Idiopathic Bone Cavity (IBC) or Simple Bone Cyst (SBC) is a non- epithelialized bone cavity with serosanguinous fluid content or empty. There is a literature debate regarding its pathogenesis that remains unclear. The main treatment option is the surgical exploration, although there are successful cases described in the literature in which just a follow-up with clinical and radiographic evaluation was performed.ObjectiveThis study aimed to assess the spontaneous resolution of idiopathic bone cavity untreated by surgery.Material and MethodsTwenty-one patients diagnosed with surgically untreated IBC were submitted to a follow-up protocol modified from Damante, Guerra, and Ferreira 5 (2002). A clinical and radiographic evaluation was performed in 13 patients (13/21), while eight patients (8/21) were only radiographically evaluated. Three observers evaluated the panoramic radiographs of 21 patients and the Kappa test was performed by intra and inter-examiners. Inductive and descriptive statistics were applied to the results.ResultsOnly one patient had a positive response to palpation and percussion of the teeth in the cyst area. Most of the cysts evaluated were rated as 3 (lesion “in involution”), 4 (lesion “almost completely resolved”), or 5 (“completely resolved”).ConclusionsWe observed progressive spontaneous resolution of IBC. Most cysts were found in the recovery process in different follow-up periods. Patient's follow-up, without surgery, may be considered after the diagnosis based on epidemiological, clinical, and radiographic features of the lesion.
Sturge-Weber syndrome is a nonhereditary congenital condition characterized by leptomeningeal and facial skin angiomatous malformation following the trigeminal nerve path. The intraoral angiomatosis are presented in 40% of cases and results in an important periodontal alteration, increasing the risk of bleeding during dental procedures. A 43-year-old male patient presented with port wine stain on the right side of the face, the entire hard and soft palates, the alveolar ridge, and buccal mucosa, and had an excessive accumulation of calcified masses in both supragingival and subgingival sites, with swelling and generalized inflammation throughout the gingiva and alveolar mucosa. He reported not having sanitized the area for years for fear of bleeding. Periodontal management, to remove calculus and to control gingivitis initiated in the supragingival region and gradually reaching the subgingival region to control oral microbiota, was performed with mild bleeding. The redness of the staining greatly diminished with time and the extreme halitosis of the patient also improved sharply leading to a dramatic improvement in quality of life. Ambulatory care is a feasible alternative for periodontal management that within safety limits for bleeding risks reduces the operational cost.
Operated UCLP patients with more severe sagittal discrepancies tend to show more severe transverse maxillary arch deficiencies.
À Deus, essa energia poderosa e infinita que mora dentro de cada um de nós, por nos permitir realizar nossos sonhos e conquistar nossos objetivos! À minha mãe Beatriz, por toda sua proteção, cuidado e amor! Tudo que me ensinou foi essencial para que pudesse chegar até aqui, e sem dúvida me ajudará a dar os próximos passos na minha vida. Te amo infinitamente! Ao meu pai Mario, meu grande mestre da vida! Agradeço por todo seu amor incondicional, através do qual sempre me mostrou os melhores caminhos e tornou-os mais claros, através do qual sempre me ensinou a ter força e persistência nos momentos de medo e dificuldade! Amo muito você!! Aos meus queridos irmãos, Fabrício e Juliano!! Obrigada por fazerem parte da minha vida e crescerem ao meu lado compartilhando muitos momentos especiais. Amo e admiro muito vocês! Ao Cleber, meu amor! Seu apoio e incentivo durante todos esses anos me cativaram na busca do crescimento pessoal e profissional. O seu amor e sua cumplicidade me completam e, ao seu lado, descubro um amor maior a cada dia! Te amo! Ao Prof. Dr. José Humberto Damante. O exemplo de docência a ser seguido por todos aqueles que buscam a perfeição na profissão acadêmica. Agradeço pela paciência, pelo cuidado e por todos os momentos de ensino e aprendizado! À todos os Professores do Departamento de Estomatologia e Cirurgia, que contribuíram para minha formação acadêmica, em especial ao Professor Dr. Paulo Sérgio da Silva Santos, que me permitiu expandir possibilidades e crescer profissionalmente. À todos meus amigos e colegas da Pós Graduação em Estomatologia, agradeço pela ótima parceria construída dia a dia, que tornou este período que convivemos e trabalhamos juntos mais prazeroso! À todos os funcionários do Departamento de Estomatologia que nos auxiliam na realização de um trabalho de qualidade. À todos os meus pacientes, que me deram a oportunidade do aprendizado e pelos quais fiz o melhor que pude. E por fim, à esta Faculdade por nos oferecer uma infraestrutura de qualidade, permitindo que o ensino seja de excelência.
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