Técnicas quirúrgicas para la exodoncia de terceros molares inferiores retenidos y semiretenidos
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2011-04-15
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Cualquier diente puede sufrir la interrupción de su proceso eruptivo,
provocando su retención parcial o total dentro de los procesos maxilares.
Los terceros molares son los dientes que con más frecuencia sufren el
fracaso de su erupción ya sea por causas mecánicas, embriológicas o
generales. Dado que la incidencia real de patología asociada con los
terceros molares retenidos no es tan elevada, lo aconsejable es adoptar
una actitud expectante, con controles periódicos, de los molares retenidos
asintomáticos, procediendo a la exodoncia preventiva solo en algunas
circunstancias. Todo diente retenido es susceptible de producir trastornos
infecciosos (pericoronaritis), ulceraciones en mucosa, adenoflemones, etc.Las complicaciones son accidentes, fenómenos adversos que sobrevienen
durante un acto operatorio o después de él. En la exodoncia de los
terceros molares retenidos, pueden ocurrir las mismas complicaciones que
en cualquier exodoncia, pero el hecho de que se trate de un acto
quirúrgico con características propias y que tenga lugar en una zona de
encrucijada anatómica, hace que las complicaciones sean especialmente
frecuentes y adquieran características propias.
Any tooth may suffer disruption of their eruptive process causing partial or complete retention within the maxillary processes. The third molars are the teeth most frequently suffer failure of eruption either by mechanical causes , or embryological general . Since the actual incidence of disease associated with third molars is not so high , it is advisable to adopt watchful waiting with regular checks of the molars asymptomatic , proceeding to preventive extraction only in some circumstances . All impacted tooth is capable of producing disorders infectious ( pericoronitis ) , mucosal ulcerations , adenoflemones , etc.Las complications are accidents, adverse events that occur for a surgical procedure or after it. In the extraction of third molars can occur the same complications in any extraction , but the fact that it concerns a measure with surgical characteristics and which occurs in an area of anatomical crossroads causes complications are especially frequent and acquired characteristics .
Any tooth may suffer disruption of their eruptive process causing partial or complete retention within the maxillary processes. The third molars are the teeth most frequently suffer failure of eruption either by mechanical causes , or embryological general . Since the actual incidence of disease associated with third molars is not so high , it is advisable to adopt watchful waiting with regular checks of the molars asymptomatic , proceeding to preventive extraction only in some circumstances . All impacted tooth is capable of producing disorders infectious ( pericoronitis ) , mucosal ulcerations , adenoflemones , etc.Las complications are accidents, adverse events that occur for a surgical procedure or after it. In the extraction of third molars can occur the same complications in any extraction , but the fact that it concerns a measure with surgical characteristics and which occurs in an area of anatomical crossroads causes complications are especially frequent and acquired characteristics .
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CIRUGIA BUCO-MAXILOFACIAL, TERCER MOLAR, DIENTE RETENIDO