Hidrogel sobre material de fixação em cirurgias maxilofaciais / Hydrogel over synthesis material in maxillofacial surgeries

Introdução: O objetivo do presente trabalho é relatar uma série de casos com o uso do hidrogel protetor em cirurgias maxilofaciais. Relato de caso: Cinco pacientes foram submetidos a cirurgias maxilofaciais diversas e uma camada de hidrogel impregnado com antibiótico recobriu o material de síntese. Foi realizada uma revisão de literatura sem restrição de idiomas e tempo de publicação, embora a literatura seja escassa sobre o tema pois trata-se de um produto recente, mas já registrado e liberado para uso nos órgãos competentes brasileiros. Considerações finais: O hidrogel protetor mostrou-se efetivo no tratamento e prevenção de infecções por biofilme e apresentou o efeito secundário inesperado de acelerar a reparação local, inclusive diminuindo o tempo de parestesia. É um produto com resultados promissores e, apesar de alguns estudos confirmarem a sua eficácia como antimicrobiano, futuros estudos são necessários para se avaliar a sua eficácia como acelerador de reparação... (AU)

Introduction: The present paper's objective is to report a series of cases using the protective hydrogel in maxillofacial surgeries. Case report: Five patients underwent several maxillofacial surgeries, and a hydrogel layer covered the synthesis material. A literature review was carried out without restriction of languages and publication time, although the literature is scarce because it is a recent product but already registered and released for use in brazilian competent agencies. Final considerations: The protective hydrogel helps treat and prevent biofilm infections and has the unexpected side effect of speeding up a local repair, including decreasing paresthesia. It is a product with promising results and, although some studies confirm its effectiveness as an antimicrobial, future studies are needed to evaluate its effectiveness as a repair accelerator... (AU)

Orthognathic surgery in a precocious edentulous patient.

This paper aims to discuss orthognathic surgery in a precocious edentulous patient as a viable alternative treatment. The present article is a case report of a total edentulous patient 32 years ago, with a double denture and dentofacial deformity, aggravated due to the early loss of teeth. Orthognathic surgery is a procedure that has been gaining more and more space in the specialty of maxillofacial surgery and traumatology because it is currently more accessible to patients due to the reduction in surgery costs and the greater number of surgeons who perform it, among others. The vast majority of patients who undergo this surgery are young adults. However, age does not impede orthognathic performance, older patients prefer other types of treatment due to its morbidity. Orthognathic surgery is a viable and highly predictable treatment in cases of prosthetic rehabilitation of totally edentulous patients.