tag:blogger.com,1999:blog-65522439855519128982011-09-07T00:25:46.242-07:00Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.comBlogger311100tag:blogger.com,1999:blog-6552243985551912898.post-59658932027545516942009-04-13T15:17:00.002-07:002009-04-13T15:18:51.982-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SeO6KqhmDsI/AAAAAAAAAEY/lvgy7k-r0Mc/s1600-h/DSC_4743.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 213px;" src="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SeO6KqhmDsI/AAAAAAAAAEY/lvgy7k-r0Mc/s400/DSC_4743.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5324303876858711746" /></a>Sutura, al terminar la cirugía.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-5965893202754551694?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-69400062103360770732009-04-13T15:17:00.001-07:002009-04-13T15:17:37.869-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SeO5-n-iGVI/AAAAAAAAAEQ/XCIAbRs8mc0/s1600-h/4.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SeO5-n-iGVI/AAAAAAAAAEQ/XCIAbRs8mc0/s400/4.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5324303670016350546" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-6940006210336077073?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com1tag:blogger.com,1999:blog-6552243985551912898.post-25263511441521698312009-04-13T15:15:00.002-07:002009-04-13T15:17:12.855-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SeO5rEnUznI/AAAAAAAAAEI/ZGiykRbzYv0/s1600-h/3.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SeO5rEnUznI/AAAAAAAAAEI/ZGiykRbzYv0/s400/3.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5324303334106254962" /></a>Guía para All On Four™ y pines indicando la posición ideal de los implantes.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-2526351144152169831?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-92172027606870685272009-04-13T15:15:00.001-07:002009-04-13T15:15:50.343-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/SeO5jYhdKII/AAAAAAAAAEA/_Ber_ZX2FZM/s1600-h/2.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/SeO5jYhdKII/AAAAAAAAAEA/_Ber_ZX2FZM/s400/2.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5324303202011392130" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-9217202760687068527?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-15361460767281804582009-04-13T15:13:00.000-07:002009-04-13T15:15:22.438-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/SeO5LFLCFaI/AAAAAAAAAD4/imSF5f6_jo8/s1600-h/1.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/SeO5LFLCFaI/AAAAAAAAAD4/imSF5f6_jo8/s400/1.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5324302784500209058" /></a>Estado del reborde alveolar previo a la instalación de 4 implantes para un All on Four™.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-1536146076728180458?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-60772086489543531212009-03-19T06:01:00.001-07:002009-03-19T06:01:58.216-07:00ESPERO COMENTARIOS. PROXIMA SEMANA LA CIRUGÍA PARA ALL ON FOUR.<div>SALUDOS.</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-6077208648954353121?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-78188259253266050032009-03-19T06:00:00.000-07:002009-03-19T06:04:08.551-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_6PLJ4X8TOxk/ScJB9YAlXxI/AAAAAAAAADw/1OTSYRdFc8E/s1600-h/19.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://3.bp.blogspot.com/_6PLJ4X8TOxk/ScJB9YAlXxI/AAAAAAAAADw/1OTSYRdFc8E/s400/19.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5314883032923332370" /></a>Situación post op. 2 meses después del retiro de los implantes. Sólo uno de los implantes estaba oseointegrado. Consideré dejarlo.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-7818825925326605003?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-83565583189721998232009-03-19T05:59:00.000-07:002009-03-19T06:00:04.170-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/ScJBwERrlMI/AAAAAAAAADo/q7oRLNTI7Qo/s1600-h/16.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/ScJBwERrlMI/AAAAAAAAADo/q7oRLNTI7Qo/s400/16.