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1.
Rev. ADM ; 78(4): 215-220, jul.-ago. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1292866

ABSTRACT

En este informe de caso clínico se muestra el tratamiento exitoso de un paciente con anodoncia parcial de órganos dentales 13 y 23 debido a que fueron extraídos por presentar impactación y mal pronóstico de tracción. En este artículo se presenta un paciente masculino de 29 años clase I esquelética con un perfil convexo, maloclusión de clase III, overjet disminuido, ausencia de guías funcionales, discrepancia oseodentaria positiva en arcada superior y negativa en arcada inferior. El tratamiento se realizó con extracciones de los órganos dentales 34 y 44 para nivelar las discrepancias óseo dentarias interarcadas, se llevó a cabo mediante un cierre de espacios recíproco por medio de cadenas elásticas para ambas arcadas, con lo que se logró crear un overjet y overbite adecuados. La creación de las guías caninas funcionales se consiguió mediante el cambio de morfología de los órganos dentales 14 y 24, los cuales fueron llevados a la posición de los caninos ausentes. El tiempo total de tratamiento para este paciente fue de 24 meses. Se realizaron ameloplastias positivas, la aplicación de agregados de resina para mejorar la funcionalidad y proveer salud articular. Se sugiere que ante casos de anodoncia de caninos en la arcada superior, un tratamiento favorable se puede llevar a cabo mediante el cierre de espacios, la caracterización morfológica de los caninos ausentes mediante ameloplastias positivas en premolares (AU)


This case report shows the successful treatment of a patient with partial anodontia of dental organs 13 and 23 because they have been extracted due to present impactation and poor traction prognosis. This article presents a 29-year-old male class I skeletal patient with convex profile, class III malocclusion, overjet reduction, absence of functional guidance, positive bone-teeth discrepancy in the upper arch and negative in the lower arch. The treatment was carried out with the extractions of the dental organs 34 and 44 for correcting oral dental discrepancies between upper and lower arches; it was done using reciprocal closing of spaces by using elastic chains for both arches in order to achieve a suitable overjet and overbite. The creation of the canine guides was achieved by changing the morphology of the dental organs 14 and 24, which were taken to the position of the absent canines. The total treatment timing for this patient was 24 months. Positive ameloplasties were performed by application of resin aggregates to improve functionality and provide joint health. A favorable treatment for these kinds of cases of canine anodontics in the upper arch is carried out by closing spaces and the morphological characterization of the absent canines by positive in-premolar ameloplasties (AU)


Subject(s)
Humans , Male , Adult , Tooth Extraction/methods , Bicuspid , Cuspid/surgery , Dental Enamel/surgery , Anodontia/therapy , Schools, Dental , Tooth Movement Techniques/methods , Orthodontic Brackets , Orthodontic Retainers , Orthodontic Space Closure , Esthetics, Dental , Malocclusion, Angle Class III/therapy , Maxilla , Mexico
2.
Medwave ; 20(6): e7956, 31-07-2020.
Article in Spanish | LILACS | ID: biblio-1119722

ABSTRACT

INTRODUCCIÓN: La coronectomía se considera una alternativa a la extracción total en los casos donde las raíces de los terceros molares inferiores están en íntimo contacto con el nervio alveolar inferior. Existe incertidumbre sobre si la coronectomía disminuye la incidencia de parestesia en comparación a la extracción total. MÉTODOS: Realizamos una búsqueda en Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante el cribado de múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, analizamos los datos de los estudios primarios, realizamos un meta análisis y preparamos una tabla de resumen de los resultados utilizando el método GRADE. RESULTADOS Y CONCLUSIONES: Identificamos seis revisiones sistemáticas que en conjunto incluyeron 17 estudios primarios, de los cuales, dos corresponden a ensayos clínicos aleatorizados. Concluímos que la coronectomía en comparación a la extracción total de los terceros molares inferiores probablemente se asocia a un menor riesgo de parestesia. Además, no está claro si la coronectomía en comparación a la extracción total de terceros molares inferiores podría aumentar el riesgo de infección (certeza de la evidencia es muy baja).


Subject(s)
Humans , Tooth Extraction/methods , Tooth Crown/surgery , Molar, Third/surgery , Randomized Controlled Trials as Topic , Databases, Factual
3.
J. appl. oral sci ; 28: e20190690, 2020. graf
Article in English | LILACS, BBO | ID: biblio-1101255

ABSTRACT

Abstract Objective To investigate the effects of intro-oral injection of parathyroid hormone (PTH) on tooth extraction wound healing in hyperglycemic rats. Methodology 60 male Sprague-Dawley rats were randomly divided into the normal group (n=30) and DM group (n=30). Type 1 diabetes mellitus (DM) was induced by streptozotocin. After extracting the left first molar of all rats, each group was further divided into 3 subgroups (n=10 per subgroup), receiving the administration of intermittent PTH, continuous PTH and saline (control), respectively. The intermittent-PTH group received intra-oral injection of PTH three times per week for two weeks. A thermosensitive controlled-release hydrogel was synthesized for continuous-PTH administration. The serum chemistry was determined to evaluate the systemic condition. All animals were sacrificed after 14 days. Micro-computed tomography (Micro-CT) and histological analyses were used to evaluate the healing of extraction sockets. Results The level of serum glucose in the DM groups was significantly higher than that in the non-DM groups (p<0.05); the level of serum calcium was similar in all groups (p>0.05). Micro-CT analysis showed that the DM group had a significantly lower alveolar bone trabecular number (Tb.N) and higher trabecular separation (Tb.Sp) than the normal group (p<0.05). The histological analyses showed that no significant difference in the amount of new bone (hard tissue) formation was found between the PTH and non-PTH groups (p>0.05). Conclusions Bone formation in the extraction socket of the type 1 diabetic rats was reduced. PTH did not improve the healing of hard and soft tissues. The different PTH administration regimes (continuous vs. intermittent) had similar effect on tissue healing. These results demonstrated that the metabolic characteristics of the hyperglycemic rats produced a condition that was unable to respond to PTH treatment.


