Iatrogenias asociadas a las exodoncias de los molares del maxilar superior
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2022-10
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Introducción: La iatrogenia dental es el resultado de una mala praxis que se puede provocar en la región de los molares superiores, ya que se trata de una zona en la que se realizan un sinnúmero de extracciones, las estructuras anatómicas contiguas pueden resultar lesionadas, como es el caso de la comunicación bucosinusal (Gatti et al., 2019) o lesiones de la arteria palatina posterior superior. (Quispe et al., 2020), complicaciones coligadas a las fuerzas excesivas empleadas y un desconocimiento de la técnica quirúrgica (Coello y Reyes., 2018).
Objetivo: Establecer el manejo de iatrogenias producidas durante las extracciones de molares superiores del maxilar superior.
Materiales y métodos: La dirección de la investigación fue de tipo cualitativo, bibliográfico, usando métodos analíticos/sintéticos, deductivos y descriptivos. Se hizo el análisis bibliográfico de artículos y fuentes científicas, libros y repositorios, recogiendo y analizando resultados de alto impacto para la elaboración del trabajo.Resultados: Las iatrogenias que se cometen en la exodoncia de los molares superiores pueden provocar graves problemas en la salud oral y general del paciente, sin embargo, estas se pueden prevenir con la correcta preparación académica y práctica del odontólogo.
Conclusión: El presente estudio concluyo que las iatrogenias por exodoncia de molares superiores se provocan por múltiples factores, como: desconocimiento anatómico de estructuras posteriores del maxilar superior, malas praxis por parte del profesional de la salud y desconocimiento de técnicas para solucionar el problema.
Introduction: Dental iatrogenic is the result of malpractice that can be caused in the region of the upper molars, since it is an area in which countless extractions are performed, the contiguous anatomical structures can be injured, as is the case of the buccosinusal communication (Gatti et al., 2019) or lesions of the posterior superior palatal artery (Quispe et al., 2020), complications related to the excessive forces used and a lack of knowledge of the surgical technique (Coello and Reyes, 2018), complications related to the excessive forces used and a lack of knowledge of the surgical technique (Coello and Reyes, 2018). Objective: To establish the management of iatrogenies produced during maxillary upper molar extractions. Materials and methods: The direction of the research was qualitative, bibliographic, using analytical/synthetic, deductive and descriptive methods. Bibliographic analysis of articles and scientific sources, books and repositories was made, collecting and analyzing high impact results for the elaboration of the work. Results: The iatrogenies committed in upper molar exodontia can cause serious problems in the oral and general health of the patient, however, these can be prevented with the correct academic and practical preparation of the dentist. Conclusions: The present study concluded that iatrogenies due to upper molar exodontia are caused by multiple factors, such as: anatomical ignorance of posterior structures of the upper jaw, malpractice by the health professional and lack of knowledge of techniques to solve the problem.
Introduction: Dental iatrogenic is the result of malpractice that can be caused in the region of the upper molars, since it is an area in which countless extractions are performed, the contiguous anatomical structures can be injured, as is the case of the buccosinusal communication (Gatti et al., 2019) or lesions of the posterior superior palatal artery (Quispe et al., 2020), complications related to the excessive forces used and a lack of knowledge of the surgical technique (Coello and Reyes, 2018), complications related to the excessive forces used and a lack of knowledge of the surgical technique (Coello and Reyes, 2018). Objective: To establish the management of iatrogenies produced during maxillary upper molar extractions. Materials and methods: The direction of the research was qualitative, bibliographic, using analytical/synthetic, deductive and descriptive methods. Bibliographic analysis of articles and scientific sources, books and repositories was made, collecting and analyzing high impact results for the elaboration of the work. Results: The iatrogenies committed in upper molar exodontia can cause serious problems in the oral and general health of the patient, however, these can be prevented with the correct academic and practical preparation of the dentist. Conclusions: The present study concluded that iatrogenies due to upper molar exodontia are caused by multiple factors, such as: anatomical ignorance of posterior structures of the upper jaw, malpractice by the health professional and lack of knowledge of techniques to solve the problem.
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IATROGENIA, EXODONCIA, MOLARES