Fractures of the zygomaticomaxillary complex are among the most common face traumas. Based upon the complexity and great variety of reported diagnoses and treatments, the proposal of this study was to evaluate, clinically and radiographically, unilateral zygomatic fractures treated through internal rigid fixation with miniplates and screws of 1.5 mm. Material and Method: 15 patients with unilateral fractures of the zygomaticomaxillary complex were analyzed, and compared with 15 patients without fractures so that a comparative analysis of the area and the perimeter of the orbital cavities could be made, as well as the distance from the nasal point to the zygomatic prominence between both groups. Results: In the radiographic analysis, the both groups presented similarity in the perimeter and in the area of the orbital cavities. Concerning the distance from the nasal point to the zygomatic prominence, only the operated group showed a significant difference between the sides, even though clinically the observation of the asymmetry had been absent or discreet. Conclusions: The treatment of unilateral fractures of the zygomaticomaxillary complex with the use of plates and screws of the 1.5 mm system proved to be effective, showing good esthetic results and low complication rates.
NUNES, P. A.; MEDEIROS, M. M; SODER, M. V.; KLEIN, A. L. L.; HASSE, P. N.; FPAU, E. A. Implante e provisionalização imediata com resina composta em area estética. Arq. Ciênc. Saúde UNIPAR, Umuarama, v. 18, n. 1, p. 65-68, jan./abr. 2014. RESUMO:O tratamento odontológico tem como objetivo devolver ao paciente a função mastigatória e estética. A implantodontia é uma ciência que busca atingir tais objetivos e tem se desenvolvido consideravelmente nos últimos anos. O protocolo cirúrgico do implante imediato surgiu com a finalidade inicial de aproveitar a arquitetura óssea do alvéolo dentário, para facilitar a instalação do implante. Dessa forma, consegue-se eliminar o segundo estágio cirúrgico. O objetivo deste artigo é relatar um caso clínico em área estética, abordando as vantagens e desvantagens em que a realização do implante com carga imediata foi executada como opção de tratamento. A instalação de componentes protéticos imediatos reduz o tempo de tratamento, minimiza a perda do remanescente ósseo e com isso, otimiza os resultados com relação à função e a estética. Essa técnica apesar de proporcionar mais conforto e comodidade para o paciente necessita ser executada de maneira multidisciplinar e mediante um planejamento prévio criterioso. PALAVRAS-CHAVE: Implantes unitários; Implantes imediatos; Osseointegração. IMPLANT AND IMMEDIATE TEMPORIZATION IN THE A ESTHETIC AREA WITH COMPOSITE RESINABSTRACT: Dental treatment aims to restore the patient's masticatory and aesthetic functions. Implantology is the science that seeks to achieve these objectives and has developed considerably in recent years. The surgical protocol for the immediate implant has originated with the initial purpose of using the tooth socket bone architecture to facilitate the installation of the implant. Thus, the second surgical stage can be eliminated. The objective this article is to report a clinical case in the aesthetic area addressing the advantages and disadvantages where the achievement of the implant with immediate load was performed as a treatment option. The immediate installation of prosthetic components reduces treatment time, minimizing the loss of remaining bone and therefore optimizes the results regarding the function and aesthetics. Although this technique provides more comfort and convenience for the patient, it needs to be performed in a multidisciplinary manner and with a careful pre-planning. KEYWORDS: Implant units; Immediate implants; Osseointegration. IntroduçãoO tratamento odontológico tem como objetivo devolver ao paciente a função mastigatória e estética. A implantodontia é uma ciência que busca atingir tais objetivos e tem se desenvolvido consideravelmente nos últimos anos. O período contemporâneo da implantodontia teve início na década de setenta por meio de resultados de pesquisa sobre osseointegração realizado por Branemark. A osseointegração apresentou um conceito novo para a implantodontia oral, e pode ser definida como o contato direto entre o osso vivo e o implante osseointegrado. Desde que foi introduzido o ...
The sialolith, also known as saliva stone or sialolithiasis is a calcified structure which develops inside the salivary ductal system or on the salivary gland parenchyma; it grows gradual, asymptomatic, and slowly. Most of the stones are sized less than 10 mm and only 7% of them are larger than 15 millimeters; those are considered giant salivary gland stones. Objective: This study aimed to report a case of two sialoliths that have merged, forming a giant sialolith, located in the Wharton duct in the left submandibular gland. Methods and Results: Clinical diagnosis was confirmed by occlusal and panoramic radiographs. A surgical removal was performed with intraoral incision under local anesthesia, through sialolith anchorage by suture thread and removal of two sialoliths, sized about 13 mm and 16 mm. Marsupialization suture was performed at the local where the incision was made, forming a new gland duct. Conclusion: The sialolithiasis treatment methods are very different and should be taken into account the affected gland, size and location of sialolith, always opting for the more conservative methods.
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