scholarly journals Application of Platelet-Rich Fibrin as Regeneration Assistant in Immediate Auototransplantation of Third Molar with Unformed Roots: Case Report and Review of Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Hamzah Alkofahi ◽  
Alaa Maghaireh ◽  
Mamoon Fnaish ◽  
Mohammad Jarrah ◽  
Mohammad Bataineh
Keyword(s):  
Skeletal Maturity ◽  
Healing Process ◽  
Third Molar ◽  
Periodontal Ligament Cells ◽  
Case Presentation ◽  
Platelet Rich Fibrin ◽  
Tooth Transplantation ◽  
Periodontal Tissues ◽  
Extraction Site

Background. Autogenous Tooth Transplantation (ATT) is the surgical movement of a maturely or immaturely formed tooth from its original site to another extraction site or a surgically prepared socket in the same individual. The most important factor in the healing process after autotransplantation is the presence of intact and viable periodontal ligament cells, which have the ability to differentiate into osteoblasts and able to induce bone production. ATT can successfully replace removable dentures as a restoration option in a growing patient, while implants can be placed only after skeletal maturity is attained. Case Presentation. In this case, we presented an immediate ATT of the third molar with unformed roots to the extraction socket of the first molar with evidence of continued root formation after 2 years of follow-up. Conclusion. Platelet-Rich Fibrin (PRF) can induce sustainable and accelerated healing, and it can also induce the regeneration process of the periodontal tissues and pulpal formation. This process plays a key role in future root development and success rate.

scholarly journals Two-stage technique in third molar autotransplantation: case report

2018 ◽  
Vol 66 (1) ◽  
pp. 96-100
Author(s):  
Aécio Abner Campos PINTO JÚNIOR ◽  
Savana Márcia Alves COSTA ◽  
Joanna Farias da CUNHA ◽  
Andrea Clemente PALMIER
Keyword(s):  
Case Report ◽  
Tooth Loss ◽  
Third Molar ◽  
Success Rates ◽  
Tooth Transplantation ◽  
Periodontal Tissues ◽  
Dental Rehabilitation ◽  
Two Stages ◽  
Early Tooth Loss

ABSTRACT Tooth autotransplantation is an option for treating patients presenting early tooth loss. The teeth most commonly removed are the first molars, and their absence could lead to several oral health problems in patients. This transplant technique consists of the transposition and repositioning of a tooth from one area to another, in the same patient. Dental implants have high success rates, but tooth autotransplantation is less complex and less expensive, because the patient’s own tooth is used. In the context of dental rehabilitation, tooth transplantation is focused on re-establishing masticatory function and esthetics. Success rates are variable, but in the majority of cases they exceed 80%. This article aims to report the case of a patient who underwent autotransplantation of the maxillary left third molar into the maxillary right first molar position. The surgical procedure was performed on two stages. After a 3-year clinical and radiographic follow-up period, a satisfactory result was achieved with the transplanted tooth presenting a healthy pulp and periodontal tissues, reestablishing the patient’s function and esthetics.

scholarly journals Autotransplantation of a Supernumerary Tooth to Replace a Misaligned Incisor with Abnormal Dimensions and Morphology: 2-Year Follow-Up

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
R. Ebru Tirali ◽  
Cagla Sar ◽  
Ufuk Ates ◽  
Metin Kizilkaya ◽  
S. Burcak Cehreli
Keyword(s):  
Periodontal Regeneration ◽  
Maxillary Incisor ◽  
Radiographic Evidence ◽  
Tooth Transplantation ◽  
Extraction Site ◽  
Successful Clinical Outcome ◽  
Crown Morphology ◽  
And Function ◽  
Viable Treatment

Autotransplantation is a viable treatment option to restore esthetics and function impaired by abnormally shaped teeth when a suitable donors tooth is available. This paper describes the autotransplantation and 2-year follow-up of a supernumerary maxillary incisor as a replacement to a misaligned maxillary incisor with abnormal crown morphology and size. The supernumerary incisor was immediately autotransplanted into the extraction site of the large incisor and was stabilized with a bonded semirigid splint for 2 weeks. Fixed orthodontic therapy was initiated 3 months after autotransplantation. Ideal alignment of the incisors was accomplished after 6 months along with radiographic evidence of apical closure and osseous/periodontal regeneration. In autogenous tooth transplantation, a successful clinical outcome can be achieved if the cases are selected and treated properly.

