Dentigerous cyst (DC) is one of the most common odontogenic cysts of the jaws and
rarely recurs. On the other hand, keratocystic odontogenic tumor (KCOT), formerly
known as odontogenic keratocyst (OKC), is considered a benign unicystic or
multicystic intraosseous neoplasm and one of the most aggressive odontogenic lesions
presenting relatively high recurrence rate and a tendency to invade adjacent tissue.
Two cases of these odontogenic lesions occurring in children are presented. They were
very similar in clinical and radiographic characteristics, and both were treated by
marsupialization. The treatment was chosen in order to preserve the associated
permanent teeth with complementary orthodontic treatment to direct eruption of the
associated permanent teeth. At 7-years of follow-up, none of the cases showed
recurrence.
Aim
The present review aims to discuss the last 10 years published data on the topic of the use of osseointegrated implants in diabetic subjects, particularly regarding the influence of antibiotics administration in the perioperative period.
Background
In the last decades, oral rehabilitation significantly has evolved particularly with the use of osseointegrated implants. Increased life expectation of population is reflecting in a greater number of diabetic patients who might require dental osseointegrated implants rehabilitation. Diabetes was considered for a long time as a contraindication for oral implant placement. In this context, the use of antibiotics is still a controversial factor when we correlate it to implant success rate.
Review results
Although 228 articles were initially selected for evaluation of proposed criteria, only 16 articles were considered valid. Among the 16 selected articles, only six articles represented clinical research that discussed the influence of the antibiotic in the success of osseointegration of dental implants in diabetic subjects. Five were retrospective studies and one a prospective research.
Conclusion
Data favors the use of antibiotics without significant side effects but clinical investigations of the need of prophylaxis antibiotic or therapeutic antibiotics are still scarce. The lack of adequate methodology is one of the main problems of the current articles. It is important to emphasize that studies should present detailed methodology in order to allow reproducibility.
Clinical significance
Permanent tooth loss is a pathological condition that affects millions of people worldwide. The possibility of successful treatment of edentulous areas through osseointegrated implants in those systemic compromised patients is a matter of scientific discussion. Although antimicrobial agents must be used rationally and carefully to avoid development of bacterial resistance, more studies are needed in order to support evidence regarding the influence of antibiotics in the success of dental implant surgery in diabetic patients.
How to cite this article
Borba AM, Souza DFM, Brozoski MA, Burim RA, da Graça Naclério-Homem M, Deboni MCZ. Can the Use of Antibiotics interfere with the Success of Dental Osseointegrated Implants in Diabetic Patients? J Contemp Dent Pract 2013;14(6):1197-1201.
Gayotto, muito obrigada pelos ensi namentos transmitidos durante o curso de pós graduação. Ao Rafael Salla Paulilo , obrigada pelo carinho e companheirismo, pelo incentivo incondicional a minha vida e minha carreira. Obrigada por entender que-as células precisavam se alimentar‖. Ao seu lado tudo se torna mais fácil.
The parotid is the most frequent site of primary salivary gland tumors. Lymphomas represent 0.2 to 0.8% of all malignant parotid tumors. Primary Hodgkin lymphoma of the parotid gland is rare with few cases reported in literature. The nodular lymphocyte predominance Hodgkin lymphoma (HL) is considered a particular clinical and histopathological subtype of HL. It has never been reported in the parotid gland since its incorporation in the 2001 World Health Organization Classification. The authors describe a case of a 32-year-old male who sought medical attention because of a one-year history of right cheek enlargement. A parotid nodule was submitted to a fine needle aspiration biopsy which disclosed a suspected lymphoproliferative disorder. A surgical dissection of the parotid gland was performed and an enlarged intraparotid lymph node measuring 4cm in its longest axis was excised, preserving the parotid gland integrity as well as the facial nerve. The pathological examination disclosed the diagnosis of nodular lymphocyte predominance Hodgkin lymphoma in this lymph node within the parotid gland. The treatment was completed with local radiotherapy and the 5-year follow up was uneventful.
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