Search

Fracture of the left maxillary tuberosity during surgical extraction of multiple teeth, involving the maxillary sinus and pterigomaxillary fossa in a male patient with classic hemophilia due to factor VIII deficiency, is reported. The subject was treated by a private dentist and afterwards admitted at the Oral and Maxillofacial Surgery unit of the "20 de Noviembre" Hospital, ISSSTE, where extraction was completed and the fracture detected at surgery. The patient was then referred to Hematology and substitute therapy of factor VIII for two weeks was prescribed but, eventually, persistent bleeding led to suturing the external carotid.

Alveolar defects and bucconasal openings, often observed in patients with sequellae from multiple corrective procedures for cleft lip and palate, gain considerable importance when failing to provide adequate support for emerging lateral and canine teeth, thus producing occlusal instability in the transverse and antero-posterior plans. A study was undertaken with 30 patients with alveolopalatine clefts subjected to secondary closure with iliac bone grafting, through various surgical techniques. The techniques, ages of patients, adequate integration of graft to its new implant site and type of fissure or cleft involved more duly evaluated. Good results were attained through these techniques, and their usefulness, success and ideal age for their application are widely discussed, with a review of relevant literature.

Different radiological techniques have been developed through the years within the realm of studies on the temporomandibular joint, which have implemented significant improvements in diagnosis by professionals in stomatology. Some of the most modern radiographical techniques, such as computerized tomography (CT) or magnetic resonance image (MRI) are not yet regularly used in our country for the diagnosing of temporomandibular dysfunctions. However, it is quite possible that in the near future, this type of techniques may be more widely handled, with resultant benefits for ailing patients.