scholarly journals Use of Platelet Rich Fibrin (PRF)-Based Autologous Membranes for Tooth Extraction in Patients under Bisphosphonate Therapy: A Case Report

Biomedicines ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 89 ◽  
Author(s):  
Alberto Pispero ◽  
Ivan Bancora ◽  
Antonious Khalil ◽  
Dario Scarnò ◽  
Elena M. Varoni
Keyword(s):  
Tooth Extraction ◽  
Osteonecrosis Of The Jaw ◽  
Bisphosphonate Therapy ◽  
Surgical Wound ◽  
Promising Alternative ◽  
Platelet Rich Fibrin ◽  
Premolar Extraction ◽  
Extraction Site ◽  
Antibiotic Coverage

Tooth extraction in patients treated with bisphosphonates (BPs) for osteoporosis or cancer exposes the patient to the risk of osteonecrosis of the jaw. An autologous membrane using platelet-rich fibrin (PRF) is an innovative technique to promote wound healing, which allows obtaining a hermetic closure of the post-extractive surgical site without the need of mucoperiosteal flaps or periosteal releasing incisions. Here, we report the case of a 70-year-old woman, in therapy with alendronate for 12 years, requiring the upper right premolar extraction because of a crown fracture. After the tooth extraction performed under antiseptic and antibiotic coverage, the PRF autologous membrane was placed on the surgical wound to close completely the post-extraction site. Follow-up visits were carried out after one, two, four weeks and two months from the intervention. The complete re-epithelization of the wound was observed without signs of infection. The use of PRF for the closure of post-extraction sockets in patients taking BPs appears to be a promising alternative to the more invasive surgical procedures. Future clinical trials will be pivotal in elucidating the effectiveness of PRF to prevent BP-related osteonecrosis after tooth extraction.

A Two-Stage Surgical Approach to the Treatment of Severe Peri-Implant Defect: A 30-Month Clinical Follow-Up Report

2014 ◽  
Vol 40 (3) ◽  
pp. 299-305
Author(s):  
Jong-Eun Kim ◽  
Ha-Young Kim ◽  
Jung-Bo Huh ◽  
Jeong-Yol Lee ◽  
Sang-Wan Shin
Keyword(s):  
Healing Process ◽  
Treatment Method ◽  
Successful Outcome ◽  
Collagen Membrane ◽  
Bovine Bone ◽  
Bone Material ◽  
Case Presentation ◽  
Regeneration Procedure ◽  
Patients Experience

With the advance of dental implant technology and the consequential increase in its success rate, the implant has become a highly predictable treatment method. Despite this, related complications are on the rise, with peri-implant mucositis and peri-implantitis being the most commonly observed. As in the case of conventional periodontitis, many patients experience peri-implant mucositis and peri-implantitis. In this case presentation, extensive bone loss occurred around the implant due to peri-implantitis, and the infection was first treated by applying chlorhexidine-soaked gauze and topical antibiotics. Then the guided bone regeneration procedure was performed using a bovine bone material and a collagen membrane, which resulted in the recovery of the lesion. With follow-ups of the healing process for 30 months, a successful outcome was observed that is reported herein.

scholarly journals Primary epithelioid angiosarcoma originating from the mandibular gingiva: a case report of an extremely rare oral lesion

2020 ◽  
Author(s):  
Yuko Komatsu ◽  
Ikuya Miyamoto ◽  
Yu Ohashi ◽  
Katsunori Katagiri ◽  
Daisuke Saito ◽  
...  
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Oral Lesion ◽  
Epithelioid Angiosarcoma ◽  
Case Presentation ◽  
Mandibular Third Molar ◽  
Old Japanese ◽  
Molar Region

