ABSTRACT
The aim of this study was to investigate the effect of a probiotic in preventing infections after third molar surgery. Thirty-eight patients were consecutively enrolled to a double-blind randomised placebo-controlled trial. Patients were asked to take one tablet two times a day containing a mixture of Levilactobacillus brevis CECT7480 (KABP-052) and Lactoplantibacillus plantarum CECT7481 (KABP-051) or placebo for the first post-intervention week. The primary outcome was the postoperative infection rate. Secondary outcomes included swelling, eating difficulties and postoperative pain recorded by the patient using a visual analogue scale (VAS) during the first postoperative week. No statistically significant difference in the infection rate between the groups was found; with only three cases of infections reported (one in the probiotic group and two in the placebo group) on the first week. Compared to placebo, treatment with the probiotic showed a significantly higher reduction in pain and eating difficulties scores at 5, 6 and 7 days post-surgery. Swelling values were not significantly different between the groups at any time point. The findings of this pilot study justify a larger study to clarify the possible role of these bacterial strains on the post-operative pain management following third molar surgery.
Subject(s)
Molar, Third/surgery , Pain, Postoperative/prevention & control , Probiotics/therapeutic use , Adolescent , Double-Blind Method , Female , Humans , Lactobacillus , Male , Pain, Postoperative/etiology , Pain, Postoperative/physiopathology , Pilot Projects , Surgical Wound Infection/etiology , Surgical Wound Infection/prevention & control , Tooth Extraction/adverse effects , Young AdultABSTRACT
AIM: Oral and maxillofacial development is influenced by the lingual frenulum and also affects breathing, occlusion, sucking, swallowing, speech, among others. Ankyloglossia in the newborn may result in breastfeeding difficulties: maternal nipple pain and/or erosion or mastitis, poor weight gain and excessively long breastfeeds. The main objective of this work is to study the prevalence of ankyloglossia in newborns with breastfeeding difficulties. MATERIALS AND METHODS: This is a transversal descriptive study of 302 patients, between 0 and 6 months, who attended the hospital as a result of breastfeeding difficulties. All patients with sucking problems and ankyloglossia were included in this study and followed the multidisciplinary treatment protocol made up of the services of Breastfeeding, Speech Therapy and Orofacial Rehabilitation and Oral and Maxillofacial Surgery. RESULTS: 1,102 newborns were seen at the paediatric service of Hospital de Nens, Barcelona (Spain) during 2 years; 302 had breastfeeding difficulties and of these, 171 were diagnosed with ankyloglossia (60 girls and 111 boys). Coryllos Grade 3 ankyloglossia was the most prevalent (59.6%) type; 85 infants (49.7%) were exclusively breastfed and 26 (50.35%) were mixed fed (formula and breastfeeding). Only 43 patients had a family history of tongue-tie (25.1%). CONCLUSION: Ankyloglossia linked to breastfeeding difficulties must be treated by a multidisciplinary team. We have found a high prevalence of the condition since the population studied are newborns with sucking problems. If a frenotomy is necessary, we recommend stimulating suction with myofunctional therapy before and after surgery to avoid scar retraction.
Subject(s)
Ankyloglossia/epidemiology , Ankyloglossia/physiopathology , Breast Feeding , Sucking Behavior , Ankyloglossia/rehabilitation , Female , Humans , Infant , Infant, Newborn , Lingual Frenum/surgery , Male , Myofunctional Therapy , Prevalence , Risk Factors , Spain/epidemiologyABSTRACT
AIM: The main objective was to study supernumerary teeth diagnosed during the routine checkups at the Paediatric Dentistry Service of Hospital de Nens, Barcelona (Spain), for four months. MATERIALS AND METHODS: A transversal, descriptive study, was performed in 1,960 patients, aged 1 to 17 years, visited during routine oral checkups. An intraoral exploration (with intraoral mirror and probe) was performed to all patients, and subjects older than 5 years also underwent panoramic x-ray examination. RESULTS: A total of 33 patients showed supernumerary teeth (1.68%), 22 boys and 11 girls. A total of 10 patients (8 boys/2 girls) had supernumerary teeth in the temporary dentition, 20 patients (12 boys/8 girls) in the permanent dentition and 3 patients (2 boys/1girls) in both temporary and permanent dentition. A total of 46 supernumerary teeth were diagnosed. CONCLUSION: Any alteration in the number of teeth in patients younger than 5 years are difficult to diagnose, as x-rays are usually not taken. We believe that starting at 5 years old, a radiological exploration (panoramic x-ray) has to be carried out as a complement to the clinical examination.
Subject(s)
Tooth, Supernumerary/epidemiology , Adolescent , Age Factors , Child , Child, Preschool , Female , Humans , Incisor/abnormalities , Infant , Male , Radiography, Panoramic/statistics & numerical data , Sex Factors , Spain/epidemiology , Tooth Eruption/physiology , Tooth, Deciduous/abnormalities , Tooth, Unerupted/epidemiologyABSTRACT
We report condylar resorption of the temporomandibular joint after difficult intubation, leading to progressive midline mandibular deviation, subsequently treated by prosthetic joint replacement.