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5314882804288033986" /></a>Implantes retirados.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-8356558318972199823?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-53287090640334955472009-03-19T05:58:00.000-07:002009-03-19T05:59:06.191-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/ScJBfT5CPPI/AAAAAAAAADg/h6sMS4VDUsE/s1600-h/14.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/ScJBfT5CPPI/AAAAAAAAADg/h6sMS4VDUsE/s400/14.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5314882516421852402" /></a>Retirando implante intrasinusal derecho.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-5328709064033495547?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-67081780602081354302009-03-19T05:56:00.000-07:002009-03-19T05:57:59.528-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_6PLJ4X8TOxk/ScJBNLUJq7I/AAAAAAAAADY/jK3w5Yrmaag/s1600-h/Sin+t%C3%ADtulo6.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://2.bp.blogspot.com/_6PLJ4X8TOxk/ScJBNLUJq7I/AAAAAAAAADY/jK3w5Yrmaag/s400/Sin+t%C3%ADtulo6.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5314882204882021298" /></a>Drenaje seno maxilar izquierdo.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-6708178060208135430?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com1tag:blogger.com,1999:blog-6552243985551912898.post-14418029798999220092009-03-19T05:55:00.000-07:002009-03-19T06:02:42.383-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/ScJA-oaFmOI/AAAAAAAAADQ/zJ3GPS7M56c/s1600-h/Sin+t%C3%ADtulo1.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/ScJA-oaFmOI/AAAAAAAAADQ/zJ3GPS7M56c/s400/Sin+t%C3%ADtulo1.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5314881954993510626" /></a>Drenaje seno maxilar derecho.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-1441802979899922009?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-33718729507988871272009-03-19T05:54:00.000-07:002009-03-19T05:55:22.971-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_6PLJ4X8TOxk/ScJAmCylIwI/AAAAAAAAADI/9t-wxWmholA/s1600-h/Sin+t%C3%ADtulo4.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://2.bp.blogspot.com/_6PLJ4X8TOxk/ScJAmCylIwI/AAAAAAAAADI/9t-wxWmholA/s400/Sin+t%C3%ADtulo4.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5314881532578833154" /></a>Situación del reborde al retirar la prótesis.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-3371872950798887127?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-54362255732047004192009-03-19T05:48:00.000-07:002009-03-19T05:52:14.135-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_6PLJ4X8TOxk/ScI_8qGmsNI/AAAAAAAAAC4/IJblKg6uUzc/s1600-h/Sin+t%C3%ADtulo3.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://1.bp.blogspot.com/_6PLJ4X8TOxk/ScI_8qGmsNI/AAAAAAAAAC4/IJblKg6uUzc/s400/Sin+t%C3%ADtulo3.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5314880821577298130" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-5436225573204700419?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-72145309126842128622009-03-19T05:31:00.000-07:002009-03-19T05:48:37.747-07:00CONCLUSIONES:<div>1. CASO CLÍNICO QUE PUEDE SER CATALOGADO A LO MENOS COMO DE FALTA GRAVE A LOS PRINCIPIOS BÁSICOS DE UNA CORRECTA PLANIFICACIÓN.</div><div>2. NO TENGO A RX INICIAL, ME REFIERO ANTES DE INSTALAR IMPLANTES, PERO SE OBSERVA EN EL SCANNER Y EN LA ORTO PRESENTE QUE NO EXISTÍA REBORDE ALVEOLAR REMANENTE COMO PARA INTENTAR PONER IMPLANTES EN LA ZONA DEL SENO.</div><div>3. NO PUEDO DEJAR DE PENSAR  QUE SE OPERÓ SIN UNA ADECUADA RX O DEFINTIVAMENTE NO SE SUPO LEER LO <span class="Apple-tab-span" style="white-space:pre"> </span>QUE ESTA MOSTRABA.ESTO LLEVO A UBICAR IMPLANTES EN EL REBORDE POSTERIOR Y LOS IMPLANTES FUERON IMPULSADOS EN EL SENO EN EL MOMENTO DE LA CIRUGÍA.</div><div>4. POR CONVERSACIONES CON EL PACIENTE SE LLEGÓ A LA CONCLUSIÓN QUE NO SE RESPETARON PRINCIPIOS MÍNIMOS DE ASEPSIA Y ANTISEPSIA.  