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An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside
Odontoma is the most common odontogenic benign tumor, and the treatment of choice is generally surgical removal. After excision, bone grafts may be necessary depending on the need for further treatment, or the size and location of the odontoma. Although the osteogenic capacity of a demineralized too...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Association of Oral and Maxillofacial Surgeons
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411726/ https://www.ncbi.nlm.nih.gov/pubmed/25922824 http://dx.doi.org/10.5125/jkaoms.2015.41.2.109 |
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author | Lee, JuHyon Lee, Eun-Young Park, Eun-Jin Kim, Eun-Suk |
author_facet | Lee, JuHyon Lee, Eun-Young Park, Eun-Jin Kim, Eun-Suk |
author_sort | Lee, JuHyon |
collection | PubMed |
description | Odontoma is the most common odontogenic benign tumor, and the treatment of choice is generally surgical removal. After excision, bone grafts may be necessary depending on the need for further treatment, or the size and location of the odontoma. Although the osteogenic capacity of a demineralized tooth was verified as early as 1967 by Urist and many other investigators, the cumbersome procedure, including a long demineralization time, may be less than comfortable for clinicians. A modified ultrasonic technology, with periodic negative pressure and temperature control, facilitated rapid and aseptic preparation of demineralized teeth for bone grafts. This approach reduces the demineralization time dramatically (≤80 minutes), so that the graft material can be prepared chairside on the same day as the extraction. The purpose of this article is to describe two cases of large compound odonotomas used as graft material prepared chairside for enucleation-induced bony defects. These two clinical cases showed favorable wound healing without complications, and good bony support for future dental implants or orthodontic treatment. Finally, this report will suggest the possibility of recycling the benign pathologic hard tissue as an alternative treatment option for conventional bone grafts in clinics. |
format | Online Article Text |
id | pubmed-4411726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Association of Oral and Maxillofacial Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-44117262015-04-28 An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside Lee, JuHyon Lee, Eun-Young Park, Eun-Jin Kim, Eun-Suk J Korean Assoc Oral Maxillofac Surg Technical Note Odontoma is the most common odontogenic benign tumor, and the treatment of choice is generally surgical removal. After excision, bone grafts may be necessary depending on the need for further treatment, or the size and location of the odontoma. Although the osteogenic capacity of a demineralized tooth was verified as early as 1967 by Urist and many other investigators, the cumbersome procedure, including a long demineralization time, may be less than comfortable for clinicians. A modified ultrasonic technology, with periodic negative pressure and temperature control, facilitated rapid and aseptic preparation of demineralized teeth for bone grafts. This approach reduces the demineralization time dramatically (≤80 minutes), so that the graft material can be prepared chairside on the same day as the extraction. The purpose of this article is to describe two cases of large compound odonotomas used as graft material prepared chairside for enucleation-induced bony defects. These two clinical cases showed favorable wound healing without complications, and good bony support for future dental implants or orthodontic treatment. Finally, this report will suggest the possibility of recycling the benign pathologic hard tissue as an alternative treatment option for conventional bone grafts in clinics. The Korean Association of Oral and Maxillofacial Surgeons 2015-04 2015-04-23 /pmc/articles/PMC4411726/ /pubmed/25922824 http://dx.doi.org/10.5125/jkaoms.2015.41.2.109 Text en Copyright © 2015 The Korean Association of Oral and Maxillofacial Surgeons. All rights reserved. http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Technical Note Lee, JuHyon Lee, Eun-Young Park, Eun-Jin Kim, Eun-Suk An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside |
title | An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside |
title_full | An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside |
title_fullStr | An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside |
title_full_unstemmed | An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside |
title_short | An alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside |
title_sort | alternative treatment option for a bony defect from large odontoma using recycled demineralization at chairside |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4411726/ https://www.ncbi.nlm.nih.gov/pubmed/25922824 http://dx.doi.org/10.5125/jkaoms.2015.41.2.109 |
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