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Showing posts from October, 2023

Study of articles: Importance of diet in the pre and post-operative period in oral and maxillofacial surgeries

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Study of articles: Importance of diet in the pre and post-operative period in oral and maxillofacial surgeries   In major and minor oral surgeries , there are three stages: preoperative, intraoperative, and postoperative (before, during, and after the procedure, respectively). Often, the most significant complications occur during the postoperative phase , including localized and diffuse pain, swelling, bruising, hyper and hypoglycemic episodes, lowered immunity, and, in extreme cases of neglect, patients may suffer from malnutrition , and, later on, fatal consequences. With this in mind, the quicker and less painful the healing process of intentional traumas caused by oral and maxillofacial surgeries, the better the patient's recovery. A suitable, nutritious diet with proper professional guidance can reduce healing time and contribute to postoperative success. This is possible because of cellular repair processes, which work better with a source of proteins and amino acids, the...
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ASA classification! Very important, everyone should be aware of it!

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  ASA (American Society of Anesthesiologists) The ASA (American Society of Anesthesiologists) classification system is a way to assess the overall health status of patients before medical or dental procedures. It is used to help healthcare professionals determine the risk associated with a procedure and carefully plan treatment. The ASA system is divided into five categories: ASA-I: Healthy patients Patients without significant comorbidities . Good overall health. ASA-II: Patients with moderate systemic disease Patients with moderate systemic diseases or lower tolerance for procedures. Examples include individuals over 65, morbid obesity, pregnant women in the first two trimesters, controlled hypertension with medication, diabetes controlled with diet/medication, conditions controlled with medication, asthmatics using aerosol bronchodilators, non-COPD smokers, stable angina, and a history of myocardial infarction more than 6 months ago without symptoms. ASA-III: Patients with s...
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Get to know a bit about guided tissue regeneration! It's magical!

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  Guided Bone Regeneration: The process of guided bone regeneration involves the use of bone fragments and a membrane, both biocompatible. The most important materials are: Bone Grafts: These grafts are used to fill bone defects and expedite the bone regeneration process. There are four types of bone grafts: - Autogenous: These are bone fragments from the patient's own body. - Xenogeneic: These are bone fragments sourced from cattle. - Allogeneic: These are bone fragments from other human donors, typically obtained from bone banks. - Alloplastic: These are bone fragments from laboratories, synthetic grafts, and biocompatible materials. Membranes: The purpose of membranes is to establish a physical-mechanical barrier between the gingival epithelium and the root surface. This is crucial because direct interaction between these structures can prevent periodontal ligament cells from returning to their proper location. Instead of bone regeneration, it can lead to continued gingiva...
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Do you know what a furcation lesion is?! Come and see!

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  Furcation Lesion: Furcation is the root area where there is a separation between two or more roots. A highly sensitive region to perforate, as it can potentially split the tooth in half. Furcation lesions are situations where there is a horizontal bone loss between the roots, due to periodontitis or endodontic problems, root fractures, and occlusal trauma. We classify furcation lesions into 3 classes: I, II, III . When the furcation lesion is class I, it means that the Nabers probe has penetrated up to 3mm, which is less than half of the tooth. If it's a class II furcation lesion, the Nabers probe reaches the middle of the furcation or goes beyond it, measuring between 6 and 9mm. Lastly. If it's a class III case, the probe passes to the other side of the tooth. Why is this detrimental to the patient's periodontal health? Because this is a location where a lot of food debris will accumulate, serving as a future food source for bacteria, and the gingival infectious...
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Everything you need to know about Clinical Periodontology - The Basics!

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  Clinical Periodontology: GENERAL PRINCIPLES: 4 phases: 1 - Assessment and diagnosis Periogram , prophylaxis, plaque detection, diagnosis and oral hygiene instructions 2 - Cause-related therapy Scaling and root planing, non-surgical treatments (oral hygiene instructions) 3 - Reevaluation 2 scenarios: If the patient has improved, proceed to the 4th phase If the patient has not improved, either return to phase 2 or consider surgical treatment if necessary. 4 - Periodontal support therapy Periodic recalls every 1 year or, for more complex cases, every 6 months. 1 Periogram: Complete mouth probing to identify bleeding points, probing depth (PD), gingival level (GL), calculate clinical attachment level (CAL), plaque index. Probing: North Carolina millimeter probe = Each mark represents 1mm, the first black mark indicates between 4 and 5mm, the second between 9 and 10mm, and the third between 14 and 15mm. Nabers probe: Used when assessing furcation involvement. This curved probe ha...
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