Odontomas são tumores odontogênicos benignos que comumente acometem a cavidade oral. Os odontomas complexos são constituídos por tecido amorfo e a sua estrutura não se assemelha à estrutura dentária. Clinicamente, os odontomas são em geral assintomáticos, sendo necessário o diagnóstico através do exame radiográfico, tomográfico e histopatológico. Este trabalho pretende relatar um caso clínico, de modo a descrever o manejo cirúrgico do odontoma complexo. Paciente do sexo masculino, 8 anos, compareceu ao Pronto Socorro da Santa Casa de Misericórdia de Araçatuba com queixa principal de aumento volumétrico na região mentual do lado esquerdo. O tratamento proposto foi o manejo cirúrgico do odontoma complexo interessar-se explorar e realizar a curetagem da lesão em mandíbula. Portanto, é essencial considerar o estado geral de saúde do paciente antecedente ao manejo cirúrgico e, adequado ambiente hospitalar com recursos necessários para realização do procedimento cirúrgico, justificando a importância do cirurgião buco-maxilo-facial na equipe multidisciplinar hospitalar.
(1) Background: The objective of this study was to evaluate the morphometry of peri-implant bone tissue in orchiectomized rats, treated with vitamin D isolated or associated with teriparatide. (2) Methods: 24 rats were divided into 4 groups: ORQ—orchiectomy, without drug treatment, ORQ+D—orchiectomy, treated with vitamin D, ORQTERI—orchiectomy, treated with teriparatide and ORQTERI+D—orchiectomy, treated with teriparatide + vitamin D. Each animal received an implant in the tibial metaphysis. Euthanasia occurred 60 days after implant surgery. Computed microtomography (micro-CT) was performed to evaluate the parameters of volume and percentage of bone volume (BV, BV/TV), trabecular thickness (Tb.Th), number and separation of trabeculae (Tb.N, Tb.Sp) and percentage of total porosity (Po-tot). Data were subjected to 1-way ANOVA and Tukey post-test, with a significance level of 5%. (3) Results: For the parameters BV, BV/TV, Tb.Th, the ORQTERI+D group showed the highest values in relation to the other groups and for Po-tot, the lowest values were for ORQTERI+D. For Tb.Sp and Tb.N, there was no statistically significant difference when comparing intragroup results (p > 0.05). (4) Conclusions: It was possible to conclude that treatment with vitamin D associated with teriparatide increases bone volume and improves bone quality.
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