Subject(s)
Animals , Male , Rats , Parathyroid Hormone/pharmacology , Tooth Extraction/methods , Wound Healing/drug effects , Tooth Socket/drug effects , Diabetes Mellitus, Experimental/physiopathology , Osteogenesis/radiation effects , Osteogenesis/physiology , Blood Glucose/analysis , Random Allocation , Calcium/blood , Rats, Sprague-Dawley , Hydrogels , Surgical Wound/drug therapy
4.
Braz. oral res. (Online) ; 34: e003, 2020. tab, graf
Article in English | LILACS | ID: biblio-1055525

ABSTRACT

Abstract This retrospective study evaluated facial profile pleasantness determined by two protocols of Class II treatment. The sample comprised facial profile silhouettes obtained retrospectively from the pretreatment (T1) and posttreatment (T2) cephalograms of 60 patients (42 males and 18 females) divided into two groups. One group of 30 patients (mean age of 12.84 years) was treated with the extraction of maxillary first premolars (mean treatment time of 2.7 years), and the other group of 30 patients (mean age of 12.81 years) was treated with a mandibular advancement appliance (Forsus) (mean treatment time of 2.49 years). The facial profile silhouettes (T1 and T2) were randomly distributed in an album containing one patient per sheet. The examiners consisted of 60 orthodontists and 60 lay individuals, who analyzed the profiles in regard to facial pleasantness, using the Likert scale. A comparison between stages T1 and T2 of the two treatment protocols and between the examiners was performed by mixed-design analysis of variance at a significance level of 5%. The results demonstrated a significant difference between T1 and T2 (greater scores for T2 compared to T1), and between lay individuals and orthodontists (orthodontists assigned higher scores), but with no significant difference between the treatment protocols. Both protocols produced positive effects on the facial profile esthetics, from the standpoint of lay individuals and orthodontists.


Subject(s)
Humans , Male , Female , Child , Adolescent , Tooth Extraction/methods , Esthetics, Dental , Face/pathology , Malocclusion, Angle Class II/pathology , Malocclusion, Angle Class II/therapy , Orthodontics, Corrective/methods , Perception , Bicuspid/surgery , Observer Variation , Cephalometry , Retrospective Studies , Analysis of Variance , Treatment Outcome , Statistics, Nonparametric , Orthodontists , Orthodontic Appliances, Fixed
5.
Rev. medica electron ; 40(6): 1856-1874, nov.-dic. 2018. tab
Article in Spanish | LILACS, CUMED | ID: biblio-978707

ABSTRACT

RESUMEN Introducción: la alveolitis dentaria es una complicación pos-textracción dental, local, dolorosa y reversible del alveolo. Objetivo: caracterizar la alveolitis dental en pacientes adultos del Policlínico "René Bedia Morales", perteneciente al municipio Boyeros. Mareriales y métodos: se realizó un estudio descriptivo de corte transversal, en el Policlínico "René Bedia Morales", municipio Boyeros, provincia La Habana, en el periodo comprendido de septiembre de 2016 a septiembre de 2017. El universo estuvo constituido por 250 pacientes, de ambos sexos. Diagnosticados con alveolitis dental tras haberse realizado exodoncia durante ese periodo. La muestra quedó conformada por 187 pacientes que cumplieron con los criterios de inclusión y exclusión. Se estudiaron las variables: edad, sexo, tipo de alveolitis y factores asociados a las mismas. La información fue recogida en un modelo de recogida de datos, bajo su consentimiento informado. Resultados: el grupo de edad más afectado fue el de 35-59 años, con 47,59 %. Predominó el sexo femenino, con un 66,84 %. Prevaleció la alveolitis seca, en un 55,08 %. Relacionado con las conductas inadecuadas del paciente, la afectación fue de un 40,64 %. El no cumplimiento de las indicaciones postoperatorias y fumar, luego de la exodoncia, fueron los factores más asociados a la alveolitis seca; con un 53,48 % y un 41,18 %, respectivamente. Conclusiones: la alveolitis afectó fundamentalmente a los pacientes de 35-59 años de edad, del sexo femenino. Con mayor frecuencia predominó la alveolitis seca relacionada a las conductas inadecuadas del paciente (AU).


