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Momesso GAC, de Almeida TL, da Silva WPP, Marão HF, Bassi APF, Garcia-Júnior IR, Faverani LP. What are the Consequences of Incorrect Handling in the Treatment of Blunt-Cut Lip Injuries? J Craniofac Surg 2023; 34:e537-e539. [PMID: 37470701 DOI: 10.1097/scs.0000000000009540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 05/19/2023] [Indexed: 07/21/2023] Open
Abstract
This study aimed report two cases of blunt-cut lip injury which occurred in postoperatory dehiscence. Patients were referred to the emergence attendance and the clinical examination revealed extensive laceration on the upper and lower lips of both patients, highly contaminated with asphalt residue. The affected regions were properly cleaned with saline and antiseptic solution, and, under local anesthesia, suturing was performed in layers in the muscle and oral mucosa region with 4-0 resorbable thread and in the skin region with 6-0 non-absorbable thread. Patients presented different levels of dehiscence on post-operatory evaluation. Thus, it was prescribed antibiotic and healing ointments for decontamination and improvement of the healing process. Third days post-operatory one of the patients presented a great healing of external lips and vermilion lip. However, the other patient presented aesthetic sequelae in the vermilion region of the lip, with a line of fibrosis and misalignment in the region, but not function sequelae. Thus, it was concluded that blunt injuries on the lip must strictly follow the established treatment protocols and must begin aiming for favorable results in the first intervention. Moreover, the postoperative care of the patient and the surgeon are as important as the procedure itself.
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Affiliation(s)
| | | | | | - Heloísa Fonseca Marão
- Departament of implantology, University of Santo Amaro, Unisa, São Paulo, SP, Brazil
| | - Ana Paula Farnezi Bassi
- Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Idelmo Rangel Garcia-Júnior
- Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - Leonardo Perez Faverani
- Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
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Polo TOB, Fonseca-Santos JM, Momesso GAC, da Silva WPP, Barbosa S, Santos AMDS, Silva MC, Garcia VG, Theodoro LH, Faverani LP. Single intraoperative infrared laser optimized bone repair in rat femoral osteotomies with experimentally induced osteoporosis. Lasers Med Sci 2023; 38:87. [PMID: 36935455 DOI: 10.1007/s10103-023-03746-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 03/06/2023] [Indexed: 03/21/2023]
Abstract
This study aimed to evaluate the effect of infrared laser (IRL) on bone repair in ovariectomized rats subjected to femoral osteotomies. Of 32 rats, half underwent bilateral ovariectomy (OVX) and the other half underwent sham ovariectomy (SHAM). A period of 3 months was defined to observe the presence of osteoporosis. The rats were subjected to osteotomies in the femurs and then fixed with a miniplate and 1.5-mm system screws. Thereafter, half of the rats from both SHAM and OVX groups were not irradiated, and the other half were irradiated by IRL using the following parameters: wavelength, 808 nm; power, 100 mW; 60 s for each point; 6 J/point; and a total of 5 points of bone gap. All animals were euthanized 60 days after surgery. The femur gap was scanned using micro-computed tomography (micro-CT). The samples were then examined under a confocal laser microscope to determine the amounts of calcein and alizarin red. The slides were stained with alizarin red and Stevenel's blue for histometric analysis. In the micro-CT analysis, the OVX groups had the lowest bone volume (P < 0.05). When the laser was applied to the OVX groups, bone turnover increased (P < 0.05). New bone formation (NBF) was comparable between SHAM and OVX/IR (P > 0.05) groups; however, it was less in the OVX groups (P < 0.05). In conclusion, the results encourage the use of IRL intraoperatively as it optimizes bone repair, mainly in animals with low bone mineral density.
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Affiliation(s)
- Tárik Ocon Braga Polo
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Gustavo Antonio Correa Momesso
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
- Department of Implantology, University of Santo Amaro, Unisa, São Paulo, SP, Brazil
| | | | - Stefany Barbosa
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | | | - Mirela Caroline Silva
- School of Dentistry, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil
| | - Valdir Gouveia Garcia
- Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), 1193 José Bonifácio Street, Araçatuba, São Paulo, 16015-050, Brazil
| | - Letícia Helena Theodoro
- Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), 1193 José Bonifácio Street, Araçatuba, São Paulo, 16015-050, Brazil
| | - Leonardo P Faverani
- Diagnosis and Surgery Department, School of Dentistry, São Paulo State University (UNESP), 1193 José Bonifácio Street, Araçatuba, São Paulo, 16015-050, Brazil.
