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1.
Niger. J. Dent. Res. (Online) ; 7(1): 45-52, 2022.
Article in English | AIM, AIM | ID: biblio-1354687

ABSTRACT

ABSTRACT Objective: This study aims to evaluate the level of patients' compliance with recall / follow-up visits attending the dental Centre of the University of Benin Teaching Hospital (UBTH).Methods: This study adopted a descriptive retrospective study of case notes retrieved from the medical records department of the dental Centre, University of Benin Teaching Hospital. The period under study covers 2019 to 2021. The data was collected by means of 1232 questionnaire and analyzed using descriptive statistics such as frequency and percentages. Results: The result showed that the participants in the age bracket of 18-40 years of age (277) complied better to recall visit in comparison with the study age distributions which are 41-65 years (218) and age above 65 years (188). As per the influence of gender on compliance of patients with post-extraction recall visits, it was observed that the male participants (288) responded better to the recall visits compared to the female participants (251). The Relationship between distance away from the hospital and compliance of patients with post-extraction recall visits was also evaluated, and it was observed that the patients closer to the hospital within 5km (442) complied better to recall revisit in comparison to the participants who were within 10km (224) from the hospital as well as the participants that were 10km & above (17). Finally, the influence of interval between procedure and recall visit was also evaluated, and the result revealed that the participants that were given 7 days of recall revisit (663) complied better compared with the participants who were given 14days duration for recall revisit (478). Conclusion: The data from this study highlighted the possible need for a paradigm shift in patient-doctor interphase especially as it concerns recall visits. Compliance to recall appointment by the patients depends largely on age, gender, distance from hospital and interval between procedures and is mainly responsible for the noncompliance of patients to recall visit


Subject(s)
Humans , Tooth Extraction , Dental Care , Patient Compliance , Continuity of Patient Care , Hospitals, Teaching
2.
Braz. dent. sci ; 25(1): 1-6, 2022. tab, ilus
Article in English | LILACS, BBO | ID: biblio-1361486

ABSTRACT

Objetivo: A progressão da cicatrização de um alvéolo após uma extração é geralmente analisada por meio de exame clínico e investigação radiográfica. Embora a cicatrização do tecido mole geralmente seja mantida bem, a progressão da cicatrização do tecido duro é mais difícil de prever e gerenciar, com problemas como alvéolo seco ou má união do osso subjacente. Biomarcadores séricos para progressão da cicatrização óssea, como a Fosfatase Alcalina (FAL), podem ser úteis como ferramenta diagnóstica para intervenção precoce. Material e Métodos:Vinte indivíduos saudáveis de 18-30 anos de idade que deveriam extrair dentes do siso inferiores impactados foram incluídos. Foram coletados 2 ml de sangue, antes do tratamento e 48 horas depois, as amostras seguintes foram coletadas 1 mês, 2 meses e 3 meses após o procedimento. As radiografias intraorais foram realizadas no final dos três meses. Resultados: Houve uma correlação obtida com a cura e os níveis de FAL em intervalos de tempo de 1, 2 e 3 meses (p <0,05), onde 17 pacientes que tiveram um aumento substancial nos níveis de FAL também tiveram cura satisfatória após três meses. Três indivíduos que não apresentaram aumento no nível de FAL não tiveram cura satisfatória. Conclusão: FAL é um biomarcador suplementar útil para a consolidação óssea (AU)


Objective: The progression of a healing socket following an extraction is usually analysed through clinical examination and radiographic investigation. Whilst soft tissue healing is usually maintained well, healing progression of hard tissue is more challenging to predict and manage, with issues such as a dry socket or mal-union of the underlying bone. Serum biomarkers for bone healing progression, such as alkaline phosphatase (ALP), could prove helpful as a diagnostic tool for early intervention. Material and Methods: Twenty healthy 18-30-year-old individuals who were to extract lower impacted wisdom teeth were included. 2ml of blood was collected before treatment, 48 hours after then following samples were collected 1 month, 2 months and 3 months after the procedure. Intra-oral radiographs were taken at the end of the three months. Results: There was a significant correlation elicited with the healing and ALP levels at 1,2 & 3 months' time intervals (p<0.05), where 17 patients who had a substantial increase in the levels of ALP also had satisfactory healing after three months. Three individuals who did not show any increase in ALP level did not have satisfactory healing. Conclusion:ALP is a useful supplementary biomarker for bone healing.(AU)


Subject(s)
Humans , Adult , Surgery, Oral , Tooth Extraction , Wound Healing , Alkaline Phosphatase
3.
Rev. Círc. Argent. Odontol ; 79(230): 17-20, dic. 2021. ilus, graf
Article in Spanish | LILACS | ID: biblio-1358178

ABSTRACT

Luego de una extracción dental ocurren inevitablemente procesos de reabsorción y remodelación ósea, donde la dimensión y morfología de la cresta alveolar se ve modificada, representando un problema para la rehabilitación de la zona. Estudios clínicos han documentado un promedio de 4,0 a 4,5 mm de reabsorción ósea horizontal luego de una exodoncia, como así también cambios dimensionales significativos en los alrededores del hueso alveolar. El propósito fue evaluar y comparar clínica y tomográficamente los procesos de reparación y conservación del reborde alveolar post-extracción de paredes intactas, con y sin la utilización de esponjas de colágeno intraalveolar como relleno y placa termoformada como barrera física, durante el proceso de cicatrización. Se seleccionaron pacientes con indicación de exodoncia de elementos dentarios normalmente implantados y clínicamente aceptables, aplicando los criterios de exclusión, se realiza toma de impresión del terreno para la confección de una placa de protección rígida 0,8 termoformada para ser colocada posterior a la extracción durante la masticación por un período de 30 días. Se indica tomografía cone-beam post operatoria inmediata y a los tres meses para analizar, medir y comparar alto y ancho de crestas alveolares residuales. En la evaluación clínica y tomográfica de los casos estudiados, el grupo control donde se usó únicamente placa de protección alveolar arrojó mejores resultados que el grupo donde se colocaron esponja de colágeno en el interior del alvéolo. Palabras clave: Regeneración ósea, esponja de colágeno, cicatrización ósea, alvéolo postextracción, placa de protección alveolar (AU)