ABSTRACT Introduction: Dental alveolitis is a local, painful dental pos extraction complication which is reversible. Objective: Provide a characterization of dental alveolitis in René Bedia Morales policlinic at Boyeros Municipality. Materials and methods: A descriptive transversal study was performed in René Bedia Morales policlinic at Boyeros Municipality, in Havana Province. The study was performed in a time span between September 2016 to September 2017. The study universe was constituted by 250 patients of both sexes diagnosed with dental alveolitis after have made extractions in that period of time and the sample remained formed for 187 patients , that met with the criteria of inclusion and exclusion. Age, sex, type of alveolitis and associated factors were the variables considered in the present study. The data was collected in a input data form, under the patients concern. Results: The most affected age group was from 35 to 59 years old which represents a 47,59 %, being the feminine sex the predominant group which represents a 66,84 %. Dry alveolitis was predominant in 55,08 % related to inadequate behaviors within a 40,64 % The most frequent factors associated to the non-fulfillment of the pos operatory orders, such as smoking after having performed the procedure of exodontia with a 53,48 % and 41,18 % respectively. Conclusions: Alveolitis mainly affects patients within 35-59 years old, feminine sex, and also related to inadequate behaviors of the patients (AU).


Subject(s)
Humans , Adult , Osteomyelitis/complications , Patient Dropouts , Tooth Extraction/methods , Risk Factors , Oral Medicine/ethics , Dry Socket/etiology , Health Risk Behaviors , Tooth Extraction/ethics , Epidemiology, Descriptive , Cross-Sectional Studies , Dry Socket/complications , Dry Socket/diagnosis , Dry Socket/epidemiology , Emergency Medical Services
6.
J. vasc. bras ; 17(4): 337-340, out.-dez. 2018. ilus
Article in Portuguese | LILACS | ID: biblio-969179

ABSTRACT

síndrome de Lemierre caracteriza-se pela tromboflebite séptica da veia jugular interna, após uma orofaringite, com embolização séptica para o pulmão ou outros órgãos. Neste relato de caso, apresentamos uma paciente feminina, 37 anos de idade, com história de edema e dor em hemiface direita há três dias, associada a fadiga e dispneia progressiva há um dia. História de extração dentária do elemento 48 há três dias. No exame físico admissional, apresentava-se taquipneica, saturando 60% (em ar ambiente), com edema em ângulo da mandíbula direita, redução difusa do murmúrio vesicular e panturrilhas sem empastamento. Angiotomografia de tórax e exames laboratoriais foram compatíveis com quadro de embolia séptica, e tomografia computadorizada da cervical corroborou o diagnóstico de tromboflebite séptica da veia jugular interna. Foi tratada com antibióticos e sintomáticos. A síndrome de Lemierre afeta mais homens jovens e tem embolização para o pulmão em até 97% dos casos. Extrações dentárias raramente podem ser a etiologia dessa síndrome. A tomografia computadorizada é o método de imagem mais utilizado no diagnóstico, e o tratamento é, essencialmente, com antibióticos; portanto, a abordagem cirúrgica é raramente necessária


Lemierre syndrome is characterized by septic thrombophlebitis of the internal jugular vein, after an oropharyngeal infection, with septic embolization to the lungs or other organs. This case report describes a 37-year-old female patient who presented with edema and pain in the right hemiface with onset 3 days previously and progressive fatigue and dyspnea since the previous day. She had had tooth 48 extracted 3 days previously. Physical examination at admission found tachypnea, with 60% saturation (in room air), edema at the angle of the right mandible, diffuse reduction of vesicular murmur, and calves free from clubbing. Angiotomography of the chest and laboratory tests were compatible with septic emboli, and cervical computed tomography confirmed a diagnosis of septic thrombophlebitis of the internal jugular vein. She was managed with antibiotics and given treatment for her symptoms. Lemierre syndrome most often occurs in young men and there is embolization to the lungs in up to 97% of cases. Rarely, the etiology of this syndrome may be tooth extraction. Computed tomography is the imaging method most often used for diagnosis and treatment is basically antibiotic. Surgery is thus rarely necessary


Subject(s)
Humans , Female , Adult , Tooth Extraction/methods , Lemierre Syndrome , Thrombophlebitis , Diagnostic Imaging/methods , Pharyngitis/complications , Tomography, X-Ray Computed/methods , Jugular Veins/diagnostic imaging , Neck
7.
Int. j. med. surg. sci. (Print) ; 5(3): 120-125, sept. 2018. ilus
Article in English | LILACS | ID: biblio-1254322

ABSTRACT

Dental transplantation is a treatment used to replace a missing tooth with another tooth. It is autogenous when it comes from the same individual. The aim of this article is to discuss the surgical protocol and present a case study to optimize the technique for the general dental practitioner. The first molars are the first permanent teeth to erupt during infancy, they are teeth most commonly lost among the permanent dentition. The third molars are best suited for this treatment, the treatment should be undertaken as soon as possible, as the patient ages there is decrease in the mesenchymal cells. Whenever possible, the pericoronal bag should be preserved in the removal of the tooth germ or tooth formed. We present a case where the tooth was placed in the receiver socket, taking into account the anatomical orientation of its faces, in infra-occlusion. The contention was made by silk and point "X" on the occlusal graft and fixed to the adjacent teeth with light-cured resin. Transplantation is an excellent alternative for treating the loss of one molar, especially in young patients.


