BackgroundSuccessful extraction of third molars depends on preoperative diagnosis and planning. Gold standard preoperative examinations are performed through computed tomography, decreasing risks and avoiding potential accidents. The present report highlights the value of preoperative examinations in face of accidentally displaced third molars.MethodsAn 18-years-old female patient underwent a third mandibular molar extraction with a general dentist. Accidentally, the mandibular left third molar was displaced into the sublingual space, making necessary a second surgical step. The surgery was interrupted and the patient was referred to an expert in maxillofacial surgery.ResultsAfter 21 days awaiting an asymptomatic health status, the second surgical step was successfully performed using multislice computed tomography as preoperative imaging guide.ConclusionsThe present case report highlights the clinical usefulness of imaging planning and informed consents in face of legal and ethic potential complaints.
ObjectivesThe present study reports a case of late mandibular fracture due to third molar extraction and highlights the inherent clinical, ethical and legal aspects related to this surgical complication.Material and MethodsA female patient underwent surgical procedure for the extraction of the mandibular right third molar. Two days after the surgery the patient reported pain and altered occlusion in the right side of the mandible. After clinical and radiographic re-examination, the diagnosis of late mandibular fracture was established. A second surgery, under general anaesthesia, was performed for the fixation of the mandibular bone.ResultsThe fractured parts were reduced and fixed with locking plate systems and 2 mm screws following load-sharing principles. The masticatory function showed optimal performance within 7 and 21 days after the surgery. Complete bone healing was observed within 1 year of follow-up.ConclusionsFor satisfactory surgical outcomes, adequate surgical planning and techniques must be performed. Signed informed consents explaining the risks and benefits of the treatment must be used to avoid ethical and legal disputes in dentistry.
O desenvolvimento de aditivos cirúrgicos bioativos para regular a inflamação e aumentar a velocidade do processo de cicatrização é um dos grandes desafios da pesquisa clínica. Pois em procedimentos cirúrgicos muitas vezes utilizavam técnicas que, na maioria das vezes, eram bem invasivas e causavam desconforto ao paciente. Nesse sentido, a fibrina rica em plaquetas (PRF) surge como uma alternativa natural, viável e bastante satisfatória com resultados favoráveis e apresentando baixos riscos. O PRF (Fibrina Rica em Plaquetas) foi desenvolvido por Choukroun para uso em cirurgia oral e maxilofacial, e tem diversas áreas de aplicação dentro da odontologia, podendo citar o aumento ósseo na implantodontia, levantamento de seio maxilar, transplante alveolar, cirurgia periodontal estética, dentre outros. A revisão a seguir trata-se de um estudo de revisão de literatura sobre a propriedades da fibrina rica em plaquetas (PRF) aplicada a cirurgia oral-protocolo choukroun, com base em 24 artigos selecionados de 40 artigos pesquisados enfocando na sua preparação, vantagens e desvantagens de usá-lo em aplicações clínicas, especialmente seu uso na cirurgia oral.
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