RARE ODONTOSTOMATOLOGY COMPLICATION ASSOCIATED WITH DISLOCATION OF A SILASTIC NASAL SPLINT: A CASE REPORT

Abstract

Silastic is a type of silicone elastomer that has been widely used in various medical applications. One of its popular uses is in aesthetic medicine, specifically as an implant in the nose to enhance its appearance. The potential complications of extrusion, infection, and migration are minimal if the implant is placed in a separate watertight compartment with a tension-free closure and no impingement of the nasal dome. In this Case Report the patient arrived with a periodontitis disease and the silastic sheet was found adjacent to the incisor teeth during oropharyngoscopy to treat acute periodontitis. The authors do not know if the silastic sheet was the direct cause of the acute periodontitis or if the periodontitis creates the migration the infection and the extrusion of the implant. It is possible that the silastic sheet used in the previous rhinoplastic surgery reconstruction had migrated to the perimeter of the premaxilla and induced the chronic inflammation around the teeth or more probably some conditions such as initially gingivitis, complicated on Periodontitis precipitated the acute purulent inflammation of the periodontal tissue and followed by implant extrusion, foreign body reaction, and infection.