Subject(s)
Humans , Tooth Extraction/methods , Molar, Third/transplantation , Transplantation, Autologous/methods , Radiography, Panoramic
8.
Ciênc. Saúde Colet ; 23(1): 267-276, Jan. 2018. tab, graf
Article in Portuguese | LILACS | ID: biblio-890480

ABSTRACT

Resumo O estudo objetivou criar um instrumento de medida que pudesse quantificar os desconfortos associados ao procedimento cirúrgico de pacientes submetidos a cirurgias dento-alveolares (QCirDental). O instrumento QCirDental foi desenvolvido em duas etapas iniciais: (1) geração e seleção das perguntas ou itens e, (2) teste do instrumento com avaliação das propriedades de medida (consistência interna e responsividade). A amostra foi composta por 123 pacientes. Nenhum deles apresentou qualquer dificuldade em entender o QCirDental. O instrumento mostrou excelente consistência interna com coeficiente alfa de Cronbach de 0,83. A análise de componentes principais (Kaiser-Meyer-Olkin Measure of Sampling Adequacy 0,72 e Bartlett's Test of Sphericity com p < 0,001) mostrou seis (6) dimensões do instrumento que explicam 67,5% da variância. O QCirDental possui excelente consistência interna, sendo um instrumento de fácil leitura e interpretação compatível com uma adequada validade semântica e de conteúdo. Mais de 80% dos pacientes submetidos a extrações dentárias de rotina odontológica apresentam algum desconforto ou incomodo no período transoperatório o que ressalta a necessidade de utilização de um instrumento para avaliação de cuidados.


Abstract The scope of this study was to develop and validate a questionnaire (QCirDental) to measure the impacts associated with dental extraction surgery. The QCirDental questionnaire was developed in two steps; (1) question and item generation and selection, and (2) pretest of the questionnaire with evaluation of the its measurement properties (internal consistency and responsiveness). The sample was composed of 123 patients. None of the patients had any difficulty in understanding the QCirDental. The instrument was found to have excellent internal consistency with Cronbach's alpha reliability coefficient of 0.83. The principal component analysis (Kaiser-Meyer-Olkin Measure of Sampling Adequacy 0,72 and Bartlett's Test of Sphericity with p < 0.001) showed six (6) dimensions explaining 67.5% of the variance. The QCirDental presented excellent internal consistency, being a questionnaire that is easy to read and understand with adequate semantic and content validity. More than 80% of the patients who underwent dental extraction reported some degree of discomfort within the perioperative period which highlights the necessity to assess the quality of care and impacts of dental extraction surgery.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Pain/epidemiology , Quality of Health Care , Tooth Extraction/methods , Surveys and Questionnaires , Pain/diagnosis , Pain/etiology , Reproducibility of Results , Principal Component Analysis , Middle Aged
9.
Bauru; s.n; 2018. 79 p. ilus, tab.
Thesis in English | LILACS, BBO | ID: biblio-906945

ABSTRACT

Premolars are the most commonly extracted teeth to provide space to correct crowding and excessive labial protrusion. After treatment, the extraction spaces have to remain closed. Nevertheless, several studies have shown that there is a tendency for some relapse even in patients finished with an adequate occlusion. The objective of this study was to compare the stability of extraction space closure of the first and second premolars. A sample 72 patients´ dental casts were divided into two groups. Group 1, comprised 29 patients (116 extraction spaces) were treated with first premolar extractions at a mean initial age of 13.78 years and group 2, comprised 43 patients (100 extraction spaces) were treated with second premolar extractions at a mean initial age of 15.20 years. The dental casts obtained at pretrement, posttreament and a between 3 to 4 years postretention were digitized using a 3- dimensional scanner (R700; 3Shape,Copenhagen, Denmark). Chi-Square tests were used to compare the numbers of open and closed extraction spaces after treatment and at long-term posttreatment. T tests were used to compare the amount of spaces at posttreatment and at the long-term posttreatment stages. These tests were also performed in subgroups with completely closed extraction sites at posttreatment. The groups showed similar numbers of extraction sites reopening. First and second premolar extraction space closure present a similar tendency for reopening. Considering only the cases that showed completely closed extraction spaces in the final dental models, extraction space reopening was larger in the first premolar extraction group in the maxillary arch.(AU)


Os pré-molares são os dentes mais comumente extraídos para corrigir o apinhamento dentário e à protrusão labial excessiva. Após o tratamento, os espaços das extrações deveriam permanecer fechados. Contudo, muitos estudos demostraram que existe uma tendência à reabertura dos espaços de extrações em pacientes finalizados com uma oclusão adequada. O objetivo deste estudo foi comparar a estabilidade dos espaços de extrações de primeiro e segundo prémolares. A Amostra deste estudo foi composta por 72 modelos dentários dividido em dois grupos. O Grupo 1 composto por 29 pacientes (116 espaços de extração) foram tratados com extrações dos primeiros pré-molares com idade media inicial de 13,78 anos e o grupo 2 composto por 43 pacientes (100 espaços de extração) foram tratados com extrações dos segundos pré-molares com idade media inicial de 15.20 anos. Os modelos dentários obtidos no pré-tratamento, pós-tratamento e 3 a 4 anos de controle e foram digitalizados mediante um scanner 3Shape R700 3D (3Shape A/S, Copenhagen, Dinamarca). Os testes t e do Qui-Quadrado, foram utilizados para comparar o número de espaços de extração abertos e fechados após o tratamento e pós-tratamento em longo prazo. Os resultados demostraram números similares de reabertura do espaço de extração entre os grupos. Concluiu-se que considerando apenas os casos que mostraram espaços de extração completamente fechados no final do tratamento, a quantidade de reabertura dos espaços de extrações dos primeiros pré-molares ocorre mais frequentemente que dos segundos pré-molares no arco superior.(AU)


