scholarly journals Cranial reconstruction with prefabricated 3D implant after a gunshot injury: A case report

2016 ◽  
Vol 73 (8) ◽  
pp. 783-787 ◽  
Author(s):  
Ana Malivukovic ◽  
Nenad Novakovic ◽  
Milan Lepic ◽  
Ljubodrag Minic ◽  
Nenad Stepic ◽  
...  

Introduction. Complex defects of skull bones with different etiology, still present the challenge in reconstructive surgery. The goldstandard for cranioplasty is the autologous calvarial bone graft removed during surgery which cannot be always applied, especially in gunshot wounds for sometimes complete bone destruction. Autologous reconstruction with split calvarial, rib bones or iliac bone graft is also possible. Materials routinely used for reconstructions like titanium mesh, polymethyl metacrylate (PMMA), and other have numerous disadvantages and limitations. Case report. We presented a patient with gunshot injury to the head with residual large bone defect in the frontal region, with involvement of the skull base, and open frontal sinus. After conservative treatment, six months after the injury, reconstruction of the residual bone defect was performed. The chosen material was computerdesigned PEEK-OPTIMA? implant, manufactured on the basis of MSCT scan. This material has not been used in this region so far. The postoperative and follow-up period of the next 12 months passed without surgical complications, neurological deficit, with satisfactory functional and aesthetic results. Conclusion. Implanted bone replacement was designed and manufactured precisely according to the skull defect, and we found it suitable for the treatment of complex defects of the cranium. Early results are in favor of this cranioplasty method over standardized materials. Therefore, this material is expected to become a method of choice for reconstructive surgery of bony defects of the face and skull especially in complex cases.

RSBO ◽  
2018 ◽  
Vol 1 (4) ◽  
pp. 234
Author(s):  
Marina Samara Baechtold ◽  
Aline Rocha Miquelissa ◽  
Viviane Rozeira Crivellaro ◽  
Rafaela Scariot ◽  
João César Zielak ◽  
...  

Introduction: With the increase of implant-supported rehabilitation, the cases of patients with peri-implantitis become more frequent. Objective: To report the treatment of peri-implantitis by associating techniques of surface decontamination and particulate bone graft. Case report: The treatment was carried through curettage of the granulation tissue, mechanical bone decontamination withbicarbonate jet, chemical decontamination with tetracycline solution, and particulate graft in the place of the bone defect. Conclusion: After 45 postoperative days, the peri-implant tissues were health without inflammation. After 6 postoperative months, the bone defect was repaired.


1970 ◽  
Vol 17 (2) ◽  
pp. 144-146
Author(s):  
Nitin Gupta ◽  
RC Yadav

Introduction: In this era use of firearms has become more prevalent in society. There is increase in numbers of firearm homicidal and suicidal victims. Injuries from gunshot wounds of head and neck vary in extant and significance, forming a spectrum from trivial to life threatening lesions. The head and neck have many vital structures confined to a small area of body, and hence in the event of head and neck trauma, there is greater potential of leading to a fatality. Case report: We report a case of homicidal gunshot injury (close range) sustained in the neck region, with the bullet having travelled through the neck without causing any mortality and little morbidity to the victim. Conclusion: Penetrating through and through, gunshot injury neck without causing any mortality and any significant morbidity is a very amazing incidence. Key words: Firearm; Gunshot; Bullet; Homicidal; Close range injury DOI: http://dx.doi.org/10.3329/bjo.v17i2.8857 BJO 2011; 17(2): 144-146


2010 ◽  
Vol 04 (02) ◽  
pp. 192-196 ◽  
Author(s):  
Herman F. Sailer ◽  
Fadi Tarawneh ◽  
Panagiotis Fourkas ◽  
Dimitrios Z. Antoniades ◽  
Athanasios E. Athanasiou

This case report describes the combined surgical, orthodontic and prosthodontic rehabilitation of an adult female patient with a previous history of follicular ameloblastoma, which was treated through partial mandibulectomy and an immediate replacement of missing bone with an autologous calvarial bone graft. Orthodontic treatment was undertaken in order to restore occlusal disturbances and obtain sufficient space for two dental implants and an optimum prosthodontic rehabilitation. (Eur J Dent 2010;4:192-196)


RSBO ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 234-07
Author(s):  
Marina Samara Baechtold ◽  
Aline Rocha Miquelissa ◽  
Viviane Rozeira Crivellaro ◽  
Rafaela Scariot ◽  
João César Zielak ◽  
...  

With the increase of implant-supported rehabilitation, the cases of patients with peri-implantitis become more frequent. Objective: To report the treatment of peri-implantitis by associating techniques of surface decontamination and particulate bone graft. Case report: The treatment was carried through curettage of the granulation tissue, mechanical bone decontamination with bicarbonate jet, chemical decontamination with tetracycline solution, and particulate graft in the place of the bone defect. Conclusion: After 45 postoperative days, the peri-implant tissues were health without inflammation. After 6 postoperative months, the bone defect was repaired.


2012 ◽  
Vol 19 (1) ◽  
pp. 67
Author(s):  
Levina Mulya ◽  
Sri Lelyati C Masulili

Background: Aggressive periodentitis is a multifactorial disease that usuallyOccurs at a young age with the disease spreading fast and found the bacteria. Commonly aggressive periodontitis associated with hereditary factors and lack of immune system so as to reveal any family history with the same disease, and found savere alveolar bone destruction that may ultimately lead to tooth loss. Aggressive periodontitis and generalized aggressive periodontitis. The development of aggressive periodontitis is difficult to predict, so the mechanical therapy is not sufficient, and required antibiotic therapy or surgical therapy. Aim: the purpose of this case report is to explain the procedures and result of surgical treatment of the flap surgery with bone graft in anterior teeth of the patients with generalized aggressive periodontitis. Case report: Cases one and two with complaints of anterior teeth mobility. On clinical examination teeth mobility two and three degree, absolute pocket depth 4-6 mm. Radiograpic examination bone loss reached one third apical in all region. The diagnosis of both cases in generalized aggressive periodontitis. Treatment: After initial theraphy heve been evaluated, flap surgery with bone graft done in booth cases. Control evaluation after 6 month from surgery, in clinically reduced pocket depth 1-2m and tooth mobility, in radiographically increased bone height and bone fill. Conclusion: Flap surgery with bone graft in generalized aggressive periodontitis can assist periodontal regeneration.


Author(s):  
Luiz Carlos Magno Filho

Purposes: Autogenous bone graft is still considered the “gold standard” for bone augmentation of the jaws prior to dental implants placement. In cases of major bone defects, we can relinquish reconstructive techniques using grafts from extra buccal donor areas, such as the calvarial bone graft. Although this technique is well established in the literature, many professionals feel insecure in indicating this type of treatment to their patients, due to the high degree of complexity for the execution of the procedure and not acceptance by the patient. Case report: A female patient, 42-year-old, had undergone reconstructive surgery by means of a calvarial bone graft for pre-maxilla reconstruction prior to dental implants placement in regions of 14 to 24. The graft collection procedure was performed in a hospital setting and under general anesthesia. The grafts were transplanted from the calvarial bone to reconstruct the anterior maxilla. After 7 months, 4 dental implants were placed, allowing a future prosthetic rehabilitation. After the period of osseointegration, screw-retained partial fixed prosthesis was made, returning function and aesthetics to the patient. Conclusions: In view of the clinical case and literature presented, it is concluded that patients with severe maxillary bone atrophy can undergo a successful reconstruction process with calvarial bone grafts and dental implants.


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