Protocolo quirúrgico para manejo de pacientes con terceros molares clasificación A-1 de Winter. (Caso Clínico)
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
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La cirugía de los tercer molares es una de las razones más comunes por las que se acude a la consulta odontológica. El tercer molar es un factor que causa muchas molestias en la cavidad bucal en el momento de su erupción debido a la falta de espacio dentro del arco dentario, así como a la posición donde se aloja. En este trabajo investigativo se presenta el caso de un paciente de 37 años de edad atendido en la Facultad piloto de Odontología a quien se le realiza un acto quirúrgico de extracción de la pieza # 18 (Tercer molar superior) ya que la presión progresiva de las muelas del juicio sobre la muela precedente puede llegar a desplazar los dientes, produciendo apiñamiento y dolencias. Tuvo como objetivo determinar el protocolo quirúrgico para manejo de pacientes con terceros molares clasificación A-1 de Winter. Para lo cual se procedió a llenar la historia clínica, tomar las radiografías pertinentes, para ser estudiadas y decidir la técnica a utilizar, la cual se escogió la técnica quirúrgica simple. De esta forma se alcanzó los objetivos propuestos. Y se concluye en que los terceros molares podrían presentar afectaciones en el tejido pericoronario, o en relación a toda la parte periodontal. Generalmente existe una ausencia de espacio en la arcada, sin que el tercer molar pueda hacer su erupción normal y fisiológica. Por lo cual se deber tener mucha precaución y prevenir las caries y enfermedad periodontal, en relación fundamentalmente a sus piezas vecinas. El tercer molar podría producir lesiones en dientes vecinos, presencia de quistes o tumores odontogénicos, relacionados con el tercer molar.
Surgery of third molars is one of the most common reasons why we turn to the dental office. The third molar is a factor causing great discomfort in the oral cavity at the time of its eruption due to lack of space inside the dental arch and to the position where is housed. In this research work the case of a patient of 37 years attended age in the pilot School of Dentistry who is performed a surgical act of removing the piece # 18 (Third upper molar) as the pressure progressive of presents wisdom teeth on the preceding tooth can displace teeth, causing crowding and disease. It aimed to determine the surgical protocol for managing patients with third molar rated A-1 of Winter. For which he proceeded to fill medical history, take appropriate radiographs, for study and decide the technique to use, which the simple surgical technique was chosen. Thus the objectives was achieved. And it is concluded that the third molars could present damages in the pericoronary tissue, or in relation to any periodontal part. there is generally a lack of arch space without the third molar can do its normal physiological eruption. Therefore it must be very cautious and prevent caries and periodontal disease, related mainly to its neighboring pieces. The third molar could cause damage to neighboring teeth, presence of cysts or benign tumor, related to the third molar.
Surgery of third molars is one of the most common reasons why we turn to the dental office. The third molar is a factor causing great discomfort in the oral cavity at the time of its eruption due to lack of space inside the dental arch and to the position where is housed. In this research work the case of a patient of 37 years attended age in the pilot School of Dentistry who is performed a surgical act of removing the piece # 18 (Third upper molar) as the pressure progressive of presents wisdom teeth on the preceding tooth can displace teeth, causing crowding and disease. It aimed to determine the surgical protocol for managing patients with third molar rated A-1 of Winter. For which he proceeded to fill medical history, take appropriate radiographs, for study and decide the technique to use, which the simple surgical technique was chosen. Thus the objectives was achieved. And it is concluded that the third molars could present damages in the pericoronary tissue, or in relation to any periodontal part. there is generally a lack of arch space without the third molar can do its normal physiological eruption. Therefore it must be very cautious and prevent caries and periodontal disease, related mainly to its neighboring pieces. The third molar could cause damage to neighboring teeth, presence of cysts or benign tumor, related to the third molar.
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TRATAMIENTO QUIRURGICO, TERCER MOLAR - CIRUGIA, PROTOCOLOS CLINICOS