RESUMO
A 51-year-old man was referred to an oral and maxillofacial surgeon because of persistent complaints after endodontic treatment of tooth 22. Apical endodontic surgery was performed and periapical tissue was examined histopathologically, showing an osteosarcoma. In retrospect, signs of malignancy were already present on the radiograph taken prior to the endodontic treatment.
Assuntos
Neoplasias Ósseas/diagnóstico , Osteossarcoma/diagnóstico , Dente não Vital/cirurgia , Neoplasias Ósseas/patologia , Diagnóstico Diferencial , Humanos , Masculino , Pessoa de Meia-Idade , Osteossarcoma/patologia , Satisfação do Paciente , Resultado do TratamentoRESUMO
An important aspect of surgical diagnosis before implant placement is measurement of the width of the alveolar ridge. Besides the use of radiographic methods, alveolar crest width can be measured by ridge mapping. A ridge mapping technique using a specially designed caliper (Ultimapper) is presented. Results of a research investigation are presented, which suggest that the technique is reliable and easily performed.
Assuntos
Perda do Osso Alveolar/diagnóstico , Processo Alveolar/patologia , Implantação Dentária Endóssea/instrumentação , Cefalometria/instrumentação , Implantação Dentária Endóssea/métodos , Humanos , Planejamento de Assistência ao PacienteRESUMO
Since the advent of antibiotics osteomyelitis in the head and neck is relatively uncommon and the condition has become a sort of medical curiosity. In the last 16 years, only three cases have been seen by the second author. It is the purpose of this paper to present these cases from our experience and to show that control and cure may only be achieved by early diagnosis, appropriate antibiotic therapy and, where necessary, by radical surgery with the excision of all diseased bone and with prolonged use of antibiotics post-operatively. In cases of diagnostic difficulties the use of scintigraphy is advisable. Established osteomyelitis of the frontal bone necessitates CAT scanning of the cranium to exclude intracerebral extension.
Assuntos
Osteomielite/diagnóstico , Crânio , Adulto , Criança , Feminino , Osso Frontal , Humanos , Masculino , Mandíbula , Osteomielite/patologia , Osteomielite/terapia , Crânio/patologiaRESUMO
A patient with a possible squamous odontogenic tumor in the mandible is described. Treatment consisted of conservative surgical removal.