After a tooth extraction, bone resorption and remodeling processes inevitably occurs, where size and morphology of the alveolar crest is modified, representing a problem for the rehabilitation of the area. Clinical studies have documented an average of 4.0 to 4.5 mm of horizontal bone resorption after an extraction, us well us substantial dimensional changes around the alveolar bone. The purpose was to evaluate and compare clinical and tomographically both repair and preservation of post extraction alveolar ridge of intact walls processes, with and without the use of intraalveolar collagen sponges as filler and a thermoformed protective plaque, us physica? barrier, during healing process. Patients with normally implanted and clinically acceptable tooth with extraction indication were selected, applying the exclusion criteria, impression of the field is taken to build a 0.8 rigid thermoformed protective plaque in order to be placed after extraction and used during chewing for a period of 30 days. Immediate and three months post-operative cone beam tomography are indicated to analyze, measure and compare height and width of residual alveolar crests. In the clinical and tomographic evaluation of the cases treated, control group where only alveolar protective plaque was used, showed better results than the group with intraalveolar collagen sponge (AU)


Subject(s)
Humans , Male , Female , Bone Regeneration , Alveolar Bone Loss , Collagen , Argentina , Schools, Dental , Tooth Extraction , Wound Healing , Tomography, X-Ray Computed , Statistical Analysis , Cone-Beam Computed Tomography
4.
Rev. Círc. Argent. Odontol ; 79(230): 24-28, dic. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1358462

ABSTRACT

Objetivos: Demostrar la utilidad y la facilidad técnica del injerto tibial en defectos óseos orales y maxilofaciales, para tenerlo como un recurso alternativo en la práctica general del cirujano oral y maxilofacial. Caso clínico: Se presenta un caso clínico con el uso de injerto óseo autólogo de tibia para el relleno de un defecto óseo a raíz de una lesión quística. Se realizó la exéresis de la patología quística por medio de un abordaje oral y posteriormente se recolectó hueso medular tibial a través de un abordaje medio al tubérculo anterior de la tibia, para poder colocarlo en el defecto óseo. Conclusión: El injerto de hueso medular de epífisis tibial representa un sitio de recolección de fácil acceso, del que se puede obtener una cantidad de hueso ideal para defectos de pequeño y mediano tamaño de la región maxilofacial, de baja morbilidad y con muy pocas complicaciones post-operatorias, lo que lo convierte en una alternativa para rellenos de cavidades óseas de gran utilidad (AU)


Objective: To demonstrate the utility and technical ease of the tibial graft in oral and maxillofacial bone defects so as to have it as an alternative resource in the general practice of the oral and maxillofacial surgeon. Case report: A clinical case is shown with the use of an autologous tibial bone graft to fill a bone defect as a result of a cystic lesion. The cyst was excised by an oral approach and the medial tibial bone was collected through a middle approach to the anterior tubercle of the tibia, to place it in the bone defect. Conclusion: The tibial epiphysis medullary bone graft represents an easily accessible collection site, from which an ideal amount of bone can be obtained for small and mediumsized defects of the maxillofacial region, with low morbidity and very few post-operative complications, which makes it a useful option for bone cavity filling (AU)


Subject(s)
Humans , Female , Aged , Tibia , Dentigerous Cyst/surgery , Bone Transplantation , Reconstructive Surgical Procedures , Osteotomy , Surgical Flaps , Tooth Extraction , Dentigerous Cyst/diagnostic imaging , Mandible
5.
Ciênc. Saúde Colet ; 26(supl.3): 5223-5232, Oct. 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1345752

ABSTRACT

Resumo O objetivo deste artigo foi avaliar a prevalência e os fatores associados à indicação de exodontia em uma população adulta de índios Kiriri do Nordeste do Brasil. 225 indígenas (≥19 anos) foram avaliados. Os critérios de indicação de exodontia adotados foram: dentes com perda de inserção clínica ≥50%, em pelo menos 3 sítios, e, também, raízes residuais. Modelos estatísticos foram utilizados para avaliar associações entre necessidade de exodontia e as variáveis selecionadas. A porcentagem de dentes com indicação de exodontia foi de 4,98%, caracterizando uma média de 1,24 dente por indivíduo. A análise de regressão mostrou associação positiva entre indicação de exodontia e idade ≥35 anos (OR=2,24, 95%IC: 1,13-4,43, p=0,02), renda <R$ 570,00 (OR=3,34, 95%IC: 1,19-9,37, p=0,02) e índice de placa ≥40% (OR=2,38, 95%IC: 1,24-4,56, p=0,01). Uma prevalência de 33% de indivíduos com indicação de um ou mais dentes para exodontia está, principalmente, relacionada aos fatores de risco: idade maior que 35 anos, índice de placa ≥40% e renda inferior a um salário mínimo. Esse estudo reflete tanto a importância da priorização da prevenção em saúde bucal, como a necessidade de ampliação do acesso aos serviços de maior complexidade.


Abstract The scope of this cross-sectional study was to evaluate the prevalence and the associated factors of the recommendation of dental extraction in the adult Kiriri Indigenous population of northeastern Brazil. A total of 225 natives (≥19 years) were evaluated. The extraction criteria were teeth with clinical attachment loss ≥50% in at least 3 sites, and residual roots. Statistical models were used to evaluate associations between the need for dental extraction and selected variables. The percentage of teeth recommended for dental extraction was 4.98%, characterizing a mean of 1.24 tooth per individual. A regression analysis showed that age ≥35 years (OR=2.24, 95%CI: 1.13-4.43, p=0.02), income <R$ 570.00 (OR=3.34, 95%CI: 1.19-9.37, p=0.02) and plaque index ≥40% (OR=2.38, 95%CI: 1.24-4.56, p=0,01) were significantly associated with indication for dental extraction. A prevalence of 33% of subjects with dental extraction recommendation were associated with age older than 35 years, plaque index ≥40% and income less than a minimum wage were related with the recommendation for extraction. This study reflects the importance of prioritizing oral health prevention, as well as the need to expand complex dental services.


