RESUMO
The frenula of the oral cavity represent the insertion of perioral muscles in jaws, consisting of a fold of the triangular fibro-connective tissue covered with mucous membrane and usually inserted at the mucogingival line. The purpose of this work, after a review of literature, was to provide the clinical signs above the median frenum removal order for the orthodontic closure of a interincisor diastema and to present a new surgical technique.
Assuntos
Diastema/cirurgia , Freio Labial/cirurgia , Adolescente , Criança , Humanos , Técnicas de Sutura , Resultado do Tratamento , CicatrizaçãoRESUMO
We present a new treatment algorithm aimed to assist surgeons to develop a rational diagnostic protocol and establish effective conservative surgical management in patients with mandibular ameloblastoma. Fifteen consecutive cases treated by conservative management were reviewed. Data collected included age, sex, symptoms and signs at diagnosis, anatomical distribution of the lesions, numbers and types of operations, number of recurrences, and duration of follow-up post-operatively. Curettage was the first operation for all patients and they were closely followed-up post-operatively. During the follow-up period (4-10 years), small recurrences were diagnosed early in 7 patients who were treated by radical surgery including marginal or "box" resection. No further recurrences were observed after the second operation. When detected early, recurrences are small and surrounded by a large amount of uninvolved normal bone so it is possible to manage them with a radical resection, so lowering the risk of further recurrence and avoiding severe cosmetic and functional problems.
Assuntos
Algoritmos , Ameloblastoma/cirurgia , Técnicas de Apoio para a Decisão , Neoplasias Mandibulares/cirurgia , Adolescente , Adulto , Fatores Etários , Idoso , Ameloblastoma/classificação , Ameloblastoma/diagnóstico , Curetagem , Estudos de Viabilidade , Feminino , Seguimentos , Humanos , Masculino , Neoplasias Mandibulares/classificação , Neoplasias Mandibulares/diagnóstico , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/diagnóstico , Recidiva Local de Neoplasia/cirurgia , Osteotomia , Reoperação , Estudos Retrospectivos , Fatores Sexuais , Fatores de TempoRESUMO
This report describes a rare case of oculodentodigital (ODD) dysplasia, an autosomic-dominant disease with alteration on the gene GJA1 of connexin 43 on the human chromosome 6q22-q23, highlighting the anomalies affecting face, eyes, teeth and limbs. The case described shows bilateral microphthalmia, microcornea, syndactyly and other phenotypic alterations characteristic of this syndrome, such as: nose of reduced size with hypoplasic wings, partial stenosis of the choanae, micrognathia, ogival palate and hypoplasia of the enamel. The authors emphasize the importance to know the principal features of ODD syndrome in order to make a correct diagnosis and the role of the dentist in the treatment of this pathology.
Assuntos
Anormalidades Múltiplas , Anormalidades Craniofaciais , Anormalidades do Olho , Dedos/anormalidades , Dedos do Pé/anormalidades , Anormalidades Dentárias , Criança , Humanos , Masculino , Anormalidades Dentárias/terapiaRESUMO
The absence of teeth in youths can be due to congenital absence, traumas, caries and periodontitis. The loss of a tooth in growing patients can cause both aesthetic-functional and psychological problems, particularly if the teeth of the anterior region are involved. When there is the loss of a dental element in a teenager it is necessary to provide a quick suitable therapeutic solution, which will be different in comparison to an adult because of the changes related to the growth of the maxillary bones. The aim of this paper is the analysis of the several therapies which can be carried out on young patients with partial edentulism, paying particular attention to the conditions and the indications which allow an implant prosthesis restoration.
