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Management of 12-years old patient with complex odontoma, impacted first molar, pericoronal dentigerous cyst and involvement of inferior alveolar nerve.
No full textRegenerative Surgery with Dental Implant Rehabilitation in a Haemophiliac Patient
Full text linkThis study aimed to describe the first case of regenerative surgery in haemophiliac implant. Patients with haemophilia often present dental problems. A multidisciplinary approach is suggested in case of dental surgeries to reduce the high bleeding risk. A 41-year-old male patient with mild haemophilia A (FVIII 8.4%), presenting previous epistaxis, noncomplicated tooth extractions and traumatic haemartroses, all treated with single infusions of coagulation factor concentrates, was referred to the dental clinic of the Padua University Hospital based on the recommendation of his attending dentist. At first dental visit the patient reported intense pain in the right lower second molar, with impaired chewing function. After an endodontic unsuccessful treatment the element was judged as no longer recoverable. In agreement with the patient the dental element was then extracted, after a combined administration of recombinant factor VIII 3000 IU (35 IU/kg), and tranexamic acid 1,000 mg. The extraction was performed under local anaesthesia, paraperiosteal and truncular, moderate sedation, elevation of an envelope flap. After extraction, a preservation of the alveolus was carried out with bovine matrix bone graft covered with a resorbable membrane. Three months after the surgery a flapless implant was placed after a single infusion of factor VIII 2000 IU, tranexamic acid 1,000 mg, and a local para-periostal anaesthesia, without any complication. Oral surgeon and haematologist expert in coagulation diseases must therefore collaborate together to define a shared protocol for managing surgery in those patients
Valutazione dell'efficacia dell'apicectomia eseguita con il microscopio: Studio retrospettivo
No full textOBJECTIVES Apical post-treatment pathology can jeopardize the success of endodontic treatment. Various alternatives must be taken into account to promote periapical healing: orthograde retreatment, which is considered the treatment of choice, surgical endodontic retreatment and tooth extraction, in case of failure of the previous treatments. The aim of the present study is to evaluate the efficacy of periapical surgery under operating microscope, at two years follow up time. MATERIALS AND METHODS A retrospective cross-sectional study was conducted on 42 teeth from 36 patients. All surgical procedures were performed using an operating microscope. The criteria to state success or failure were both clinical (swelling, pain, tooth tender to palpation) and radiographical (healing and ossification) and all the data have been obtained by consulting clinical folders. Sixteen teeth (drop out rate of 38%) were lost during the follow- up period. RESULTS At the 2-year follow-up examination, 25 tee..
Bio-electrical Impedance Analysis of Oral Cavity Mucosae in Patients With Lichen Planus and Healthy Controls
Full text linkBio-impedance analysis of mucosal tissues of the oral cavity: a comparison between healthy patients and patients affected by oral lichen planus
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Actinomyces and MRONJ: A retrospective study and a literature review
No full textThe AAOMS in 2014 changed from BRONJ to the term Medication-Related Osteonecrosis of the Jaw (MRONJ), because of the growing number of osteonecrosis cases associated with other antiresorptive and antiangiogenic therapies. Even if the drugs involved are different, the histopathological findings are the same. Colonies of Actinomyces are encountered in most cases. The aim of the present study is to report on Actinomyces prevalence among the cases of MRONJ, taking into consideration also antiresorptive and antiangiogenic therapies in the literature and in our sample between 2005 and 2020. The review was performed using the database Medline the linkage between Actinomyces infection and MRONJ. The retrospective study was conducted on patients between with clinical and radiological manifestations of MRONJ May 2005 and February 2020. A total of 42 articles were found, 30 publications have been taken into consideration for the review. A total of 114 patients have been examined at the Padua Hospital. A total of 101 oncological patients presented the histological confirmation of MRONJ. 83 specimens revealed the presence of Actinomyces infection (82.18%). Actinomyces-associated lesions are frequent and present a wide spectrum of clinical manifestation
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