Complicaciones en la extracción de terceros molares mandibulares incluídos, retenido e impactados. Revision de la Literatura.  [Versión Original en Español]

Steven Alfredo Mena Alencastro; Maria Cristina Rockenbach

doi:10.59334/ROV.v1i38.497

Autores/as

Steven Alfredo Mena Alencastro Universidad Hemisferios
Maria Cristina Rockenbach Universidad Hemisferios

DOI:

https://doi.org/10.59334/ROV.v1i38.497

Palabras clave:

Diente impactado , diente no erupcionado, tercer molar

Resumen

La literatura científica sostiene que los terceros molares muy a menudo son lo que contemplan varías complicaciones al momento del procedimiento quirúrgico, debido no solo a su erupción sino también a sus diferentes características que suceden como anatomía, forma, posición de su erupción, etc. Para ello el estudio complementario Integral antes de pasar al acto quirúrgico es la primera opción que se hace. Para que un correcto tratamiento post-quirúrgico sea efectivo tanto antibióticofarmacológico, biomateriales integrales, etc. Objetivo: Establecer por medio de una revisión de la literatura cuáles son las acciones o procedimientos quirúrgicos ejecutándose que pueden evitar las complicaciones más prevalentes en la extracción de terceros molares mandibulares incluídos, retenidos e impactados. Materiales y métodos: Se plantea un estudio de tipo descriptivo y de análisis respectivamente con 2 tipos de bases electrónicas: PubMed y SciELO tomando como sustentación artículos que contemplen meta-análisis, revisiones sistemáticas, revisiones literarias, etc. Conclusión: Con esta revisión de la literatura se llega a la idea de que un correcto diagnóstico, manejo estricto farmacológico y el conocimiento de las complicaciones que pueden suscitarse durante y posterior en las extracciones dentales son acciones correctas que se utilizan muy comúnmente durante el procedimiento quirúrgico, lo que evita sus respectivas dificultades.

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Biografía del autor/a

Maria Cristina Rockenbach, Universidad Hemisferios

ABSTRACT

Purpose: To establish, through a review of the literature, which are the most prevalent complications in the extraction of impacted, impacted and impacted mandibular third molars.Procedures: A descriptive study of the literature is proposed, describing analysis through 2 types of electronic database: PubMed and SciELO, taking as support meta-analysis articles, systematic reviews, etc.Results: After the revisions of the corresponding analyzes of the complications that the extraction of third molars can cause, whether they are: lacerations, hemorrhages, bleeding, fractures, etc. It will be confirmed that the best way to avoid them is the correct surgical and pharmacological management.Conclusion: With this review of the literature, it is concluded that a correct diagnostic and knowledge of the complications that can rise from acute edema to fractures, which in the worst case occur due to poor clinical-surgical management, always the treatment of choice is the best option to treat them. Keywords: Tooth, Impacted, Tooth, Unerupted, Molar, Third

Citas

Borges, TS, Vargas-Ferreira, F., Kramer, PF, & Feldens, CA (2017). Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and metaanalysis. PLOS ONE, 12(2), 1–13. https://doi.org/10.1371/journal.pone.0172235

Calzavara, N.; Lhano, D.; Ribeiro, R.A.; Martins, C.C.; Souza, N.M.; Assis, P.; Devito, K.L. Panoramic versus CBct Used to Reduce Inferior Alveolar Nerve Paresthesia after Third Molar Extractions: A Systematic Review and Meta-Analysis. Dentomaxillofac. Radiol. 2019, 48, 20190265. https://doi.org/10.1259/dmfr.20190265

Cammarata-Scalisi, F., Avendaño, A., & Callea, M. (2018). Main genetic entities associated with supernumerary teeth. Argentine Archives of Pediatrics, 116(6), 437–444. https://doi.org/10.5546/aap.2018.eng.437

