| Journal: | ODOUS científica |
| Database: | PERIÓDICA |
| System number: | 000435072 |
| ISSN: | 2665-0193 |
| Authors: | González Barboza, Sair1 Simancas Pereira, Yanet1 |
| Institutions: | 1Universidad de Los Andes, Facultad de Odontología, Mérida. Venezuela |
| Year: | 2020 |
| Season: | Ene-Jun |
| Volumen: | 21 |
| Number: | 1 |
| Pages: | 9-17 |
| Country: | Venezuela |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| Spanish abstract | La presente investigación tuvo como propósito determinar la influencia del tiempo efectivo de cirugía sobre el dolor postexodoncia tardío de terceros molares inferiores incluidos, en pacientes atendidos en la Facultad de Odontología, Universidad de los Andes, Mérida, Venezuela. Se realizó un estudio longitudinal, prospectivo, en 81 pacientes entre 17 y 33 años, seleccionados aplicando muestreo probabilístico (MAS). Fueron extraídos 127 molares por odontólogos con experiencia desde 0-5 a >10 años. Se realizó valoración clínica, radiográfica (panorámica) y clasificación de molares según Winter y Pell-Gregory. Se aplicó anestesia troncular mandibular e infiltrativa; se diseñó y levantó colgajo Winter modificado o Envolvente según indicación, con posterior exodoncia del 38, 48 o ambos. Se registró el tiempo efectivo de cirugía y se efectuó cierre primario en todos los casos. La sutura se retiró a los 7 días, diagnosticando el dolor presente. La prueba Chi-Cuadrado fue significativa (p = 0,011). Exodoncias con Dolor leve (25,2%) y Moderado (7,9%) transcurrieron en más de 40 minutos. Se concluye que a mayor tiempo efectivo de cirugía se incrementó el dolor postquirúrgico tardío. Las inclusiones mesio-angulares, clase II, A, B y la experiencia profesional, fueron determinantes en la dificultad e incremento del tiempo efectivo |
| English abstract | This research was focused on determining the influence of the effective surgery time on the post-exodontia pain of impacted lower third molars, studied in patients at the School of Dentistry of Universidad de Los Andes, Merida, Venezuela. A longitudinal and prospective study was carried out on 81 patients with ages between 17 and 33 years, selected by probabilistic sampling. 127 impacted molars were extracted by dentists with experience levels that varied from 0-5 to >10 years. Clinical and radiographic (panoramic) evaluation were performed, as well as molars’ classification according to Winter and PellGregory. Troncular mandibular and infiltrative anesthesia were administered. Either a modified Winter or envelope flap was designed and raised based on indications, with subsequent exodontia of 38, 48, or both. Effective surgery time was recorded, and primary closure was performed. After 7 days, the sutures were removed, and pain was diagnosed. The chisquared test result was significant (p=0,011). Extractions reported with low (25.2%) and moderate (7.9%) pain were carried out in more than 40 minutes. We concluded that late postexodontia pain is intensified after longer effective surgery times. Mesioangular impactions, Class II, A, B, and professional experience were decisive factors on both difficulty and effective time augmentation |
| Disciplines: | Medicina |
| Keyword: | Odontología, Extracción dental, Dientes impactados, Tercer molar, Dolor |
| Keyword: | Dentistry, Dental extraction, Impacted teeth, Third molars, Pain |
| Full text: | http://biblat.unam.mx/hevila/ODOUSCientifica/2020/vol21/no1/2.pdf |
