Alveolar Distraction

Esenlik, Elçin; DeMitchell-Rodriguez, Evellyn M

doi:10.1016/j.cps.2021.02.004

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…Contudo, devido à grande periodicidade na execução de cirurgias em consultórios odontológicos inúmeros inconvenientes são observados devido à questões técnicas, relacionadas aos materiais e instrumentais e os cuidados préoperatórios e pós-operatórios os quais, diferentemente de quando ocorre uma iatrogenia, enquadram-se em atos de negligência, imperícia ou/e imprudência profissional (De Camargo et al, 2019;Esenlik & DeMitchell-Rodriguez, 2021;Leblebicioglu & Tatakis, 2023).…”

Section: Introductionunclassified

Relato de uma série de casos de iatrogenias atendidas em um pronto socorro de um hospital público de ensino do oeste do Paraná decorrentes de cirurgias odontológicas ambulatoriais malsucedidas

Vidor,

Garbin Júnior,

Griza

et al. 2024

RSD

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Introdução: Procedimentos clínico-cirúrgicos são frequentes nos consultórios odontológicos e devem ser realizados com cautela e responsabilidade, uma vez que hemorragias, hematomas, lesões em partes moles adjacentes, fraturas ósseas, infecções e comprometimento de estruturas anatômicas importantes podem ocorrer durante esses procedimentos. Objetivo: Analisar e relatar sete casos clínicos em que ocorreram iatrogenias e que foram atendidas no Hospital Universitário do Oeste do Paraná (HUOP). Em ambos os casos ocorreram complicações devido às falhas na execução dos procedimentos clínicos por meio dos Cirurgiões-Dentistas. Relatos de caso: Os casos abordados no presente estudos se trata de fraturas mandibulares decorrentes de exodontia de terceiro molar e remoção de protocolo inferior para higienização, hemorragia no pós-cirúrgico causada por falha na anamnese e na solicitação de exames complementares, abscessos de origem odontogênica e corpo estranho em seio maxilar após tentativa de exodontia simples. Em todos os casos foi possível observar erros, seja por falta de planejamento prévio, não execução de um bom exame clínico ou execução de técnica insuficiente. Conclusão: O profissional é o responsável por planejar adequadamente os casos e executar de maneira a garantir a segurança do paciente.

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Section: Introductionunclassified

Relato de uma série de casos de iatrogenias atendidas em um pronto socorro de um hospital público de ensino do oeste do Paraná decorrentes de cirurgias odontológicas ambulatoriais malsucedidas

Vidor,

Garbin Júnior,

Griza

et al. 2024

RSD

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“…The current standard of care for reconstruction of defects involves surgical intervention utilizing autogenous bone grafts (autografts) due to their established osteoconductive, osteogenic, and osteoinductive properties [ 5 ]. This type of grafting has been used in a wide range of procedures, including alveolar distraction, dental implantation, and various head and neck procedures [ 6 , 7 , 8 ]. Autografts are harvested from various bones; however, the fibula is a common donor site due to its non-weight-bearing status [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…This type of grafting has been used in a wide range of procedures, including alveolar distraction, dental implantation, and various head and neck procedures [ 6 , 7 , 8 ]. Autografts are harvested from various bones; however, the fibula is a common donor site due to its non-weight-bearing status [ 6 ]. However, this type of bone tissue transfer is not without its respective drawbacks, such as donor site morbidity, muscle weakness, potential for infection, and pain [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, this type of bone tissue transfer is not without its respective drawbacks, such as donor site morbidity, muscle weakness, potential for infection, and pain [ 9 , 10 ]. Further, autografts may lack structural support during the healing process due to poor stabilization and limited bone contact, which can lead to weakness of the reconstructed segment [ 6 , 11 ]. Despite their popularity, autografts may fail to incorporate in up to 60% of cases after 10 years of surgical reconstruction [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

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Translational Experimental Basis of Indirect Adenosine Receptor Agonist Stimulation for Bone Regeneration: A Review