Subject(s)
Humans , Adult , Tooth Loss , Dental Caries , Tooth Extraction , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Dental Care , Population Groups
7.
Rev. ADM ; 78(4): 215-220, jul.-ago. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1292866

ABSTRACT

En este informe de caso clínico se muestra el tratamiento exitoso de un paciente con anodoncia parcial de órganos dentales 13 y 23 debido a que fueron extraídos por presentar impactación y mal pronóstico de tracción. En este artículo se presenta un paciente masculino de 29 años clase I esquelética con un perfil convexo, maloclusión de clase III, overjet disminuido, ausencia de guías funcionales, discrepancia oseodentaria positiva en arcada superior y negativa en arcada inferior. El tratamiento se realizó con extracciones de los órganos dentales 34 y 44 para nivelar las discrepancias óseo dentarias interarcadas, se llevó a cabo mediante un cierre de espacios recíproco por medio de cadenas elásticas para ambas arcadas, con lo que se logró crear un overjet y overbite adecuados. La creación de las guías caninas funcionales se consiguió mediante el cambio de morfología de los órganos dentales 14 y 24, los cuales fueron llevados a la posición de los caninos ausentes. El tiempo total de tratamiento para este paciente fue de 24 meses. Se realizaron ameloplastias positivas, la aplicación de agregados de resina para mejorar la funcionalidad y proveer salud articular. Se sugiere que ante casos de anodoncia de caninos en la arcada superior, un tratamiento favorable se puede llevar a cabo mediante el cierre de espacios, la caracterización morfológica de los caninos ausentes mediante ameloplastias positivas en premolares (AU)


This case report shows the successful treatment of a patient with partial anodontia of dental organs 13 and 23 because they have been extracted due to present impactation and poor traction prognosis. This article presents a 29-year-old male class I skeletal patient with convex profile, class III malocclusion, overjet reduction, absence of functional guidance, positive bone-teeth discrepancy in the upper arch and negative in the lower arch. The treatment was carried out with the extractions of the dental organs 34 and 44 for correcting oral dental discrepancies between upper and lower arches; it was done using reciprocal closing of spaces by using elastic chains for both arches in order to achieve a suitable overjet and overbite. The creation of the canine guides was achieved by changing the morphology of the dental organs 14 and 24, which were taken to the position of the absent canines. The total treatment timing for this patient was 24 months. Positive ameloplasties were performed by application of resin aggregates to improve functionality and provide joint health. A favorable treatment for these kinds of cases of canine anodontics in the upper arch is carried out by closing spaces and the morphological characterization of the absent canines by positive in-premolar ameloplasties (AU)


Subject(s)
Humans , Male , Adult , Tooth Extraction/methods , Bicuspid , Cuspid/surgery , Dental Enamel/surgery , Anodontia/therapy , Schools, Dental , Tooth Movement Techniques/methods , Orthodontic Brackets , Orthodontic Retainers , Orthodontic Space Closure , Esthetics, Dental , Malocclusion, Angle Class III/therapy , Maxilla , Mexico
8.
Rev. Asoc. Odontol. Argent ; 109(2): 119-123, ago. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1348424

ABSTRACT

Objetivo: Presentar el caso de una patología poco común como es el fibro-odontoma ameloblástico (FOA), su manejo interdisciplinario y su resolución quirúrgica. Caso clínico: En este reporte de caso describimos un FOA en una paciente de 10 años, ubicado en el cuerpo mandibular derecho, asociado a las raíces de molares temporales que generó la retención de premolares. Se realizó la enucleación completa de la lesión, exodoncia de los temporales asociados y se decidió mantener los dientes definitivos y esperar su erupción espontánea. Es importante considerar la posibilidad de mantener el diente retenido si este no dificulta la exéresis de la lesión, ya sea para su erupción espontánea o rescate ortodóntico, lo cual es posible observar en este caso en el que se aprecia una evolución intraósea favorable. Con respecto al seguimiento, se recomienda el control a largo plazo con el fin de controlar la erupción del órgano dentario o la aparición de posibles recidivas (AU)


Aim: To present a clinical case of a rare pathology, the ameloblastic fibro odontoma (AFO), its interdisciplinary management and its surgical resolution. Clinical case: In this case report we describe an AFO in a 10-years-old patient, localized in the right hand side of the body of the mandible, associated with the roots of temporary molars that generated the retention of the premolars. Complete enucleation of the lesion and the extraction of the associated temporary molars were performed. It was decided to keep the permanent teeth and to wait for their spontaneous eruption. It is important to consider the possibility of keeping the retained teeth if it does not hinder the excision of the lesion, either for its spontaneous eruption or orthodontic rescue, which is possible to see in this case, in which a favorable intraosseous evolution is appreciated. With regard to follow-up, long-term monitoring is recommended in order to control the eruption of the dental organ or the appearance of possible recurrences (AU)


Subject(s)
Humans , Female , Child , Odontogenic Tumors , Odontoma/surgery , Schools, Dental , Tooth Extraction , Tooth, Impacted , Bicuspid , Biopsy , Chile , Histological Techniques , Oral Surgical Procedures , Molar
9.
Rev. Asoc. Odontol. Argent ; 109(1): 20-27, ene.-abr. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1280773

