RESUMO
The gradual loss of the dental alveolus leads to bone resorption, which may cause atrophy of the maxilla and mandible. One of the most complex procedures in reconstructive surgery is the rehabilitation of patients with atrophic mandibles. Herein, we present a clinical case study of atrophic mandible augmentation with grafts obtained from the iliac crest. The use of reconstruction plates may represent a feasible mechanism for treatment as well as fracture prevention. Mandible augmentation performed by grafting the donor site of the iliac crest showed satisfactory results and resolution of the aesthetic and functional impairments.
RESUMO
Delayed eruption of a canine tooth may represent a possible impaction. If this is the case, a slight elevation in the palatal or vestibular mucosa is often observed. Cases of transmigration, where the unerupted tooth crosses the midline, are less frequent. This article reports on the piezosurgery-assisted surgical treatment of a transmigrated canine in the mentonian region. Treatment for this condition varies depending on the clinical characteristics, symptoms, and location of the dental element. The surgical treatment established for this case was satisfactory, and full recovery of the patient was achieved without complications such as an intense postoperative inflammatory response.
RESUMO
There are various accidents and complications that may occur during extraction of dental elements. The displacement of dental elements to other facial spaces is one kind of the possible complications, and there may be significant physical and psychological results for the patient. The treatment for this kind of occurrence may vary from a conservative technique to surgical procedure, what will depend on clinical characteristics, symptoms, the location of the dental element, and its relation to adjacent structures. The objective of this article is to report a clinical case of the displacement of a lower third molar tooth into the submandibular space during its extraction, followed by surgical removal through extraoral approach, with proservation for the next two years when patient evolved to paresthesia of the inferior alveolar nerve.