Cervino, G., Cicciù, M., Biondi, A., Bocchieri, S., Herford, AS, Laino, L., & Fiorillo, L. (2019). Antibiotic prophylaxis on third molar extraction: Systematic review of recent data. Antibiotics, 8(2), 1–14. https://doi.org/10.3390/antibiotics8020053

Chugh, A., Patnana, AK, Kumar, P., Chugh, VK, Khera, D., & Singh, S. (2020). Critical analysis of methodological quality of systematic reviews and meta-analysis of antibiotics in third molar surgeries using AMSTAR 2. Journal of Oral Biology and Craniofacial Research, 10(4), 441–449. https://doi.org/10.1016/j.jobcr.2020.07.011

Falci, SM, Lima, T., & Martins, CC (2017). Preventive effect of dexamethasone in third molar surgery: a meta-analysis. Anesthesia Progress, 64(3), 136–143. https://doi.org/10.2344/anpr-64-05-08

Glera-Suárez P, Soto-Peñaloza D, Peñarrocha-Oltra D, Peñarrocha-Diago M. (2020) Patient morbidity after impacted third molar extraction with different flap designs. A systematic review and meta-analysis. Med Oral Patol Oral Cir Bucal. Mar 1;25(2):e233-e239. https://doi.org/10.4317/medoral.23320.

Gutiérrez Valdez, DH, & Pérez, D. (2016). Incidence of post-surgical infections of third molars in patients treated in a dental teaching clinic. Advances in Odontostomatology, 32(5), 259–264. https://dialnet.unirioja.es/servlet/articulo?codigo=5793219

Jaroń, A., Jedliński, M., Grzywacz, E., Mazur, M., & Trybek, G. (2020). Kinesiology taping as an innovative measure against post-operative complications after third molar extraction—systematic review. Journal of Clinical Medicine, 9(12), 1–13. https://doi.org/10.3390/jcm9123988

Kim, C., Hwang, K.-G., & Park, C.-J. (2018). Local anesthesia for mandibular third molar extraction. Journal of Dental Anesthesia and Pain Medicine, 18(5), 287. https://doi.org/10.17245/jdapm.2018.18.5.287

Konkel, JE, O’Boyle, C., & Krishnan, S. (2019). Distal consequences of oral inflammation. Frontiers in Immunology, 10(JUN). https://doi.org/10.3389/fimmu.2019.01403

Loureiro RM, Sumi DV, Tames HLVC, Ribeiro SPP, Soares CR, Gomes RLE, Daniel MM. (2020) Cross-Sectional Imaging of Third Molar-Related Abnormalities. AJNR Am J Neuroradiol. 2020 Nov;41(11):1966-1974. https://doi.org/10.3174/ajnr.A6747.

Mahardawi, B., Kumar, KC, Arunakul, K., Chaiyasamut, T., & Wongsirichat, N. (2020). Judgment in artificial eruption of embedded teeth from an oral surgery perspective: Review article. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 46(1), 12–18. https://doi.org/10.5125/jkaoms.2020.46.1.12

Marinkovic, D., Azócar, D., & Romo, L. (2020). Postoperative antibiotic therapy in healthy patients undergoing surgery for impacted third molars. International Journal of Interdisciplinary Dentistry, 13(3), 186–190. https://doi.org/10.4067/s2452-

Moreira Zevallos, P., & Barona Terán, J. (2021). Characteristics of Impacted Lower Third Molars Observed by Radiographic Means. Scientific Journal of Dental Specialties UG, 1(2). https://doi.org/10.53591/eoug.v1i2.16

Moreno, MT, Díaz, A., González, A., Manríquez Soto, G., & Toro-Ibacache, V. (2019). Is third molar agenesis an anomaly or just a sign of variation? Prevalence and manner of presentation of this condition in a sample from the metropolitan region of Chile. International Journal of Morphology, 37(4), 1382–1386. https://doi.org/10.4067/S0717-95022019000401382

Nardo, D. Di, Mazzucchi, G., Lollobrigida, M., Passariello, C., Guarnieri, R., Galli, M., De Biase, A., & Testarelli, L. (2019). Immediate or delayed retrieval of the displaced third molar: A review. J Clin Exp Dent, 11(1), 55–61. https://doi.org/10.4317/jced.55379

