{"id":1059,"date":"2023-05-12T16:43:12","date_gmt":"2023-05-12T19:43:12","guid":{"rendered":"https:\/\/anaisneodentcongress.com.br\/2023\/?page_id=1059"},"modified":"2023-05-12T16:43:59","modified_gmt":"2023-05-12T19:43:59","slug":"tratamento-da-osteonecrose-dos-maxilares-com-terapia-topica-utilizando-gel-de-oxigenio-ativo-bluem","status":"publish","type":"page","link":"https:\/\/anaisneodentcongress.com.br\/2023\/tratamento-da-osteonecrose-dos-maxilares-com-terapia-topica-utilizando-gel-de-oxigenio-ativo-bluem\/","title":{"rendered":"Tratamento da osteonecrose dos maxilares com terapia t\u00f3pica utilizando gel de oxig\u00eanio ativo blue\u00aem"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1059\" class=\"elementor elementor-1059\">\n\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ccaae7 e-con-full e-flex e-con\" data-id=\"ccaae7\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-20d50e1d e-con-full e-flex e-con\" data-id=\"20d50e1d\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-15ecdeb7 e-con-full e-flex e-con\" data-id=\"15ecdeb7\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-1d52e924 e-con-boxed e-flex e-con\" data-id=\"1d52e924\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-11c89ac4 elementor-widget elementor-widget-heading\" data-id=\"11c89ac4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.2 - 11-05-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"\/2023\/menu-neodent-caso-clinico\/\">Menu<\/a><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-67804d89 elementor-widget elementor-widget-heading\" data-id=\"67804d89\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"\/2023\/menu-neodent-caso-clinico\/\">Neodent, Caso Cl\u00ednico<\/a><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6bff833f e-con-boxed e-flex e-con\" data-id=\"6bff833f\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;boxed&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2ceacb6f elementor-widget elementor-widget-heading\" data-id=\"2ceacb6f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamento da osteonecrose dos maxilares com terapia t\u00f3pica utilizando gel de oxig\u00eanio ativo blue\u00aem<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1de50cb5 elementor-widget elementor-widget-text-editor\" data-id=\"1de50cb5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.2 - 11-05-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><span style=\"color: #e8307c;\"><strong>ID Trabalho:<\/strong> 1108908<\/span><\/p><p><strong>Autores: <\/strong>Carlos Stutz (Ilapeo &#8211; Curitiba &#8211; PR &#8211; Brasil), Rubens Moreno (Ilapeo &#8211; Curitiba &#8211; PR &#8211; Brasil), Leandro Kluppel (Ilapeo &#8211; Curitiba &#8211; PR &#8211; Brasil), Tatiana Deliberador (Ilapeo &#8211; Curitiba &#8211; PR &#8211; Brasil), Elisa Sartori (Ilapeo &#8211; Curitiba &#8211; PR &#8211; Brasil)<\/p><p><strong>Institui\u00e7\u00f5es dos autores:<\/strong> Ilapeo &#8211; Curitiba &#8211; PR &#8211; Brasil<\/p><p><strong>Introdu\u00e7\u00e3o: <\/strong>Os bisfosfonatos s\u00e3o medicamentos que previnem a perda de massa \u00f3ssea. A osteonecrose dos maxilares associada aos bisfosfonatos \u00e9 um efeito colateral bem conhecido. O objetivo desse trabalho \u00e9 relatar um tratamento da osteonecrose\u00a0 com o uso de terapia t\u00f3pica com o gel blue\u00aem.<\/p><p><strong>Relato do caso: <\/strong>Paciente, 63 anos, compareceu na cl\u00ednica tendo como queixa principal dor e mobilidade no implante do elemento 46. Como tratamento optou-se em realizar sua explanta\u00e7\u00e3o. Tr\u00eas meses depois a paciente retornou apresentando secre\u00e7\u00e3o purulenta na regi\u00e3o. Como tratamento inicial foi optado por realizar antibioticoterapia. Ap\u00f3s tr\u00eas meses a paciente retornou, clinicamente foi verificado exposi\u00e7\u00e3o \u00f3ssea e radiograficamente observou-se que a perda \u00f3ssea permanecia extensa. Como tratamento foi realizado debridamento cir\u00fargico. Ap\u00f3s 30 dias de acompanhamento a ferida permanecia aberta. Nesse momento foi feita aplica\u00e7\u00e3o t\u00f3pica do gel blue\u00aem preenchendo toda a cavidade. A paciente foi orientada a fazer a aplica\u00e7\u00e3o do gel na regi\u00e3o de 8\/8 horas por 15 dias. Ap\u00f3s esse per\u00edodo foi observado que a ferida estava com presen\u00e7a de tecido epitelizado e sem exposi\u00e7\u00e3o \u00f3ssea. Ap\u00f3s 5 meses a tomografia mostrou a presen\u00e7a de tecido \u00f3sseo saud\u00e1vel e foi realizada a instala\u00e7\u00e3o de um novo implante. Ap\u00f3s o per\u00edodo de osseointegra\u00e7\u00e3o foi realizada a pr\u00f3tese definitiva. A paciente permanece sob acompanhamento cl\u00ednico.<\/p><p><strong>Conclus\u00e3o ou considera\u00e7\u00f5es finais: <\/strong>Esse caso cl\u00ednico sugere que o gel blue\u00aem ajuda no processo reparador tecidual e \u00f3sseo nos casos de osteonecrose, podendo ser adotado como terapia. Contudo, pesquisas cl\u00ednicas devem ser realizadas.<\/p><p><strong>Discuss\u00e3o e conclus\u00f5es: <\/strong><\/p><p><strong>Palavras chave: <\/strong>Osteonecrose ; bisfosfonatos<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f9d1314 elementor-widget elementor-widget-shortcode\" data-id=\"7f9d1314\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><a href=\"javascript:history.back(1)\" target=\"_self\"><img decoding=\"async\" src=\"..\/wp-content\/uploads\/2023\/05\/bot-voltar.png\" widht=\"103\" height=\"28\" border=\"0\"><\/a> <\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7f4e2715 e-con-full e-flex e-con\" data-id=\"7f4e2715\" data-element_type=\"container\" data-settings=\"{&quot;content_width&quot;:&quot;full&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Menu Neodent, Caso Cl\u00ednico Tratamento da osteonecrose dos maxilares com terapia t\u00f3pica utilizando gel de oxig\u00eanio ativo blue\u00aem ID Trabalho: 1108908 Autores: Carlos Stutz (Ilapeo &#8211;<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/pages\/1059"}],"collection":[{"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/comments?post=1059"}],"version-history":[{"count":4,"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/pages\/1059\/revisions"}],"predecessor-version":[{"id":1064,"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/pages\/1059\/revisions\/1064"}],"wp:attachment":[{"href":"https:\/\/anaisneodentcongress.com.br\/2023\/wp-json\/wp\/v2\/media?parent=1059"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}