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Farnezi Bassi AP, Bizelli VF, Brasil LFDM, Pereira JC, Al-Sharani HM, Momesso GAC, Faverani LP, Lucas FDA. Is the Bacterial Cellulose Membrane Feasible for Osteopromotive Property? Membranes (Basel) 2020; 10:membranes10090230. [PMID: 32932731 PMCID: PMC7558580 DOI: 10.3390/membranes10090230] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/09/2020] [Revised: 09/03/2020] [Accepted: 09/07/2020] [Indexed: 02/06/2023]
Abstract
Guided bone regeneration was studied to establish protocols and develop new biomaterials that revealed satisfactory results. The present study aimed to comparatively evaluate the efficiency of the bacterial cellulose membrane (Nanoskin®) and collagen membrane Bio-Gide® in the bone repair of 8-mm critical size defects in rat calvaria. Seventy-two adult male rats were divided into three experimental groups (n = 24): the CG—membrane-free control group (only blood clot, negative control), BG—porcine collagen membrane group (Bio-Guide®, positive control), and BC—bacterial cellulose membrane group (experimental group). The comparison periods were 7, 15, 30, and 60 days postoperatively. Histological, histometric, and immunohistochemical analyses were performed. The quantitative data were subjected to 2-way ANOVA and Tukey’s post-test, and p < 0.05 was considered significant. At 30 and 60 days postoperatively, the BG group showed more healing of the surgical wound than the other groups, with a high amount of newly formed bone (p < 0.001), while the BC group showed mature connective tissue filling the defect. The inflammatory cell count at postoperative days 7 and 15 was higher in the BC group than in the BG group (Tukey’s test, p = 0.006). At postoperative days 30 and 60, the area of new bone formed was greater in the BG group than in the other groups (p < 0.001). Immunohistochemical analysis showed moderate and intense immunolabeling of osteocalcin and osteopontin at postoperative day 60 in the BG and BC groups. Thus, despite the promising application of the BC membrane in soft-tissue repair, it did not induce bone repair in rat calvaria.
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Affiliation(s)
- Ana Paula Farnezi Bassi
- Department of Diagnosis and Surgery, São Paulo State University, UNESP, School of Dentistry, Araçatuba, São Paulo 16015-050, Brazil; (V.F.B.); (L.F.d.M.B.); (J.C.P.); (G.A.C.M.); (L.P.F.)
- Correspondence: ; Tel.: +55-18-36363242
| | - Vinícius Ferreira Bizelli
- Department of Diagnosis and Surgery, São Paulo State University, UNESP, School of Dentistry, Araçatuba, São Paulo 16015-050, Brazil; (V.F.B.); (L.F.d.M.B.); (J.C.P.); (G.A.C.M.); (L.P.F.)
| | - Leticia Freitas de Mendes Brasil
- Department of Diagnosis and Surgery, São Paulo State University, UNESP, School of Dentistry, Araçatuba, São Paulo 16015-050, Brazil; (V.F.B.); (L.F.d.M.B.); (J.C.P.); (G.A.C.M.); (L.P.F.)
| | - Járede Carvalho Pereira
- Department of Diagnosis and Surgery, São Paulo State University, UNESP, School of Dentistry, Araçatuba, São Paulo 16015-050, Brazil; (V.F.B.); (L.F.d.M.B.); (J.C.P.); (G.A.C.M.); (L.P.F.)
| | - Hesham Mohammed Al-Sharani
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Ibb 16015-050, Yemen;
| | - Gustavo Antonio Correa Momesso
- Department of Diagnosis and Surgery, São Paulo State University, UNESP, School of Dentistry, Araçatuba, São Paulo 16015-050, Brazil; (V.F.B.); (L.F.d.M.B.); (J.C.P.); (G.A.C.M.); (L.P.F.)
| | - Leonardo P. Faverani
- Department of Diagnosis and Surgery, São Paulo State University, UNESP, School of Dentistry, Araçatuba, São Paulo 16015-050, Brazil; (V.F.B.); (L.F.d.M.B.); (J.C.P.); (G.A.C.M.); (L.P.F.)
