scholarly journals Systemic Alterations in patients submitted to exodontics at the Bauru School of Dentistry (USP)

2021 ◽  
Vol 10 (3) ◽  
pp. e4810312781
Author(s):  
Angie Patricia Castro-Merán ◽  
Gustavo Moreno Braga ◽  
Eduardo Stedile Fiamoncini ◽  
Bruno Gomes Duarte ◽  
Osny Ferreira Júnior ◽  
...  
Keyword(s):  
Medical Records ◽  
Systemic Disease ◽  
Preoperative Evaluation ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Medical Treatments ◽  
Initial Care ◽  
High Prevalence ◽  
School Of Dentistry ◽  
Care Period

Objective: To verify the rate of systemic changes observed in individuals seen at the Oral and Maxillofacial Surgery and Traumatology clinics of the Undergraduate Dentistry course at the Faculty of Dentistry of Bauru (FOB-USP). Methodology: a retrospective study of the medical records of individuals seen at the Oral and Maxillofacial Surgery and Traumatology clinics of the third and fourth years of the Dentistry course at FOB-USP, from January 1, 2015, to June 30, 2017. Data collection was performed based on information from the anamnesis obtained during the initial care of the patients and recorded in the medical records. The selected data were name, age, address, diagnosed systemic disease, current and/or past medical treatments, proposed surgical treatment, and, if there was, patient return after medical treatment for surgery. The medical records of individuals under the age of 18, patients who did not have any systemic changes, or those with systemic changes observed outside the initial care period were excluded. RESULTS: The sample consisted of 266 medical records and 119 of these were from individuals who had systemic changes (44.7%), with systemic arterial hypertension being the most common (33.1%), followed by diabetes mellitus (17.8%). Conclusion: the high prevalence of individuals with systemic alterations and who require dental surgical intervention was proven, which implies the need for a correct anamnesis and preoperative evaluation so that these cases are managed to avoid trans and/or post-operative, systemic, and/or local.

scholarly journals Diode laser in the surgical treatment of inflammatory fibrous hyperplasia: Case report and literature review

2018 ◽  
Vol 32 (3) ◽  
pp. 154
Author(s):  
Fernando De Oliveira Andriola ◽  
Leonardo Matos Santolim Zanettini ◽  
Ricardo Giacomini De Marco ◽  
Camila Kunz ◽  
Cássia Dos Santos Machado Vaz ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Complete Healing ◽  
Oral And Maxillofacial Surgery ◽  
Surgical Removal ◽  
Tissue Mass ◽  
Patient Reported ◽  
School Of Dentistry

OBJECTIVE: This article presents a case of inflammatory fibrous hyperplasia (IFH) treated by diode laser surgery, as well as a review of the literature about this pathology.CASE DESCRIPTION: A 55-year-old woman was referred to the Department of Oral and Maxillofacial Surgery, Pontifical Catholic University of Rio Grande do Sul, School of Dentistry, complaining of a discomfort on swallowing due to a soft-tissue mass in the oral cavity that had been developing for approximately 3 years. Intraoral examination revealed multiple exophytic, pedunculated lesions with a smooth surface and pinkish in color, affecting almost the entire right cheek mucosa. The lesion turned out to be a IFH by histopatology. Surgical removal of IFH of the oral mucosa using a diode laser was performed. The lesion was removed in 3 sessions. The patient reported no local symptoms after each irradiation. The clinical appearance 10 months after the last irradiation session demonstrated complete healing and no signals of recurrence.CONCLUSION: Based on the results obtained, we can conclude that diode laser radiation contributes significantly to the advancement of oral surgery and should be considered a valuable resource for the treatment of soft-tissue lesions in the field of oral and maxillofacial surgery.

