1,721,017 research outputs found
Post-Surgical Clinical Monitoring of Soft Tissue Wound Healing in Periodontal and Implant Surgery
Full text linkClinical features of surgical soft tissue wound healing in dentistry have been rarely discussed in the international literature. The aim of the present paper is to highlight both the main clinical findings of surgical wound healing, especially in periodontal and implant dentistry, and the wound healing monitoring procedures which should be followed. Wound inspection after careful food and plaque debridement is the essential part of wound healing monitoring. Periodontal and peri-implant probing should be performed only after tissue healing has been completed and not on a weekly basis in peri-implant tissue monitoring. Telephone follow-up and patient self-assessment scales can also be used the days following surgery to monitor the most common surgical complications such as pain, swelling, bleeding, and bruising. Wound healing monitoring is an important concern in all surgical procedures since it allows to identify signs or/and symptoms possibly related to surgical complications
Intrasinus bone gain with the osteotome sinus floor elevation technique: a review of the literature
No full textPurpose: To evaluate the mean amount of intrasinus bone obtainable with the osteotome technique for transcrestal maxillary sinus elevation combined with simultaneous implant insertion, with and without the use of grafting materials. Materials and Methods: A review was conducted on PubMed, Scopus, and Cochrane central databases. Only human studies in which implant placement was contextual to the sinus elevation procedure, without additional crestal regenerative procedures and with a minimum 1-year followup, were selected. Seventeen studies were found to meet the selection criteria. Results: No statistically significant difference between the two procedures was detected. The mean intrasinus bone gain at 3 years after surgery was 2.99 mm in cases where no grafting material was used and 4.24 mm in cases in which grafting materials were used. The mean percentage of crestal height increase at the implant site at 3 years after surgery, referring to a selection of studies with initial bone height > 4 mm, was 47.28% in procedures without grafting material and 62.68% in procedures with grafting material. A different dimensional behavior of the newly formed bone during the first 3 years after surgery was found: a slight volumetric shrinkage in grafting procedures and a slight bone increase in procedures without grafting material. No statistically significant difference in implant survival rate was found. Conclusion: Both osteotome transcrestal sinus elevation procedures seem to guarantee predictable short- and medium-term results with reference to the intrasinus bone gain. However, the use of grafting materials, compared with their nonuse, does not seem to have substantial advantages in the short and medium term as far as mean intrasinus bone gain is concerned
To what extent are surgeons capable of establishing the difficulty degree of lower third molar surgery pre-operatively?
No full textBackground: Several methods and variables have been proposed to evaluate surgical difficulty in lower third molar extraction. Aims: The main aim of the present study is to identify which variable influences most the surgeon’s judgment on technical difficulty and which patient- and tooth-related variables are directly associated with an increase in surgical difficulty. Materials & Methods: A prospective observational study was performed. Assessment of the difficulty of surgery was conducted both asking surgeons to subjectively evaluate the difficulty of each procedure, pre- and post-operatively, and using a modified Pederson anatomical variable score. Results: Patients with high positive scores for Factor 1 of the principal component analysis underwent third molar surgeries evaluated as difficult by surgeons and were also associated with longer durations of tooth sectioning, ostectomy, flap incision and detachment, luxation/extraction, as well as a greater overall duration of surgery. Teeth with slightly divergent or fused roots were associated with shorter surgeries, which were evaluated as easier by surgeons in comparison to cases of teeth with apical anomalies. When the position of the tooth was vertical, surgery was evaluated as easier by surgeons and lasted less, compared to when the tooth was in a horizontal position. When the roots were slightly divergent or fused, suture and flap incision and detachment lasted longer, and surgery was evaluated as relatively easier compared to when the tooth presented apical anomalies. Conclusion: Surgeons evaluated the difficulty of lower third molar surgery in a substantially different manner compared to the anatomic variable score used
Preparazione del paziente a rischio agli interventi odontostomatologici: l'insufficienza epatica cronica
No full textLingual displacement of an entire lower third molar. Report of a case with suggestions for prevention and management.
No full textL'impiego della colla di fibrina (tissucoll) in chirurgia odontostomatologica: valutazione dei risultati ottenuti nel trattemento dei pazienti in terapia anticoagulante orale
No full textI fattori eziologici locali nel determinismo della ritenzione dei denti permanenti.
No full textNella ritenzione dei denti permanenti l'identificazione dei singoli fattori eziologici locali svolge un ruolo fondamentale nella scelta del trattamento terapeutico
The window approach for extraction of tooth root fragments: a different soft tissue management
Full text linkDifferent techniques have been proposed for the removal of the apical portion of fractured teeth. The window approach was proposed in the past to remove a tooth root fragment through a buccal bone opening at the level of fragment. In the classical approach, a marginal triangular flap is elevated, only the bone overlying the fractured apex is removed and then the apex is pushed out by an elevator toward the alveolar crest. In this technique, the bone removal is minimal, and it does not involve the marginal bone so that patient’s post-surgical discomfort is reduced, and bone resorption is less. A different kind of soft tissue management for bone exposure is proposed here with a simple linear incision at the level of the root apex without any vertical incision. This kind of incision is simple and versatile, leads to a lesser discomfort to the patient and avoids un-aesthetic scar
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