Foreign-body reaction to an alveolar dressing (Alvogyl®): Presentation of 4 cases
DOI:
https://doi.org/10.5935/2525-5711.20190009Palavras-chave:
Alvogyl, foreign body, alveolar osteitis, dry socket, persistence, complicationResumo
Introduction: Alvogyl® is a product used for prevention and management of alveolar osteitis/dry-socket. Its active ingredients, iodoform (antiseptic) and butamben (anaesthetic), are transported in Penghawar djambivegetable fibresthat possess a hemostatic property. Patients: We present 4 clinical cases of a foreign-body reaction after retaining Alvogyl® in the extraction socket in two men and one woman, with a mean age of 52 years (37-66 years). Of these, two cases were in the maxilla and two in the mandible. All cases presented with a chronic inflammatory foreign-body reaction containing giant multinucleated cells and a fibrillar material. Conclusion: Alvogyl® is a product for the management of alveolar osteitis/dry-socket that should be removed from the alveolus once the pain has resolved for an adequate healing process to occur.
Referências
Ryalat ST, Al-Shayyab MH, Marmash A, Sawair FA, Baqain ZH, et al. The effect of Avlogyl TM when used as a post extraction packing. Jor J Pharma Sci 2011;4:149-52.
Septodont. Products/Periodontology and surgical/bone treatment: Alvogyl®. Available in: www.septodont.in/products/alveogyl?from=3249&cat=5.
Syrjänen SM, Syrjänen KJ. Influence of Alvogyl on the healing of extraction wound in man. Int J Oral Surg 1979; 8: 22-30.
Stewart CM, Watson RE. Experimental oral foreign body reactions. Commonly employed dental materials. Oral Surg Oral Med Oral Pathol 1990; 69: 713-9.
Molina-Ruiz AM, Requena L. Foreign Body Granulomas. Dermatol Clin 2015; 33: 467-23.
Anderson JM, Rodriguez A, Chang DT. Foreign body reaction to biomaterials. Semin Immunol 2008; 20: 86-100.
Akrish S, Dayan D, Taicher S, Adam I, Nagler RM. Foreign body granulomas after injection of Bio-alcamid for lip augmentation. Am J Otolaryngol 2009; 30: 356-9.
Owosho AA, Bilodeau EA, Vu J, Summersgill KF. Orofacial dermal fillers: foreign body reactions, histopathologic features and spectrometric studies. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 117: 617-25.
Carlos-Fabuel L, Marzal-Gamarra C, Martí-Alamo S, Mancheño- -Franch A. Foreign body granulomatous reactions to cosmetic fillers. J Clin Exp Dent 2012; 4: 244-7.
Lombardi T, Samson J, Plantier F, Husson C, Küffer R. Orofacial granulomas after injection of cosmetic fillers. Histopathologic and clinical study of 11 cases. J Oral Pathol Med 2004; 33: 115-20.
Odell EW, Lombardi T, Oades P. Symptomatic foreign body reaction to haemostatic alginate. Br J Oral Maxillofac Surg 1994; 32: 178-9.
Mattsson T, Anderssén K, Koendell P, Lindskog S. A longitudinal comparative histometric study of the biocompatibility of three local hemostatic agents. Int J Oral Maxillofac Surg 1990; 19: 47-50.
Wegenast S. Letters to the Editor: Observe the healing process. B Dent J 2013; 5: 217.
Kaya GŞ, Yapici G, Savaş Z, Güngörmüş M. Comparison of Alvogyl, SaliCept patch, and low-level laser therapy in the management of alveolar osteitis. J Oral Maxillofac Surg 2011; 69: 1571-7.
Eshghpour M, Ahrari F, Najjarkr NT, Khajavi MA. Comparison of the effect of low level laser therapy with alvogyl on the management of alveolar osteitis. Med Oral Patol Oral Cir Bucal 2015; 20: 386-92.
Faizel S, Thomas S, Yuvaraj V, Prabhu S, Tripathi G. Comparision between neocone, alvogyl and zinc oxide eugenol packing for the treatment of dry socket: A double blind randomised control trial. J Maxillofac Oral Surg 2015; 14: 312-20.
AbdullGaffar B, Alawadhi F, Gandour K. Alvogyl dental dressing: A potential cause of complicated postextraction non healing sockets: A clinicopathologic study of 7 cases. Int J Dent Oral Health 2016; 2 :1-5.
Cataldo E, Santis H. Response of the oral tissue to exogenous foreign materials. J Periodontol 1974; 2: 93-106.
Anderson JM, Rodriguez A, Chang DT. Foreign body reaction to biomaterials. Semin Immunol 2008; 20: 86-100.
Tasoulas J, Daskalopoulos A, Droukas C, Nonni A, Nikitakis NG. An unusual microscopic pattern of foreign body reaction as a complication of dry socket management. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 5: 118-23.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 1969 Didac Sotorra-Figuerola, Javier Alberdi-Navarro, Maria-Luisa Gainza-Cirauqui, Juan Pablo Muñoz-Zapata, Jose-Manuel Aguirre-Urizar
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