Subject(s)
Humans , Male , Female , Adolescent , Bicuspid/surgery , Malocclusion/surgery , Orthodontic Space Closure/methods , Tooth Extraction/methods , Dental Models , Image Processing, Computer-Assisted , Reproducibility of Results , Statistics, Nonparametric , Treatment Outcome
10.
J. appl. oral sci ; 26: e20170396, 2018. tab, graf
Article in English | LILACS, BBO | ID: biblio-954525

ABSTRACT

Abstract It is necessary to preserve height and thickness of the alveolar bone to facilitate rehabilitation with osteointegratable implants or simply to maintain bone integrity after extraction. Biomaterials associated with resorbable or non-resorbable membranes, when placed in the region of the socket, may contribute to avoid this unwanted reabsorption. Objective The objective of this study was to evaluate the distance of the crest of alveolar ridge to the cementoenamel junction (CEJ) of the lower second molars and the bone density of the third molar socket filled with Gen-Tech®, 5 years after an exodontia using cone beam computed tomography (CBCT) to visualize the central region of the sockets, without overlapping of the buccal and lingual cortical bones. Material and Methods A total of 12 individuals from an initial group of 39 patients submitted to extraction of the unruptured lower third molars and grafting of an association of inorganic bovine bone matrix, organic bovine bone matrix, collagen and bone morphogenetic proteins (BMP) (Gen-Tech®) on one side and the contralateral sockets filled only by clot, returned to control after 5 years, and were submitted to CBCT. The distance from the crest of alveolar bone to the CEJ and the bone density (BD) were measured using the i-CAT Vision Software. Results The results showed that the distance from the crest of alveolar bone to the CEJ in the control group was similar to that observed before the exodontia; in the experimental group, this distance was smaller. Considering the BD measurement, a significantly higher density was observed in the experimental group (p<0.05). Conclusion Part of the biomaterial was not absorbed and allowed the stability of the evaluated parameters after 5 years, being able to be used as a bone substitute in the socket.


Subject(s)
Humans , Animals , Male , Female , Adolescent , Adult , Cattle , Young Adult , Tooth, Impacted/diagnostic imaging , Bone Transplantation/methods , Bone Substitutes , Tooth Cervix/diagnostic imaging , Tooth Socket/diagnostic imaging , Heterografts/diagnostic imaging , Molar, Third/diagnostic imaging , Time Factors , Tooth Extraction/methods , Tooth, Impacted/surgery , Materials Testing , Bone Density , Reproducibility of Results , Treatment Outcome , Bone Morphogenetic Proteins/therapeutic use , Tooth Socket/transplantation , Cone-Beam Computed Tomography , Molar, Third/surgery
11.
J. appl. oral sci ; 26: e20170125, 2018. tab, graf
Article in English | LILACS, BBO | ID: biblio-893686

ABSTRACT

Abstract Objective This study analyzed the maintenance of lateral incisors in the dental rehabilitation of individuals with cleft lip and palate. Material and Methods The study was conducted on a tertiary craniofacial center and comprised retrospective analysis of panoramic and periapical radiographs of Caucasoid individuals with non-syndromic complete unilateral cleft lip and palate, analyzing all radiographs available on the records of each individual, from the first to the last up to 12 years of age. Overall, 2,826 records were reviewed to achieve a sample of 1,000 individuals. Among these, 487 individuals presented the permanent lateral incisors on both cleft and non-cleft sides, which were included in this study. Results The results were evaluated in percentages and by descriptive statistics. The association between maintenance of the lateral incisor and timing of alveolar bone graft were analyzed by the t test. Among the 487 individuals, 265 had not completed treatment, 62 presented insufficient information, and 44 concluded the treatment elsewhere. Among the remaining 116 individuals, the lateral incisor was extracted from 88 (75.86%) of them on the cleft side (CS) and from 23 (19.83%) people on the non-cleft side (NCS). The age at accomplishment of alveolar bone graft was significantly associated with maintenance of the lateral incisor on the cleft side (p<0.01). Most extractions were indicated because of the inadequate positioning on the CS and for midline correction on the NCS. Rehabilitation was primarily completed by orthodontic movement (53 individuals on the CS and 13 individuals on the NCS). Conclusion In conclusion, the lateral incisor on the cleft side was not maintained in most individuals. Positive relationship was observed between extraction of the lateral incisor and age at accomplishment of the alveolar bone graft, suggesting the need to anticipate the initial radiographic evaluation to enhance its maintenance and reduce the procedures required for rehabilitation.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Young Adult , Cleft Lip/rehabilitation , Cleft Palate/rehabilitation , Alveolar Bone Grafting/methods , Incisor/diagnostic imaging , Time Factors , Tooth Extraction/methods , Tooth Movement Techniques/methods , Radiography, Panoramic , Retrospective Studies , Cleft Lip/surgery , Cleft Lip/diagnostic imaging , Cleft Palate/surgery , Cleft Palate/diagnostic imaging , Treatment Outcome , Maxilla
12.
Braz. oral res. (Online) ; 32: e124, 2018. tab
Article in English | LILACS | ID: biblio-974443

