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Chisci G, Chisci D, Chisci E, Chisci V, Stumpo M, Chisci E. The Management of a Geriatric Patient Using Dabigatran Therapy on Dentigerous Cyst with Oral Bleeding. J Clin Med 2024; 13:1499. [PMID: 38592423 PMCID: PMC10934523 DOI: 10.3390/jcm13051499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Revised: 02/20/2024] [Accepted: 02/26/2024] [Indexed: 04/10/2024] Open
Abstract
Jaw cysts represent a great matter of interest in oral and maxillofacial surgery. Jaw cyst surgery is a common intervention in oral surgery but, in the case of a multidisciplinary patient, the oral surgeon needs to meet with other specialists. A cyst is an epithelium-lined sac containing fluid and/or semisolid material due to epithelial cell proliferation, degeneration, and liquefaction; the hypertonic solution withdraws liquids from the surrounding tissues, while internal pressure exerts an equal strength on the cyst walls. Dentigerous cysts are the second most common odontogenic cysts after radicular cysts, and commonly few or no symptoms are reported. However, the most common diagnosis for dentigerous cyst is represented by eruption of the affected tooth or accidental diagnosis. Commonly, dentigerous cysts may be related to impacted third molars; in the case of impacted third molars and a dentigerous cyst, the tooth should be removed along with the cyst in the same intervention. Mandibular dentigerous cysts are common in children and adults, while dentigerous cysts are a rare neoformation in elderly patients. Treatment usually involves removal of the entire cyst and the associated unerupted tooth. This intervention may be more difficult if the cyst is large, the third molar is in contact with the mandibular nerve, and/or the patient has a medical history that may represent a relative or absolute contraindication. We present the case of a rare symptomatic manifestation of dentigerous cyst in an elderly patient in treatment with dabigatran therapy; for the treatment of dentigerous cysts in the elderly, we suggest a multidisciplinary approach with the use of the histological examination and a careful follow-up.
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Affiliation(s)
- Glauco Chisci
- Centro Dentistico Chisci, Via Ricasoli 18, 58100 Grosseto, Italy; (D.C.); (E.C.)
| | - Dafne Chisci
- Centro Dentistico Chisci, Via Ricasoli 18, 58100 Grosseto, Italy; (D.C.); (E.C.)
| | - Enea Chisci
- Department of Ophthalmology, University of Palermo, 90133 Palermo, Italy;
| | - Viola Chisci
- Department of Ophthalmology, Greifswald University Hospital, 17475 Greifswald, Germany
| | - Michela Stumpo
- Department of Pathology, USL Toscana Sudest—Grosseto, Misericordia Hospital, 58100 Grosseto, Italy
| | - Elettra Chisci
- Centro Dentistico Chisci, Via Ricasoli 18, 58100 Grosseto, Italy; (D.C.); (E.C.)
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Comparison of Length of Postoperative Hospital Stay in Pulmonary Resection Patients With and Without Autologous Fibrin Sealant: a Retrospective Descriptive Study. Indian J Surg 2020. [DOI: 10.1007/s12262-020-02139-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Severinov D, Lazarenko S, Sotnikov K, Pohozhay V, Ansimova P, Lipatov V. In vitro Evaluation of Performance Properties of Sponge Hemostatic Dressings (Review). Sovrem Tekhnologii Med 2020; 12:139-146. [PMID: 34513047 PMCID: PMC8353698 DOI: 10.17691/stm2020.12.1.16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2018] [Indexed: 11/19/2022] Open
Abstract
Dressings for restoring organ defects and/or hemostasis in the injury site are being actively applied in operational units. These dressings are used in various surgeries and are widely represented in the foreign and domestic markets of medical products. Many local implants have different levels of hemostatic activity, which requires standardization of the algorithm of choice and the methods of their study. Here the methods of studying the performance properties of hemostatic implants in vitro have been considered and evaluation criteria of their physical, chemical and organoleptic properties in vitro have been proposed. This will allow a researcher to choose optimal variants of samples for further experiments on biological models more effectively as well as to save funds, time and reduce the number of experiments in vivo.
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Affiliation(s)
- D.A. Severinov
- Assistant, Department of Human Anatomy, Kursk State Medical University, 3 K. Marx St., Kursk, 305041, Russia
| | - S.V. Lazarenko
- Assistant, Department of Oncology, Kursk State Medical University, 3 K. Marx St., Kursk, 305041, Russia
| | - K.A. Sotnikov
- Radiologist, Computer Tomography Unit, Department of Radiodiagnostics, S.P. Botkin City Clinical Hospital, Moscow Department of Public Health, 5, 2-y Botkinskiy Proezd, Moscow, 125284, Russia
| | - V.V. Pohozhay
- Associate Professor, Department of Oncology, Gomel State Medical University, 5 Lange St., Gomel, 246000, Republic of Belarus
| | - P.V. Ansimova
- Student, Kursk State Medical University, 3 K. Marx St., Kursk, 305041, Russia
| | - V.A. Lipatov
- Associate Professor, Professor, Department of Operative Surgery and Topographic Anatomy, Kursk State Medical University, 3 K. Marx St., Kursk, 305041, Russia
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Dental surgery in anticoagulated patients—stop the interruption. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 119:136-57. [DOI: 10.1016/j.oooo.2014.10.011] [Citation(s) in RCA: 67] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2014] [Revised: 09/06/2014] [Accepted: 10/15/2014] [Indexed: 01/12/2023]
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Scarano A, Murmura G, Di Cerbo A, Palmieri B, Pinchi V, Mavriqi L, Varvara G. Anti-hemorrhagic agents in oral and dental practice: an update. Int J Immunopathol Pharmacol 2014; 26:847-54. [PMID: 24355219 DOI: 10.1177/039463201302600402] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Many oral surgeons in their daily practice have the problem of controlling postoperative bleeding. In surgical, oral and maxillofacial practice, standard anti-hemorrhagic protocols, especially in high risk patients, are obviously required and need to be continuously updated. The purpose of this review is to give a rational insight into the management of bleeding in oral and dental practice through modern drugs and medical devices such as lysine analogues and serine protease inhibitors, desmopressin, fibrin sealants, cyanoacrylates, gelatins, collagen and foams, protein concentrates, recombinant factors, complementary and alternative medicine and other compounds.
