Exodoncia de Tercer Molar en posición Vertical con incisión angular y sutura tipo colchonero horizontal
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Los terceros molares son los últimos en aparecer y por lo general, son los que más problemas causan al querer erupcionar, el objetivo del presente estudio fue aplicar el protocolo quirúrgico descrito en el Texto de Cirugía Oral de Matteo Chiapasco usando la incisión angular y la sutura tipo colchonero horizontal para la exodoncia del tercer molar, se realizo la extracción quirúrgica de un tercer molar que se encontraba en posición vertical afectando la rama ascendente del maxilar inferior, en una paciente de 25 años de edad que fue remitida a la clínica por recomendación de su ortodontista, se utilizo una incisión angular para realizar un colgajo y poder extraer la pieza, luego de lo cual se realizo una sutura tipo colchonero, el resultado fue satisfactorio para el paciente y debido a que no posee movilidad dental, edentulismo ni pérdida de la dimensión vertical el pronóstico fue favorable para el paciente, como conclusión se expresa que los terceros molares en un alto grado presentan molestias, debido a que son los de formación más tardía, por los problemas que suelen aparecer al momento en que se debe realizar la erupción de los mismos, en muchos pacientes deben ser extraídos, la técnica anestésica troncular garantiza el bloqueo nervio dentario inferior, de manera que se puede trabajar con completa libertad, la sutura tipo colchonero posee una correcta eversión de los bordes de la herida además de que soporta bien tensiones locales, no hubo complicaciones con la misma, la paciente se recupero satisfactoriamente y el retiro de las suturas gingivales se lo debe realizar a los 7 días, aunque utilicemos suturas reabsorbibles.
The third molars are the last to appear and usually are the most problems cause in wanting to erupt, the objective of this study was to apply the surgical protocol described in the text of Oral Surgery Matteo Chiapasco using the angular incision and suture horizontal mattress type for the extraction of third molar surgical extraction of a third molar was upright affecting the ascending branch of the mandible in a patient of 25 years who was referred to the clinic on the recommendation of was held the orthodontist, an angular incision was used to make a flap and to extract the piece, after which a mattress type suture is performed, the result was satisfactory for the patient and since has no tooth mobility edentulous or loss vertical dimension prognosis was favorable for the patient, as a conclusion it is stated that the third molars in a high degree feels uncomfortable, because they are those of later training, problems that usually appear at the time to be performed eruption thereof, in many patients must be extracted, truncal anesthetic technique ensures the inferior alveolar nerve block, so that it can work with complete freedom, the mattress type suture has a right edge eversion of the wound besides supporting While local tensions, there were no complications with it, the patient recovered satisfactorily and removal of gingival sutures must be performed at 7 days, although we use absorbable sutures.
The third molars are the last to appear and usually are the most problems cause in wanting to erupt, the objective of this study was to apply the surgical protocol described in the text of Oral Surgery Matteo Chiapasco using the angular incision and suture horizontal mattress type for the extraction of third molar surgical extraction of a third molar was upright affecting the ascending branch of the mandible in a patient of 25 years who was referred to the clinic on the recommendation of was held the orthodontist, an angular incision was used to make a flap and to extract the piece, after which a mattress type suture is performed, the result was satisfactory for the patient and since has no tooth mobility edentulous or loss vertical dimension prognosis was favorable for the patient, as a conclusion it is stated that the third molars in a high degree feels uncomfortable, because they are those of later training, problems that usually appear at the time to be performed eruption thereof, in many patients must be extracted, truncal anesthetic technique ensures the inferior alveolar nerve block, so that it can work with complete freedom, the mattress type suture has a right edge eversion of the wound besides supporting While local tensions, there were no complications with it, the patient recovered satisfactorily and removal of gingival sutures must be performed at 7 days, although we use absorbable sutures.
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TERCER MOLAR, CIRUGIA BUCAL, MAXILAR INFERIOR