Se emplearon 3 test diagnósticos para definir el nivel de función neurológica se utilizó escala VAS para evaluar el nivel de sensibilidad del paciente, y el interrogatorio estandarizado para categorizar los tipos de desórdenes sensoriales. Los pacientes fueron intervenidos y examinados a los 3 y 10 días tras la intervención para identificar desórdenes neurosensoriales.
Se realizó un estudio cuasi-experimental en 136 pacientes sometidos a exéresis quirúrgica de terceros molares inferiores retenidos con criterios específicos de inclusión en la Facultad de Estomatología de La Habana, período 2016-2017. Los desórdenes neurosensoriales aparecen vinculados a la exéresis de terceros molares inferiores su mal diagnóstico y tratamiento acarrean una larga permanencia de los mismos.Ĭaracterizar desde el punto de vista clínico y terapéutico los desórdenes neurosensoriales asociados a la extracción quirúrgica de terceros molares inferiores retenidos. The results of our study indicate that the surgical technique using an elevator on the buccal surface of the tooth seems to be a reliable method to extract impacted third molars safely, easily, quickly and with the minimum trauma to the surrounding tissues. We also found a statistically significant lower incidence of lingual nerve lesions and only a slightly higher frequency of sharp mandibular bone irregularities in the second group, which however was not statistically significant. Patients of the first group underwent the classical bur technique, while patients of the second group underwent another technique, in which an elevator was placed on the buccal surface of the impacted molar in order to luxate the alveolar socket more easily.Ĭomparing the two techniques, we observed a statistically significant decrease in the duration of the procedure and in the need for tooth sectioning when applying the second surgical technique, while the post-operative complications were similar in the two groups.
In the present study, we compare the efficacy and the post-operative complications of patients to whom two different surgical techniques were applied for impacted lower third molar extraction. For this reason, a surgical procedure that decreases the trauma of bone and soft tissues should be a priority for surgeons. Post-operative complications of various degrees of severity are commonly observed in third molar impaction surgery.
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