Subject(s)
Intubation, Intratracheal/adverse effects , Mandible/pathology , Temporomandibular Joint Disorders/etiology , Temporomandibular Joint Disorders/pathology , Anastomosis, Roux-en-Y/methods , Bone Resorption/etiology , Female , Humans , Laparotomy , Magnetic Resonance Imaging , Mandibular Condyle/injuries , Mandibular Condyle/pathology , Middle Aged , Pain, Postoperative/etiology , Pain, Postoperative/pathology , Reoperation , Tomography, X-Ray ComputedABSTRACT
Pycnodysostosis is an extremely rare genetic osteosclerosis caused by cathepsin K deficiency. It is a human autosomal recessive genetic disorder characterized mainly by osteosclerosis of the skeleton due to decreased bone turnover. It is characterized by short stature, brachycephaly, short and stubby fingers, open cranial sutures and fontanelle, and diffuse osteosclerosis. Multiple fractures of the long bones and osteomyelitis of the jaw are frequent complications. The authors describe an 18-year-old girl with a clinical and radiological diagnosis of pycnodysostosis and the ortho-surgical treatment undertaken. Bimaxillary orthognathic surgery was carried out using rigid fixation and bone grafts. The authors recommend bimaxillary orthognathic surgery as a choice for treating the dentofacial deformities of pycnodysostosis, emphasizing the good and stable results obtained in terms of facial aesthetics and occlusion.
Subject(s)
Mandible/abnormalities , Maxilla/abnormalities , Orthognathic Surgical Procedures/methods , Pycnodysostosis/surgery , Adolescent , Bone Plates , Bone Substitutes/therapeutic use , Bone Transplantation , Chin/surgery , Female , Follow-Up Studies , Humans , Malocclusion, Angle Class II/surgery , Mandible/surgery , Mandibular Advancement/instrumentation , Mandibular Advancement/methods , Maxilla/surgery , Osteotomy/methods , Osteotomy, Le Fort/methodsABSTRACT
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Subject(s)
Humans , Male , Adult , Osteotomy/instrumentation , Osteotomy, Le Fort/instrumentation , Surgical Instruments , Rhinoplasty/instrumentation , Temporomandibular Joint/surgery , Surgical Instruments/trends , TransplantsABSTRACT
El síndrome Aurículo-temporal también conocido como sudoración gustativao síndrome de Frey, es una entidad caracterizada por sudoración y enrojecimientode la piel del territorio inervado por el nervio aurículo-temporal durante lascomidas.El síndrome de Frey es probablemente una secuela inevitable en la cirugía de la glándulaparótida. Una vez que se presenta se perpetua durante toda la vida si no se realizatratamiento. Realizando el test de Minor tras cirugía sobre la glándula parótidaha sido publicado que el 100% son positivos, y que el 50% son sintomáticos percibiendola sudoración durante las comidas, y alrededor de un 15% consideran sus síntomasgraves.En el siguiente articulo presentamos los resultados de nuestro estudio que consistióen la inyección intradérmica de toxina botulínica A a nuestros pacientes con síndromede Frey y el seguimiento.Los resultados han sido desaparición de los síntomas durante un periodo medio de16 meses con cierta variabilidad individual. Con estos resultados podría considerarsela inyección de toxina botulínica A como ténica de elección para el síndrome deFrey ya establecido(AU)
The auriculotemporal syndrome, also known as gustatorysweating or Freys syndrome, is a condition characterized by sweatingand flushing of the cutaneous territory innervated by theauriculotemporal nerve while eating.Freys syndrome is probably an inevitable sequela of parotid glandsurgery. Once it appears, it persists for the rest of the patients lifeif not treated. It has been reported that performance on the Minortest after parotid gland surgery is 100% positive and 50% of patientsare symptomatic, experiencing sweating during meals. About 15%consider their symptoms serious.In this article we present the results of our study of the treatmentof Freys syndrome by intradermal injection of botulinum toxin Aand the follow-up of the patients.The patients symptoms disappeared during a mean period of 16months with some individual variability. These results suggest thatinjection of botulinum toxin A could be a technique of choice forestablished Freys syndrome(AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Sweating, Gustatory/drug therapy , Botulinum Toxins, Type A/administration & dosage , Retrospective Studies , Patient Satisfaction , Botulinum Toxins, Type A/adverse effectsABSTRACT
Durante la última década se ha introducido el tornillo de bloqueointermaxilar como método de fijación maxilomandibular en el tratamientode las fracturas de mandíbula. El propósito del estudio es evaluar las complicacionesde la técnica y la yatrogenia dental que derivan de su aplicacióndurante un periodo de 4 años. Se han revisado un total de 62 pacientesy 272 tornillos y, aunque han aparecido complicaciones, su incidencia esbaja(AU)
In the last decade, self-tapping bone screws have beenused widely as a temporary maxillomandibular fixation method inthe treatment of jaw fractures. The purpose of the present studywas to evaluate the complications of the technique and potentialdental iatrogenesis over a period of 4 years. We reviewed a total of62 patients and 272 screws. Although complications appeared, thecomplication rate was low(AU)
Subject(s)
Humans , Fracture Fixation, Internal/methods , Mandibular Fractures/surgery , Bone Screws/adverse effects , Iatrogenic Disease/epidemiology , Retrospective Studies , Radiculopathy/etiologyABSTRACT
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Subject(s)
Humans , Male , Adult , Pemphigoid, Benign Mucous Membrane/diagnosis , Diagnosis, Differential , Autoimmune Diseases/diagnosis , Fluorescent Antibody Technique, Direct/methodsABSTRACT
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Subject(s)
Humans , Female , Adult , Dental Implantation, Endosseous , Aspergillosis/diagnosis , Radiography, Panoramic , Incidental Findings , Diagnosis, DifferentialABSTRACT
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