RESUMO
La extracción del tercer molar es un procedimiento común en cirugía oral. Una de las complicaciones es la fractura mandibular. Con una incidencia postoperatoria menor a un 0.005%. Los factores que contribuyen al riesgo de fractura del ángulo mandibular después de una extracción del tercer molar incluyen el nivel de impactación, la anatomía del diente, infecciones locales previas, edad, sexo, presencia de formaciones quísticas y bruxismo entre otras. Presentamos un caso clínico de fractura mandibular postoperatoria a las cinco semanas tras la exodoncia del 47 y 48 incluidos en posición horizontal. El objetivo final del tratamiento de una fractura mandibular es la consolidación ósea manteniendo la oclusión dental. En nuestro caso, al no tratarse de una fractura que sobrepasaba las corticales y sin desplazamiento mandibular, no fue subsidiaria de un tratamiento quirúrgico y se resolvió con reposo funcional
The lower third molar extraction is a common procedure in oral surgery. One of its complications, although uncommon, is the mandibular fracture. Postoperatively, it has an incidence lower than 0.005%. The factors that may contribute to the risk of the mandibular angle fracture after an extraction of the third molar include the level of impaction are the anatomy of the tooth, previous local infections, age, sex, cysts and bruxism among others. We present a clinical case of postoperative mandibular fracture at five weeks after the extraction of 47 and 48 included in horizontal position. The ultimate treatment goal of a mandibular fracture is to reach a bone consolidation with the premorbid dental occlusion. In our case, as it was not a fracture that surpassed the cortical and there was not a mandibular displacement, it was not need a surgical treatment so it was resolved with functional rest
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Cistos Maxilomandibulares/complicações , Fraturas Mandibulares/etiologia , Dente Serotino/cirurgia , Extração Dentária/efeitos adversos , Cistos Maxilomandibulares/patologia , Cistos Maxilomandibulares/cirurgia , Doenças Mandibulares/patologia , Doenças Mandibulares/cirurgia , Fraturas Mandibulares/patologia , Fraturas Mandibulares/cirurgia , Fatores de Tempo , Resultado do TratamentoRESUMO
Osteomyelitis is an infection and inflammation associated with the bone structures: bone marrow, cortical bone, periosteum, blood vessels and nerves. Although it does not have a frequent presentation, it can sometimes lead to complications such as pathological fractures or even septicemia. We present a clinical case study, to assess the relationship between osteomyelitis of the jaw and pathological fractures, after the extraction of an impacted wisdom tooth. This case highlights a rare complication following the surgical removal of mandibular third molar; a slow evolution of the pathology following an extraction should lead to close monitoring of the patient both clinically and radiographically, albeit osteomyelitis is a rare complication, it should be included as one of the differential diagnosis of persistent post-extraction pain.
Assuntos
Doenças Maxilomandibulares/etiologia , Fraturas Mandibulares/complicações , Dente Serotino/cirurgia , Osteomielite/etiologia , Extração Dentária/efeitos adversos , Dente Impactado/cirurgia , Antibacterianos/uso terapêutico , Infecções por Bactérias Gram-Positivas/complicações , Infecções por Bactérias Gram-Positivas/diagnóstico , Infecções por Bactérias Gram-Positivas/terapia , Humanos , Doenças Maxilomandibulares/diagnóstico , Doenças Maxilomandibulares/microbiologia , Doenças Maxilomandibulares/terapia , Masculino , Fraturas Mandibulares/diagnóstico , Fraturas Mandibulares/microbiologia , Fraturas Mandibulares/terapia , Reconstrução Mandibular/métodos , Pessoa de Meia-Idade , Dente Serotino/microbiologia , Osteomielite/diagnóstico , Osteomielite/microbiologia , Osteomielite/terapia , Peptostreptococcus/isolamento & purificação , Dente Impactado/microbiologiaRESUMO
Los implantes dentales cortos, aunque históricamente se han asociado a un mal pronóstico en las rehabilitaciones orales implantosoportadas, con el paso de los años y los avances en implantología, se han convertido en un tratamiento habitual en la práctica diaria de muchos clínicos, obteniendo tasas de éxito que se han incrementado recientemente hasta prácticamente igualarse a los implantes convencionales para muchos autores. La necesidad de reducir tiempos de trabajo, costes económicos y morbilidad intraoperatoria unida a la creciente demanda derehabilitaciones implanto soportadas en pacientes de un rango de edad cada vez mayor hace necesario añadirlos entre nuestras opciones rehabilitadoras implantológicas. Para ello es necesario conocer sus pros y contras y establecer unos protocolos quirúrgicos y de selección del paciente receptor (AU)
Short dental implants, with the passage of time and advances in implantology, have become astandard treatment in clinical practice. The need to reduce intraoperative time, morbidity and economic costs, linked to the increasing demand for implant rehabilitation in patients with a range of growing old (elder patients) makes it necessary to add the min our rehabilitative implantology options. For this reason, it is important to know its advantages and disadvantages, to set up thesurgical protocols and to select the patients correctly (AU)