Abstract Background Angiosarcoma occurs very rarely in the oral cavity, and the epithelioid type is even rarer. Here, we report a rare case involving an elderly man with a primary epithelioid angiosarcoma that originated from the mandibular gingiva and resembled a dentigerous cyst on radiographs. Case presentation A 66-year-old Japanese man visited our hospital with a chief complaint of gingival swelling in right mandibular third molar region. A panoramic radiograph showed bone resorption around the crown of right mandibular third molar, which was impacted. Incisional biopsy confirmed a diagnosis of epithelioid angiosarcoma. The lesion exhibited aggressive proliferation after biopsy resulting in uncontrolled bleeding and difficulty in closing the mouth. Mandibular segmental resection including the tumor was performed without reconstruction. Because of the aggressive preoperative course of the tumor, the patient received adjuvant chemotherapy. There were no signs of recurrence during a 2-year follow-up period. ConclusionsA review of the literature yielded only four reported cases of epithelioid angiosarcoma in the jaw region, with the lesions occurring in the maxilla in three cases. To our knowledge, this is the second case of primary epithelioid angiosarcoma in the mandible.

scholarly journals Modified coronectomy procedure for mandibular third molar: association of platelet-rich fibrin

2021 ◽  
Vol 69 ◽  
Author(s):  
Ronaldo Célio MARIANO ◽  
Alexandre Augusto Ferreira da SILVA ◽  
Guilherme Menali GOMES ◽  
Luis Henrique Theodoro ALVES ◽  
Marina Reis OLIVEIRA
Keyword(s):  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Mandibular Canal ◽  
Modified Technique ◽  
Present Case Report ◽  
Platelet Rich Fibrin ◽  
Good Healing ◽  
Mandibular Third Molar

ABSTRACT The present case report describes a modified technique of coronectomy for mandibular third molar with association of Platelet-Rich Fibrin Graft (PRF). The panoramic radiograph showed proximity of the roots of the vertical positioned 48 tooth with the superior wall of the mandibular canal, since the erasure of the superior cortical of the mandibular canal was observed. Due to the risk of injury to the inferior alveolar nerve, the technique of coronectomy was chosen. After the realized the coronectomy, in order to promote the regeneration of soft and hard tissues and also to prevent pulp changes that could lead to pain, pulp necrosis and infection, the PRF graft was used to fill the surgical defect formed by removal of the crown. Good healing evolution was observed and after 12 months of clinical and radiographic follow-up there was complete bone formation in the area where the crown was removed and no complications were observed.

scholarly journals Primary epithelioid angiosarcoma originating from the mandibular gingiva: a case report of an extremely rare oral lesion

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Yuko Komatsu ◽  
Ikuya Miyamoto ◽  
Yu Ohashi ◽  
Katsunori Katagiri ◽  
Daisuke Saito ◽  
...  
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Oral Lesion ◽  
Epithelioid Angiosarcoma ◽  
Case Presentation ◽  
Mandibular Third Molar ◽  
Old Japanese ◽  
Molar Region

Abstract Background Angiosarcoma occurs very rarely in the oral cavity, and the epithelioid type is even rarer. Here, we report a rare case involving an elderly man with a primary epithelioid angiosarcoma that originated from the mandibular gingiva and resembled a dentigerous cyst on radiographs. Case presentation A 66-year-old Japanese man visited our hospital with a chief complaint of gingival swelling in right mandibular third molar region. A panoramic radiograph showed bone resorption around the crown of right mandibular third molar, which was impacted. Incisional biopsy confirmed a diagnosis of epithelioid angiosarcoma. The lesion exhibited aggressive proliferation after biopsy resulting in uncontrolled bleeding and difficulty in closing the mouth. Mandibular segmental resection including the tumor was performed without reconstruction. Because of the aggressive preoperative course of the tumor, the patient received adjuvant chemotherapy. There were no signs of recurrence during a 2-year follow-up period. Conclusions A review of the literature yielded only four reported cases of epithelioid angiosarcoma in the jaw region, with the lesions occurring in the maxilla in three cases. To our knowledge, this is the second case of primary epithelioid angiosarcoma in the mandible.

scholarly journals Primary epithelioid angiosarcoma originating from the mandibular gingiva: a case report of an extremely rare oral lesion

2020 ◽  
Author(s):  
Yuko Komatsu ◽  
Ikuya Miyamoto ◽  
Yu Ohashi ◽  
Katsunori Katagiri ◽  
Daisuke Saito ◽  
...  
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Oral Lesion ◽  
Epithelioid Angiosarcoma ◽  
Case Presentation ◽  
First Case ◽  
Mandibular Third Molar ◽  
Old Japanese

