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Maxilofacial
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8/9/18
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An unfortunate case in a 31-year-old pregnant patient, first trimester of pregnancy, was performed according to a previous biopsy report, bone curettage, since the initial pathological diagnosis was an odontogenic tumor.

Based on this, only profuse curettage was performed.
The patient reports in the post-surgical days inflammation, pain and edema.

New revaluation with results confirm carcinoma secondary to the malignancy of ameloblastoma.

It is impressive that in only 20 days the tumor is very aggressive, with exophytic tissue of very bad appearance.
the lingual table and the floor of the mouth.

Further advances of the case
will be reported.
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26/8/18
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Image of aggressive mandibular tumor lesion in a 22-year-old male patient. Dilatation of tables, crepitus, facial asymmetry, negative aspiration.

All this makes it favorable to think of mandibular central tumor lesion. Known as a centrsl giant cell granuloma.

Further advances of the case will be presented.
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26/8/18
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Patient 12 years with history of dentoalveolar trauma abulsion of upper right central. The tooth is out of the mouth one hour.

Then stored in milk and refrigerated. Because it is a rural area, it was possible to carry out the reimplantation and ferula with emergency care 24 hours later, being well stored.

It was a heroic case since the literature reports death of the petiodontal ligament at two hours, and reabsorption by reuphoria and ankylosis is the expected finding.


However in biology there is nothing absolute, and we ran the risk given the patient's age and storage conditions.

After the preparation of the root of the plant, with mild saline solution and immersion in 2% acidulated phosphate fluoride, it is reimplanted as much as possible without scubate. Semi-rigid splint was used, occlusion contol, nylon sutures and transoperative rx.

At today's initial resorption of the apex with expiration of the endodontic material as 2.5 millimeters.

 Loss of ligament space with signs of ankylosis.
Tooth without mobility, change of color crown yellow of 11, the crest oses interdental of the sides to increased by the eruption of 12 and 22.

It draws attention to the radiolucent area of ​​the periapice, which tells us of pulpal necrosis secondary trauma degeneration.

Priority endodontic treatment of the 22 is necessary. Then control the 6 months and every year until the four years is necessary.

Major cases of the case will be published.
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15/8/18
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Preprosthetic surgery has its precise indications, although the rise of implants and tissue regeneration, relegates it to the background.

 we can still obtain a valuable help in patients with low economic resources, in which we can improve their alveolar ridge edentulo, to give better adaptation and prosthetic adesion.

This is the case of a 56-year-old female patient who presented severe pain with trauma to the anterior nasal spine, due to alveolar reabsorption, injuring the prosthetic flank, to such an extent that it did not support the prosthesis.

Bilateral vestibuloplasty was performed with double palatal mucosa graft to the buccal vestibular area.

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14/8/18
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Ectopic teeth generate from tumors to dentigerous cysts.

This is the case of a 21-year-old patient with an alteration in the route of eruption of the third molar ectopic 18.

This patient started a year ago with headache, nasal congestion.

The general dentist sent him panoramic radiography, showing ectopic molar 18 in the maxillary sinus.
On the floor of the maxillary sinus and in relation to the apices of the second molar.

Maxillary sinus surgery via caldwel luc, was performed through a vestibular approach creating a window in the external wall of the same.

A thick capsule was found involving the tooth germ of the 18th. Abundant content dense matte material, of the bad smell was described.

Profuse lavage with oxygenation of the medium, reposition of flap, suture vikyl 4 zeros individual points that were made.

The sample was referred to pathology with preliminary diagnosis of dentigerous cyst.

Broad spectrum antibiotic is necessary.
Further progress of the case will be reported.
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14/8/18
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Female patient 36 years old, with intermittent injury since childhood, says her mother, appearance and remission.

In the last months, greater and gradual growth, with distortion of the pre auricular skin in the right patotidea area.

Sonography and tac conclude injury with cystic affinity.
Further case reports will be presented.
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9/8/18
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Stepped reconstruction process in three surgical times during nine months in order to obtain results we pressed.

The patient suffers from abduction of the lower half of the lower lip, being sutured by the general practitioner as best as possible.

Also fracture alveolar dento block with bone exposure and loss of the vestibulo.

Reduction of the fracture reconstruction of the lip with vascularized flaps, reconstruction of vestibulo and retouching keyloplastis, brings us these good results that we publish today.
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6/8/18
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Patient 94 years of controlled and doabetic hypertensive female, microvascular lesion of the palatal mucosa.

Three months of evolution, episodes of profuse bleeding have been presented.

It is striking that the patient does not wear a superior prosthesis.

Under local anesthesia, the bed was cauterized by bipolar until complete electocoagulation.

These micro injuries are due to vascular endothelial damage, loss of the elastic membrane, with dilatation of the microvessels; Projected as lobed plates, which come out of the epithelium.

Microvascular proliferation with angiomatosis is not ruled out.

Emergency episodes due to this cause have been reported in geriatric patients who, in addition to hypertensive patients, suffer from atherosclerosis and take cardio aspirin.

Control of hypertension, quercetol intravenous ampoules, cryo bed coagulation, suspension of aspirin, and in extreme cases transfusion of platelet cryo units, may be necessary.
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1/8/18
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The difficulty in locating an ectopic canine is already a fact of the past. The 3D tooth tac is an effective tool for this purpose.

We have a female patient of 17 years who was diagnosed with caninon 23 ectopic, with horizontal and transverse position in quadrant two.

The crown against the upper incisors by palatal is confirm through the dental tac

A modified anetero posterior flap from the 26th to the midline is lifted; and pulled with silk thread, being set opposite to dial one at dental level of 14.

Osteotomy guided by ct image is accurate to clear the crown of 23.

Then odontosection and careful dislocation protecting the neighboring teeth is accurate.

Exodontia washed and reposition of the flap, with suspensory sutures; They are the most indicated.

These surgeries by the early age and diagnostic means, it is not so complicated; but if it is of care, in order not to dislocate the neighboring teeth; injure the periodontium or damage its roots.
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1/8/18
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