ABSTRACT
BACKGROUND: Zygomatic implants have been used to treat severe atrophy maxilla. Since its description, the technique has been improved in order to reduce patient morbidity as well as prosthesis rehabilitation time. Despite the improvements in the procedure, zygomatic implant treatments still have complications related to the peri-implant soft-tissue; a probing depth greater than 6 millimeter (mm) and a prevalence of bleeding on probing of 45% have been described. The mobilization of the buccal fat has been used to manage different oral and maxillofacial soft-tissue pathologies. The aim of this study was to assess whether the buccal fat pad might prevent mucosal dehiscence and avoid potential postoperative complications when is placed covering the body part of the zygomatic implants. MATERIAL AND METHODS: In this pilot study, 7 patients were enrolled and a total of 28 zygomatic implants were placed and evaluated during a 12-month follow-up period. Surgical sites were randomly divided into two groups before implant placement: control group (A; in which no buccal fat pad was applied) and experimental group (B). Peri-implant soft tissue thickness difference, pain using a Visual Analog Scale (VAS), swelling, hematoma, buccal soft tissue healing and sinusitis, were evaluated. The implant survival rate was determined according the Aparicio success criteria and compared between the control and experimental procedure. RESULTS: A nonstatistical difference was found between groups regarding to pain. The experimental group showed higher soft-tissues thickness (p= 0.03) and the implant survival rate was 100% in both groups. CONCLUSIONS: The mobilization of the buccal fat pad to cover the body of the zygomatic implants increases peri-implant soft-tissue thickness, without increasing the postoperative pain.
Subject(s)
Dental Implantation, Endosseous , Dental Implants , Humans , Adipose Tissue/surgery , Dental Implantation, Endosseous/methods , Dental Implants/adverse effects , Maxilla/surgery , Pain, Postoperative , Pilot Projects , Zygoma/surgeryABSTRACT
Trapeziometacarpal rhizarthrosis can affect the work of dentists and it is important its knowledge for prevention and treatment. Material and Methods: The following electronic databases have been searched: Pubmed Medline and the Cochrane Library Plus. Articles published in Spanish and English about prevention and treatment of thumb rhizarthrosis.Results and discussion: A series of measures are proposed to stop rhizarthrosis and improve quality of 1life. There is a conservative treatment and a surgical treatment. Conclusions: The repetitive movements and in many cases using force that dentists perform can lead torhizarthrosis, especially in women.
La rizartrosis trapeciometacarpal puede afectar el trabajo de los dentistas y es importante su conocimientopara su prevención y tratamiento. Material y métodos: Se ha realizado una búsqueda bibliográfica en PubmedMedline y biblioteca Cochrane.Artículos publicados en español y en inglés sobre prevención y tratamiento de la rizartrosis del dedo pulgar. Resultados y discusión: Se proponen una serie de medidas para frenar la rizartrosis y mejorar la calidadde vida. Hay un tratamiento conservador y un tratamiento quirúrgico.Conclusión: Los movimientos repetitivos y en muchas ocasiones haciendo fuerza que realizan los dentistaspueden conducir a rizartrosis, sobre todo en mujeres.
Subject(s)
Health SciencesABSTRACT
La rizartrosis trapeciometacarpal puede afectar el trabajo de los dentistas y es importante su conocimiento para su prevención y tratamiento. Material y métodos: Se ha realizado una búsqueda bibliográfica en PubmedMedline y biblioteca Cochrane. Artículos publicados en español y en inglés sobre prevención y tratamiento de la rizartrosis del dedo pulgar. Resultados y discusión: Se proponen una serie de medidas para frenar la rizartrosis y mejorar la calidad de vida. Hay un tratamiento conservador y un tratamiento quirúrgico. Conclusión: Los movimientos repetitivos y en muchas ocasiones haciendo fuerza que realizan los dentistas pueden conducir a rizartrosis, sobre todo en mujeres.
Trapeziometacarpal rhizarthrosis can affect the work of dentists and it is important its knowledge for prevention and treatment. Material and Methods: The following electronic databases have been searched: Pubmed Medline and the Cochrane Library Plus. Articles published in Spanish and English about prevention and treatment of thumb rhizarthrosis. Results and discussion: A series of measures are proposed to stop rhizarthrosis and improve quality of life. There is a conservative treatment and a surgical treatment. Conclusions: The repetitive movements and in many cases using force that dentists perform can lead to rhizarthrosis, especially in women.
