Intervención Quirúrgica de Terceros Molares Superiores Retenidos Submucosos
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2017
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Universidad de Guayaquil. Facultad Piloto de Odontología
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OBJETIVO: Describir y Aplicar la Intervención Quirúrgica del Tercer Molar
Superior Retenido Submucoso. Estas piezas dentarias en un alto porcentaje de
pacientes y situaciones no erupcionan normalmente, es decir que se encuentran
total o parcialmente retenidos en el maxilar. La causa principal de la retención del
tercer molar es por falta de espacio en las arcadas dentarias, dentro de la boca.
METODOS: se realizó un estudio observacional descriptivo conformado por un
caso clínico en la Facultad Piloto de Odontología “clínica de Cirugía Bucal” se
identificó al paciente, se realizó la anamnesis, se estableció el motivo de la
consulta, se realizó el odontograma correspondiente, se realizaron imágenes
radiográficas, modelos de estudio, fotos extraorales e intraorales, pronostico,
planes de tratamiento lo cual tuvo como base la revisión de autores.
RESULTADOS: se realizó con colgajo mucoperiostico para ejecutar la exodoncia
quirúrgica previo a la aplicación de Anestesia del Nervio Palatino Mayor,
Realizamos la luxación de la pieza con elevador recto de hoja fina una vez
extraída se sutura la cavidad con un pronóstico favorable para la paciente y
operador. CONCLUSIONES: Existen diferentes clasificaciones para describir la
ubicación tridimensional de un tercer molar, pero las más útiles sin lugar a dudas
son las que propone Winter desde 1926, y la de Pell y Gregory en 1933. Estas
clasificaciones se basan en la orientación del eje longitudinal del tercer molar
respecto a la segunda, y en el espacio existente y la profundidad a la que se
encuentra la pieza respectivamente. (Triviño, Cirugía Oral y maxilofacial, 2009)
OBJECTIVE: To describe and to apply the Surgical Intervention of the Third Molar Retained Submucous Superior. These teeth in a high percentage of patients and situations do not erupt normally, meaning that they are totally or partially retained in the maxilla. The main cause of retention of the third molar is due to lack of space in the dental arches, inside the mouth. METHODS: a descriptive observational study was carried out, conformed by a clinical case in the Pilot Faculty of Dentistry "Clinic of Oral Surgery", the patient was identified, anamnesis was performed, the reason for the consultation was established, the corresponding odontogram Radiographic images, study models, extraoral and intraoral pictures, prognosis, treatment plans based on the authors' review. RESULTS: We performed a mucoperiosteal flap to perform the surgical extraction before the application of anesthesia of the Palatine Major Nerve. We performed the dislocation of the piece with a straight thin-blade lift. Once the cavity was removed, the cavity was sutured with a favorable prognosis for the patient. operator. CONCLUSIONS: There are different classifications to describe the threedimensional location of a third molar, but the most useful are undoubtedly those proposed by Winter since 1926, and that of Pell and Gregory in 1933. These classifications are based on the orientation of the longitudinal axis Of the third molar with respect to the second, and in the existing space and the depth to which the piece is respectively. (Triviño, 2009)
OBJECTIVE: To describe and to apply the Surgical Intervention of the Third Molar Retained Submucous Superior. These teeth in a high percentage of patients and situations do not erupt normally, meaning that they are totally or partially retained in the maxilla. The main cause of retention of the third molar is due to lack of space in the dental arches, inside the mouth. METHODS: a descriptive observational study was carried out, conformed by a clinical case in the Pilot Faculty of Dentistry "Clinic of Oral Surgery", the patient was identified, anamnesis was performed, the reason for the consultation was established, the corresponding odontogram Radiographic images, study models, extraoral and intraoral pictures, prognosis, treatment plans based on the authors' review. RESULTS: We performed a mucoperiosteal flap to perform the surgical extraction before the application of anesthesia of the Palatine Major Nerve. We performed the dislocation of the piece with a straight thin-blade lift. Once the cavity was removed, the cavity was sutured with a favorable prognosis for the patient. operator. CONCLUSIONS: There are different classifications to describe the threedimensional location of a third molar, but the most useful are undoubtedly those proposed by Winter since 1926, and that of Pell and Gregory in 1933. These classifications are based on the orientation of the longitudinal axis Of the third molar with respect to the second, and in the existing space and the depth to which the piece is respectively. (Triviño, 2009)
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INTERVENIDOS QUIRURGICAMENTE, TERCER MOLAR, CIRUGIA BUCAL