ABSTRACT
AIMS: This study aims to provide a comprehensive review and case study about the advantages and disadvantages of the application of digital technologies in presurgical orthopedics in newborns/infants with cleft lip and palate (CLCP). Positive changes in the nasal anatomy, maxillary arch, and cleft width could be achieved. METHODS: Three representative cases of newborns/infants with CLCP were managed using the presurgical newborn/infant orthopedics (PSIO) approach. The patients were diagnosed and treated. Detailed descriptions of the impression procedures and PSIO appliance construction and placement were provided for each case. RESULTS: Case 1 utilized traditional impression techniques, Case 2 employed a semi-digitalized approach with intraoral digital scanning, and Case 3 utilized a completely digitalized method for appliance construction. Positive changes in maxillary arch dimensions and cleft width reduction were observed in all cases. CONCLUSIONS: The management of CLCP in newborns and infants poses a complex challenge with profound implications. The PSIO approach not only facilitates reconstructive surgery but also enhances overall quality of life. Digital tools, like specialized optical scanners and 3D printing, revolutionize the PSIO process, making it more efficient and patient-friendly. Clinical benefits include improved facial morphology, esthetics, feeding, speech, and optimized future surgical results. Despite ongoing efficacy debates, global adoption as the initial surgical approach underscores its value. The integration of digital technologies offers new hope for patients and families, promising a brighter future for those affected by this congenital condition.
ABSTRACT
Objetivo. El propósito de este estudio fue evaluar la eficacia de la aplicación de plasma rico en factores de crecimiento (PRFC), dentro de un defecto periodontal distal, a los segundos molares inferiores después de la extracción de un tercer molar mandibular. Material y métodos. Se realizó un ensayo clínico controlado, doble ciego, aleatorizado en 20 pacientes sanos, con defectos óseos bilaterales posterior a la extracción de un tercer molar retenido. Los pacientes fueron dividos en grupo experimental y control. Se realizaron mediciones de nivel clínico de inserción en el área distal del segundo molar previamente a la cirugía, usando una férula de acetato, con el fin de tener la misma referencia de medición posterior al procedimiento. Las mediciones posquirúrgicas fueron realizadas a las semanas 1, 4 y 12. Estas mediciones, así como los tiempos de evaluación, fueron analizados por medio de las pruebas de t de Student, Chi2 y Kruskal-Wallis. Resultados. Las variables demostraron similitud en cuanto a edad, sexo, dificultad y duración de los tiempos quirúrgicos. La medición del nivel clínico de inserción preoperatoria en milímetros fue de 2,68±0,56 vs. 2,63±0,50 (experimental vs. control). Durante la primera semana posterior al procedimiento los resultados fueron: 5,37±1,81 vs. 5,35±1,72; y a los 3 meses la recuperación fue similar en ambos grupos casi a sus niveles basales (2,43±0,89 vs. 2,55±0,92). Conclusiones. No se encontró diferencia significativa con el uso de PRFC en cuanto a ganancia en el nivel clínico de inserción periodontal en el área distal de segundos molares después de la extracción de terceros molares inferiores retenidos (AU)
Purpose. The aim of this study was to evaluate the effectiveness of the application of plasma rich in growth factors (CFRP) in a distal periodontal defect of the lower second molars after extraction of a third molar. Material and methods. A randomised, controlled, and double-blind clinical trial, was conducted on 20 healthy patients with bilateral defects after the extraction of an impacted third molar. The patients were divided into experimental and control groups. Measurements of clinical attachment level were performed in the distal area of the second molar prior to surgery using an acetate splint in order to have the same reference measurement after the procedure. Post-surgical measurements were performed at 1, 4, and 12 weeks. These measurements, as well as evaluation times, were analysed using the Student t-Test, χ2 and Kruskal-Wallis Test. Results. The variables showed similarity in age, gender, difficulty, and length of the surgical times. The measurements prior to clinical insertion were 2.68±0.56 vs. 2.63±0.50 (experimental vs. control). During the first week after the procedure, the results were: 5.37±1.81 vs. 5.35±1.72; and at 3 months the recovery almost to baseline was similar in both groups (2.43±0.89 vs. 2.55±0.92). Conclusions. No significant difference was found with the use of CFRP as regards achieving attachment at clinical level in the distal area of second molars after extraction of third molars (AU)
Subject(s)
Humans , Platelet-Rich Plasma/metabolism , Platelet-Rich Plasma/physiology , Molar, Third/abnormalities , Molar, Third/surgery , Tooth, Impacted/diagnosis , Tooth, Impacted/surgery , Osteotomy/methods , Periodontium/abnormalities , Treatment Outcome , Double-Blind Method , Healthy Volunteers/statistics & numerical data , Surgical FlapsABSTRACT
La instalación de bolsas de aire en los vehículos automotores, en conjunto con los cinturones de seguridad, ha reducido la incidencia de lesiones en cabeza y cuello posteriores a colisiones frontales o laterales. La NHTSA ha reportado en sus últimos estudios realizados que la instalación de bolsas de aire ha salvado vidas en accidentes automovilísticos. Sin embargo, las bolsas de aire son causantes de abrasiones, heridas, quemaduras y otras lesiones. A continuación se reporta un caso donde se presenta trauma facial debido a activación inusual de bolsa de aire y se realiza revisión de la literatura.
The installation of air bags in automobile vehicles, conjointly with seat belts, has reduced the incided of head injuries posterior to frontal or lateral collisions. The NHTSA, in last studies, that the installation or air bags has saved lives in automobile accidents. However, air bags cause small abrasions, light wounds, burns and other lesions. In following pages a case report presented where facial trauma occurs due to the unusual activation of the air bag and the pertinent literature is revised.
