ABSTRACT
Se realizó un estudio comparativo en una muestra de 120 pacientes, para valorar el posible efecto de dos anestésicos, en el dolor postoperatorio de las intervenciones de cordales inferiores incluidos. La mitad de la población intervenida fue anestesiada con articaína y la otra mitad con lidocaína. A cada paciente se le rellenó una ficha estudiándose el tiempo de latencia, duración y profundidad del anestésico empleado, así como el número de analgésicos tomados el día de la intervención. Los resultados obtenidos fueron: Tiempo de Latencia de 1 minuto 21 segundos con lidocaína frente a 59 segundos con articaína. Profundidad de la Anestesia de 2 horas 8 minutos con lidocaína frente a 3 horas 8 minutos con articaína. Duración de la Anestesia de 3 horas 38 minutos con lidocaína frente a 3 horas 55segundos con articaína. No se encontraron diferencias significativas en el número de analgésicos tomados por los pacientes de los dos grupos (AU)
A comparative study of a sample of 120 patients was carried out, to calculate the possible effect of two an aesthetics in the postoperative pain after surgical removal of lower third molars. These patients were separated in two groups at random: a lidocaine group and an articaine group. A record card to each patient was filled in with the latency time, depth of action and the duration of anaesthetics data. Also, the amount of analgesic consumed in the day of the surgery was recorded. The results were: latency time of 1 minute 21 seconds with lidocaine versus 59 seconds with articaine. Depth of action of 2hours 8 minutes with lidocaine versus 3 hours 8 minutes with articaine. Duration of anaesthetic of 3 hours 38 minutes with lidocaine versus3 hours 55 seconds with articaine. There were no significant differences in the number of analgesics consumed in the day of the surgery (AU)
Subject(s)
Humans , Pain, Postoperative/drug therapy , Anesthetics, Local/therapeutic use , Carticaine/therapeutic use , Lidocaine/therapeutic use , Molar, Third/surgery , Time FactorsABSTRACT
OBJECTIVE: The purpose of the study is to find an objective method of help for the clinician in the diagnosis of the pathology of the temporomandibular joint, different of the image methods habitually utilized until this moment. MATERIAL AND METHOD: This study is based initially on the data obtained of a sample of 1164 patients with symptoms and/or signs of pathology of the temporomandibular joint. Nine different and excluding diagnostic groups settled down, according to the classification of the American Academy of Orofacial Pain (AAOP), in collaboration with the International Headache Society (IHS). We realized magnetic resonances to the patients and were selected those that adjust to the clinical criterion and of diagnosis for the image, and could only in a diagnostic group. Finally 449 patients were selected, 390 women and 59 men. RESULTS: The results obtained (expressed in percentage of well classified cases) by means of the proposed method were: Arthrosis 98.9%, Anterior Disk Displacement with Reduction (ADDR) 87.5%, Anterior Disk Displacement without Reduction (ADD) 100%, Capsulitis 100%, Disk Immobile (DIN) 97.9%, Hypermobility Condylar (HC)95.8%, Lateral Displacement Without Reduction (LD) 100%, Pathology Muscular (PM)100%, Disk Hipomobile (DHM) 86.4%. CONCLUSION: The proposed method reaches a fine percentage of successes in the diagnosis of these processes good enough, through its effectiveness as for its cost and should be considered an alternative in the diagnosis of temporomandibular derangements.
Subject(s)
Diagnosis, Computer-Assisted/methods , Temporomandibular Joint Disorders/diagnosis , Discriminant Analysis , Female , Humans , Joint Dislocations/diagnosis , Magnetic Resonance Imaging , Male , Temporomandibular Joint Disc/pathology , Temporomandibular Joint Disorders/classification , Temporomandibular Joint Disorders/pathologyABSTRACT
Objetivo: El propósito del estudio es encontrar un método objetivo de ayuda para el clínico en el diagnóstico de la patología de la articulación temporomandibular, diferente de los métodos de imagen habitualmente utilizados hasta este momento.Material y método:Para ello se diseño un estudio basado en los datos obtenidos inicialmente de una muestra de 1164 pacientes con síntomas y/o signos de patología de la articulación temporomandibular. Se establecieron nueve grupos diagnósticos distintos y excluyentes, según la clasificación de la Academia Americana de Dolor Orofacial (AAOP), en colaboración con la de la Sociedad Internacional de Cefalea (IHS). Se realizaron resonancias magnéticas a los pacientes y se seleccionaron aquellos que cumplían el criterio clínico y de diagnóstico por la imagen de poder ser clasificados sólo en un grupo diagnóstico, 449 pacientes resultaron entonces seleccionados, 390 mujeres y 59 hombres.Resultados:Los resultados obtenidos (expresados en porcentaje de casos bien clasificados) mediante el método propuesto fueron: Artrosis 98,9 %, Desplazamiento Anterior con Reducción del disco (DACR) 87,5 %, Desplazamiento sin Reducción del disco (DASR) 100 %, Capsulitis 100 %, Disco Inmóvil (DIN) 97.9 %, Hipermovilidad Condilar 95,8%, Desplazamiento Lateral Sin Reducción DLSR 100 %, Patología Muscular 100 %, Disco Hipomóvil 86,4 %.Conclusión:El método propuesto alcanza un porcentaje de éxitos en el diagnóstico de estos procesos suficientemente bueno como para ser considerado, tanto por su eficacia como por su costo, una alternativa a considerar
Objective: The purpose of the study is to find an objective method of help for the clinician in the diagnosis of the pathology of the temporomandibular joint, different of the image methods habitually utilized until this moment. Material and method: This study is based initially on the data obtained of a sample of 1164 patients with symptoms and/or signs of pathology of the temporomandibular joint. Nine different and excluding diagnostic groups settled down, according to the classification of the American Academy of Orofacial Pain (AAOP), in collaboration with the International Headache Society (IHS). We realized magnetic resonances to the patients and were selected those that adjust to the clinical criterion and of diagnosis for the image, and could only in a diagnostic group. Finally 449 patients were selected, 390 women and 59 men. Results: The results obtained (expressed in percentage of well classified cases) by means of the proposed method were: Arthrosis 98,9%, Anterior Disk Displacement with Reduction (ADDR) 87,5%, Anterior Disk Displacement without Reduction (ADD) 100%, Capsulitis 100%, Disk Immobile (DIN) 97.9%, Hypermobility Condylar (HC)95,8%, Lateral Displacement Without Reduction (LD) 100%, Pathology Muscular (PM)100%, Disk Hipomobile (DHM) 86,4%. Conclusion: The proposed method reaches a fine percentage of successes in the diagnosis of these processes good enough, through its effectiveness as for its cost and should be considered an alternative in the diagnosis of temporomandibular derangements (AU)