COMO LO EXPRESÓ EL PACIENTE: " al Dr. se le cayó un implante al suelo y no lo podía encontrar, yo misma me levanté y le ayudé a buscarlo. Lo lavó con suero y lo puso igual". </div><div>5. ESTO PUEDE EXPLICAR PORQUÉ LA REACCIÓN SINUSAL FUE AGUDA DESDE UN PRINCIPIO.</div><div>6. EL REBORDE DEL MAXILAR SUPERIOR ERA UN REBORDE ADECUADO EN ANCHO Y ALTURA POR DELANTE DEL SENO. MUY ADECUADO EN ANCHO EN LA ZONA SINUSAL. ESTO ENGAÑO PROPABlEMENTE AL DENTISTA. CONFUNDIO ANCHO CON ALTURA SUFICIENTE.</div><div>6. TRATAMIENTO PLANIFICADO:</div><div><span class="Apple-tab-span" style="white-space:pre"> </span>a. Tratamiento de la sinusitis aguda con terapia antibiótica adecuada y prolongada hasta el momento del retiro de los implantes. Esto para evitar una pansinusitis y complicaciones en la órbita. El paciente tenía serias dificultades para dormir por la descraga posterior nocturna.<br /></div><div><span class="Apple-tab-span" style="white-space:pre"> </span>b. Explantación: retiro de los implantes no oseointegrados y los que estan a nivel intrasinusal.<br /></div><div><span class="Apple-tab-span" style="white-space:pre"> </span>C. Esperar consolidación de los tejidos blandos y evaluación de sinusitis.<br /></div><div><span class="Apple-tab-span" style="white-space:pre"> </span>d. Para evitar manipulación intrasinusal se planifica all on four superior.<br /></div><div><span class="Apple-tab-span" style="white-space:pre"> </span>e. Paralelamente tratamiento periodontal inferior, retiro de prótesis parcial inferior instalando dos implantes para rehabilitación del primer molar inferior derecho e izquierdo.<br /></div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-7214530912684212862?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-71314083752001879302009-03-18T05:02:00.001-07:002009-03-18T05:05:09.211-07:00Hola Andrés: De acuerdo con algunos puntos y con otros no tanto. Conclusiones el jueves. Sólo para darte la bievenida a esta discusión a la que le aún le faltan  integrantes.<div>Saludos.</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-7131408375200187930?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com1tag:blogger.com,1999:blog-6552243985551912898.post-73016844597366148672009-03-17T05:01:00.000-07:002009-03-17T05:03:48.488-07:00Quisiera esperar más comentarios de sus colegas antes de sacar algunas conclusiones y enfrentar la solución de este caso. Pongamos fecha límite el Jueves 19.<div>Saludos.</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-7301684459736614867?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com1tag:blogger.com,1999:blog-6552243985551912898.post-86908656538818834422009-03-16T12:16:00.000-07:002009-03-16T12:17:50.192-07:00Valeria: Crees que el seno tiene una presión negativa capaz de impulsar los implantes a su interior? Cómo explicas que los implantes estén dentro del seno?<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-8690865653881883442?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com4tag:blogger.com,1999:blog-6552243985551912898.post-24806179900403982882009-03-16T05:04:00.000-07:002009-03-16T05:05:55.849-07:00Hola Valeria:<br />No se hizo elevación de seno. No tengo la Rx previa a la instalación de los implantes. Pero se observa neumatización bilateral.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-2480617990040398288?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com1tag:blogger.com,1999:blog-6552243985551912898.post-27538524800723483542009-03-15T09:32:00.000-07:002009-03-15T09:33:47.185-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/Sb0tuCqQvFI/AAAAAAAAACw/w7kEgWHfXM4/s1600-h/Sin+t%C3%ADtulo.jpg+6.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/Sb0tuCqQvFI/AAAAAAAAACw/w7kEgWHfXM4/s400/Sin+t%C3%ADtulo.jpg+6.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5313453404378414162" /></a>Dos implantes en seno maxilar derecho. Un implante en seno maxilar izquierdo.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-2753852480072348354?