ABSTRACT

Abstract: Not only laymen but also dentists generally believe that extraction of acutely infected teeth should be avoided until the infection subdues by using systemic antibiotics. The aim of this study was to compare perioperative complications in routine extractions of acutely infected teeth with extractions of asymptomatic teeth. This prospective study was performed with 82 patients. Severe pain on percussion of the relevant tooth was considered as basic criteria for acute infection. The acutely infected teeth were labeled as the study group (n = 35) and the asymptomatic teeth as the control group (n = 47). The extractions were done using standard procedures. The amount of anesthetic solution used and duration of extractions were recorded. Postoperative severe pain and exposed bone with no granulation tissue in the extraction socket were indications of alveolar osteitis (AO). The level of statistical significance was accepted as 0.05. Symptoms that could indicate systemic response, including fever, fatigue, and shivering were not found. There was no statistically significant difference between groups in terms of AO, amount of anesthetic solution used, and duration of extraction. The presence of an acute infection characterized by severe percussion pain is not a contraindication for tooth extraction. Infected teeth should be extracted as soon as possible and the procedure should not be postponed by giving antibiotics.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Tooth Diseases/surgery , Tooth Extraction/methods , Infections/surgery , Tooth Diseases/drug therapy , Tooth Extraction/adverse effects , Toothache/surgery , Acute Disease , Prospective Studies , Treatment Outcome , Dry Socket/etiology , Asymptomatic Infections/therapy , Infections/drug therapy , Middle Aged , Anti-Bacterial Agents/therapeutic use
13.
Braz. oral res. (Online) ; 32: e84, 2018. tab, graf
Article in English | LILACS | ID: biblio-952133

ABSTRACT

Abstract This study evaluated the effects of hyaluronic acid (HA) on bone repair of human dental sockets. Thirty-two lower first premolars were extracted from 16 patients (2 per patient) for orthodontic reasons. Following the extractions, one socket was randomly filled with 1% HA gel, while the other was allowed to naturally fill with blood clot. After 30 and 90 days of surgery, patients underwent cone beam computed tomography. Five central orthoradial slices were captured from each socket. The gray intensity was measured in each image and results were reported as mean percentage of bone formation. The buccolingual alveolar ridge width was measured and dimensional changes were compared between the postoperative intervals. The pattern of alveolar trabecular bone was evaluated through the fractal dimension. Treated sockets showed a higher percentage of bone formation and fractal dimension values (58.17% and 1.098, respectively) compared with controls (48.97% and 1.074, respectively) in the 30-day postoperative period (p < 0.05). After 90 days, there was no significant difference between groups. Additionally, no significant difference was found between groups regarding the alveolar dimensions (p > 0.05). Use of 1% HA gel after tooth extraction accelerates bone repair in human dental sockets.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Young Adult , Tooth Extraction/methods , Bone Regeneration/drug effects , Tooth Socket/drug effects , Tooth Socket/physiology , Hyaluronic Acid/pharmacology , Osteogenesis/drug effects , Osteogenesis/physiology , Postoperative Period , Time Factors , Bicuspid , Reproducibility of Results , Treatment Outcome , Statistics, Nonparametric , Tooth Socket/diagnostic imaging , Cone-Beam Computed Tomography
14.
Rev. ADM ; 74(4): 202-205, jul.-ago. 2017. ilus
Article in Spanish | LILACS | ID: biblio-908024

ABSTRACT

Los dientes ectópicos son órganos dentarios que se encuentran enuna región diferente a la habitual, existen publicaciones que reportanórganos dentarios ectópicos en la región maxilofacial siendo sitioscomunes el paladar, región paraorbitaria, cavidad nasal, seno maxilar, mentón, apófisis corónides y cóndilo. También se han publicado casos de zonas más alejadas como ovario o región anterior del mediastino,que por lo general están relacionados con un teratoma. En su mayoría son hallazgos radiográficos, por lo que en general son asintomáticos. Al encontrarse dentro del seno maxilar su terapéutica puede ser conservadora,bajo vigilancia clínica-radiográfi ca o quirúrgica mediante endoscopia, abordaje transnasal, Caldwell-Luc o abordaje cuadrangular. La extracción de estos órganos dentarios es necesaria por la tendencia que presentan a formar quistes, desarrollar tumores odontogénicos y desencadenar alteraciones neuropáticas. Se reporta el caso de una paciente de 32 años de edad con diagnóstico de tercer molar ectópico en región de antro maxilar.


Ectopic tooth are dental organs found in a uncomon regions. There arepublication that report ectopic tooth in the maxillofacial region beingcommon sites palate, paraorbitaria region, nasal cavity, maxillarysinus, chin, coronides process and condyle. Cases have also beenreported in non-dental areas such as ovary, anterior mediastinum regionusually related to a teratoma. Ectopic tooth are often radiographicfi ndings because they are generally asymptomatic. Its therapeuticwhen found in the maxillary sinus could be conservative under periodicclinical-radiographic vigilance. Removal of these dental organs isnecessary for their tendency to form cysts, develop odontogenic tumorsand trigger neuropathic disorders. Surgical options are endoscopic,transnasal, Caldwell Luc or quadrangular approach. We present acase of a female of 32 years old with a diagnosis of ectopic third molarin maxillary antrum.