ABSTRACT

Objetivo: Analizar y describir los requerimientos de atención quirúrgica bucomaxilofacial de urgencia en el Servicio de Urgencias Odontológicas y Orientación de Pacientes de la Facultad de Odontología de la Universidad de Buenos Aires durante el aislamiento social preventivo y obligatorio por la pandemia de COVID-19. Materiales y métodos: Se realizó un estudio observacional descriptivo de análisis retrospectivo durante el período de aislamiento social preventivo y obligatorio inicial de 93 días, comprendido entre el 20 de marzo y el 20 de junio de 2020. Se evaluó la totalidad de historias clínicas de los pacientes que acudieron al Servicio de Urgencias Odontológicas y Orientación de Pacientes de la Facultad de Odontología de la Universidad de Buenos Aires y se caracterizó a aquellos que requerían distintos tipos de tratamiento quirúrgico bucal y maxilofacial. Resultados: Durante el período estudiado, se atendieron 4564 pacientes, de los cuales 1337 (29,3%) requirieron tratamientos quirúrgicos como terapéutica para la resolución de la urgencia. De estos, el 93,2% fueron exodoncias de piezas erupcionadas o retenidas; el 1,7%, biopsias quirúrgicas; el 2,4%, tratamientos agudos de infecciones que involucran espacios anatómicos vecinos; el 0,8%, resolución de traumatismos en los maxilares, y el 1,9%, tratamientos de complicaciones posquirúrgicas. Conclusión: Los resultados ponen de relieve la necesidad de disponer de servicios de guardia odontológica en el ámbito del AMBA que cuenten con recursos humanos calificados y entrenados para resolver urgencias de tipo quirúrgico


Aim: The objective of this study was to analyze and describe the requirements for the emergency care of oral and maxillofacial surgical treatment in the emergency dental department of the School of Dentistry of the University of Buenos Aires during the Preventive and Mandatory Social Isolation. Materials and methods: We conducted a retrospective analysis of a descriptive observational study during the initial period of 93 days of Preventive and Compulsory Social Isolation, from March 20, 2020 to June 20, 2020. All the medical records of the patients who attended the emergency dental department of the School of Dentistry of the University of Buenos Aires were evaluated and those who required different types of oral and maxillofacial surgical treatment were characterized. Results: A total of 4564 patients were attended during the period studied, of which 1337 (29.3%) required surgical treatment as a therapy for the resolution of their emergencies. Of these, 93.2% were exodontia of erupted or retained teeth, 1.7% surgical biopsies, 2.4% acute treatment of infections involving neighboring anatomical spaces, 0.8% resolution of maxillary alveolar trauma and 1.9% treatment of post-surgical complications. Conclusion: The results highlight the need to have dental emergency services in the AMBA area that have qualified and trained human resources to solve the surgical type emergencies that may arise (AU)


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Emergency Medical Services , COVID-19 , Health Services Needs and Demand , Argentina/epidemiology , Postoperative Complications , Schools, Dental , Tooth Extraction/statistics & numerical data , Biopsy , Clinical Protocols , Epidemiology, Descriptive , Retrospective Studies , Tooth Injuries/epidemiology , Age and Sex Distribution , Observational Study , Focal Infection, Dental/epidemiology , Intraoperative Care , Maxillofacial Injuries/epidemiology
10.
Rev. Ciênc. Plur ; 7(1): 14-29, jan. 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1147542

ABSTRACT

Introdução:Técnicas para extração dentária vêm sendo aperfeiçoadas objetivando um procedimento que diminua o esforço profissional, o tempo cirúrgicoeamenize as dores e os processos inflamatórios. Neste sentido os extratores minimamente traumáticos,com a exodontia vertical, propõem-se a preservar o osso alveolar e proporcionar uma recuperação mais rápida e confortável para o paciente. Objetivo:Avaliar a efetividade do kit para extração minimamente traumática da Maximus® (Contagem, Minas Gerais, Brasil) na exodontia de raízes residuais de incisivos, caninos e pré-molares unirradiculares. Metodologia:Trata-se de um ensaio clínico, prospectivo e analítico. Os pacientes foram operados utilizando o dispositivo, sendo avaliados os dados demográficos, tempo cirúrgico, dor e conforto após a cirurgia, bem como o grau de satisfação profissional com o uso do dispositivo. Para verificar diferenças significativas foi utilizado o teste de Mann-Whitney e a busca de associações foi realizada com o Exato de Fisher. Para todos os testes foi estabelecida uma significância com p<0,05.Resultados:Quarenta elementos foram removidos, o tempo cirúrgico foi em média 16,28 minutos, níveis de dor e conforto imediatamente após a cirurgia se mantiveram baixos (p<0,0001), e o grau de satisfação profissional se manteve alto (p<0,0001). A taxa de sucesso do dispositivo foi de 93,3% para os elementosincisivos e 20% para os elementos caninos e pré-molares (p<0,0001).Conclusões:A eficácia do extrator é determinada pelo tamanho da superfície radicular cobertas com fibras periodontais e a localização do dente. No entanto pode ser bem indicada no planejamento de reabilitações implantosuportadas em região anterior de maxila e mandíbula (AU).


Introduction:Techniques for tooth extraction have been improvedaiming at a procedure that reduces professional effort, surgical time, pain and inflammatory processes. In this sense, minimally traumatic extractors with vertical extraction, propose to preserve the alveolar bone and provide a faster and more comfortablerecovery for the patient. Objective:To evaluate the effectiveness of the Maximus® Minimally Traumatic Extraction Kit (Contagem, Minas Gerais, Brasil) in the extraction of uniradicular residual roots from incisors, canines and premolars.Methodology:Thisis a clinical, prospective and analytical trial. Patients were operated on using the device, and demographic data, surgical time, pain and comfort after surgery were evaluated, as well as the degree of professional satisfaction with the use of the device.To verify significant differences, the Mann-Whitney test was used and the search for associations was performed with Fisher's exact test. For all tests, significance was set at p<0.05.Results:Forty elements were removed, surgical time averaged 16.28 minutes, levels of pain and comfort immediately after surgery remained low (p<0.0001), and the degree of job satisfaction remained high (p<0.0001). The success rate of the device was 93.3% for the incisor elements and 20% for the canine and premolar elements (p<0.0001).Conclusions:The effectiveness of the extractor is determined by the size of the root surface covered with periodontal fibers and the location of the tooth. However, can be well indicated in planning implanted rehabilitation in the anterior region of the maxilla and mandible (AU).