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com1tag:blogger.com,1999:blog-6552243985551912898.post-65123973180817036972009-03-15T09:31:00.000-07:002009-03-15T09:32:31.337-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_6PLJ4X8TOxk/Sb0tlZdwOEI/AAAAAAAAACo/wEdgl4cGuhg/s1600-h/Sin+t%C3%ADtulo.jpg+3.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://1.bp.blogspot.com/_6PLJ4X8TOxk/Sb0tlZdwOEI/AAAAAAAAACo/wEdgl4cGuhg/s400/Sin+t%C3%ADtulo.jpg+3.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5313453255881144386" /></a><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-6512397318081703697?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-54842069074526646152009-03-15T09:29:00.000-07:002009-03-15T09:31:47.121-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_6PLJ4X8TOxk/Sb0tK940kmI/AAAAAAAAACg/A2wlmb7o--0/s1600-h/Sin+t%C3%ADtulo.jpg+1.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://3.bp.blogspot.com/_6PLJ4X8TOxk/Sb0tK940kmI/AAAAAAAAACg/A2wlmb7o--0/s400/Sin+t%C3%ADtulo.jpg+1.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5313452801801884258" /></a>Implantes en el sector anterior. Se obsevan por fuera del reborde.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-5484206907452664615?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-34691934664871486972009-03-15T09:26:00.000-07:002009-03-15T09:29:31.273-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://3.bp.blogspot.com/_6PLJ4X8TOxk/Sb0seVxCt6I/AAAAAAAAACY/0PntpIfIV2k/s1600-h/Sin+t%C3%ADtulo.jpg+4.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 301px;" src="http://3.bp.blogspot.com/_6PLJ4X8TOxk/Sb0seVxCt6I/AAAAAAAAACY/0PntpIfIV2k/s400/Sin+t%C3%ADtulo.jpg+4.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5313452035117594530" /></a>Relación entre reborde (línea roja)  y la posición de los implantes (verde). Vista lateral.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-3469193466487148697?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-39490529147096208352009-03-14T13:38:00.000-07:002009-03-14T13:42:28.908-07:00Angela, Valeria ,Leydi:<div>La magnitud de la elevación es poca, me refiero a la glicemia: 120 mg/dl. Ok si piensan que la infección es la responsable de este aumento leve . Paciente tiene 64 años, sexo femenino, diabetes en control. De acuerdo con los comentarios sobre el diseño protésico: es un diseño para prótesis removible.</div><div>Mañana subo imágenes de reborde y TAC.</div><div>Saludos y gracias por sus comentarios.</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-3949052914709620835?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-89722457689526007572009-03-14T08:15:00.000-07:002009-03-14T08:20:16.888-07:00Estoy de acuerdo que por la magnitud de la pérdida de implantes podríamos pensar que se trata de un problema sistémico. Todos los exámenes están normales. Sólo la glicemia está elevada al momento de la consulta y el hemograma desviado a la izquierda.<div>Preguntas:</div><div>Cuál es la razón de estas alteraciones de su hemograma?</div><div>Necesitan más imágenes?</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-8972245768952600757?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com2tag:blogger.com,1999:blog-6552243985551912898.post-15252975851279516472009-03-13T12:16:00.000-07:002009-03-13T12:21:39.626-07:00Gracias Dra. Pinto y Dra. Araneda por el comentario. Es increible lo que ha sucedido en este caso. Efectivamente el paciente padece de sinusitis crónica. En el momento de la consulta sinusitis crónica en un período de reagudización.<br />Preguntas: Qué exámenes solicitarían?<br />Cuál es la conducta clínica para este caso?<br />De acuerdo a sus respuestas les iré entregando más imformación, gracias<br />Saludos.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-1525297585127951647?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com2tag:blogger.com,1999:blog-6552243985551912898.post-9392244815811568502009-03-08T15:37:00.000-07:002009-03-08T15:44:34.981-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_6PLJ4X8TOxk/SbRI9fmBCUI/AAAAAAAAACQ/3cRUvidtHn0/s1600-h/_081110_HEAD_1456_CONSOLA-1_2.