Subject(s)
Female , Humans , Adult , Maxillary Sinus , Molar, Third/abnormalities , Molar, Third/surgery , Tooth Eruption, Ectopic/complications , Tooth Eruption, Ectopic/diagnostic imaging , Tooth Eruption, Ectopic/surgery , Tooth, Impacted/diagnostic imaging , Ecuador , Prognosis , Tooth Extraction/methods , Tooth, Impacted/surgery
15.
Article in Spanish | LILACS | ID: biblio-900285

ABSTRACT

RESUMEN: Actualmente el implante dental se considera una buena alternativa para reemplazar los órganos dentarios faltantes. Sin embargo, existen ciertos requerimientos necesarios para la colocación de este y obtener una buena resolución. Estudios actuales demuestran que la colocación inmediata del implante dental posterior a la extracción dental obtiene mejores resultados a largo plazo y preserva el espacio alveolo dental natural por lo cual facilita la inserción y correcto ajuste del implante dental, siempre y cuando la extracción sea atraumática y sin complicaciones. Por ende, en el presente caso se reporta paciente masculino de 73 años con antecedentes de hipertensión arterial y diabetes mellitus tipo II, controlado con su médico especialista, al cual se le realizó extracción dentaría atraumática de OD#46 con inmediata colocación de implante dental NORMON HI e inserción de xenoinjerto óseo BIO-GEN para asegurar correcta oseointegración, cuyo procedimiento se realizó sin complicaciones y con correcta posición y paralelismo.


ABSTRACT: Nowadays, a dental implant is considered a good alternative to replace the missing teeth. However, there are several requirements needed for the implant placements and for a good resolution. Present studies demonstrate that the immediate implant placement posterior to the extraction of the tooth obtains better long-term results and also preserves the natural alveolar socket. This facilitates the placement and correct adjustment of the dental implant, only if the extraction is done atraumatically and without complications. Therefore, the present case reports a 73-year-old male patient with arterial hypertension and type II diabetes mellitus background, controlled by his medical doctor. An atraumatic tooth extraction of OD#46 was carried out on this patient, with immediate dental implant NORMON HI placement and insertion of xenograft bone BIO-GEN in order to ensure correct osseointegration. This procedure was done without complications and with correct position and parallelism.


Subject(s)
Humans , Male , Aged , Tooth Extraction/methods , Diabetes Mellitus, Type 2 , Immediate Dental Implant Loading/methods
16.
J. appl. oral sci ; 25(2): 211-216, Mar.-Apr. 2017. tab, graf
Article in English | LILACS, BBO | ID: biblio-841176

ABSTRACT

Abstract Objective To explore the effects of hyaluronic acid (HA) on bleeding and associated outcomes after third molar extraction. Methods Forty patients who had undergone molar extraction were randomly divided into two groups; 0.8% (w/v) HA was applied to the HA group (n=20) whereas a control group (n=20) was not treated. Salivary and gingival tissue factor (TF) levels, bleeding time, maximum interincisal opening (MIO), pain scored on a visual analog scale (VAS), and the swelling extent were compared between the two groups. Results HA did not significantly affect gingival TF levels. Salivary TF levels increased significantly 1 week after HA application but not in the control group. Neither the VAS pain level nor MIO differed significantly between the two groups. The swelling extent on day 3 and the bleeding time were greater in the HA group than in the control group. Conclusions Local injection of HA at 0.8% prolonged the bleeding time, and increased hemorrhage and swelling in the early postoperative period after third molar extractions.


Subject(s)
Humans , Adolescent , Adult , Young Adult , Tooth Extraction/adverse effects , Postoperative Hemorrhage/chemically induced , Hyaluronic Acid/adverse effects , Anti-Inflammatory Agents/adverse effects , Molar, Third/surgery , Reference Values , Saliva/chemistry , Time Factors , Tooth Extraction/methods , Wound Healing/drug effects , Bleeding Time , Pain Measurement , Thromboplastin/analysis , Prospective Studies , Treatment Outcome , Statistics, Nonparametric , Gingiva/chemistry
17.
Pesqui. bras. odontopediatria clín. integr ; 17(1): e3189, 13/01/2017. tab
Article in English | LILACS, BBO | ID: biblio-914302

ABSTRACT

Objective: To assess the child's behavior during primary tooth extractions, taking into account child's psychosocial and demographic factors and maternal characteristics. Material and Methods: An observational cross-sectional study involving children aged 7-13 years attending at the dental clinics of the School of Dentistry, Federal University of Pelotas. Children who underwent primary tooth extraction under local anesthesia and accompanied by their mothers were included. Data collection consisted of a questionnaire applied to mothers, assessment of child's behavior (Frankl Scale) and record of the presence of the mother. Data were analyzed using Stata 12.0 software. Descriptive analysis of the variables of interest and the Chi-square and Fisher Exact tests were performed to investigate the effect of independent variables on the outcome. The association between independent variables and the outcome was observed by crude and adjusted multivariate analysis by Poisson Regression (prevalence ratio). A 5% significance level was adopted. Results: Of 333 children evaluated, 124 were included in this study. Most were female (54.5%) aged 7-10 years (65.8%). The adjusted multivariate analysis, maternal dental anxiety and presence of the mother were the variables that remained associated with the child's behavior. Conclusion: This study suggests that presence of the mother and maternal dental anxiety negatively affect the behavior of children aged 7-13 years during primary tooth extraction.


