Periimplantitis apical - presentación de serie de 11 casos clínicos / Apical peri-implantitis: a presentation of a series of 11 clinical cases

Objetivos. Evaluar el protocolo quirúrgico y discutir los posibles factores predisponentes de la periimplantitis apical. Material y método. En el presente trabajo, se planteó un estudio descriptivo retrospectivo analizando una serie de 11 casos clínicos de periimplantitis apical diagnosticados y tratados en el ámbito del Hospital de La Princesa (Madrid) y la Clínica Universidad de Navarra (Pamplona) entre 2002 y 2013. Los pacientes sintomáticos fueron tratados mediante legrado de la zona con o sin relleno. Resultados. Se analizaron un número total de 11 casos de periimplantitis apical (4 asintomáticos y 7 con síntomas). La clínica observada fue parecida a la enfermedad dentaria periapical y el tiempo transcurrido hasta el diagnóstico fue variable, inferior a los 3 años. Se observó resolución completa del problema en 6 de los 7 casos tratados con legrado de la zona periapical del implante. En el caso restante se procedió a la explantación del implante afecto. En los casos asintomáticos no se realizó ningún tipo de tratamiento quirúrgico, presentando una tendencia autolimitada. Conclusión. La periimplantitis apical es una enfermedad que puede complicar el tratamiento implantológico. La cirugía conservadora ha tenido resultados satisfactorios en los casos sintomáticos (AU)

Objectives. The purpose of this study was to evaluate the surgical protocol and discuss possible predisposing factors of apical peri-implantitis. Material and methods. A retrospective study was performed by analyzing a series of cases involving 11 patients, all of whom where diagnosed with, and treated for, apical peri-implantitis at La Princesa Hospital in Madrid and at Navarre University Clinic in Pamplona, Spain, between 2002 and 2013. Symptomatic patients were treated with curettage of the area, which was, in some cases, combined with bone regeneration techniques. Results. A total of 11 cases of apical periimplantitis were included (4 asymptomatic and 7 symptomatic). The symptoms observed were similar to dental periapical pathology, and the period of time elapsed until the patients were diagnosed with API was variable, but was less than 3 years. Complete resolution of the pathology was observed in 6 of the 7 patients treated with curettage of the periapical implant area. In the remaining case the affected implant was removed. No surgical treatment was used in asymptomatic cases, as they were self-limiting. Conclusion. Apical periimplantitis is a condition which may complicate the dental implant treatment. Conservative surgical treatment has shown satisfactory results in symptomatic patients (AU)

Unilateral submandibular gland aplasia with ipsilateral sublingualgland hypertrophy presenting as a neck mass

The congenital absence of the major salivary glands is a very infrequent disorder, in which several glands are usuallyinvolved at the same time. Sometimes this disorder can be associated with other developmental anomalies.The unilateral aplasia of the submandibular gland is an extremely rare finding with only 14 cases reported in theliterature. Clinically, this kind of patients may complain of dryness of the mouth, difficulties in chewing and swallowing,severe periodontal disease or multiple caries, but usually they follow an asymptomatic course. Salivarygland aplasia can be diagnosed with a large variety of imaging techniques, which include computer tomography(CT), magnetic resonance imaging (MR), ultrasonography (US), sialography, or scintigraphy. In this paper wereport a case of a patient referred to our department with a long term and progressive growing neck mass, who hasan unilateral submandibular gland aplasia associated to an ipsilateral hypertrophy of the sublingual gland (AU)

Unilateral submandibular gland aplasia with ipsilateral sublingual gland hypertrophy presenting as a neck mass.

The congenital absence of the major salivary glands is a very infrequent disorder, in which several glands are usually involved at the same time. Sometimes this disorder can be associated with other developmental anomalies. The unilateral aplasia of the submandibular gland is an extremely rare finding with only 14 cases reported in the literature. Clinically, this kind of patients may complain of dryness of the mouth, difficulties in chewing and swallowing, severe periodontal disease or multiple caries, but usually they follow an asymptomatic course. Salivary gland aplasia can be diagnosed with a large variety of imaging techniques, which include computer tomography (CT), magnetic resonance imaging (MR), ultrasonography (US), sialography, or scintigraphy. In this paper we report a case of a patient referred to our department with a long term and progressive growing neck mass, who has an unilateral submandibular gland aplasia associated to an ipsilateral hypertrophy of the sublingual gland.

Carcinoma ex adenoma parotídeo: a propósito de un caso / No disponible

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