Carbonell MZ, Díaz CA, Espinosa GE, Ríos GY, Torres CL

Language: Spanish
References: 12
Page: 30-33
PDF size: 210.48 Kb.

ABSTRACT

Objective: To determine differences between bone healing and soft tissues in the lower jaw of patients subjected to impacted third molar extraction after using a high and low speed rotary devices. Material and methods: Crossed clinical assay-type intervention study. Under local anesthsesia, forty tooth extractions were performed (right and left) from 20 healthy patients. Two groups were thus formed: in group 1 high speed hand-piece was used, in group 2, low speed hand-piece was employed. Index cards were used to record time devoted to each patient as well as preoperative and postoperative clinical data related to inflammation, pain, opening limitations, bone healing and periodontal changes in the adjacent teeth. Results: When comparing high and low speed hand-pieces, statistically significant differences were found between pain, surgical time and probing depth; it was observed that low speed hand-piece generated lesser aggression to soft tissues. Conclusions: Accurate use of low speed hand-pieces allows a decrease of surgical time thus providing the patients with more suitable postoperative evolution.

REFERENCES

1. Monti LM, Lima de Castro A, Quirino-Louzada MJ, Pescinini-Salzedas LM. Estudio digital radiográfico y densitométrico en mandíbulas de cerdos sometidos a osteotomía con alta y baja velocidad, con refrigeración líquida. Rev Esp Cir Oral Maxilofac. 2010; 32 (3):102-107.

2. Vargas-Pérez V, Torres-Lagares D, Gutiérrez-Pérez JL. Enfisema como complicación en odontología. Revista SECIB OnLine. 2008; 3: 13-18.

3. Laissle Casas del Valle G, Aparicio-Molares P, Uribe-Fenner F, Alcocer-Carvajal D. Comparación del postoperatorio de dos colgajos en cirugía de terceros molares inferiores. Rev Esp Cir Oral Maxilofac. 2009; 31 (3): 185-192.

4. Olate S, Alister JP, Alveal R, Thomas D, Soto M, Mancilla P et al. Hallazgos clínicos y radiográficos de terceros molares con indicación de extracción. Resultados preliminares. Int J Odontostomat. 2007; 1 (1): 29-24.

5. Amin MM, Laskin DM. Prophylactic use of indomethacin for prevention of postsurgical complications after removal of impacted third molars. Oral Surg Oral Med Oral Pathol. 1983; 55 (5): 448-451.

6. Romero-Ruiz MM, Herrero-Climent M, Torres-Lagares D, Gutiérrez-Pérez JL. Protocolo de control del dolor y la inflamación postquirúrgica: Una aproximación racional. RCOE [revista en la Internet]. 2006; 11 (2): 205-215.

7. Haug RH, Perrott DH, Gonzalez ML, Talwar RM. The American Association of Oral and Maxillofacial Surgeons Age-Related Third Molar Study. J Oral Maxillofac Surg. 2005; 63 (8): 1106-1114.

8. Stoustrup P, Kristensen KD, Küseler A, Gelineck J, Cattaneo PM, Pedersen TK et al. Reduced mandibular growth in experimental arthritis in the temporomandibular joint treated with intra-articular corticosteroid. Eur J Orthod. 2008; 30 (2): 111-119.

9. Jiménez D, Vives T, Bertos N, Pascual A. Tratamiento del alveolo postextracción. Revisión de la literatura actual a propósito de un caso clínico. Revista Odontológica de Especialidades [Internet]. 2011; 2-4. Disponible en: http://www.infomed.es/rode/index.php?option=com_content&task=view&id=238&Itemid=28

10. López J, Alarcón M, Sacsaquispe S. Utilización de sulfato de calcio hemihidratado como material de relleno y barrera en un alveolo post-exodoncia: Una observación clínica, tomográfica e histológica comparativa a 4 meses antes de la colocación de implantes. Rev Clin Periodoncia Implantol Rehabil Oral. 2014; 7 (1): 29-31.

11. Inocêncio-Faria A, Gallas-Torreira M, López-Ratón M, Crespo-Vázquez E, Rodríguez-Núñez I, López-Castro G. Radiological infrabony defects after impacted mandibular third molar extractions in young adults. J Oral Maxillofac Surg. 2013; 71 (12): 2020-2028.

12. Montero J, Mazzaglia G. Effect of removing an impacted mandibular third molar on the periodontal status of the mandibular second molar. J Oral Maxillofac Surg. 2011; 69 (11): 2691-2697.