| | - Flavia de Almeida Lucas
- Department of Animal Clinic, Surgery and Reproduction, São Paulo State University, UNESP, School of Veterinary Medicine, Araçatuba, São Paulo 16050-698, Brazil;
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Polo TOB, Silva WPP, Momesso GAC, Lima-Neto TJ, Barbosa S, Cordeiro JM, Hassumi JS, da Cruz NC, Okamoto R, Barão VAR, Faverani LP. Plasma Electrolytic Oxidation as a Feasible Surface Treatment for Biomedical Applications: an in vivo study. Sci Rep 2020; 10:10000. [PMID: 32561767 PMCID: PMC7305204 DOI: 10.1038/s41598-020-65289-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Accepted: 04/28/2020] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVES In this in vivo animal study, we evaluated the effect of plasma electrolytic oxidation (PEO) coating on the topographic and biological parameters of implants installed in rats with induced osteoporosis and low-quality bones. MATERIALS AND METHODS In total 44 Wistar rats (Rattus novergicus), 6 months old, were submitted to ovariectomy (OXV group) and dummy surgery (SHAM group). After 90 days, the ELISA test was performed and the ovariectomy effectiveness was confirmed. In each tibial metaphysis, an implant with PEO coating containing Ca2+ and P5+ molecules were installed, and the other tibia received an implant with SLA acid etching and blasting (AC) (control surface). After 42 days, 16 rats from each group were euthanized, their tibias were removed for histological and immunohistochemical analysis (OPG, RANKL, OC and TRAP), as well as reverse torque biomechanics. Data were submitted to One-way ANOVA or Kruskal-Wallis tests, followed by a Tukey post-test; P < 0.05. Histological analyses showed higher bone neoformation values among the members of the PEO group, SHAM and OVX groups. Immunohistochemical analysis demonstrated equilibrium in all groups when comparing surfaces for TRAP, OC and RANKL (P > 0.05), whereas OPG showed higher PEO labeling in the OVX group (P < 0.05). Biomechanical analysis showed higher reverse torque values (N.cm) for PEO, irrespective of whether they were OVX or SHAM groups (P < 0.05). CONCLUSION The results indicated that the PEO texturing method favored bone formation and showed higher bone maturation levels during later periods in osteoporotic rats.
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Affiliation(s)
- Tárik Ocon Braga Polo
- Department of Diagnosis and Surgery, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil
| | - William Phillip Pereira Silva
- Department of Diagnosis and Surgery, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil
| | - Gustavo Antonio Correa Momesso
- Department of Diagnosis and Surgery, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil
| | - Tiburtino José Lima-Neto
- Department of Diagnosis and Surgery, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil
| | - Stéfany Barbosa
- Undergradutate student, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil
| | - Jairo Matozinho Cordeiro
- University of Campinas (UNICAMP), Piracicaba Dental School, Department of Prosthodontics and Periodontology, Av Limeira, 901, Piracicaba, São Paulo, CEP13414-903, Brazil.,Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Sao Paulo, Brazil
| | - Jaqueline Suemi Hassumi
- Department of Diagnosis and Surgery, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil
| | - Nilson Cristino da Cruz
- Technological Plasma Laboratory (LaPTec), Experimental Campus of Sorocaba, Sao Paulo State University-Unesp, Sorocaba, Brazil
| | - Roberta Okamoto
- Department of Basic Sciences, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil
| | - Valentim A R Barão
- University of Campinas (UNICAMP), Piracicaba Dental School, Department of Prosthodontics and Periodontology, Av Limeira, 901, Piracicaba, São Paulo, CEP13414-903, Brazil.,Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Sao Paulo, Brazil
| | - Leonardo P Faverani
- Department of Diagnosis and Surgery, Sao Paulo State University - Unesp. School of Dentistry, Rua José Bonifácio, 1193, Araçatuba, ZIP code:, CEP16015-050, Sao Paulo, Brazil.
