – 2.08 mm ± 0.41 mm. The mean distance at the lingual side was 3.28 mm ± 1.08 mm and was significantly lower in the age group of 49 years and less – 2.10 mm ± 0.41 mm. CBCT allows determining the distance between the CEJ and crestal bone margin at buccal and lingual sides. The data provide crucial information for planning orthodontic treatment, implant placement and periodontal therapy

Maxillary fibrous dysplasia associated with McCune-Albright syndrome. A case study

McCune Albright syndrome (MCA) is a rare complication of genetic origin. The authors present a case study of a patient with MCA diagnosed with multifocal fibrous dysplasia in his limb and craniofacial bones. The symptoms of the disease in the patient’s facial and oral tissue and the treatment administered have been described