Maxillary osteonecrosis by electrosurgery lessons from a clinical case

Authors

DOI:

https://doi.org/10.21615/cesodon.6719

Keywords:

osteonecrosis, maxillar, electrosurgery

Abstract

The use of electrocauteries as support elements in hemostasis processes has been widely reported and is part of the tools in surgical procedures in different medical areas, although its use in procedures in the oral cavity is lower. Currently its application has been increasing and it is involved in various dental procedures. When analyzing the literature, very little information is found regarding the complications associated with the use of electroscalpel, which are rare or unreported. A case report on Osteonecrosis induced by electro scalpel in the proximal zone of central incisors, after vestibular frenillectomy in the upper jaw, is presented. The process of overexposure of the maxillary bone to the action of electrosurgery tips can trigger Osteonecrosis. The bone sequestrations generated create subsequent periodontal defects after removal. Orthodontic movements accompanied by Zenith point recontouring and connective tissue grafts may be an alternative in the aesthetic management of the complication.

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Author Biographies

Yeisson Riche-Jimeno, Universidad Nacional

Odontólogo Universidad Nacional De Colombia. Especialista en Periodoncia Universidad Nacional De Colombia.

Heiner Campuzano-Gracián, Universidad de Cartagena

Odontólogo, Universidad de Cartagena Colombia.

Antonio Díaz-Caballero, Universidad de Cartagena

Odontólogo, Universidad de Cartagena. Especialista en Periodoncia, Universidad Javeriana. Magíster en Educación Universidad del Norte. PhD en Ciencias Biomédicas Universidad de Cartagena. Docente Universidad de Cartagena. Director Grupo de Investigaciones Gitouc.

References

Taheri A, Mansoori P, Sandoval LF, Feldman SR, Pearce D, Williford PM. Electrosurgery. Journal of the American Academy of Dermatology. abril de 2014;70(4):591. e1-591.e14.

Jagannathan R, Rajendran S, Balaji TM, Varadarajan S, Sridhar LP. Comparative Evaluation of Gingival Depigmentation by Scalpel, Electrosurgery, and Laser: A 14 Months’ Follow-up Study. J Contemp Dent Pract. 1 de octubre de 2020;21(10):1159-64.

Alejandro J. Amaíz Flores. La electrocirugía en la Odontología actual. junio de 2018; Disponible en: https://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1659-07752018000100091

Peprah K, Spry C. Pulsed Electron Avalanche Knife (PEAK) PlasmaBlade versus Traditional Electrocautery for Surgery: A Review of Clinical Effectiveness and Cost-Effectiveness [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2019 [citado 20 de abril de 2022]. (CADTH Rapid Response Reports). Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK549364/

Yoshida N, Yamazaki S, Sugitani M, Takayama T. Safety and feasibility of a novel non-thermal device for tissue dissection: A preliminary study of the DD1 differential dissector. Biosci Trends. 2018;12(1):60-7.

Chandra R, Savitharani B, Reddy A. Comparing the outcomes of incisions made by colorado microdissection needle, electrosurgery tip, and surgical blade during periodontal surgery: A randomized controlled trial. J Indian Soc Periodontol. 2016;20(6):616.

Nicolatou-Galitis O, Schiødt M, Mendes RA, Ripamonti C, Hope S, Drudge-Coates L, et al. Medication-related osteonecrosis of the jaw: definition and best practice for prevention, diagnosis, and treatment. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. febrero de 2019;127(2):117-35.

Beth-Tasdogan NH, Mayer B, Hussein H, Zolk O. Interventions for managing medication-related osteonecrosis of the jaw. Cochrane Oral Health Group, editor. Cochrane Database of Systematic Reviews [Internet]. 6 de octubre de 2017 [citado 28 de abril de 2022];2017(10). Disponible en: http://doi.wiley.com/10.1002/14651858.CD012432.pub2

Flores-Ruiz R, Castellanos-Cosano L, Serrera-Figallo M, Gutierrez-Corrales A, Gonzalez-Martin M, Gutierrez-Perez J, et al. Evolution of oral cancer treatment in an andalusian population sample: Rehabilitation with prosthetic obturation and removable partial prosthesis. J Clin Exp Dent. 2017;0-0.

Suresh N, Chandrasekaran B, Muthusamy S, Kannan S, Muthu K. Application of platelet rich fibrin for management of an electrosurgery induced osteonecrosis involving maxillary alveolus. Singapore Dental Journal. diciembre de 2015; 36:39-43.

Chandna S, Kedige S. Evaluation of pain on use of electrosurgery and diode lasers in the management of gingival hyperpigmentation: A comparative study. J Indian Soc Periodontol. 2015;19(1):49.

Chandra R, Savitharani B, Reddy A. Comparing the outcomes of incisions made by colorado microdissection needle, electrosurgery tip, and surgical blade during periodontal surgery: A randomized controlled trial. J Indian Soc Periodontol. 2016;20(6):616.

Suresh N, Chandrasekaran B, Muthusamy S, Kannan S, Muthu K. Application of platelet rich fibrin for management of an electrosurgery induced osteonecrosis involving maxillary alveolus. Singapore Dental Journal. diciembre de 2015; 36:39-43.

Gul M, Hameed MH, Nazeer MR, Ghafoor R, Khan FR. Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis. J Indian Soc Periodontol. junio de 2019;23(3):203-15.

Chandna S, Kedige S. Evaluation of pain on use of electrosurgery and diode lasers in the management of gingival hyperpigmentation: A comparative study. J Indian Soc Periodontol. 2015;19(1):49.

Published

2022-12-23

How to Cite

1.
Riche-Jimeno Y, Campuzano-Gracián H, Díaz-Caballero A. Maxillary osteonecrosis by electrosurgery lessons from a clinical case. CES odontol. [Internet]. 2022 Dec. 23 [cited 2024 May 11];35(2):17-25. Available from: https://revistas.ces.edu.co/index.php/odontologia/article/view/6719

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Reporte de casos
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