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Momesso GAC, Lemos CAA, Santiago-Júnior JF, Faverani LP, Pellizzer EP. Laser surgery in management of medication-related osteonecrosis of the jaws: a meta-analysis. Oral Maxillofac Surg 2020; 24:133-144. [PMID: 32056052 DOI: 10.1007/s10006-020-00831-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Accepted: 01/10/2020] [Indexed: 06/10/2023]
Abstract
PURPOSE The aim of this study was to perform a systematic review and meta-analysis to evaluate the efficacy of laser therapy on medication-related osteonecrosis of the jaw (MRONJ) treatment. METHODS This study followed PRISMA standards, and an electronic search was performed on the PubMed/MEDLINE, Scopus, and Cochrane databases. Eighty-nine articles were found. After reading the manuscripts, 15 articles remained for the review. Three of them were selected for meta-analysis. RESULTS Female gender was predominant (72.5%), and mean age was 66.5 years. Follow-up varied between 3 and 80 months, and the most used bisphosphonate was zoledronic acid (71.6%). Stage II of MRONJ was the most prevalent (68.9%), and the mandible was the most affected site (64.5%). Qualitative data showed that treatment with laser surgery (Er:YAG) was most effective regarding complete healing of the lesion (90%) compared with other treatments. Meta-analysis data showed that low-level laser therapy (LLLT) was more effective than medical treatment (P = 0.006), and surgical treatment was more effective than LLLT (P = 0.008). CONCLUSION Laser surgery was significantly superior to LLLT (p < 0.00001). Therefore, laser surgical therapy seems to be a great management strategy for MRONJ treatment from stage II. LLLT was shown to improve conservative management in earlier MRONJ stages.
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Affiliation(s)
| | - Cleidiel Aparecido Araújo Lemos
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Sao Paulo, Brazil
| | | | - Leonardo Perez Faverani
- Department of Diagnosis and Surgery, Aracatuba Dental School, São Paulo State University (UNESP), Sao Paulo, Brazil.
| | - Eduardo Piza Pellizzer
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Sao Paulo, Brazil
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Momesso GAC, Polo TOB, Cervantes LCC, Lima VND, Silva WPPD, Souza FÁ, Garcia-Júnior IR, Faverani LP. Importance of Oral and Maxillofacial Surgeons in the Emergency Attendance: Report of an Extensive Facial Cut-Blunt Injury. J Craniofac Surg 2019; 30:1614-1615. [PMID: 31299785 DOI: 10.1097/scs.0000000000005509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- Gustavo Antonio Correa Momesso
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, University Estadual Paulista (UNESP), Araçatuba, Brazil
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Yogui FC, Momesso GAC, Faverani LP, Polo TOB, Ramalho-Ferreira G, Hassumi JS, Rossi AC, Freire AR, Prado FB, Okamoto R. A SERM increasing the expression of the osteoblastogenesis and mineralization-related proteins and improving quality of bone tissue in an experimental model of osteoporosis. J Appl Oral Sci 2018; 26:e20170329. [PMID: 29742257 PMCID: PMC5933824 DOI: 10.1590/1678-7757-2017-0329] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Revised: 09/26/2017] [Accepted: 10/09/2017] [Indexed: 01/17/2023] Open
Abstract
Raloxifene is an antiresorptive drug, selective estrogen receptor modulator (SERM) used in the treatment of osteoporosis. Objective To evaluate proteins related to bone repair at the peri-implant bone in a rat model of osteoporosis treated with raloxifene. Material and Methods 72 rats were divided into three groups: SHAM (healthy animals), OVX (ovariectomized animals), and RLX (ovariectomized animals treated with raloxifene). Raloxifene was administered by gavage (1 mg/kg/day). Tibial implantation was performed 30 days after ovariectomy, and animals were euthanized at 14, 42, and 60 days postoperatively. Samples were collected and analyzed by immunohistochemical reactions, molecular analysis, and microtomographic parameters. Results RLX showed intense staining of all investigated proteins at both time points except for RUNX2. These results were similar to SHAM and opposite to OVX, showing mild staining. The PCR gene expression of OC and ALP values for RLX (P<0.05) followed by SHAM and OVX groups. For BSP data, the highest expression was observed in the RLX groups and the lowest expression was observed in the OVX groups (P<0.05). For RUNX2 data, RLX and SHAM groups showed greater values compared to OVX (P<0.05). At 60 days postoperatively, microtomography parameters, related to closed porosity, showed higher values for (Po.N), (Po.V), and (Po) in RLX and SHAM groups, whereas OVX groups showed lower results (P<0.05); (BV) values (P=0.009); regarding total porosity (Po.tot), RLX group had statistically significant lower values than OVX and SHAM groups (P=0.009). Regarding the open porosity (Po.V and Po), the SHAM group presented the highest values, followed by OVX and RLX groups (P<0.05). The Structural Model Index (SMI), RLX group showed a value closer to zero than SHAM group (P<0.05). Conclusions Raloxifene had a positive effect on the expression of osteoblastogenesis/mineralization-related proteins and on micro-CT parameters related to peri-implant bone healing.
