Cuándo está indicada y contraindicada la extracción de terceros molares inferiores.
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2011-04-15
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Universidad de Guayaquil. Facultad de Odontología
Resumen
Los terceros molares inferiores son los dientes que con más frecuencia
sufren el fracaso de su erupción ya sea por causas mecánicas, embriológicas
o generales.
Teniendo en cuenta la ubicación del tercer molar inferior en el sector
posterior de la arcada dentaria, la altura de sumergido en el hueso maxilar
inferior, la relación con elementos anatómicos importantes como el nervio
lingual, dentario inferior, fosa pterigomaxilar, músculo buccinador, bola
adiposa de Bichat, segundo molar inferior, etc, hacen que se deba de tomar
muy en cuenta si la intervención quirúrgica es necesaria o no. Se debe
proceder a la exodoncia preventiva solo en algunas circunstancias.
No todos los molares tienen indicación de extracción, lo importante es la
evaluación, ver el espacio que se tiene y si existe alguna patología
asociada, en relación al saco pericoronario, o en relación a toda la parte
periodontal.
Existen diferentes técnicas quirúrgicas para la extracción terceros molares,
debido a que cada profesional adopta la técnica más conveniente a su
criterio y la que en definitiva más ha practicado. Basándose en los
conocimientos básicos de cirugía bucal, partiendo de un buen diagnóstico,
manejándose con criterio clínico, conociendo perfectamente el campo
operatorio donde se va a trabajar y previniendo todas las posibles
complicaciones, cualquier técnica va a resultar exitosa.
The third molars are the teeth most frequently suffer the failure of his rash either by mechanical causes , embryological or general . Given the location of the third molar in the sector back of the dental arch , the height of submerged into the jawbone less , the relationship with important anatomical elements such as nerve lingual , inferior alveolar , pterygomaxillary fossa , buccinator , ball Bichat fat , lower second molar , etc, do you need to take into account whether surgery is necessary or not . should undertake preventive extraction only in some circumstances. Not all have indicated molar extraction , what matters is the assessment , see the space you have and if there is any pathology associate, in relation to pericoronal sac, or in relation to any part periodontal . Different surgical techniques for extracting third molars because each professional adopts a more suitable technique to its judgment and ultimately more practiced . Based on the basic knowledge of oral surgery , based on an accurate diagnosis , I being handled with clinical judgment , knowing perfectly the field operative where he goes to work and preventing all possible complications , any technique will be successful .
The third molars are the teeth most frequently suffer the failure of his rash either by mechanical causes , embryological or general . Given the location of the third molar in the sector back of the dental arch , the height of submerged into the jawbone less , the relationship with important anatomical elements such as nerve lingual , inferior alveolar , pterygomaxillary fossa , buccinator , ball Bichat fat , lower second molar , etc, do you need to take into account whether surgery is necessary or not . should undertake preventive extraction only in some circumstances. Not all have indicated molar extraction , what matters is the assessment , see the space you have and if there is any pathology associate, in relation to pericoronal sac, or in relation to any part periodontal . Different surgical techniques for extracting third molars because each professional adopts a more suitable technique to its judgment and ultimately more practiced . Based on the basic knowledge of oral surgery , based on an accurate diagnosis , I being handled with clinical judgment , knowing perfectly the field operative where he goes to work and preventing all possible complications , any technique will be successful .
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CIRUGIA BUCAL, TERCER MOLAR, DIENTE RETENIDO, COMPLICACIONES POSTOPERATORIAS