Exodoncia de tercer molar inferior semi retenido, utilizando la técnica anestésica de Gow-Gates
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2016-05
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Universidad de Guayaquil. Facultad de Piloto de Odontología
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El presente análisis clínico tuvo como objetivo determinar la técnica anestésica de Gow-Gates, tomando en cuenta los planos anatómicos, las ventajas y desventajas para el bloqueo del nervio alveolar inferior, previo a la exodoncia de un tercer molar mandibular. La técnica anestésica de Gow-Gates (TGG), es una muy buena alternativa para el bloqueo mandibular, ya que mejora la aceptación a la aplicación de la anestesia, al evitar anestesiar por separado el nervio bucal, esta técnica que con una sola punción anestesia la rama del nervio mandibular, presenta ser una técnica menos dolorosa, evita el rebloqueo de los nervios del tronco mandibular, usa referencia extraorales e intraorales fácilmente ubicables, se la realiza con el paciente en posición supina, se aplica el líquido anestésico en un punto más elevado que el método convencional; es decir, a nivel del cuello del proceso condilar para anestesiar las ramas del nervio alveolar inferior, como son los nervios dentario inferior, lingual, bucal y suplementarios, las referencias extraorales consisten únicamente en la escotadura pre-trageana de la oreja y la comisura labial. En cuanto a los resultados anestésicos de esta técnica, este estudio demostró tener una eficacia al momento de la exodoncia, puesto que los resultados de cualquier investigación clínica de una técnica anestésica local troncular se basan en parte en resultados relativos, el mérito verdadero de un procedimiento específico llega a ser evidente solo después de repetidos estudios.
This clinical analysis aimed to determine the anesthetic technique Gow-Gates, taking into account the anatomical planes, the advantages and disadvantages for blocking the inferior alveolar nerve, prior to the extraction of mandibular third molar. The anesthetic technique Gow-Gates (TGG), is a very good alternative for mandibular block as it improves the acceptance of the application of anesthesia, to avoid anesthetizing separate the buccal nerve, this technique with a single anesthesia puncture branch mandibular nerve, presents a less painful technique avoids the relock neural mandibular trunk, use extraoral reference and intraoral easily located, it is performed with the patient supine, the liquid anesthetic is applied at a higher point than the method conventional; ie level condylar neck to numb the branches of the inferior alveolar nerve, such as inferior, lingual, buccal and supplemental dental nerves, extraoral references consist only of the pre-trageana recess of the ear and lip commissure. As for the anesthetic results of this technique, this study demonstrated efficacy at the time of extraction, since the results of any clinical investigation of a truncal local anesthetic technique is based partly on results concerning the true merit of a procedure specific becomes apparent only after repeated studies.
This clinical analysis aimed to determine the anesthetic technique Gow-Gates, taking into account the anatomical planes, the advantages and disadvantages for blocking the inferior alveolar nerve, prior to the extraction of mandibular third molar. The anesthetic technique Gow-Gates (TGG), is a very good alternative for mandibular block as it improves the acceptance of the application of anesthesia, to avoid anesthetizing separate the buccal nerve, this technique with a single anesthesia puncture branch mandibular nerve, presents a less painful technique avoids the relock neural mandibular trunk, use extraoral reference and intraoral easily located, it is performed with the patient supine, the liquid anesthetic is applied at a higher point than the method conventional; ie level condylar neck to numb the branches of the inferior alveolar nerve, such as inferior, lingual, buccal and supplemental dental nerves, extraoral references consist only of the pre-trageana recess of the ear and lip commissure. As for the anesthetic results of this technique, this study demonstrated efficacy at the time of extraction, since the results of any clinical investigation of a truncal local anesthetic technique is based partly on results concerning the true merit of a procedure specific becomes apparent only after repeated studies.
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GOW GATES, ANESTESIA DENTAL, NERVIO MANDIBULAR