A new concept: the use of protective hydrogel in maxillofacial surgery – case report
			
	
 
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				1
				Department of Oral Surgery, Institute and Research Centre, São Leopoldo Mandic, Brazil
				 
			 
						
				2
				2 Maxillofacial surgery, private practice, Brazil
				 
			 
										
				
				
		
		 
			
			
		
		
		
			
			 
			Acceptance date: 2020-12-07
			 
		 		
		
		
			
			 
			Publication date: 2020-12-20
			 
		 			
		 
	
							
					    		
    			 
    			
    				    					Corresponding author
    					    				    				
    					Ricardo  Grillo   
    					Department of Oral Surgery, Institute and Research Centre, São Leopoldo Mandic, Brazil
    				
 
    			
				 
    			 
    		 		
			
																	 
		
	 
		
 
 
Prosthodontics 2020;70(4):363-368
		
 
 
KEYWORDS
ABSTRACT
Infections in oral and maxillofacial surgery
are a very common complication, about 11% of
all surgical procedures in Brazil. There are some
steps to prevent and treat oral and maxillofacial
surgery infections. In this paper, we introduce a
new material to deal with these complications.
Protective DAC hydrogel is made of hyaluronic
acid and poly-L-lactic acid plus antibiotic and
antibiofilm agents. This hydrogel is useful where implants are installed like prosthesis or stable
internal fixation, mainly in cases when a second
surgical step is needed, because of an infection,
mainly in cases of biofilm infection over internal
fixation plates and/or screws. A case is reported
here to exemplify one of the utilities of this new
product. The use of protective hydrogel is very
useful in oral and maxillofacial surgery, not only
for prevention but also in cases of replacement
of infected implants due to biofilm or any other
source of infection.