Osteonecrosis of the Jaws Secondary to Bisphosphonate Therapy: A Case Series

2008 ◽  
Vol 9 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Satish K. S. Kumar ◽  
Michael C. Meru ◽  
Parish P. Sedghizadeh
Keyword(s):  
Maxillofacial Surgery ◽  
Case Series ◽  
Poor Quality ◽  
Bisphosphonate Therapy ◽  
Oral And Maxillofacial Surgery ◽  
Osteonecrosis Of The Jaws ◽  
Cancer Metastases ◽  
Dental Procedures ◽  
Southern California School ◽  
School Of Dentistry

Abstract Aim The objective of this report is to present the clinical experiences of several patients affected with osteonecrosis (ONJ) secondary to bisphosphonate (BP) therapy and to provide a discussion of the specific BPs implicated in this condition. Background ONJ secondary to BP therapy is becoming an increasingly reported complication following dental therapy. This is particularly true of surgical dental procedures such as extractions. BPs are a class of pharmaceuticals used in the treatment of numerous disorders affecting bone, including osteoporosis, cancer metastases to bone, hypercalcemia of malignancy, and multiple myeloma. Although ONJ is a more recently described phenomenon, it is an emerging problem that may be associated with significant morbidity such as oral dysfunction, impaired eating ability, pain, and compromised esthetics resulting in a poor quality of life in affected patients. Case Report This is a description of 13 patients affected with ONJ secondary to BP therapy managed at the Orofacial Pain & Oral Medicine Center, Special Patients Clinic, and Oral and Maxillofacial Surgery Clinic at the University of Southern California, School of Dentistry between October 2005 and April 2007, with a discussion of the specific BPs implicated in this condition, the clinical presentation, management, and follow-up. Summary Thorough reporting of every case of ONJ is important to help advance the understanding of this poorly understood condition. The authors’ approach to care represents a more conservative mode to management than previously described by many investigators. Citation Kumar SKS, Meru MC, Sedghizadeh PP. Osteonecrosis of the Jaws Secondary to Bisphosphonate Therapy: A Case Series. J Contemp Dent Pract 2008 January;(9)1:063-069.

scholarly journals The prevalence of malposition third molar with traumatic ulcer

2013 ◽  
Vol 25 (1) ◽  
Author(s):  
Tun Shafiqah Tun Abdul Majid ◽  
Ida Ayu Astuti ◽  
Tenny Setiani Dewi
Keyword(s):  
Medical Records ◽  
Maxillofacial Surgery ◽  
Third Molar ◽  
Secondary Data ◽  
Oral And Maxillofacial Surgery ◽  
Abnormal Position ◽  
Mechanical Abrasion ◽  
The Third ◽  
Maxilla And Mandible ◽  
Surgery Department

Introduction: Malposition third molar is a condition when the third molar is erupted but in an abnormal position and relation to maxilla and mandible. Due to a frequent mechanical abrasion between the third molar and oral mucosa, a traumatic ulcer resulted. Hence, this research aims to determine the prevalence of traumatic ulcer in regards to a malposed third molar in Oral and Maxillofacial Surgery Department, Rumah Sakit Hasan Sadikin in a periodic of August 2008 to August 2011.Methods: The samples taken were all medical records which stated the coveted diagnosis which satisfied the variables of the age, gender and malposed third molar. The method of this research was descriptive retrospective study by using secondary data. Results: This research ratiocinates that the prevalence of malposition third molar with traumatic ulcers is 0.012% with tooth 18 caused most traumatic ulcer. Females predominant this condition and it is common in the third decade of age. Conclusion: Derived from the outcomes of this research, it can be concluded that the prevalence of malposition third molar with traumatic ulcer in Oral and Maxillofacial Surgery Department of Rumah Sakit Hasan Sadikin from August 2008 to August 2011 is 0.012%.

Epidemiologic evaluation of maxillofacial infections and their risk factors and associated complications in a one year period in Shariati hospital in 2013-2014

2019 ◽  
Author(s):  
Hamid Mahmood Hashemi ◽  
Reza Sharifi ◽  
Mahboube Hasheminasab ◽  
Mostafa Mortazavi
Keyword(s):  
Risk Factors ◽  
Serum Albumin ◽  
Demographic Data ◽  
Systemic Disease ◽  
Maxillofacial Surgery ◽  
Severe Infection ◽  
Oral And Maxillofacial Surgery ◽  
Odontogenic Infections ◽  
Buccal Space ◽  
Maxillofacial Infections