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 198px;" src="http://1.bp.blogspot.com/_6PLJ4X8TOxk/SbRI9fmBCUI/AAAAAAAAACQ/3cRUvidtHn0/s400/_081110_HEAD_1456_CONSOLA-1_2.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5310950081866828098" /></a><span class="Apple-style-span" style="font-family: arial;">Situación de una mala planificación para el tratamiento con implantes. este paciente me consultó ya que aunque ha sido dada de alta se queja de fuertes dolores en la boca y abundante secreción noctura acompañada de tos.</span><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-939224481581156850?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com2tag:blogger.com,1999:blog-6552243985551912898.post-69410489519711824672009-03-08T14:58:00.000-07:002009-03-08T15:34:51.689-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SbRHl6DkkkI/AAAAAAAAACI/1ZpQMKK4QSI/s1600-h/Sin+t%C3%ADtulo2.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 300px;" src="http://2.bp.blogspot.com/_6PLJ4X8TOxk/SbRHl6DkkkI/AAAAAAAAACI/1ZpQMKK4QSI/s400/Sin+t%C3%ADtulo2.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5310948577141625410" /></a>Estado de la prótesis que el paciente portaba. Nótese el acúmulo de placa bacteriana por el mal diseño protésico y la falta de oseointegración de los implantes. <div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-6941048951971182467?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-31748417579782592112009-03-04T05:34:00.001-08:002009-03-04T05:36:36.030-08:00QUISIERA ALGUNOS COMENTARIOS. LUEGO SUBIRÉ LA SOLUCIÓN QUE DÍ EN ESTA COMPLICADA SITUACIÓN . Recuerden que estuvo en tratamiento durante dos años y ya había sido dada de alta.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-3174841757978259211?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-5862453072815570372009-03-04T05:31:00.000-08:002009-03-04T05:33:49.709-08:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/Sa6DLwzIaVI/AAAAAAAAABY/K_zJhsvhXHI/s1600-h/DSC_3787.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 219px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/Sa6DLwzIaVI/AAAAAAAAABY/K_zJhsvhXHI/s400/DSC_3787.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5309325248817555794" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_6PLJ4X8TOxk/Sa6C3MHzqtI/AAAAAAAAABQ/i8GCOKeP0rg/s1600-h/DSC_3785.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 264px;" src="http://4.bp.blogspot.com/_6PLJ4X8TOxk/Sa6C3MHzqtI/AAAAAAAAABQ/i8GCOKeP0rg/s400/DSC_3785.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5309324895374781138" /></a>PROTESIS MAXILAR AL MOMENTO DE LA CONSULTA.<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-586245307281557037?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com0tag:blogger.com,1999:blog-6552243985551912898.post-27819523126419800642009-03-04T05:23:00.000-08:002009-03-04T05:30:56.309-08:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://1.bp.blogspot.com/_6PLJ4X8TOxk/Sa6BaoLSCNI/AAAAAAAAABI/K_o5cIrTb04/s1600-h/_081110_HEAD_1456_CONSOLA-1.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 400px; height: 198px;" src="http://1.bp.blogspot.com/_6PLJ4X8TOxk/Sa6BaoLSCNI/AAAAAAAAABI/K_o5cIrTb04/s400/_081110_HEAD_1456_CONSOLA-1.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5309323305177712850" /></a>Este paciente me ha consultado para resolver su problema con implantes instalados como se ve en la Rx. Lo más curioso es que había sido dada de alta.<div>Estas son las cosas que los que nos dedicamos a la implantología debemos evitar.</div><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-2781952312641980064?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com1tag:blogger.com,1999:blog-6552243985551912898.post-72337540964686951972008-12-20T04:10:00.000-08:002008-12-21T18:47:46.772-08:00He creado este blog para compartir mis experiencias<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/6552243985551912898-7233754096468695197?l=franciscomarchesani.blogspot.com' alt='' /></div>Dr. Francisco Marchesani C.http://www.blogger.com/profile/17548133501511783383noreply@blogger.com4