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Defeito osteoporótico focal do adulto: conceito, diagnóstico e os implantes osseointegráveis / Focal osteoporotic bone marrow defect: concept, diagnosis and osseointegrated implants
Consolaro, Alberto.
  • Consolaro, Alberto; USP. FOB. São Paulo. BR
Dent. press implantol ; 7(4): 25-30, Oct.-Dec. 2013. ilus
Article in Portuguese | LILACS, BBO | ID: lil-727363
RESUMO
O Defeito Osteoporótico Focal do Adulto deve constar na lista de diagnósticos diferenciais de lesões radiolúcidas uni e multiloculares, especialmente as mandibulares, pequenas e médias. O diagnóstico clínico e imaginológico pode ser seguro, mas, se houver uma dúvida mínima, deve-se providenciar biópsia e o laudo revelará um tecido medular hematopoieticamente ativo. O Defeito Osteoporótico Focal do Adulto não inviabiliza os implantes osseointegráveis na região, pois biologicamente não impede o reparo ósseo, e até pode favorecê-lo, pela medula óssea ter numerosas células-tronco e ser rica em células osteoprogenitoras. O diagnóstico deve ser seguro para diferenciá-lo de outras lesões semelhantes na mandíbula, mas agressivas. As principais características do Defeito Osteoporótico Focal do Adulto são ressaltadas neste trabalho, considerando-o uma variável do trabeculado ósseo e medular em um contexto de normalidade
ABSTRACT
Focal osteoporotic defects in adult patients must be on the list of differential diagnosis of small and medium uni and multiocular radiolucent lesions, especially in the mandible. Clinical and imaginologic diagnoses are safe, however, a biopsy must be performed in case of doubt, in which case the report will include hematopoietically active medullary tissue. Focal osteoporotic defects in adult patients does not hinder osseointegrated implant placement because, biologically speaking, it does not hamper bone repair. In fact, it may even favor it as a result of the large number of stem and osteoprogenitor cells comprising the bone marrow. Safe diagnosis is essential to differentiate focal osteoporotic defects from more severe lesions also found in the mandible. Focal osteoporotic defects in adult patients is considered a variation of normal bone and medullary trabecula, and its main characteristics are highlight herein
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Index: LILACS (Americas) Main subject: Bone Diseases, Metabolic / Dental Implantation, Endosseous / Mandibular Injuries Type of study: Diagnostic study Limits: Adult / Female / Humans / Male Language: Portuguese Journal: Dent. press implantol Journal subject: Dentistry Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: USP/BR

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Index: LILACS (Americas) Main subject: Bone Diseases, Metabolic / Dental Implantation, Endosseous / Mandibular Injuries Type of study: Diagnostic study Limits: Adult / Female / Humans / Male Language: Portuguese Journal: Dent. press implantol Journal subject: Dentistry Year: 2013 Type: Article Affiliation country: Brazil Institution/Affiliation country: USP/BR