Purpose: Maxillofacial infections (MIs) commonly occur in patients of all ages, representing a life-threatening challenge when reaching deep facial spaces. The epidemiologic studies of MIs and their characteristics are very important and beneficial for both patients and clinicians. Therefore, the aim of this prospective study was to determine the annual incidence, etiology, risk factors and complications of MIs in all patients who were admitted to the department of oral and maxillofacial surgery of the Shariati hospital during a 1-year period. Material and methods: The demographic data, levels of some serum markers on day of admission, such aserythrocyte sedimentation rate (ESR) and C-reactive protein (CRP), bandemia, serum albumin, predisposing factors for each patient referred for treatment of MI were recorded by one researcher in November 2013 to November 2014. The linear regression test was used to evaluate whether there was a relationship between the amount of changes in ESR, CRP and albumin levels and age of the patients, pregnancy, gender and severity of infection. Panoramic radiography as well as axial and coronal CT scans with soft tissue window were performed for all cases, except pregnant participants. The origin of MIs, including odontogenic, pathologic and foreign body, was identified for each patient. Results:During the study period, a total of 157 patients (87 female, 70 male), with an age range of 3 to 74 years (mean, 23.5±13.2 years), were admitted to the department of maxillofacial surgery. Regardless of the gender, the most frequent cause of MIs was odontogenic sources (128 cases, 81.5%). The most common affected area was the buccal space with 106 positive cases (67.5%). The most common teeth responsible for maxillofacial fascial space infection were mandibular third molars. A positive association was found between CRP and ESR levels and the severity of infections. Serum albumin and ESR levels were significantly reduced and increased in the patients with severe infection and pregnant patients, respectively. Conclusion: The results of this study indicated that odontogenic origins were the main cause of MIs and the most common involved space was the buccal space. Diabetes mellitus was the most commonly found systemic disease among the participants of this study. The findings of this study suggest that dentists should consider that the most appropriate treatment of odontogenic infections involves surgical intervention and selection of a suitable antibiotic as an adjunct.

scholarly journals Addressing the Opioid Epidemic: Impact of Opioid Prescribing Protocol at the University of Minnesota School of Dentistry

2018 ◽  
Vol 11 (2) ◽  
pp. 104-110 ◽  
Author(s):  
Robert Nadeau ◽  
Kristopher Hasstedt ◽  
Ashley Brooke Sunstrum ◽  
Chad Wagner ◽  
Harold Tu
Keyword(s):  
Maxillofacial Surgery ◽  
Prescription Opioid ◽  
Oral And Maxillofacial Surgery ◽  
Close Monitoring ◽  
University Of Minnesota ◽  
Opioid Prescribing ◽  
School Of Dentistry ◽  
Opioid Medications ◽  
The University ◽  
Age Range

Prescription opioid medications continue to be abused on an epidemic level and have been shown to be a “gateway” drug to heroin abuse. Individuals experimenting with opioids commonly fall in the 10- to 19-year age range in which dentists are the highest prescribers. To reduce the number of excess opioids, the Department of Oral and Maxillofacial Surgery, University of Minnesota, developed and implemented an evidence-based opioid prescribing policy. Data were collected via electronic health record for the previous year and compared with the year following the protocol implementation. The results showed a drastic decrease (>46%) in the number of prescriptions given over a 1-year period. All departments reported a decrease in opioid prescriptions and the average number of tablets per prescription. The concern of undertreating pain was not found to be significant, as there was no increase in after-hours calls, recall appointments, or documentable emergency room visits. The results support the efficacy of an opioid prescribing policy's ability to lower the frequency and number of opioids given to patients, while still adequately treating patients’ pain. Continued evaluation and modifications of the protocol and close monitoring of prescriber habits will enhance patients’ pain control while also limiting the number of opioids available for abuse.

Morbidity of Chin Bone Transplants Used for Reconstructing Alveolar Defects in Cleft Patients

2005 ◽  
Vol 42 (5) ◽  
pp. 533-538 ◽  
Author(s):  
A. Booij ◽  
G. M. Raghoebar ◽  
J. Jansma ◽  
W. W. I. Kalk ◽  
A. Vissink
Keyword(s):  
Medical Records ◽  
Donor Site ◽  
Maxillofacial Surgery ◽  
Young Patients ◽  
University Hospital ◽  
Radiographic Examination ◽  
Oral And Maxillofacial Surgery ◽  
Lower Incisor ◽  
Alveolar Cleft ◽  
Bone Harvesting

