Risk Management in Oral Surgery II

A special issue of Dentistry Journal (ISSN 2304-6767).

Deadline for manuscript submissions: closed (25 December 2023) | Viewed by 3380

Special Issue Editor


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Guest Editor
Unit of Oral Pathology, Department of Neurosciences, Section of Clinical Dentistry, University of Padova Teaching Hospital, 35128 Padova, Italy
Interests: oral surgery; oral medicine; oral pathology
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Special Issue Information

Dear Colleagues,

This Special Issue aims to express the ongoing debate in risk management in oral surgery.

Modern oral surgery is able to perform procedures that were unthinkable only a few years ago. Many treatments that were once performed exclusively in hospitals are now frequently delivered in outpatient clinical settings.

Most of all, patient safety and the success of surgical treatment remain fundamental. Patients with pathologies that are complex from a systemic point of view can be treated in complete safety and no longer receive what was called "simplified dentistry" but instead receive high-quality dental care.

Many patients receive pharmacological treatments that require special precautions for the correct management of the perioperative risk. Patients with systemic diseases have the right to receive high-quality treatment, and surgeons have a duty to provide these treatments in complete safety. This objective can be achieved thanks to the updating of guidance and collaboration with colleagues from other specialties.

The aim of this Special Issue is to collect highly significant publications that can attest to this method of treatment.

Prof. Dr. Christian Bacci
Guest Editor

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Keywords

  • oral surgery
  • systemic diseases
  • local anesthesia
  • conscious sedation

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Published Papers (1 paper)

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7 pages, 590 KiB  
Case Report
Skin Symptoms That Appeared after Fixation with a Titanium Plate in a Jaw Deformity Patient Suffering from Palmoplantar Pustulosis: A Case Report
by Fumitaka Obayashi, Koichi Koizumi, Nanako Ito, Nami Obayashi, Tomoaki Shintani, Mikihito Kajiya and Souichi Yanamoto
Dent. J. 2023, 11(11), 257; https://doi.org/10.3390/dj11110257 - 1 Nov 2023
Viewed by 2722
Abstract
Palmoplantar pustulosis (PPP) is a stubborn skin disease involving repeated aseptic small pustules on the palms and soles of the feet, which is triggered and exacerbated by metals and dental focal infections. There are few reports of an exacerbation of PPP symptoms after [...] Read more.
Palmoplantar pustulosis (PPP) is a stubborn skin disease involving repeated aseptic small pustules on the palms and soles of the feet, which is triggered and exacerbated by metals and dental focal infections. There are few reports of an exacerbation of PPP symptoms after orthognathic surgery. The patient is a 40-year-old female who consulted an orthodontist at our hospital, complaining of a protruding maxilla and malocclusion. Under the diagnosis of skeletal prognathism, she underwent surgery for jaw deformity. Although no allergic symptoms were observed during the orthodontic treatment prior to surgery, postoperative scaling on the palms and soles of her feet worsened, and itching was observed on the skin, especially on the titanium plate used to secure the bone fragments. Under the diagnosis of metal allergy, treatment with steroids and vitamin D ointment failed to improve the condition, so surgery was performed to replace the metal plate with a non-metallic absorbable plate in the third postoperative month. Afterwards, the pruritus resolved, and erythema and scale on the palms and soles nearly disappeared. In the present case, though, oral bacterial infection, a past history of smoking, and stress from surgery were also considered to be possible causes of PPP exacerbation, and we concluded that one of the causes of PPP exacerbation was metal allergy from the plates or screws used to fix the bone fragments. Full article
(This article belongs to the Special Issue Risk Management in Oral Surgery II)
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