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Affiliation(s)
- Fernanda Costa Yogui
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Ciências Básicas, Araçatuba, São Paulo, Brasil
| | - Gustavo Antonio Correa Momesso
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Cirurgia e Clínica Integrada, Araçatuba, São Paulo, Brasil
| | - Leonardo Perez Faverani
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Cirurgia e Clínica Integrada, Araçatuba, São Paulo, Brasil
| | - Tarik Ocon Braga Polo
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Cirurgia e Clínica Integrada, Araçatuba, São Paulo, Brasil
| | - Gabriel Ramalho-Ferreira
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Cirurgia e Clínica Integrada, Araçatuba, São Paulo, Brasil
| | - Jaqueline Suemi Hassumi
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Cirurgia e Clínica Integrada, Araçatuba, São Paulo, Brasil
| | - Ana Cláudia Rossi
- Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Anatomia, Piracicaba, SP, Brasil
| | - Alexandre Rodrigues Freire
- Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Anatomia, Piracicaba, SP, Brasil
| | - Felippe Bevilacqua Prado
- Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba, Departamento de Anatomia, Piracicaba, SP, Brasil
| | - Roberta Okamoto
- Universidade Estadual Paulista (UNESP), Faculdade de Odontologia de Araçatuba, Departamento de Ciências Básicas, Araçatuba, São Paulo, Brasil
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Momesso GAC, Polo TOB, Lima VND, Sousa CAD, Soubhia AMP, Jardim EG, Faverani LP. Oral histoplasmosis. Rev Bras Ter Intensiva 2017; 29:394-396. [PMID: 29044310 PMCID: PMC5632985 DOI: 10.5935/0103-507x.20170057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Accepted: 02/03/2017] [Indexed: 11/20/2022] Open
Affiliation(s)
- Gustavo Antonio Correa Momesso
- Divisão de Cirurgia Oral e Maxilofacial do Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Araçatuba (SP), Brasil
| | - Tárik Ocon Braga Polo
- Divisão de Cirurgia Oral e Maxilofacial do Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Araçatuba (SP), Brasil
| | - Valthierre Nunes de Lima
- Divisão de Cirurgia Oral e Maxilofacial do Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Araçatuba (SP), Brasil
| | - Cecília Alves de Sousa
- Divisão de Cirurgia Oral e Maxilofacial do Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Araçatuba (SP), Brasil
| | - Ana Maria Pires Soubhia
- Divisão de Patologia Oral, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Araçatuba (SP, Brasil
| | - Ellen Gaetti Jardim
- Faculdade de Odontologia, Universidade Federal de Mato Grosso do Sul - Campo Grande (MS), Brasil
| | - Leonardo Perez Faverani
- Divisão de Cirurgia Oral e Maxilofacial do Departamento de Cirurgia e Clínica Integrada, Faculdade de Odontologia de Araçatuba, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Araçatuba (SP), Brasil
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Momesso GAC, de Souza Batista FR, de Sousa CA, de Lima VN, Polo TOB, Hassumi JS, Garcia Júnior IR, Faverani LP. Successful Use of Lower-Level Laser Therapy in the Treatment of Medication-Related Osteonecrosis of the Jaw. J Lasers Med Sci 2017; 8:201-203. [PMID: 29071028 DOI: 10.15171/jlms.2017.37] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Case Presentation: This study aimed to report a case of medication related osteonecrosis of the jaw (MRONJ) of a 65-year-old female patient referred to the Oral and Maxillofacial Surgery team from Araçatuba Dental School, complaining about mobility of a previously dental implant placed on the posterior maxillary region. Clinical examination revealed an extensive necrosis area around the implant region. The patient reported bisphosphonate therapy with sodium alendronate for prevention of osteoporosis 5 years ago. A diagnosis of MRONJ was reached and the treatment decided was to remove the dental implant damaged and use the lower-level laser therapy (LLLT) associated with antibiotic therapy with clindamycin 300 mg and mouth rinses with chlorhexidine 0.12%. Conclusion: Six months after the treatment with LLLT a complete healing of the affected area was observed and 12 months after treatment the patient was rehabilitated with fixed dental prosthesis and showed excellent tissue healing of the necrosis areas. It was concluded that the use of LLLT showed to be a good option in the treatment of MRONJ.
