Actitud ante una posible parestesia del nervio dentario inferior tras la extracción quirúrgica del tercermolar inferior / Approach to possible paresthesia of lower dental nerve after surgical extraction of the lower third molar

Introducción: La parestesia del nervio dentario inferior es una complicación bien conocida que puede aparecer tras la extracción quirúrgica de los terceros molares inferiores. La bibliografía revisada sugiere realizar un estudio radiográfico previo para descartar factores predictivos. Objetivo: El objetivo de este artículo fue realizar una valoración y revisión bibliográfica del protocolo de actuación en estas situaciones. Caso clínico: Se presenta el caso clínico de un varón de 28 años de edad, sin antecedentes médicos de interés, que acude a la consulta derivado por su odontólogo para proceder a la extracción quirúrgica del tercer molar inferior derecho por haber presentado pericoronaritis aguda serosa congestiva de repetición, con dolores que se irradiaban (..) (AU)

Introduction: The paresthesia of the lower dental nerve is a well-known complication that can appear after surgical extraction of the lower thirdmolars. The revised bibliography suggests performing a previous radiographic study to rule out predictive factors. Objective: The objective of this article was to make an evaluation and bibliographical review of the protocol for actions in this situation. Clinical case: The clinical case is presented of a male of 28 years of age, without priormedical history of interest, who went to the consultation referred by his dentist to proceed to the surgical extraction of the lower right third molar due to having presented recurrent acute serosal congestive pericoronitis, with (..) (AU)

Evaluation of the anaesthetic properties and tolerance of 1: 100, 000 articaine versus 1: 100,000 lidocaine. A comparative study in surgery of the lower third molar

Objectives: To evaluate the anaesthetic properties and tolerance of articaine versus lidocaine at equal vasoconstrictor concentration. Study Design: A total of 96 male and female patients who underwent surgical treatment of the lower third molar participated. Patients were randomly assigned to articaine hydrochloride with epinephrine 1:100,000 and lidocaine hydrochloride with epinephrine 1:100,000. The variables analysed were latency period, duration of anaesthetic effect, tolerance and adverse reactions. Results: Both the latency period and the duration of anaesthetic effect were greater for articaine, although the differences were not statistically significant. Latency: mean difference of 2.70 ± 2.12 minutes (95%CI of -1.51minutes - 6.92 minutes). Duration: mean difference of -33 minutes 5 seconds ± 31 minutes (95% CI -1 hour 35minutes - 29 minutes).There were 4 adverse events that did not require the patients to be withdrawn from the study. Conclusions: The anaesthetics in this study have very similar properties for use in surgery and have demonstrated a good safety and tolerability profile (AU)