Biomateriales en tratamiento de dolor neuropático postexodoncia / Biomaterials in treatment of post-exodontia neuropathic pain

Los biomateriales son una herramienta usada frecuentemente en neurocirugía, traumatología y cirugía endoscópica, para reparar o reemplazar tejidos y sus funciones. Duragen es un injerto utilizado para la reparación de la duramadre en neurocirugía y beriplast es un sellador de fibrina usado para mejorar la hemostasia y sellado tisular. En el presente caso clínico se utilizaron estos biomateriales para tratar con éxito a una paciente con dolor neuropático refractario post exodoncia de diente 48.

Biomaterials are a usefull tool, used frecuentely in neurosurgery, traumatology and endoscopic surgery, for the repairment or replacement of tissues and there function. Duragen is a graft used to repair the dura mater in neurosurgery, beriplast is a fibrin sealant to treat bleeding and get tisular sealment. In the present clinical case, this material are used succesfuly to treat refractary post exodontia neuropathic pain.

Literature Review: Dental Aspects in Gaucher Disease / Revisión de la Literatura: Aspectos Dentales en la Enfermedad de Gaucher

SUMMARY: Knowledge about Gaucher disease, characteristics, clinical and radiographic alterations, demonstrate the importance of using anamnesis, laboratory tests and radiological images, among these dental analysis and images, making possible the early detection in the oral manifestations and the success in the control and treatment of the disease.

RESUMEN: El conocimiento sobre la enfermedad de Gaucher, características, alteraciones clínicas y radiográficas, demuestra la importancia de utilizar la anamnesis, los exámenes de laboratorio e imágenes radiológicas, entre ellas las odontológicas, posibilitando la detección precoz de las manifestaciones orales, y el éxito en el control y tratamiento de la enfermedad.

Acutely infected teeth: to extract or not to extract?

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.