Introducción: Se han mejorado las técnicas de extracciónde dientescon el objetivo de un procedimiento que reduzca el esfuerzo profesional, el tiempo quirúrgico, el dolor y los procesos inflamatorios. En este sentido, los extractores mínimamente traumáticos con extracción vertical tienen como objetivo preservar el hueso alveolar y proporcionar una recuperación más rápida y cómoda para el paciente. Objetivo: Evaluar la efectividad del Kit de Extracción Mínimamente Traumática Maximus® (Contagem, Minas Gerais, Brasil) en la extracción de raíces residuales de incisivos, caninos y premolares uniradiculares. Metodología: Es un ensayo clínico, prospectivo y analítico. Los pacientes fueron intervenidos con el dispositivo y se evaluaron datos demográficos, tiempo quirúrgico, dolor y comodidad después de la cirugía, así como el grado de satisfacción laboral con el uso del dispositivo. Para verificar diferencias significativas se utilizó la prueba de Mann-Whitney y la búsqueda de asociaciones se realizó mediante la prueba exacta de Fisher. Para todas las pruebas, la significancia se estableció en p <0,05. Resultados:Se retiraron cuarenta ítems, el tiempo quirúrgico promedió 16,28 minutos, los niveles de dolor y comodidad inmediatamente después de la cirugía permanecieron bajos (p<0,0001) y el grado de satisfacción laboral se mantuvo alto (p<0,0001). La tasa de éxito del dispositivo fue del 93,3% para los elementos incisivos y del 20% para los elementos caninos y premolares (p<0,0001).Conclusiones: La efectividad del extractor está determinada por el tamaño de la superficie radicular cubierta por fibras periodontales y la ubicación del diente. Sin embargo, puede resultar muy adecuado para planificar la rehabilitación con implantes en la región anterior del maxilar y la mandíbula (AU).


Subject(s)
Humans , Surgery, Oral , Tissue Preservation , Tooth Extraction/instrumentation , Minimally Invasive Surgical Procedures/instrumentation , Alveolar Process/surgery , Bicuspid , Effectiveness , Brazil , Efficacy , Prospective Studies , Statistics, Nonparametric , Cuspid , Incisor
11.
Artemisa; I Jornada Científica de Farmacología y Salud. Fármaco Salud Artemisa 2021; 2021. 1-12 p. tab.
Non-conventional in Spanish | MTYCI, LILACS, MTYCI | ID: biblio-1284599

ABSTRACT

Introducción: La terapia floral de Bach es una terapia medicamentosa no farmacológica que brinda un conjunto de remedios vibracionales; es un remedio de limpieza por excelencia, se le considera el antibiótico de elección del citado sistema floral. Objetivo: caracterizar a los pacientes atendidos en el Servicio de Estomatología de la Facultad de Ciencias Médicas de Morón tarados con Terapia Floral de Bach (Crab Apple), como profilaxis en extracciones dentarias. Método: se realizó un estudio experimental (cuasi experimento), para el mismo se crearon dos grupos uno experimental y otro control en el período comprendido de Junio 2019 a Enero de 2020. La población la constituyó 370 pacientes que acudieron al Servicio de Estomatología de la Facultad de Ciencias Médicas "Arley Hernández Moreira" para realizarse extracciones dentarias; la muestra se seleccionó utilizando el método probabilístico aleatorio simple la cual quedó conformada por 260 pacientes. Resultados: la respuesta preoperatoria del 100 % de los pacientes del grupo experimental fue satisfactoria, el 9,5 % perteneciente al grupo control fue no satisfactoria. El 100 % de los pacientes del grupo experimental y el 89,1 % del grupo control durante el transoperatorio presentaron respuesta satisfactoria. Durante el posoperatorio solo el 2,5% del grupo experimental alcanzó resultados no satisfactorios y en el grupo control el 9,4 %. Conclusiones: El estudio mostro la efectividad de la terapia floral de Bach como profilaxis ante la extracción dentaria presentando un menor número de complicaciones y respondiendo con mayor efectividad su uso durante el posoperatorio el transoperatorio y el posoperatorio.


Subject(s)
Tooth Extraction , Flower Essences , Complementary Therapies , Oral Medicine , Cuba , Dental Prophylaxis
12.
Rev. Ateneo Argent. Odontol ; 64(1): 8-12, 2021. ilus
Article in Spanish | LILACS | ID: biblio-1248117

ABSTRACT

Un cuerpo extraño es un objeto o una estructura que se incluye accidental o intencionalmente en la intimidad de los tejidos orgánicos de un individuo. Puede desencadenar importantes procesos inflamatorios/ infecciosos, dependiendo de su naturaleza, requiriendo en la mayoría de los casos su extracción quirúrgica, con el fin de evitar daños al paciente. Este trabajo tiene como objetivo informar un caso de cuerpo extraño (fragmento de amalgama) incluido iatrogénicamente en la exodoncia de un molar inferior derecho en un paciente que, después de 8 años, optó por hacerse un implante en el área y descubrió la inclusión de este material, siendo necesaria su extracción quirúrgica para la posterior colocación del implante dental en la región. Los autores destacan la necesidad de realizar una minuciosa inspección y toilette de la caja alveolar en el acto de la exodoncia, para evitar incluir cuerpos extraños en el sitio quirúrgico y evitar así, una nueva intervención en el área (AU)


Foreign body is an object or structure included accidentally or intentionally in the intimacy of the organic tissues of individuals. They can trigger important inflammatory / infectious processes, depending on its nature, requiring its surgical removal in most cases, to prevent damage to the patient. This study aimed to report a case of a foreign body (fragment of amalgam) iatrogenically included in extraction of a right lower molar in a patient who, after 8 years, opted to have an implant in the area and discovered the inclusion of this material, requiring its surgical removal for subsequent placement of a dental implant in the region. The authors highlight the need to perform a thorough inspection and toilet of the alveolar box in the act of extraction, to avoid including foreign bodies in the surgical site, avoiding further intervention in the area (AU)


