Comparación de la eficacia de odontosección con cincel y fresa quirúrgica en cirugía de terceros molares
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2021-09
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La odontosección es un procedimiento quirúrgico muy sencillo, que consiste en la
ruptura o fractura intencional, de una pieza dentaria para realizar o facilitar un
tratamiento posterior. Según la posición en que se encuentre el diente que va a ser
extraído, puede ser necesaria su división en fragmentos para ser retirado empleando
el instrumento adecuado.Objetivo: Determinar la eficacia del uso del cincel y martillo,
respecto a la fresa quirúrgica, en la tecnica de exceresis de terceros molares.
Metodologia: La presente investigacion se desarrollo a través de la busqueda
bibliográfica, cuyo metodo de investigación fue tipo descriptiva, documental,
exploratorio y retrospectivo de bases de datos de: Pubmed, Google Scholar, Scielo,
Cochrane Library y otros. Resultados: El dolor de los pacientes sometidos a
odontoseccion con fresa quirúrgica para extracción molar fue significativamente menor
que la reportada después de la extracción convencional con cincel. Ademas, se
reporto un tiempo de operación más corto y menos complicaciones intraoperatorias y
postoperatorias. Se pudo describir en qué casos clínicos se puede emplear la fresa al
extraer con una incisión dentaria, por lo que el tercer molar dejado en posición
paranormal no es recomendable por su acceso restringido, usando para este tipo de
retención otras medidas de mayor complejidad. Conclusiones: El uso del cincel y
martillo debe considerarse como un complemento de la técnica de la exceresis, ya que
para lograr un corte efectivo debe colocarse el taco de goma y haber realizado el corte
parcial por medio de la fresa quirúrgica, siendo considerada como una odontoseccion
guiada. No existen instrumentos en desuso sino que hay que conocer su indicación
precisa
The dental section is a very simple surgical procedure, which consists of the intentional rupture or fracture of a tooth to perform or facilitate a subsequent treatment. Depending on the position of the tooth to be extracted, it may be necessary to divide it into fragments to be removed using the appropriate instrument. Objective: To determine the effectiveness of the use of the chisel and hammer, with respect to the surgical drill, in the technique of third molar exceresis. Methodology: The present investigation was developed through the bibliographic search, whose research method was descriptive, documentary, exploratory and retrospective of databases of: Pubmed, Google Scholar, Scielo, Cochrane Library and others. Results: The pain of patients who underwent dental section with a surgical drill for molar extraction was significantly less than that reported after conventional extraction with a chisel. In addition, a shorter operating time and fewer intraoperative and postoperative complications were reported. It was possible to describe in which clinical cases the bur can be used when extracting with a dental incision, so the third molar left in a paranormal position is not recommended due to its restricted access, using other more complex measures for this type of retention. Conclusions: The use of the chisel and hammer should be considered as a complement to the exceresis technique, since in order to achieve an effective cut the rubber plug must be placed and the partial cut must have been made using the surgical drill, being considered as a guided dental section. . There are no instruments in disuse, but it is necessary to know their precise indication.
The dental section is a very simple surgical procedure, which consists of the intentional rupture or fracture of a tooth to perform or facilitate a subsequent treatment. Depending on the position of the tooth to be extracted, it may be necessary to divide it into fragments to be removed using the appropriate instrument. Objective: To determine the effectiveness of the use of the chisel and hammer, with respect to the surgical drill, in the technique of third molar exceresis. Methodology: The present investigation was developed through the bibliographic search, whose research method was descriptive, documentary, exploratory and retrospective of databases of: Pubmed, Google Scholar, Scielo, Cochrane Library and others. Results: The pain of patients who underwent dental section with a surgical drill for molar extraction was significantly less than that reported after conventional extraction with a chisel. In addition, a shorter operating time and fewer intraoperative and postoperative complications were reported. It was possible to describe in which clinical cases the bur can be used when extracting with a dental incision, so the third molar left in a paranormal position is not recommended due to its restricted access, using other more complex measures for this type of retention. Conclusions: The use of the chisel and hammer should be considered as a complement to the exceresis technique, since in order to achieve an effective cut the rubber plug must be placed and the partial cut must have been made using the surgical drill, being considered as a guided dental section. . There are no instruments in disuse, but it is necessary to know their precise indication.
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Palabras clave
ODONTOSECCION, EXTRACCION DENTAL, MOLARES