Subject(s)
Humans , Male , Female , Child , Adolescent , Tooth Extraction/methods , Child , Child Behavior/psychology , Dental Anxiety/psychology , Mother-Child Relations/psychology , Brazil/ethnology , Chi-Square Distribution , Poisson Distribution , Multivariate Analysis , Statistics, Nonparametric , Observational Studies as Topic/methods
18.
Pesqui. bras. odontopediatria clín. integr ; 17(1): 3700, 13/01/2017. tab
Article in English | LILACS, BBO | ID: biblio-914446

ABSTRACT

Objective: To evaluate whether the color/race of a hypothetical patient is associated with the clinical decision to extract or restore a specific tooth, as well as with the recommendation for additional procedures for its adequate treatment. Material and Methods: Respondents assessed an anterior tooth with an extensive carious lesion and were asked: whether it should be extracted or restored; how much time should be spent in the first consultation; whether or not root canal retreatment was necessary; and whether complementary exams should be requested. While a Black hypothetical patient was assessed in the first stage of data collection, a White individual was subsequently shown to the study respondents. Results: The clinical decision on whether to extract or restore the decayed tooth was not associated with the patient's color/race (p=0.64). The mean time estimated for the first clinical consultation (p=0.28), the need for root canal retreatment (p=0.56), as well as the request for complementary exams were not associated with the patient's color/race (p=0.82). Analyses stratified by the participants' characteristics confirmed the lack of such an association. Conclusion: As opposed to previously published findings in Brazil, the patient's color/race was not associated with clinical decision making among undergraduate dental students.


Subject(s)
Humans , Students, Dental , Tooth Extraction/methods , Dental Restoration, Permanent/methods , Brazil/ethnology , Evaluation Studies as Topic/ethnology
19.
Claves odontol ; 23(75): 57-64, 2017. ilus
Article in Spanish | LILACS | ID: biblio-972618

ABSTRACT

El osteosarcoma es una neoplasia maligna, poco frecuente, que se presenta de forma agresiva y sepuede originar en el hueso de la cavidad oral. Se caracteriza por la producción de osteoide tumoral(trabéculas óseas inmaduras) por parte de las células neoplásicas. Estos tumores suelen formarse en la región metafisiaria de los huesos largos de los miembros, en especial en el fémur y en la tibia. Se presenta el caso clínico de un paciente que concurre al servicio de Estomatología de la Escuela deOdontología, de la facultad de Ciencias de la Salud, Universidad Católica de Córdoba; masculino de 26 años de edad de nacionalidad peruana con diagnóstico clínico de osteosarcoma mandibular, el cual fue tratado con hemisección, quimioterapia y radioterapia en la zona mandibular sector posterior de lado izquierdo con colocación de una placa de titanio en la región.


Osteosarcoma is a malignant, rare and aggressive neoplasm that originates in the bone of the oralcavity. It is characterized by the production of tumor osteoid (immature bone trabeculae) by neoplasticcells. These tumors usually originate in metaphyseal region of long limb bones, especially in femurand tibia.Case report: 26-year-old peruvian male patient attending the Stomatology service at the School ofDentistry, Faculty of Health Sciences, Catholic University of Cordoba. The patient was clinically diagnosedwith mandibular osteosarcoma, treated with hemisection, chemotherapy, radiotherapy onmandibular zone posterior sector of left side and fixation of a titanium bone plate.


Subject(s)
Male , Humans , Adult , Osteosarcoma/drug therapy , Osteosarcoma/radiotherapy , Osteosarcoma/surgery , Mandibular Neoplasms , Oral Surgical Procedures/methods , Osteosarcoma/diagnostic imaging , Tooth Extraction/methods , Jaw Fixation Techniques , Biopsy/methods , Mouth Rehabilitation/methods
20.
Odonto (Säo Bernardo do Campo) ; 24(48): 39-44, jul.-dez. 2016.
Article in Portuguese | LILACS, BBO | ID: biblio-909469

ABSTRACT

Desde os primórdios da ortodontia discute-se sobre a necessidade de extrações dentárias em algumas situações ortodônticas como apinhamento, discrepância cefalométrica acentuada, entre outras. O objetivo desta revisão de literatura foi relatar casos de extrações atípicas em ortodontia, suas indicações, vantagens, desvantagens e prognóstico deste tipo de tratamento. Feito u minúsculo diagnóstico, extrações atípicas podem ser indicadas em casos discrepância cefalométrica acentuada e/ou discrepância de modelo negativa (≥10 mm), em casos que a discrepância de Bolton é compatível com a discrepância de modelos, quando o objetivo é solucionar o apinhamento na região em que ele ocorre ou ainda quando há dentes já comprometidos proteticamente. Quando são realizadas em incisivos inferiores, em geral, causam menor influência sobre o perfil facial uma vez que não é feita retração anterior. Além disso um único incisivo pode ser extraído ao invés de dois prés molares uma vez que não é feita retração anterior. Além disso um único incisivo pode ser extraído ao invés de dois prés molares. Nesses casos a linha média dentária maxilar fica alinhada com a linha média facial e na direção do centro da coroa do incisivo inferior, não comprometendo a estética. A função também não é prejudicada desde que caninos e molares estejam em Classe I, exista guia anterior imediata e guias funcionais, protrusiva e lateralidades, balanceadas. O prognóstico de extrações atípicas é favorável, já que a literatura reporta casos de acompanhamento a longo prazo, 10 anos.(AU)


Subject(s)
Humans , Malocclusion/surgery , Tooth Extraction/methods , Incisor/surgery , Molar/surgery , Treatment Outcome
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