Subject(s)
Humans , Female , Adult , Dental Amalgam/adverse effects , Foreign Bodies , Iatrogenic Disease , Schools, Dental , Tooth Extraction/adverse effects , Radiography, Panoramic , Intraoperative Complications , Mandible/diagnostic imaging , Molar/surgery
13.
Article in English | WPRIM | ID: wpr-880859

ABSTRACT

Considering the adverse effects of nonimpacted third molars (N-M3s) on the periodontal health of adjacent second molars (M2s), the removal of N-M3s may be beneficial to the periodontal health of their neighbors. This study aimed to investigate the clinical, immunological, and microbiological changes of the periodontal condition around M2s following removal of neighboring N-M3s across a 6-month period. Subjects with at least one quadrant containing an intact first molar (M1), M2, and N-M3 were screened and those who met the inclusion criteria and decided to receive N-M3 extraction were recruited in the following investigation. M2 periodontal condition was interrogated before M3 extraction (baseline) and at 3 and 6 months postoperatively. Improvements in clinical periodontal indexes of M2s in response to their adjacent N-M3 removal, along with changes in inflammatory biomarkers among gingival crevicular fluid (GCF) and the composition of subgingival plaque collected from the distal sites of the M2s of the targeted quadrant were parallelly analyzed. Complete data of 26 tooth extraction patients across the follow-up period were successfully obtained and subsequently applied for statistical analysis. Compared to the baseline, the periodontal condition of M2s was significantly changed 6 months after N-M3 removal; specifically, the probing depth of M2s significantly reduced (P < 0.001), the matrix metalloproteinase (MMP)-8 concentration involved in GCF significantly decreased (P = 0.025), and the abundance of the pathogenic genera unidentified Prevotellaceae and Streptococcus significantly decreased (P < 0.001 and P = 0.009, respectively). We concluded that N-M3 removal was associated with superior clinical indexes, decreased GCF inflammatory biomarkers, and reduced pathogenic microbiome distribution within the subgingival plaque. Although the retention or removal of N-M3s continues to be controversial, our findings provide additional evidence that medical decisions should be made as early as possible or at least before the neighboring teeth are irretrievably damaged.


Subject(s)
Humans , Molar/surgery , Molar, Third/surgery , Periodontal Diseases , Periodontal Index , Tooth Extraction
14.
Article in English | WPRIM | ID: wpr-921381

ABSTRACT

OBJECTIVES@#This study aims to analyze the effectiveness of platelet-rich fibrin (PRF) in mandibular third molar extraction and provide suggestions for alleviating postoperative complications.@*METHODS@#Pubmed, EMBASE, Web of Science, and SinoMed were searched electronically on February 2020. Randomized controlled trials focusing on PRF usage in mandibular third molar extraction were included. Reviewers assessed the risk of bias in the included literature and extracted data independently using the criteria recommended by the Cochrane Collaboration. Meta-analysis was performed using RevMan 5.3 and STATA 13.0.@*RESULTS@#Twenty-one studies were included, comprising 991 patients who had mandibular third molar extraction. The topical application of PRF effectively reduced pain after extraction [MD=-12.06, 95%CI (-21.42, -2.71), @*CONCLUSIONS@#Limited clinical evidence indicates that applying PRF after mandibular third molar extraction could reduce pain, swelling, trismus and the occurrence of dry socket and promote soft tissue healing. However, the effect of PRF on bone healing requires further large-scale randomized controlled trials and unified measurement criteria.


Subject(s)
Humans , Mandible , Molar, Third/surgery , Platelet-Rich Fibrin , Tooth Extraction , Tooth, Impacted
15.
Article in English | WPRIM | ID: wpr-921380

ABSTRACT

OBJECTIVES@#This prospective study was performed to evaluate whether the distal-triangular flap was a practical alternative surgical approach for extracting mandibular third molars.@*METHODS@#Sixty participants with impacted mandibular third molars were randomly divided into three groups: group A, distal-triangular flap; group B, Szmyd flap; and group C, envelope flap. The impacted third molars were extracted by the corresponding flapping method. During a three-month follow-up observation after the extraction, the postoperative pain, swelling, mouth opening, and periodontal status were recorded and analyzed by ANOVA and chi-square tests.@*RESULTS@#The 60 participants had successful extraction and 3-month follow-up observation. No participant suffered from postoperative infections, lower lip disorder, or tongue sensory disorders. No statistical differences were found in the postoperative symptoms and signs of the three flap designs, such as postoperative pain, swelling, mouth opening, and periodontal status (@*CONCLUSIONS@#The distal-triangular flap was as safe and reliable as the Szmyd and envelope flaps but more advantageous because of its convenient operative field exposure and low requirement for the patient's mouth opening. Thus, the distal-triangular flap is one of the alternative flap options for extracting impacted mandibular third molars.


Subject(s)
Humans , Mandible/surgery , Molar, Third/surgery , Prospective Studies , Tooth Extraction , Tooth, Impacted/surgery
16.
Arq. odontol ; 57: 36-45, jan.-dez. 2021. ilus, tab
Article in Portuguese | LILACS, BBO | ID: biblio-1222628

ABSTRACT

Objetivo: Identificar diferenças no quantitativo de exodontias realizadas na Atenção Básica em municípios com e sem Centro de Especialidades Odontológicas do Recôncavo da Bahia. Métodos:Estudo de série temporal, descritivo, utilizando dados disponíveis no Sistema de Informações Ambulatoriais do Sistema Único de Saúde e no Instituto Brasileiro de Geografia e Estatística. Foram coletadas informações sobre os procedimentos de saúde bucal realizados na Atenção Básica, de 2008 a 2017, e características sociodemográficas dos municípios. Foram calculados os indicadores de saúde bucal: cobertura de primeira consulta odontológica programática; média de ação coletiva de escovação dental supervisionada; cobertura populacional estimada das Equipes de Saúde Bucal; proporção de exodontia em relação aos procedimentos. Resultados:O município com Centro de Especialidades Odontológicas apresentou os menores resultados para o indicador de proporção de exodontia, variando o valor entre 3,2% e 6,8% durante o período analisado. Também foi o único a apresentar 100% de cobertura das Equipes de Saúde Bucal em todo o período analisado e a maior média de ação coletiva de escovação dental supervisionada (80,1%). Os municípios sem centro de especialidades apresentaram resultados percentuais altos para o indicador de exodontia, chegando a atingir 87,8% e 88,3%. Ainda apresentaram menor cobertura de Equipes de Saúde Bucal (24,4%) e de primeira consulta odontológica (2,7%), e menor média de ação coletiva de escovação dental supervisionada (0,01%). Conclusão:Houve diferença no quantitativo de exodontia entre os municípios com e sem Centro de Especialidades Odontológicas. A menor ocorrência de exodontias na Atenção Básica pode ser atribuída a presença destes centros e cobertura de Equipes de Saúde Bucal.


