Paredes SMC, Machín HAC, Domínguez GSL, Rivera LIT, Rosete MMC

Language: Spanish
References: 0
Page: 51-61
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ABSTRACT

An applied type, descriptive, retrospective and longitudinal study was conducted to determine the behavior of bucco-sinus communications in primary health care in Maracaibo municipality, Zulia State, Venezuela during January 2006-2008. The target group included all patients attending to the dentist office for dental extraction in the maxilla, and the sample consisted of the 38 patients suffering from bucco-sinus communication as a complication of dental extraction, including only the iatrogenic-traumatic ones, those provoked in accidents and those associated with other pathologies. Data were collected from the individual clinical histories and in a form arranged to this purpose. Absolute numbers and percentages, tables and statistical graphics were arranged to understand the results better. Female sex and ages from 35 to 59 in both sexes were the most affected. The exodontias of the first and second left superior molar showed the highest incidence, iatrogenic-traumatic communications prevailed in frequency. Immediate bucco-sinus communications represented de majority and medical-surgical treatment was the most successful therapeutic method used. The diversity of criteria regarding the diagnosis and treatment of this dental complication as well as the inappropriate management in primary health care must be considered. The immediate strategy to train Comprehensive Dentists is significant to seek out common points, join criteria and define therapeutic behaviors.