Abstract BackgroundAngiosarcoma occurs very rarely in the oral cavity, and the epithelioid type is even rarer. Here we report a rare case involving an elderly man with a primary epithelioid angiosarcoma that originated from the mandibular gingiva and resembled a dentigerous cyst on radiographs.Case presentationA 66-year-old Japanese man visited our hospital with a chief complaint of gingival swelling in right mandibular third molar region. A panoramic radiograph showed bone resorption around the crown of right mandibular third molar, which was impacted. Incisional biopsy confirmed a diagnosis of epithelioid angiosarcoma. The lesion exhibited aggressive proliferation after biopsy resulting in uncontrolled bleeding and difficulty in closing the mouth. Mandibular segmental resection including the tumor was performed without reconstruction. Because of the aggressive preoperative course of the tumor, the patient received adjuvant chemotherapy. There were no signs of recurrence during a 1-year follow-up period.ConclusionsA review of the literature yielded only three reported cases of epithelioid angiosarcoma in the jaw region, with the lesions occurring in the maxilla in all three cases. To our knowledge, this is the first case of primary epithelioid angiosarcoma in the mandible.

scholarly journals Evaluation of autogenous tooth transplantation for replacement of the missing or unrestorable mandibular molar tooth

2017 ◽  
Vol 10 (2) ◽  
pp. 126
Author(s):  
Wahiduj Jaman ◽  
Shohda Khatun ◽  
Quazi Billur Rahman
Keyword(s):  
Third Molar ◽  
Molar Tooth ◽  
Second Molar ◽  
Tooth Transplantation ◽  
Arch Bar ◽  
Mandibular Molar ◽  
Long Term Observation ◽  
Missing Tooth

<p>This study was undertaken to evaluate the functional and occlusal stability of autogenous tooth transplantation. A total of 30 patients were included. Among them, 21 participants received transplanted first molar and the remaining 9 received transplanted second molar. In all the cases, donor tooth were third molar. In each participant, extraction of un-restorable first or second molar tooth was performed which was then replaced by atrumatic extracted third molar tooth. Each third molar tooth was placed in the recipient extracted socket, followed by the evaluation of the occlusion and then stabilized with arch bar and ligature wire. Clinical follow-up evaluation was performed at 15 days, 3 and 12 months in respect to occlusal stability, tooth mobility and periodontal status. It was found that 23 transplanted tooth were successful and the remaining 7 tooth need long-term observation for the final outcome, which was statistically significant. It can be concluded that the autogenous tooth transplantation can replace missing tooth to ensure the preservation of function, aesthetic and to prevent bone resorption of the missing area of the jaw, which can lead to exceptional esthetic and functional outcome.</p>

Pilonidal sinus disease: Karydakis flap procedure in our patients

2020 ◽  
Vol 99 (8) ◽  
Keyword(s):  
Wound Healing ◽  
Pilonidal Sinus ◽  
Healing Process ◽  
Pilonidal Sinus Disease ◽  
Wound Complications ◽  
Limberg Flap ◽  
New Disease ◽  
Sinus Disease ◽  
Flap Procedure

Introduction: Despite the available guidelines, opinions of many surgeons are quite ambiguous when it comes to the therapy of pilonidal sinus disease. The treatment can be a frustrating problem both for the surgeon and the patient because it is associated with wound complications and high recurrence rate. The objective of this study was to analyze the results of patients with pilonidal sinus disease undergoing the Karydakis flap procedure. Methods: A total of 27 patients treated for primary and recurrent pilonidal disease using the Karydakis flap procedure at our department between October 23, 2018 and November 22, 2019 were analyzed prospectively. We evaluated postoperative wound healing, complications and recurrence of the disease in a short-term follow-up period. Disease recurrence was defined as prolonged healing or as a new disease requiring repeated surgery. Results: In December 2019 all 27 patients came for a follow-up visit. The result was a fully lateralized wound without any signs of a new disease in all patients. In May 2020 a follow-up visit by phone was performed. The median follow-up was 12 months. The healing process was free of any serious complications in 25 patients. Seroma formation cases were managed by puncture in the outpatient setting. Conclusion: According to the available evidence and guidelines, off-midline procedures – the Karydakis flap, Bascom cleft lift, and Limberg flap procedures – are associated with lower recurrence rates and better wound healing. An important goal is to achieve complete wound lateralization and to change the configuration of the gluteal cleft by reshaping it, which results in a nicely flattened gluteal crease.

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