RESUMO
Extraction and immediate implant placement has become routine procedure due to reduced treatment time and the preservation of anatomical structures. However, in many cases, this technique involves teeth with different degrees of tissue compromise due to underlying infections. Until now, the degree of implant compromise has not been described, nor has a clinical management protocol been established for these cases. The aim of this article is to report the clinical results of a protocol used for immediate implant placement and provisionalization in infected extraction sockets. A classification of the implant surface compromise (in contact with previously infected tissue) is also described to facilitate the comparative analysis. It is possible to maintain the benefits of immediate implant placement and provisionalization in infected sites by applying a clinical protocol that considers antibiotic therapy, a thorough curettage of the infected tissue, antisepsis, and sufficient primary implant stability.
Assuntos
Prótese Dentária Fixada por Implante , Carga Imediata em Implante Dentário/métodos , Abscesso Periodontal/complicações , Alvéolo Dental/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Perda do Osso Alveolar/etiologia , Protocolos Clínicos , Falha de Restauração Dentária , Feminino , Seguimentos , Humanos , Arcada Parcialmente Edêntula/reabilitação , Arcada Parcialmente Edêntula/cirurgia , Masculino , Pessoa de Meia-Idade , Peri-Implantite/etiologia , Granuloma Periapical/complicações , Granuloma Periapical/cirurgia , Abscesso Periodontal/cirurgia , Cisto Periodontal/complicações , Cisto Periodontal/cirurgia , Complicações Pós-Operatórias , Reabsorção da Raiz/complicações , Estomatite/etiologia , Infecção da Ferida Cirúrgica/etiologia , Extração Dentária , Fraturas dos Dentes/complicações , Raiz Dentária/lesões , Resultado do Tratamento , Adulto JovemRESUMO
The origin of paradental cysts is related to inflammatory processes, especially pericoronaritis involving impacted or semi-impacted teeth. The authors present a case of paradental cyst related to lower second molar that did not show clinical evidence of inflammatory process. The main aspects related to its classification, diagnosis and clinical characteristics are also discussed.
Assuntos
Doenças Mandibulares/complicações , Cisto Periodontal/complicações , Dente Impactado/etiologia , Adolescente , Feminino , Humanos , Doenças Mandibulares/cirurgia , Dente Molar , Cisto Periodontal/cirurgia , Radiografia , Dente Impactado/diagnóstico por imagemRESUMO
A distinctive form of paradental cyst can occur on the buccal and apical aspects of erupted mandibular molars. This cyst has peculiar clinical and radiographic features, although the microscopic findings are the same as those of odontogenic inflammatory cysts. Diagnostic and therapeutic problems can occur when this lesion is misinterpreted as a radicular cyst. The purpose of this paper is to present an additional case of a paradental cyst in the buccal and mesial aspects of a mandibular second molar involving the apical area of a mandibular first molar. The difficulty of diagnosis, treatment, and controversies regarding terminology are also discussed.