Estudio comparativo entre la técnica de anestesia convencional y la técnica de gow gates
No hay miniatura disponible
Archivos
Fecha
2017
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La eficacia en la aplicación de las técnicas de anestesia local está basada en el conocimiento de la anatomía, fisiología teniendo así la pérdida de la sensibilidad en la región donde se hace necesaria la intervención. Con lo que respecta a las diversas técnicas de anestesia que existen para el maxilar y la mandíbula, se puede decir que la referencia hacia el éxito para el bloqueo del nervio maxilar es mayor en relación con la del inferior; de hecho decimos que el logro de una anestesia en el maxilar superior rara vez es un problema, pero existen casos de anomalías anatómicas o condiciones patológicas.
El bloqueo convencional del nervio dentario inferior es un procedimiento que se usa normalmente en odontología y es el que muestra mayor dificultad debido a las variaciones anatómicas de la zona. El trabajo planteado tiene como objetivo identificar cuál de las 2 técnicas presenta mejores características dando como resultado lo siguiente: La técnica Gow Gates, en relación a la técnica convencional, tiene un menor grado de dificultad en su ejecución.
La profundidad en la penetración de la aguja para las 2 técnicas no presenta diferencias. Por ende el tiempo de duración de la técnica Gow Gates, es mayor que para la de Spix. En relación a las áreas anestesiadas son comunes para las 2 técnicas, no hay diferencias, excepto la que es a nivel de la piel en el tercio posterior de mejilla, región temporal y pabellón auricular, lo que puede tener importancia en aquellos casos en el que se requiere instrumentación quirúrgica a nivel de esta zona. Conclusión: La técnica Gow Gates demuestra ser más efectiva cuando la de Spix ha fracasado en forma reiterativa.
Efficacy in the application of local anesthesia techniques is based on the knowledge of the anatomy, physiology thus having the loss of sensitivity in the region where intervention is necessary. With respect to the various anesthesia techniques that exist for the maxilla and mandible, it can be said that the reference to success for maxillary nerve block is greater in relation to that of the lower one; In fact we say that the achievement of anesthesia in the upper jaw is seldom an issue, but there are cases of anatomical anomalies or pathological conditions. The conventional blockade of the inferior dental nerve is a procedure that is normally used in dentistry and is the one that shows greater difficulty due to the anatomical variations of the zone. The objective of this paper is to identify which of the two techniques has the best characteristics, resulting in the following: The Gow Gates technique, in relation to the conventional technique, has a lower degree of difficulty in its execution. The depth of needle penetration for the 2 techniques is not different. Therefore, the duration of the Gow Gates technique is greater than that of Spix. In relation to the anesthetized areas are common for the 2 techniques, there are no differences, except that it is at the skin level in the posterior third of cheek, temporal region and auricular pavilion, which may be important in those cases where Surgical instrumentation is required at this level. Conclusion: The Gow Gates technique proves to be more effective when Spix's has failed in a repetitive way.
Efficacy in the application of local anesthesia techniques is based on the knowledge of the anatomy, physiology thus having the loss of sensitivity in the region where intervention is necessary. With respect to the various anesthesia techniques that exist for the maxilla and mandible, it can be said that the reference to success for maxillary nerve block is greater in relation to that of the lower one; In fact we say that the achievement of anesthesia in the upper jaw is seldom an issue, but there are cases of anatomical anomalies or pathological conditions. The conventional blockade of the inferior dental nerve is a procedure that is normally used in dentistry and is the one that shows greater difficulty due to the anatomical variations of the zone. The objective of this paper is to identify which of the two techniques has the best characteristics, resulting in the following: The Gow Gates technique, in relation to the conventional technique, has a lower degree of difficulty in its execution. The depth of needle penetration for the 2 techniques is not different. Therefore, the duration of the Gow Gates technique is greater than that of Spix. In relation to the anesthetized areas are common for the 2 techniques, there are no differences, except that it is at the skin level in the posterior third of cheek, temporal region and auricular pavilion, which may be important in those cases where Surgical instrumentation is required at this level. Conclusion: The Gow Gates technique proves to be more effective when Spix's has failed in a repetitive way.
Descripción
PDF
Palabras clave
ANESTESIA DENTAL, CIRUGIA BUCAL, TECNICAS QUIRURGICAS