Aim:To identify differences in the quantity of extractions performed in Primary Care in municipalities with and without Dental Specialties Centers in the region of Recôncavo da Bahia. Methods:This is a time series, descriptive study, using data available in the Outpatient Information System of the Unified Health System and in the Brazilian Institute of Geography and Statistics. Information was collected on oral health procedures performed in Primary Care, from 2008 to 2017, and sociodemographic characteristics of the municipalities. The following oral health indicators were calculated: coverage of the first programmatic dental appointment, average collective action of supervised tooth brushing, estimated population coverage of the Oral Health Teams, and proportion of tooth extraction in relation to procedures. Results: The municipality with a Dental Specialties Center had the lowest results for the proportional ratio of tooth extraction, varying between 3.2% and 6.8% during the analyzed period. It was also the only one to present 100% coverage of the Oral Health Teams throughout the analyzed period and the highest average of collective action of supervised tooth brushing (80.1%). Municipalities with no specialty center showed high percentage results for the dental extraction indicator, reaching 87.8% and 88.3%. They also had lower coverage by Oral Health Teams (24.4%) and first dental appointments (2.7%), and a lower average of collective action of supervised tooth brushing (0.01%). Conclusions:A difference was observed in the quantity of tooth extractions between municipalities with and without a Dental Specialties Center. The lower occurrence of extractions in Primary Care can be attributed to the presence of these centers and coverage by Oral Health Teams.


Subject(s)
Primary Health Care , Surgery, Oral , Tooth Extraction , Oral Health , Dental Care , Dental Health Services , Health Services Research , Integrality in Health
17.
Rev. Fundac. Juan Jose Carraro ; 24(44): 32-39, 2021. ilus
Article in Spanish | LILACS | ID: biblio-1223346

ABSTRACT

Los quistes odontogénicos se dividen en dos grupos principales de acuerdo a la patogénesis de la entidad. Uno de esos grupos incluye a los quistes radiculares de origen inflamatorio. Nuestra situación es una paciente de sexo femenino que a causa de un molar superior con tratamiento endodóntico la patología quística invadió la cavidad sinusal comprometiendo las estructuras vecinas y al realizar la exodoncia se generó una comunicación bucosinusal con infección de esa entidad patológica. El diagnostico de certeza se confirmó a través de la biopsia previa, y se la intervino bajo anestesia general para la extirpación total de la patología quística (AU)


Subject(s)
Humans , Female , Adult , Odontogenic Cysts/surgery , Odontogenic Cysts/diagnostic imaging , Oroantral Fistula/etiology , Argentina , Surgical Flaps , Tooth Extraction , Biopsy/methods , Diagnostic Imaging , Decompression, Surgical , Oral Surgical Procedures , Dental Service, Hospital
18.
Dental press j. orthod. (Impr.) ; 26(2): e2119187, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1249699

ABSTRACT

ABSTRACT Introduction: A side effect observed in cases treated with extractions is the instability of orthodontic space closure. Objective: The aim of this study was to investigate the influence of gingival invagination, presence of third molars and facial pattern, on the stability of orthodontic space-closure in the maxillary arch. Methods: Ninety-nine subjects (41 male and 58 female) with Class I malocclusion treated with four premolars extraction were evaluated. Extraction sites reopening and gingival invaginations were evaluated in scanned dental models in the posttreatment and 1-year posttreatment stages (mean age 16.1 years). Third molars presence was evaluated at 1-year posttreatment panoramic radiographs, and the facial pattern (SN.GoGn) was evaluated in the initial lateral headfilms. Multiple logistic regression analysis was used to estimate the influence of the aforementioned independent variables on the frequency of extraction space reopening. Results: Space reopening was observed in 20.20% of the subjects 1-year post-debonding. Gingival invaginations were present in 25.73% of quadrants after debonding and in 22.80% 1-year posttreatment. The mean pre-treatment SN.GoGn was 35.64 degrees (SD=5.26). No significant influence was observed of the three independent variables on the instability of extraction site closure. Conclusions: The presence of gingival invaginations, third molars and facial growth pattern do not seem to influence maxillary extraction sites reopening.


RESUMO Introdução: Um efeito colateral observado nos casos tratados com extrações é a instabilidade do fechamento ortodôntico do espaço. Objetivo: O objetivo do presente estudo foi investigar a influência da invaginação gengival, da presença de terceiros molares e do padrão facial na estabilidade do fechamento ortodôntico dos locais de extração na arcada superior. Métodos: Noventa e nove indivíduos (41 homens e 58 mulheres) com má oclusão de Classe I tratados com extração de quatro pré-molares foram avaliados. A reabertura dos locais de extração e as invaginações gengivais foram avaliadas nos modelos dentários digitalizados nos estágios pós-tratamento e um ano pós-tratamento (idade média de 16,1 anos). A presença dos terceiros molares foi avaliada em radiografias panorâmicas de um ano pós-tratamento, e o padrão facial (SN.GoGn) foi avaliado nas radiografias laterais iniciais. Análise de regressão logística múltipla foi utilizada para estimar a influência das variáveis independentes citadas na frequência de reabertura do espaço de extração. Resultados: A reabertura do espaço foi observada em 20,20% dos sujeitos um ano após a remoção do aparelho. Invaginações gengivais estiveram presentes em 25,73% dos quadrantes após a remoção do aparelho e em 22,80% após um ano pós-tratamento. O SN.GoGn pré-tratamento médio foi de 35,64 graus (DP = 5,26). Não foi observada influência significativa das três variáveis independentes sobre a instabilidade do fechamento do local de extração. Conclusões: A presença de invaginações gengivais, terceiros molares e padrão de crescimento facial não parece influenciar na reabertura dos locais de extração maxilar.


