1,721,024 research outputs found
A novel nasal endoscopic approach for removing displaced dental implants from the maxillary sinus.
Introduction: Over the last 30 years, dental implants have become widespread all over the world. Though the implantation procedure is standardized and safe, the displacement of implants into the maxillary sinus can occur. The aim of the study has been to describe a novel combined nasal endoscopic approach through the middle and lower meatus for managing dental implants displaced into the maxillary sinus.
Methods/Results: A 40-year-old man was examined for a titanium osteo-integrated implant displaced within the alveolar recess of the left maxillary sinus. The indications and procedure are reported in detail. The pros and cons of this approach are compared with those of other standard surgical methods.
Conclusions: The main strength of the technique described here lies in the ample view and ideal control of the displaced dental implant achieved by fashioning a second window at the lower meatus that enables enlargement of the natural ostium to be minimized, thereby ensuring an anatomically and functionally better result
New technologies help the functional reconstruction in advanced-stage mandibular medication-related osteonecrosis of the jaw (MRONJ)
Intraoral endoscopic enucleation of a solitary bone cyst of the mandibular condyle.
Solitary bone cysts are benign osteolytic lesions rarely involving the mandibular condyle. They are considered pseudocysts due to the absence of epithelium and their pathogenesis is unknown. These lesions are also known with a variety of synonyms, such as traumatic bone cysts, simple bone cysts, haemorrhagic bone cysts and unicameral cysts. The authors report a case of a solitary cyst of the condylar head treated by enucleation and curettage via an intraoral endoscopic-assisted surgical approach, which avoids the risk of facial nerve injury, reduces the patient's hospitalization and speeds up functional recovery
Rivalutazione critica del ruolo della chirurgia nel trattamento dellâ€TM “osteonecrosi†dei mascellari associata ai bisfosfonati, alla luce di una nuova ipotesi patogenetica.
BIPHOSPHONATE-ASSOCIATED JAWBONE OSTEOMYELITIS: CLINICAL, RADIOLOGICAL AND HISTOLOGICAL FEATURES OF DISEASE
BISPHOSPHONATE-ASSOCIATED JAWBONE OSTEOMYELITIS: CLINICAL, RADIOLOGICAL AND HISTOLOGICAL FEATURES
PRIMARY AND SECONDARY CORRECTION OF NASAL CHANGES IN LE FORT I OSTEOTOMY: A LONG-TERM EVALUATION
Replacement of fractured reconstruction plate with customised mandible implant: A novel technique
In the case presented the authors faced up to the urgent necessity of lateral mandibular reconstruction in a patient affected by multiple myeloma who had already experienced two consecutives ruptures of conventional load-bearing plate.
Given the insufficient remaining bone surface for stable plate fixation, especially at the proximal condylar segment, further plate substitution with standard method was not practicable. Moreover, patient’s progressive declining in health, highly contraindicated mandibular reconstruction with vascularized bone graft.
Therefore, it was decided to virtually plan and fabricate a customized mandible-like titanium prototyped plate, which was pre-shaped according to the individual anatomical bone conditions. The solution proposed may represent a valid option for the substitution of fractured/displaced mandibular reconstruction plates under complex anatomical conditions
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