Exéresis de exostosis mandibular multilobular bilateral
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Las exostosis de los maxilares constituyen entidades benignas las cuales deben ser
correctamente identificadas a través de un detallado diagnóstico diferencial. Son áreas
vulnerables al trauma ya que pueden significar una zona de alto riesgo de
osteonecrosis en pacientes que reciben bifosfonatos. Las exostosis son
neoformaciones benignas localizadas o difusas del tejido óseo y para poder
identificarlas es importante realizar un buen examen clínico y radiográfico, así como
una completa anamnesis para establecer el diagnóstico y un eventual plan de
tratamiento si el caso lo justifica, como veremos más adelante. El torus palatino podría
ser el resultado de una leve isquemia crónica del periostio como resultado de una
suave presión del septum nasal. Por otro lado, el torus mandibular sería consecuencia
de la acción a la fuerza de torsión del arco de la mandíbula. Las exostosis óseas
no requieren tratamiento a menos que sean de gran tamaño, compliquen las funciones
de fonación, masticación, dicción, deglución o la posición normal de la lengua, generen
desplazamiento dental o produzcan trauma y ulceración de la superficie mucosa, pero,
especialmente, cuando imposibilitan la colocación y uso de las prótesis totales o
removibles. Debemos establecer la exéresis de la exostosis mandibular multilobular
bilateral en la clínica dentomaxilar de la Facultad Piloto de Odontología de la
Universidad de Guayaquil. El resultado es favorable para el paciente con pronta
recuperación. Cuando está indicado el tratamiento, la eliminación quirúrgica, mediante
su tallado o remoción desde la base de la unión, es la técnica habitual recomendada
para el paciente.
The maxillary exostosis are benign entities which must be properly identified through a detailed differential diagnosis. They are vulnerable to trauma areas because they can pose a high risk area of osteonecrosis in patients receiving bisphosphonates. The exostosis are benign neoplasms localized or diffuse bone tissue and for identification is important to make a good clinical and radiographic examination and a complete medical history to establish the diagnosis and eventual treatment plan if the case warrants, as discussed below . The palatal torus could be the result of mild chronic ischemia of the periosteum as a result of gentle pressure of the nasal septum. On the other hand, the mandibular torus would result from the action to the torque bow of the jaw. Bone exostosis not require treatment unless they are large, complicate functions of phonation, chewing, speech, swallowing or normal position of the tongue, generate dental displacement or produce trauma and ulceration of the mucosal surface, but especially when preclude placement and use of total or removable dentures. We must establish the excision of bilateral mandibular multilobar exostosis in the clinic dentomaxilar Pilot School of Dentistry at the University of Guayaquil. The result is favorable for the patient with early recovery. When treatment is indicated, surgical removal, by carving or removal from the base of the union, is the usual technique recommended for the patient.
The maxillary exostosis are benign entities which must be properly identified through a detailed differential diagnosis. They are vulnerable to trauma areas because they can pose a high risk area of osteonecrosis in patients receiving bisphosphonates. The exostosis are benign neoplasms localized or diffuse bone tissue and for identification is important to make a good clinical and radiographic examination and a complete medical history to establish the diagnosis and eventual treatment plan if the case warrants, as discussed below . The palatal torus could be the result of mild chronic ischemia of the periosteum as a result of gentle pressure of the nasal septum. On the other hand, the mandibular torus would result from the action to the torque bow of the jaw. Bone exostosis not require treatment unless they are large, complicate functions of phonation, chewing, speech, swallowing or normal position of the tongue, generate dental displacement or produce trauma and ulceration of the mucosal surface, but especially when preclude placement and use of total or removable dentures. We must establish the excision of bilateral mandibular multilobar exostosis in the clinic dentomaxilar Pilot School of Dentistry at the University of Guayaquil. The result is favorable for the patient with early recovery. When treatment is indicated, surgical removal, by carving or removal from the base of the union, is the usual technique recommended for the patient.
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Palabras clave
EXOSTOSIS, FACULTAD PILOTO DE ODONTOLOGIA, ODONTOGRAMA