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Affiliation(s)
- A Scarano
- Department of Medical, Oral and Biotechnological Sciences, University of ChietiPescara, Chieti, Italy
| | - G Murmura
- Department of Medical, Oral and Biotechnological Sciences, University of ChietiPescara, Chieti, Italy
| | - A Di Cerbo
- Department of General Surgery and Surgical Specialties, University of Modena and Reggio Emilia Medical School, Modena, Italy
| | - B Palmieri
- Department of General Surgery and Surgical Specialties, University of Modena and Reggio Emilia Medical School, Modena, Italy
| | - V Pinchi
- Departmental Section of Legal Medicine, University of Florence, Florence, Italy
| | - L Mavriqi
- Department of Medical, Oral and Biotechnological Sciences, University of ChietiPescara, Chieti, Italy
| | - G Varvara
- Department of Medical, Oral and Biotechnological Sciences, University of ChietiPescara, Chieti, Italy
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Yonezawa H, Yanamoto S, Kawasaki G, Umeda M. Polyglycolic acid sheets with fibrin glue (MCFP technique) for resection of oral mucosa. Br J Oral Maxillofac Surg 2012; 50:e43-4. [DOI: 10.1016/j.bjoms.2011.09.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2011] [Accepted: 09/02/2011] [Indexed: 10/17/2022]
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Chana R, Salmon L, Waller A, Pinczewski L. Warfarin management in patients on continuous anticoagulation therapy undergoing total knee replacement. ACTA ACUST UNITED AC 2011; 93:1497-502. [DOI: 10.1302/0301-620x.93b11.27255] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We evaluated the safety and efficacy of total knee replacement in patients receiving continuous warfarin therapy. We identified 24 consecutive patients receiving long-term warfarin therapy who underwent total knee replacement between 2006 and 2008 and compared them with a group of age- and gender-matched patients not on long-term anticoagulation. Primary observations were changes in haemoglobin, transfusion rates and complications. Secondary observations were fluctuations in the international normalised ratio (INR) and post-operative range of movement. There was no significant difference between the two groups in pre- or post-operative haemoglobin, incidence of transfusion or incidence of post-operative complications. There were no surgical delays due to a high INR level. The mean change in INR during the peri-operative phase was minimal (mean 0.4; sd 0.7). There was no significant difference in the range of movement between the two groups after day two post-operatively. Current American College of Chest Physicians guidelines recommend bridging therapy for high-risk patients receiving oral anticoagulation and undergoing major orthopaedic procedures. We have shown that a safe alternative is to continue the steady-state warfarin peri-operatively in patients on long-term anticoagulation requiring total knee replacement.
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Affiliation(s)
- R. Chana
- North Sydney Orthopaedic and Sports Medicine Centre, The
Mater Clinic, Suite 2, 3
Gillies St Wollstonecraft, Sydney, New
South Wales 2065, Australia
| | - L. Salmon
- North Sydney Orthopaedic and Sports Medicine Centre, The
Mater Clinic, Suite 2, 3
Gillies St Wollstonecraft, Sydney, New
South Wales 2065, Australia
| | - A. Waller
- North Sydney Orthopaedic and Sports Medicine Centre, The
Mater Clinic, Suite 2, 3
Gillies St Wollstonecraft, Sydney, New
South Wales 2065, Australia
| | - L. Pinczewski
- North Sydney Orthopaedic and Sports Medicine Centre, The
Mater Clinic, Suite 2, 3
Gillies St Wollstonecraft, Sydney, New
South Wales 2065, Australia
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Padovan LEM, Okamoto T, Rezende MCRA, Curvêllo VP, Nicolielo D, Matsumoto MA. Fibrin adhesive implant in wound healing repair of dental sockets with topical application of epsilon aminocaproic acid: Histological analysis. J Biomed Mater Res B Appl Biomater 2005; 73:209-13. [PMID: 15786436 DOI: 10.1002/jbm.b.30162] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The aim of the study was to evaluate wound healing repair of dental sockets after topical application of 5% epsilon-aminocaproic acid (EACA) and the use of fibrin adhesive implant in rats under anticoagulant therapy with warfarin. Sixty Albinus wistar rats were used, divided into three groups of 20. In Group I, the animals were given 0.1 mL/100 mg of 0.9% saline solution per day, beginning 6 days before dental extraction and continuing throughout the experimental period. In Group II, the animals received 0.03 mL of sodium warfarin daily, beginning 6 days before the surgery and continuing until the day of sacrifice; after tooth extractions, the sockets were filled with fibrin adhesive material. In Group III the animals were treated as in Group II, and after extractions, the sockets were irrigated with 5 mL of 5% EACA and filled with the same fibrin adhesive material. All groups presented biological phases of wound healing repair, the differences being evident only in the chronology. The results obtained in Group III were very similar to those of Group I in the last period of wound repair, whereas Group II presented a late chronology compared to the other groups.
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Affiliation(s)
- Luis Eduardo M Padovan
- Department of Oral and Maxillofacial Surgery, Universidade do Sagrado Coração (USC), Bauru, Sao Pãulo, Brazil
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