Oda, M., Nishida, I., Habu, M., Takahashi, O., Tsurushima, H., Otani, T., Yoshiga, D., Saeki, K., Tanaka, T., Wakasugi-Sato, N. ., Matsumoto-Takeda, S., Nagasaki, Y., Miyamoto, I., Kito, S., Sasaguri, M., & Morimoto, Y. (2021). Overview of radiological studies on visualization of gubernaculum tracts of permanent teeth. Journal of Clinical Medicine, 10(14). https://doi.org/10.3390/jcm10143051

Pacheco Vergara, M. J. (2016). Referrals, procedures and complications in oral surgery services. Literature review. Revista Odontológica Mexicana Órgano Oficial De La Facultad De Odontología UNAM, 20(1). https://doi.org/10.1016/j.rodmex.2016.02.010

Palareti, G., Legnani, C., Cosmi, B., Antonucci, E., Erba, N., Poli, D., Testa, S., & Tosetto, A. (2016). Comparison between different D-Dimer cutoff values to assess the individual risk of recurrent venous thromboembolism: Analysis of results obtained in the DULCIS study. International Journal of Laboratory Hematology, 38(1), 42–49. https://doi.org/10.1111/ijlh.12426

Poblete, F., Dallaserra, M., Yanine, N., Araya, I., Cortés, R., Vergara, C., & Villanueva, J. (2020). Incidence of post-surgical complications in oral surgery. International Journal of Interdisciplinary Dentistry, 13(1), 13–16. https://doi.org/10.4067/s2452-55882020000100013

Rivera-Herrera, RS, Esparza-Villalpando, V., Bermeo-Escalona, JR, Martínez-Rider, R., & Pozos-Guillén, A. (2020). Concordance analysis of three classifications of impacted mandibular third molars. Medical Gazette of Mexico, 156(1), 22–26. https://doi.org/10.24875/GMM.19005113

Saber, AM, Altoukhi, DH, Horaib, MF, El-Housseiny, AA, Alamoudi, NM, & Sabbagh, HJ (2018). Consequences of early extraction of compromised first permanent molar: A systematic review. BMC Oral Health, 18(1), 1–15. https://doi.org/10.1186/s12903-018-

-4

Shuborna, NS, Chaiyasamut, T., Sakdajeyont, W., Vorakulpipat, C., Rojvanakarn, M., & Wongsirichat, N. (2019). Generation of novel hyaluronic acid biomaterials for the study of pain in third molar intervention: a review. Journal of Dental Anesthesia and Pain Medicine, 19(1), 11. https://doi.org/10.17245/jdapm.2019.19.1.11

Staderini, E., Patini, R., Guglielmi, F., Camodeca, A., & Gallenzi, P. (2019). How to manage impacted third molars: Germectomy or delayed removal? A systematic literature review. Medicine (Lithuania), 55(3), 1–14. https://doi.org/10.3390/medicine55030079

Teshome, A. (2017). The efficacy of chlorhexidine gel in the prevention of alveolar osteitis after mandibular third molar extraction: A systematic review and meta-analysis. BMC Oral Health, 17(1). https://doi.org/10.1186/s12903-017-0376-3

Tg, M. Ghaeminia H, Nienhuijs MEL, Toedtling V, Perry J, Tummers M, Hoppenreijs TJM, Van der Sanden WJM, Mettes TG. (2020) View of post-surgical inflammatory control by means of Kinesiotape in extraction of third molars. Retrieved June 2, 2022, https://doi.org/10.1002/14651858.CD003879.pub5

Xiang, X., Shi, P., Zhang, P., Shen, J., & Kang, J. (2019). Impact of platelet-rich fibrin on mandibular third molar surgery recovery: A systematic review and meta-analysis. BMC Oral Health, 19(1), 1–10. https://doi.org/10.1186/s12903-019-0824-3