Manejo de la comunicación bucosinusal por estudiantes de 10mo semestre de la Facultad Piloto de Odontología de la Universidad de Guayaquil
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2022-10
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La Comunicación Bucosinusal es una conexión anormal entre el seno maxilar y la
cavidad oral consecuencia de factores iatrogénicos, extracciones dentarias, traumatismo,
patologías odontológicas, neumatización del seno maxilar y anomalías del mismo. El
diagnostico se realiza mediante un examen integral de la boca acompañado de
procedimientos clínicos como anamnesis, prueba de Valsalva y radiografías. Cuando el
defecto no se cierra espontáneamente y no se trata, permanece permeable y se epiteliza
hasta formarse en una Fistula Oroantral y posteriormente recaerá en una sinusitis crónica.
Objetivo: Determinar el nivel de conocimiento sobre el manejo de la Comunicación
Bucosinusal en estudiantes de décimo semestre de la carrera de Odontología. Metodología:
se realizó una investigación de tipo cualitativo, cuantitativo, descriptivo y transversal.
Resultados: El nivel de conocimiento medio fue el que predominó, seguido del nivel alto y
bajo, así como el género femenino. Conclusión: Existen diferentes manejos terapéuticos
para el cierre de la comunicación bucosinusal, en particular el colgajo bucal, que a la par con materiales hemostáticos son ideales para el cierre de este defecto demostrando ser una
técnica eficaz y confiable, debido a su rico suministro de sangre y su base ancha, así
mismo, la implementación de antibioticoterapia, enjuagues bucales y descongestionantes
nasales.
Buccosinusal communication is an abnormal connection between the maxillary sinus and the oral cavity as a consequence of iatrogenic factors, dental extractions, trauma, dental pathologies, pneumatization of the maxillary sinus and anomalies of the same. The diagnosis is made by means of an integral examination of the mouth accompanied by clinical procedures such as anamnesis, Valsalva test and radiographs. When the defect does not close spontaneously and is not treated, it remains permeable and epithelializes until it forms an oroantral fistula and later relapses into chronic sinusitis. Objective: To determine the level of knowledge on the management of Oral Sinus Communication in tenth semester students of Dentistry. Methodology: A qualitative, quantitative, descriptive and cross sectional research was carried out. Results: The medium level of knowledge was predominant, followed by the high and low levels, as well as the female gender. Conclusion: There are different therapeutic approaches for the closure of the buccosinusal communication, in particular the buccal flap, which together with hemostatic materials are ideal for the closure of this defect, proving to be an effective and reliable technique, due to its rich blood supply and its wide base, as well as the implementation of antibiotic therapy, mouthwashes and nasal decongestants.
Buccosinusal communication is an abnormal connection between the maxillary sinus and the oral cavity as a consequence of iatrogenic factors, dental extractions, trauma, dental pathologies, pneumatization of the maxillary sinus and anomalies of the same. The diagnosis is made by means of an integral examination of the mouth accompanied by clinical procedures such as anamnesis, Valsalva test and radiographs. When the defect does not close spontaneously and is not treated, it remains permeable and epithelializes until it forms an oroantral fistula and later relapses into chronic sinusitis. Objective: To determine the level of knowledge on the management of Oral Sinus Communication in tenth semester students of Dentistry. Methodology: A qualitative, quantitative, descriptive and cross sectional research was carried out. Results: The medium level of knowledge was predominant, followed by the high and low levels, as well as the female gender. Conclusion: There are different therapeutic approaches for the closure of the buccosinusal communication, in particular the buccal flap, which together with hemostatic materials are ideal for the closure of this defect, proving to be an effective and reliable technique, due to its rich blood supply and its wide base, as well as the implementation of antibiotic therapy, mouthwashes and nasal decongestants.
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SINUSITIS, FISTULA OROANTRAL, CONOCIMIENTOS, ACTITUDES Y PRACTICA EN SALUD