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Affiliation(s)
- Gustavo Antonio Correa Momesso
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Fábio Roberto de Souza Batista
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Cecília Alves de Sousa
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Valthierre Nunes de Lima
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Tárik Ocon Braga Polo
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Jaqueline Suemi Hassumi
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Idelmo Rangel Garcia Júnior
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Leonardo Perez Faverani
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
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Silva LF, Carvalho-Reis ENR, Bonardi JP, de Lima VN, Momesso GAC, Garcia-Junior IR, Faverani LP. Comparison between piezoelectric surgery and conventional saw in sagittal split osteotomies: a systematic review. Int J Oral Maxillofac Surg 2017; 46:1000-1006. [PMID: 28433212 DOI: 10.1016/j.ijom.2017.03.024] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Revised: 03/09/2017] [Accepted: 03/21/2017] [Indexed: 11/27/2022]
Abstract
A systematic review of the advantages and disadvantages of piezoelectric surgery in comparison with conventional saws for sagittal split osteotomy (SSO) was performed. Relevant studies published in the last 10 years were identified through a search of the PubMed/MEDLINE, Science Direct, and Embase databases and assessed against predetermined eligibility criteria. The initial search resulted in 1736 articles. After applying the inclusion and exclusion criteria, 12 articles remained. A total of 799 patients with an average age of 27.5 years underwent SSO performed using a saw or ultrasonic device. Results showed that it took longer to perform the osteotomies using an ultrasonic device than using a conventional saw. At ≥6 months of follow-up, neurosensory disturbance was seen in 4.7% of patients who underwent piezoelectric surgery versus 61.6% of patients who underwent surgery in which a conventional saw was used. It was found that the use of piezoelectric surgery in SSO leads to the best outcome regarding neurosensory disturbance when compared to conventional saws (P=0.04) at ≥6 months of follow-up. Further studies are required for the evaluation of the other clinical parameters assessed.
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Affiliation(s)
- L F Silva
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - E N R Carvalho-Reis
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.
| | - J P Bonardi
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - V N de Lima
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - G A C Momesso
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - I R Garcia-Junior
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
| | - L P Faverani
- Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil
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11
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Garbin Junior EA, de Lima VN, Momesso GAC, Mello-Neto JM, Érnica NM, Magro Filho O. Potential of autogenous or fresh-frozen allogeneic bone block grafts for bone remodelling: a histological, histometrical, and immunohistochemical analysis in rabbits. Br J Oral Maxillofac Surg 2017; 55:589-593. [PMID: 28404212 DOI: 10.1016/j.bjoms.2017.03.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Accepted: 03/12/2017] [Indexed: 12/22/2022]
Abstract
Our aim was to compare the wound healing of autogenous bone grafts with that of fresh-frozen allogeneic block bone in rabbits. We used 25 animals. One was killed before the experiment to provide the allogeneic bone, and the remainder were killed at four time points (n=6 in each group). On histometrical analysis there was a significant difference between the two groups only at 45days and between 15 and 45days in the intergroup analysis. However, there was significantly more revascularisation (p<0.05), resorption (p<0.05), and bony replacement (p<0.05) in the autogenous group in the immunohistochemical analysis. In later periods, the autogenous bone was replaced by newly-formed bone in all samples, whereas it was always possible to find regions of devitalised bone in the fresh-frozen allogeneic bone grafts. Autogenous grafts were completely replaced whereas, in the fresh- frozen allogeneic grafts, we found acellular tissue that had been incorporated into the receptor bed interface during the later evaluation times.
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Affiliation(s)
- E A Garbin Junior
- UNESP-Univ Estadual Paulista, Araçatuba Dental School, Surgery and Integrated Clinic Department, Araçatuba, SP, Brazil
| | - V N de Lima
- UNESP-Univ Estadual Paulista, Araçatuba Dental School, Surgery and Integrated Clinic Department, Araçatuba, SP, Brazil.