Subject(s)
Humans , Male , Female , Adolescent , Tooth Extraction , Malocclusion, Angle Class I , Tooth Extraction/adverse effects , Bicuspid/surgery , Bicuspid/diagnostic imaging , Orthodontic Space Closure , Malocclusion, Angle Class I/therapy , Malocclusion, Angle Class I/diagnostic imaging , Maxilla/surgery , Maxilla/diagnostic imaging
19.
Braz. oral res. (Online) ; 35: e007, 2021. tab, graf
Article in English | LILACS, BBO | ID: biblio-1132744

ABSTRACT

Abstract: The aim of this study was to evaluate patient perception of surgical discomfort in third molar surgery and the association with clinical variables and polymorphisms associated with the FKBP5, SLC6A4, and COMT genes. This cross-sectional observational study was carried out on 196 participants aged between 18 and 64 years at the Federal University of Paraná in 11 months. The intensity of surgical discomfort was assessed using the QCirDental questionnaire. Data on surgical and individual procedures were also cataloged. The oral health related quality of life was assessed by the Oral Health Impact Profile questionnaire (OHIP-14). The DNA sample was obtained from cells of the oral mucosa. Five markers of the FKBP5, SLC6A4, and COMT genes were genotyped. The data were submitted to statistical analysis with a significance level of 5%. Women reported greater intensity of discomfort associated with third molar surgery compared to men (p = 0.001). In the recessive model, the AA genotype of the rs3800373 marker was associated with greater surgical discomfort (p = 0.026). Therefore, women and individuals of the AA genotype for the rs3800373 marker in the FKBP5 gene reported greater surgical discomfort associated with third molar surgery.


Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Quality of Life , Molar, Third/surgery , Perception , Tooth Extraction , Cross-Sectional Studies , Serotonin Plasma Membrane Transport Proteins
20.
Braz. dent. sci ; 24(4): 1-9, 2021. tab, ilus
Article in English | LILACS, BBO | ID: biblio-1337590

ABSTRACT

Objective: The aim of this study was to determine the complications that were associated with the surgical removal of third molars (M3s), and to assess the association of patient, anatomic, and surgical risk factors with the postoperative complications of surgically removed impacted M3s. Material and Methods: This study was a cohort prospective study conducted on patients, aged 17 and older, admitted to the oral and maxillofacial surgery clinic. All patients who needed 1 or more extractions were included and totalled 268 patients with 314 extracted teeth. Risk factors were divided into patient factors, anatomic factors and surgical factors. The postoperative complication variables mainly included: pain, alveolar osteitis, infection, bleeding, swelling, trismus. Statistical analysis used: Chi-square test was used for the bivariate analyses while Pearson correlation coefficient (1- tailed) test was used for the purpose of determining the association between the study variables. The significance of associations was considered statistically significant at p < 0.05. Results: Patients aged of 25 years and above experienced more complications, 39 (88.6%). With respect to gender, females experienced more complications, 29 (65.9%). Mandibular M3s had more complications than maxillary M3s, 34 (8.0%), followed by distoangular inclined M3s, 23 (52.3%), and last was full bony impaction, 13 (29.5%). Pain was the most frequent complication, 18 (40.9%), followed by alveolar osteitis 12 (27.3%). Conclusion: The results indicated that the most frequently complications were pain, infection, alveolar osteitis. These complications were associated with common risk factors such as age, gender, medical history, M3 angulation, impaction level, bone removal, tooth sectioning, and number of M3 removed per session. (AU)


Objetivo: O objetivo deste estudo foi determinar as complicações que estavam associadas à cirurgia de remoção dos terceiros molares (3Ms) e avaliar a associação dos fatores de risco do paciente, anatômicos e cirúrgicos com as complicações pós-operatórias dos 3Ms impactados removidos cirurgicamente. Material e Métodos: Esse estudo foi um estudo de coorte prospectivo realizado em pacientes com idade igual ou superior a 17 anos, admitidos na clínica de cirurgia oral e maxilofacial. Todos os pacientes que precisaram de uma ou mais extrações foram incluídos, totalizando 268 pacientes e 314 dentes extraídos. Os fatores de risco foram divididos em fatores do paciente, fatores anatômicos e fatores cirúrgicos. As variáveis de complicações pós-operatórias incluíram principalmente: dor, osteíte alveolar, infecção, sangramento, edema, trismo. Análise estatística utilizada: o teste de Qui-quadrado foi utilizado para as análises bivariadas enquanto o teste do coeficiente de correlação de Pearson (unicaudal) foi usado para determinar a associação entre as variáveis do estudo. A significância das associações foi considerada estatisticamente significativa para p < 0,05. Resultados: Pacientes com 25 anos ou mais apresentaram mais complicações (39; 88,6%). Com relação ao gênero, o sexo feminino apresentou mais complicações (29; 65,9%). 3Ms mandibulares tiveram mais complicações do que 3Ms maxilares (34; 8,0%), seguidos por 3Ms com inclinação distoangulada (23; 52,3%) e, por último, com impactação óssea total (13; 29,5%). Dor foi a complicação mais frequente (18; 40,9%), seguida de osteíte alveolar (12; 12,3%). Conclusão: Os resultados indicaram que as complicações mais frequentes foram dor, infecção, osteíte alveolar. Essas complicações foram associadas a fatores de risco comuns, como idade, sexo, histórico médico, angulação do 3M, nível de impactação, remoção de osso, secção dentária e número de 3Ms removidos por sessão. (AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Postoperative Complications , Tooth Extraction , Molar, Third
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