RESUMEN
PURPOSE: To report the complications experienced and the outcomes of simultaneous or staged dental implants placed during 101 consecutive sinus augmentation procedures through the lateral window approach. PATIENTS AND METHODS: Sixty-eight consecutive patients underwent a total of 101 sinus augmentations. Thirty-nine patients were operated on unilaterally and 29 bilaterally. A total of 141 implants were installed, 65 simultaneously and 76 in a second stage. RESULTS: In 13 of the 101 sinuses, the Schneiderian membrane was perforated. Three patients developed maxillary sinusitis. Two patients suffered perioperative hemorrhages. One patient had a wound dehiscence, and 3 patients developed graft infections. Of the 141 implants, 121 integrated and 14 failed. There was a statistical difference between the losses of implants placed simultaneously versus nonsimultaneously (P = 0.003). The overall postloading success rate for dental implants reached 90% after a follow-up period between 12 and 120 months. CONCLUSION: The lateral window approach is associated with a high rate of success. Yet, some complications can influence the outcome of clinical treatment. Simultaneous placement of implants during sinus augmentation significantly affects their chance of success.
Asunto(s)
Elevación del Piso del Seno Maxilar/efectos adversos , Adulto , Anciano , Pérdida de Sangre Quirúrgica , Implantación Dental/efectos adversos , Implantación Dental/métodos , Fracaso de la Restauración Dental , Femenino , Humanos , Masculino , Sinusitis Maxilar/etiología , Persona de Mediana Edad , Estudios Retrospectivos , Elevación del Piso del Seno Maxilar/métodos , Dehiscencia de la Herida Operatoria/etiología , Resultado del TratamientoRESUMEN
The authors report a rare case of a patient who sustained a penetrating angle grinder broken disc injury to his face, which resulted from a work accident. Evaluation and management are described.
Asunto(s)
Accidentes de Trabajo , Cuerpos Extraños/cirugía , Maxilar , Traumatismos Maxilofaciales/cirugía , Heridas Penetrantes/cirugía , Adulto , Humanos , Masculino , Maxilar/cirugíaRESUMEN
Despite myriad evidence-based data on the efficacy of prophylactic antibiotics in oral surgical procedures, their inaccurate use and indiscriminate abuse still continues in all clinical settings. Although controversy remains, clear-cut guidelines relying on established scientific principles do exist and must be followed. This paper provides a critical and systematic review of each principle and encourages practitioners fit to what current evidence demands.