Subject(s)
Health SciencesSubject(s)
COVID-19 , Optic Nerve Diseases , Humans , Optic Nerve , Optic Nerve Diseases/diagnosis , Optic Nerve Diseases/etiology , SARS-CoV-2ABSTRACT
Los implantes dentales constituyen una alternativa predecible para la rehabilitación de los maxilares edéntulos, sin embargo, el éxito del tratamiento puede ver-se comprometido cuando existen graves atrofias maxilares. Para el tratamiento de estos casos complejos, se han desarrolla-do técnicas de regeneración ósea, entre las que destacan la regeneración ósea guiada y los injertos en bloque. Dentro de estos últimos, cabe destacar la técnica de Khoury. Se trata de un procedimiento indicado para regenerar defectos horizontales y verticales, mediante la obtención de finas láminas de hueso autógeno procedentes de la línea oblicua externa mandibular. Se presenta un caso clínico de un gran defecto mandibular reconstruido con la técnica de Khoury, secundario a un fracaso implantológico que además ocasionó patología nerviosa
Dental implants constitute a predictable alternative for the rehabilitation of edentulous jaws. However, the success of the treatment can be limited when severe atrophic alveolar ridges are present. For the treatment of these complex cases, several regeneration techniques have been developed, such as guided bone regeneration and block grafts. Within the last, it should be noted the Khoury technique. It is a procedure indicated for the regeneration of horizontal and vertical defects, through the obtention of autologous graft in form of thin plates, derived from mandibular external oblique line.A clinical case is presented, that consists in a great mandibular defect which was reconstructed by the Khoury technique. The defect was secondary to an implant failure, which was also related with nervous pathology
Subject(s)
Humans , Male , Aged , Bone Regeneration , Atrophy/surgery , Hypesthesia/surgery , Dental Restoration Failure , Maxilla/surgery , Sinus Floor Augmentation/methods , Plastic Surgery Procedures/methods , Dental Implants , Bone Resorption/pathology , Mouth, Edentulous/surgeryABSTRACT
CASO CLÍNICO: Mujer de 38 años, que durante una inmersión a 7 m presenta dolor ocular, hiperemia y exoftalmos. Fue diagnosticada de barotrauma con diplopia transitoria. Acude a urgencias 10 días después sin diplopia, pero leve exoftalmos izquierdo. En la tomografía computarizada se observa imagen de ocupación extraconal en techo orbitario izquierdo. Posteriormente se realiza una resonancia magnética y se confirma la presencia de hematoma intraorbitario. Discusión: El barotrauma ocular es normalmente una condición benigna producida en su mayoría por inexperiencia del buceador. Sin embargo, es importante una exploración minuciosa para descartar lesiones potencialmente dañinas para la visión o para la vida
CASE REPORT: A 38-year-old woman who, during a scuba dive at 7 metres, suffered from eye pain, hyperaemia, and exophthalmos. She was diagnosed with ocular barotrauma with transient diplopia. She was seen in the emergency room 10 days later, with no diplopia, but mild left proptosis. In the computed tomography an image of extraconal occupation is observed in the left orbital roof. The magnetic resonance confirmed an intraorbital haematoma. Discussion: Ocular barotrauma is usually a benign condition mostly occurring in an inexperienced diver. However, a detailed examination is important to rule out potential vision and life threatening conditions
Subject(s)
Humans , Female , Adult , Diplopia/complications , Diplopia , Barotrauma/complications , Barotrauma , Exophthalmos/complications , Exophthalmos , Hematoma/complications , Eye Pain/complications , Eye Pain/etiology , Eye Pain , Hyperemia/complications , Hyperemia , Tomography, Emission-Computed/methods , Tomography, Emission-Computed , Magnetic Resonance Imaging/methodsABSTRACT
CASE REPORT: A 38-year-old woman who, during a scuba dive at 7 metres, suffered from eye pain, hyperaemia, and exophthalmos. She was diagnosed with ocular barotrauma with transient diplopia. She was seen in the emergency room 10 days later, with no diplopia, but mild left proptosis. In the computed tomography an image of extraconal occupation is observed in the left orbital roof. The magnetic resonance confirmed an intraorbital haematoma. DISCUSSION: Ocular barotrauma is usually a benign condition mostly occurring in an inexperienced diver. However, a detailed examination is important to rule out potential vision and life threatening conditions.
Subject(s)
Barotrauma/complications , Diplopia/etiology , Diving/adverse effects , Diplopia/diagnosis , Exophthalmos , Female , Hematoma/diagnosis , Humans , Tomography, X-Ray ComputedABSTRACT
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