Manejo de la fractura mandibular relacionada con la cirugía de los terceros molares
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2022-09
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Las fracturas mandibulares como complicación de la cirugía de los terceros molares deben ser diagnosticadas previamente, y ante dicho riesgo quirúrgico realizar el consentimiento informado al paciente. Mediante el análisis de la radiografía panorámica según Romero Ruiz se puede establecer la complejidad de la retención dentaria, y ante la duda utilizar la tomografía de haz cónico. Las complicaciones que se presentan asociadas a la fractura dependen del exceso de osteotomía, así como la presencia de estados patológicos asociados a los terceros molares y en la mayoría de los casos al exceso de fuerzas al utilizar elevadores y fórceps. Objetivo: Establecer el manejo de la fractura mandibular relacionada con la cirugía de terceros molares. Metodología: El presente trabajo fue desarrollado por medio del tipo de estudio descriptivo, analítico-sintético e inductivo-reductivo; en el cual se tomaron en cuenta 38 artículos para analizar la información adecuada con respecto a las fracturas mandibulares asociadas a la cirugía de los terceros molares mandibulares; puesto que se consideraron artículos publicados en revistas de alto impacto como PubMed, Elsevier, Scielo, Medigraphic. Conclusiones: Se estableció la importancia de la elaboración del consentimiento informado previo a la complicación y el tratamiento por medio de la fijación intermaxilar cuando el factor dentario es favorable. La técnica de Champy Michelet es recomendable como abordaje intrabucal bajo anestesia local para lograr la estabilidad de la fractura.
Mandibular fractures as a complication of third molar surgery should be previously diagnosed, and the patient should be given informed consent for this surgical risk. According to Romero Ruiz, by means of the analysis of the panoramic radiography, the complexity of the dental retention can be established, and in case of doubt, cone beam tomography can be used. The complications associated with the fracture depend on the excess of ostectomy, as well as the presence of pathological conditions associated with the third molars and in most cases the excess of forces when using elevators and forceps. Objective: To establish the management of mandibular fracture related to third molar surgery. Methodology: The present work was developed by means of descriptive, analytical-synthetic, and inductive-reductive type of study; in which 38 articles were taken into account to analyze adequate information regarding mandibular fractures associated with mandibular third molar surgery; since articles published in high impact journals such as PubMed, Elsevier, Scielo, Medigraphic were considered. Conclusions: The importance of the elaboration of informed consent prior to complication and treatment by intermaxillary fixation when the dental factor is favorable was established. The Campy Michelet technique is recommended as an intrabuccal approach under local anesthesia to achieve fracture stability.
Mandibular fractures as a complication of third molar surgery should be previously diagnosed, and the patient should be given informed consent for this surgical risk. According to Romero Ruiz, by means of the analysis of the panoramic radiography, the complexity of the dental retention can be established, and in case of doubt, cone beam tomography can be used. The complications associated with the fracture depend on the excess of ostectomy, as well as the presence of pathological conditions associated with the third molars and in most cases the excess of forces when using elevators and forceps. Objective: To establish the management of mandibular fracture related to third molar surgery. Methodology: The present work was developed by means of descriptive, analytical-synthetic, and inductive-reductive type of study; in which 38 articles were taken into account to analyze adequate information regarding mandibular fractures associated with mandibular third molar surgery; since articles published in high impact journals such as PubMed, Elsevier, Scielo, Medigraphic were considered. Conclusions: The importance of the elaboration of informed consent prior to complication and treatment by intermaxillary fixation when the dental factor is favorable was established. The Campy Michelet technique is recommended as an intrabuccal approach under local anesthesia to achieve fracture stability.
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FRACTURAS DE LOS DIENTES, CIRUGIA BUCAL, RADIOGRAFIA DENTAL