Evaluación de factores demográficos, radiológicos e intraoperatorios para la evaluación del dolor postoperatorio y las complicaciones en la extracción quirúrgica del tercer molar mandibular impactado: un estudio prospectivo
Contenido principal del artículo
Resumen
Los terceros molares suelen erupcionar entre los 17 y los 21 años de edad. Por lo general, debido a la evolución de las mandíbulas humanas, el tamaño disminuye, lo que conduce al diente impactado. Un diente impactado puede conducir a la reabsorción externa del diente adyacente, trismo, infección, etc. Se han reportado muchos estudios en la literatura para evaluar la dificultad quirúrgica y las complicaciones postoperatorias secundarias a terceros molares impactados. Este estudio incluye una muestra de 100 sujetos evaluados por la dificultad quirúrgica y las complicaciones postoperatorias. Se evaluaron diversos factores demográficos, radiológicos e intraoperatorios que pueden conducir a complicaciones postoperatorias. También se evaluaron los factores responsables de las secuelas postoperatorias con las complicaciones. Se evaluó el dolor postoperatorio después de 4 horas y 7 días para marcar los factores comúnmente responsables. El dolor al séptimo día postoperatorio fue significativo e involucró factores como impacto total, impactación horizontal, nivel C, espacio retromolar nulo o muy pequeño y contacto con la raíz. En este estudio no se informaron complicaciones posoperatorias.
Citas
Atalay, B., Güler, N., Cabbar, F., Sencift, K. (2014) Determination of incidence of complications and life quality after mandibular impacted third molar surgery. journal of the Dental Faculty of Istanbul 48(1):31-46. In: https://www.researchgate.net/publication/328661081_DETERMINATION_OF_INCIDENCE_OF_COMPLICATIONS_AND_LIFE_QUALITY_AFTER_MANDIBULAR_IMPACTED_THIRD_MOLAR_SURGERY
Ahuja, K., Pannu,R., Pal, N., Aggarwal,N., Berwal.V. (2017) Complications and risk factor associated with extraction of impacted third molars: a prospective study. International Journal of Contemporary Medicine Surgery and Radiology.;2(4):153-155. In: https://www.ijcmsr.com/uploads/1/0/2/7/102704056/ijcmsr_25__2_4_._v1pdf.pdf
Bali, A., Bali, D., Sharma, A. et al. Is Pederson Index a True Predictive Difficulty Index for Impacted Mandibular Third Molar Surgery? A Meta-analysis. J. Maxillofac. Oral Surg. 12, 359–364 (2013).https://doi.org/10.1007/s12663-012-0435-x
Bui CSeldin EDodson T. Types, Frequencies, and Risk Factors for Complications after Third Molar Extraction. Journal of Oral and Maxillofacial Surgery, (2003), 1379-1389, 61(12) https://doi.org/10.1016/j.joms.2003.04.001
Gbotolorun, Olalekan Micah. 2007. Assessment of Factors Associated With Surgical Difficulty in Impacted Mandibular Third Molar Extraction. Journal of Oral and Maxillofacial Surgery, Volume65, Issue 10, 1977 – 1983 https://doi.org/10.1016/j.joms.2006.11.030
Goel, M., Shringarpure, M., Shewale, V., Bande, C., Joshi, A., Dehankar, T., & Goel, E. (2019).Assessment of intraoperative risk factors for surgical difficulty in surgical extraction of impacted mandibular third molar – A prospective study. International Journal of Medical and Surgical Sciences, 6(2),41-43. https://doi.org/10.32457/ijmss.2019.014
Grossi, Giovanni Battista et al.Effect of Submucosal Injection of Dexamethasone on Postoperative Discomfort After Third Molar Surgery: A Prospective Study. Journal of Oral and Maxillofacial Surgery, Volume 65, Issue 11, 2218 – 2226 https://doi.org/10.1016/j.joms.2006.11.036
Khanal, P., Dixit, S., Singh, R., & Dixit, P. (2014). Difficulty index in extraction of impacted mandibular third molars and their post-operative complications. Journal of Kathmandu Medical College, 3(1),14-20. https://doi.org/10.3126/jkmc.v3i1.10918
Kulkarni HS, Kulkarni GH, Iqbal E, Biradar JM, Khaji SI. Variables of Clinical Significance Predictive of Difficulty of Third Molar Surgery: An Institutional Analysis of 200 Consecutive Procedures. J Dent Allied Sci [serial online] 2015 [cited 2020 Oct 6];4:8-12. Available from: https://www.jdas.in/text.asp?2015/4/1/8/167525
Osunde, OD., Saheeb, BD., Bassey, GO. Indications and risk factors for complications of lower third molar surgery in a Nigerian Teaching Hospital. Annals of Medical and Health Sciences Research. Vol. 4 No. 6 (2014) https://doi.org/10.4103/2141-9248.144919
Sukegawa S, Yokota K, Kanno T, Manabe Y, Sukegawa-Takahashi Y, Masui M, Furuki Y. What are the risk factors for postoperative infections of third molar extraction surgery: A retrospective clinical study? Med Oral Patol Oral Cir Bucal. 2019 Jan 1;24 (1):e123-9. https://dx.doi.org/10.4317%2Fmedoral.22556
Tenglikar P, Munnangi A, Mangalgi A, Uddin SF, Mathpathi S, Shah K. An Assessment of Factors Influencing the Difficulty in Third Molar Surgery. Ann Maxillofac Surg. 2017 Jan-Jun;7(1):45-50. https://dx.doi.org/10.4103%2Fams.ams_194_15
Benediktsdóttir IS, Wenzel A, Petersen JK, Hintze H. Mandibular third molar removal: risk indicators for extended operation time, postoperative pain, and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(4):438-446. https://doi.org/10.1016/j.tripleo.2003.10.01852
Yuasa H, Sugiura M. Clinical postoperative findings after removal of impacted mandibular third molars: prediction of postoperative facial swelling and pain based on preoperative variables. Br J Oral Maxillofac Surg. 2004;42(3):209-214. https://doi.org/10.1016/j.bjoms.2004.02.005