| | - G A C Momesso
- UNESP-Univ Estadual Paulista, Araçatuba Dental School, Surgery and Integrated Clinic Department, Araçatuba, SP, Brazil
| | - J M Mello-Neto
- UNESP-Univ Estadual Paulista, Araçatuba Dental School, Surgery and Integrated Clinic Department, Araçatuba, SP, Brazil
| | - N M Érnica
- School of Dentistry, West Parana State University-UNIOESTE, Cascavel, PR, Brazil
| | - O Magro Filho
- UNESP-Univ Estadual Paulista, Araçatuba Dental School, Surgery and Integrated Clinic Department, Araçatuba, SP, Brazil
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12
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Pires WR, Bonardi JP, Faverani LP, Momesso GAC, Muñoz XMJP, Silva AFM, Panzarini SR, Bassi APF, Ponzoni D. Late mandibular fracture occurring in the postoperative period after third molar removal: systematic review and analysis of 124 cases. Int J Oral Maxillofac Surg 2016; 46:46-53. [PMID: 27688170 DOI: 10.1016/j.ijom.2016.09.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2016] [Revised: 07/02/2016] [Accepted: 09/06/2016] [Indexed: 11/24/2022]
Abstract
Factors associated with the diagnosis, aetiology, and treatment of mandibular fractures occurring during the postoperative period following the removal of a lower third molar are discussed. The following databases were searched using specific key words: PubMed/MEDLINE, LILACS, Embase, and Scopus. The search yielded 124 cases. Sex, age, side, tooth position and angulation, bone impaction, relationship between the tooth and the inferior alveolar nerve, local pathological conditions, aetiology of the fracture, symptomatology, and time between surgery and fracture, as well as any displacement of the fracture and the treatment of the fracture, were evaluated. Data were tabulated and the χ2 statistical test was applied (P<0.05). Male patients aged >35 years, with teeth in positions II/III and B/C, complete bony impaction, and local bone-like alterations, were found to have a higher frequency of fracture and pericoronitis (P<0.05). Late fractures generally occurred between the second and fourth postoperative weeks (P<0.05). They were generally not displaced and the typical treatment was the non-surgical approach (P<0.05). It is concluded that the risk of mandibular fracture after extraction is associated with excessive ostectomy and/or local alterations. At-risk patients should be thoroughly briefed on the importance of a proper postoperative diet.
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Affiliation(s)
- W R Pires
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
| | - J P Bonardi
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil.
| | - L P Faverani
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
| | - G A C Momesso
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
| | - X M J P Muñoz
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
| | - A F M Silva
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
| | - S R Panzarini
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
| | - A P F Bassi
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
| | - D Ponzoni
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil
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13
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Gomes-Ferreira PHS, Okamoto R, Ferreira S, De Oliveira D, Momesso GAC, Faverani LP. Scientific evidence on the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) in oral and maxillofacial surgery. Oral Maxillofac Surg 2016; 20:223-232. [PMID: 27236776 DOI: 10.1007/s10006-016-0563-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Accepted: 05/17/2016] [Indexed: 06/05/2023]
Abstract
PURPOSE This study aimed to identify the main indications for the use of recombinant human bone morphogenetic protein-2 (rhBMP-2) for bone repair and maintenance in the maxilla and mandible through a review of clinical trials evaluating the viability of using rhBMP-2 to delay the installation of dental implants, thus allowing satisfactory bone formation and long-term osseointegration. METHODS Literature search of the PubMed/Medline databases was performed using the following MeSH index terms-"bone morphogenetic protein 2" and "dentistry". Only clinical trials necessarily published in English, related to dentistry, and focused on bone reconstruction in critical defects, post-extraction alveoli, increasing the atrophic alveolar ridge, or surgery for maxillary sinus elevation were included, regardless of the age, sex, ethnicity, associated morbidities, or period of publication. RESULTS Of the 17 studies identified based on the search filters, 2 were excluded. Therefore, 15 studies were finally included in this review. CONCLUSIONS Based on the results of our review, we concluded that the use of rhBMP-2 for the preservation of the alveolar ridge after tooth extraction or for increasing the local defects is safe and viable. The use of rhBMP-2/Bio-Oss® for the elevation of the maxillary sinus membrane is unnecessary; however, it can improve and accelerate the maturation process in cases of guided bone regeneration in peri-implant defects. Compounds comprising rhBMP-2, allogenic bone, and plasma-rich platelet (PRP) can act as autograft substitutes in mandibular critical defects.
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Affiliation(s)
| | - Roberta Okamoto
- Department of Basic Sciences, Araçatuba Dental School, Productivity scholarship (CNPQ), Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Sabrina Ferreira
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Danila De Oliveira
- Department of Basic Sciences, Araçatuba Dental School, Productivity scholarship (CNPQ), Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
| | - Gustavo Antonio Correa Momesso
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil.
| | - Leonardo Perez Faverani
- Department of Surgery and Integrated Clinic, Araçatuba Dental School, Univ. Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil
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