Ehlen,

Mirsky,

Slavin

et al. 2024

IJMS

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Bone regeneration remains a significant clinical challenge, often necessitating surgical approaches when healing bone defects and fracture nonunions. Within this context, the modulation of adenosine signaling pathways has emerged as a promising therapeutic option, encouraging osteoblast activation and tempering osteoclast differentiation. A literature review of the PubMed database with relevant keywords was conducted. The search criteria involved in vitro or in vivo models, with clear methodological descriptions. Only studies that included the use of indirect adenosine agonists, looking at the effects of bone regeneration, were considered relevant according to the eligibility criteria. A total of 29 articles were identified which met the inclusion and exclusion criteria, and they were reviewed to highlight the preclinical translation of adenosine agonists. While preclinical studies demonstrate the therapeutic potential of adenosine signaling in bone regeneration, its clinical application remains unrealized, underscoring the need for further clinical trials. To date, only large, preclinical animal models using indirect adenosine agonists have been successful in stimulating bone regeneration. The adenosine receptors (A1, A2A, A2B, and A3) stimulate various pathways, inducing different cellular responses. Specifically, indirect adenosine agonists act to increase the extracellular concentration of adenosine, subsequently agonizing the respective adenosine receptors. The agonism of each receptor is dependent on its expression on the cell surface, the extracellular concentration of adenosine, and its affinity for adenosine. This comprehensive review analyzed the multitude of indirect agonists currently being studied preclinically for bone regeneration, discussing the mechanisms of each agonist, their cellular responses in vitro, and their effects on bone formation in vivo.

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“…Even if dental implants may significantly contribute to restore an adequate overall functionality, fixtures of standard dimensions cannot be used in most of the abovementioned cases, for lack of sufficient bone levels [ 2 ]. Several options have been developed over the years to correct deficient edentulous ridges, including short or reduced diameter dental implants [ 3 , 4 ]; tilted dental implants [ 5 ]; zygoma implants [ 6 ]; bone splitting/expansion of narrow ridges [ 7 ]; alveolar distraction osteogenesis [ 8 ]; guided bone regeneration [ 9 ]; and Le Fort I osteotomy with inter-positional bone grafts [ 2 , 10 ] (in cases of large sagittal discrepancy between the jaws and when implant inclination is too unfavorable). In this proposal, one of the most frequently employed procedures is represented by the reconstruction of alveolar defects with autogenous bone grafts, harvested from intraoral or extraoral sites: this modality of treatment was found to be a reliable means to correct both moderate and severe alveolar bone deficiencies of partially or totally edentulous patients [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes and periodontal conditions of dental implants placed in free fibula flaps (FFF): a retrospective study with a mean follow-up of 6 years

Lombardo,

D’Agostino,

Nocini

et al. 2023

Clin Oral Invest

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Objectives Up-to-date literature regarding long-term success of implant rehabilitations after microvascular reconstructions with free fibula flap (FFF) is still very scarce. This study aimed to evaluate clinical outcomes, especially related to oral hygiene conditions, of patients rehabilitated with this technique. Materials and methods A total of 25 patients who underwent maxillofacial reconstructive surgery with FFF were retrospectively evaluated for soft tissues conditions, oral hygiene habits, and implant survival and success, assessed with a mean follow-up of 6 (range 2–15) years after loading. Results Fourteen patients received full-arch fixed prostheses and 11 removable bar-supported overdentures. At the follow-up evaluation, 52% of prostheses did not allow proper accessibility for oral hygiene. Overall prosthetic survival was 100%, and implant survival and success were respectively 93.6% and 72%. Prevalence of peri-implantitis was 29% at implant level and that at patient level 96%. Conclusions Six-year clinical outcomes of this study reveal that poor oral hygiene practices and compliance by patients who underwent maxillofacial reconstruction with FFF are significantly associated with peri-implant disease. Clinical relevance Findings of the present study underline the need by clinicians for a careful assessment, in reference to a specific implant therapy, of patient’s prosthetic accessibility for oral hygiene procedures.

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Alveolar Distraction

Cited by 4 publications

References 26 publications

Relato de uma série de casos de iatrogenias atendidas em um pronto socorro de um hospital público de ensino do oeste do Paraná decorrentes de cirurgias odontológicas ambulatoriais malsucedidas

Relato de uma série de casos de iatrogenias atendidas em um pronto socorro de um hospital público de ensino do oeste do Paraná decorrentes de cirurgias odontológicas ambulatoriais malsucedidas

Translational Experimental Basis of Indirect Adenosine Receptor Agonist Stimulation for Bone Regeneration: A Review

Clinical outcomes and periodontal conditions of dental implants placed in free fibula flaps (FFF): a retrospective study with a mean follow-up of 6 years

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