Objective The aim of this study was to evaluate the objective and subjective morbidity of symphyseal chin bone harvesting used for reconstruction of alveolar defects in young cleft patients. Design All patients who had undergone chin bone harvesting for alveolar cleft reconstruction in the period from 1992 through 2000 at the Department of Oral and Maxillofacial Surgery of the University Hospital Groningen, Groningen, The Netherlands, were invited to participate in this retrospective study. Patients’ acceptance, perioperative and postoperative morbidity were evaluated. A survey of the medical records was performed. In addition, the patients completed a questionnaire for their appreciation of the procedure. They were also subjected to a clinical and radiographic examination. Patients Thirty patients (21 males and 9 females; mean age 11.8 ± 3.6 years) participated in this study. Results Neither the medical records nor the experiences of the patients showed significant morbidity. The procedure was appreciated with 6.8 ± 3.5 (scale 0 to 10). Postoperative pain was scored as 1.2 ± 2.5 (scale 0 to 10). Three patients reported transient sensory disturbances at the donor site. Two patients showed a slight sensibility disorder in the symphyseal region. In three patients, an endodontic problem had developed in a lower incisor. Conclusion This study showed that chin bone harvesting for reconstructing alveolar cleft in young patients is a well-accepted procedure with low objective and subjective morbidity. Notwithstanding this low morbidity, the patients (and their parents) have to be informed about the risk of objective and subjective disturbances of the sensibility in the donor region and the risk of dental pulp necrosis.

scholarly journals Distribution of maxillofacial fracture treatment using a titanium plate

2015 ◽  
Vol 27 (2) ◽  
Author(s):  
Nicky Arviana ◽  
Endang Sjamsudin ◽  
Abel Tasman Yuza
Keyword(s):  
Medical Records ◽  
Open Reduction ◽  
Maxillofacial Surgery ◽  
Sampling Technique ◽  
Treatment Method ◽  
Oral And Maxillofacial Surgery ◽  
Titanium Plate ◽  
Facial Bones ◽  
Maxillofacial Fracture ◽  
Maxillofacial Fractures

Introduction: Maxillofacial fracture is a condition of the facial bones discontinuity in the mandible, maxilla, nasal, zygoma, palate, frontal and orbital. Treatment method of maxillofacial fractures is a close reduction or open reduction by internal fixation using titanium plates. This study was aimed to describe the fixation of maxillofacial fractures using titanium plates and also, to determine the further use of titanium plates as a fixation device at the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry Universitas Padjadjaran and Hasan Sadikin Hospital. Methods: The research was a descriptive retrospective study with accidental sampling technique on the maxillofacial fracture fixation cases using titanium plates at the Department of Oral and Maxillofacial Surgery Hasan Sadikin Hospital. The samples were 135 medical records diagnosed with maxillofacial fractures. Results: The result shows that the use of titanium plates were 82.24% of the total maxillofacial fracture cases. Conclusion: There are 135 patients with a diagnosis of maxillofacial fractures treated at the Oral and Maxillofacial Surgery, Faculty of Dentistry Universitas Padjadjaran and Hasan Sadikin Hospital in 2006-2010. Most cases were treated with open reduction (108 cases) and fixed by using a titanium plate (88 cases) as well as the combination of a titanium plate with a wire (12 cases).

scholarly journals An oral lesion as the primary clinical manifestation of sarcoidosis

2017 ◽  
Vol 99 (5) ◽  
pp. e135-e136
Author(s):  
I Gill ◽  
J Siddiqi
Keyword(s):  
Clinical Presentation ◽  
Systemic Disease ◽  
Maxillofacial Surgery ◽  
Oral Lesion ◽  
Oral And Maxillofacial Surgery ◽  
Oral Lesions ◽  
Provisional Diagnosis ◽  
Periapical Granuloma ◽  
Surgery Department ◽  
Medicine Team

An oral lesion as the first clinical presentation of sarcoidosis is extremely rare. We present the case of a 39-year-old woman who was referred to the oral and maxillofacial surgery department with a persistent asymptomatic nodular lesion in the hard palate. This was located adjacent to a grossly carious upper first molar and a provisional diagnosis of chronic periapical granuloma was made. An incisional biopsy of the lesion was carried out, which unexpectedly revealed the presence of a non-caseating granulomatous inflammatory reaction. A referral was sent to the respiratory medicine team and a diagnosis was later confirmed of stage II sarcoidosis. This case report highlights the need for clinicians to be aware of all possible causes of oral lesions, including rare manifestations of underlying systemic disease.

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