Association between radiographic classification and surgical technique in extractions of third lower molars

  • Caio Fourlan Monteiro Moura Liga de Anatomia e Traumatologia Buco-Maxilo-Facial de Sobral - Universidade Federal do Ceará
  • Josfran da Silva Ferreira Filho Liga de Anatomia e Trauma Buco-Maxilo-Facial da Universidade Federal do Ceará campus Sobral
  • Marcelo Ferraro Bezerra Universidade Federal do Ceará - campus Sobral
  • Bárbara Gressy Duarte Souza Carneiro Faculdade de Farmácia, Odontologia e Enfermagem- Universidade Federal do Ceará
  • Francisca Lívia Parente Viana Faculdade de Farmácia, Odontologia e Enfermagem- Universidade Federal do Ceará
  • Marcelo Bonifácio da Silva Sampieri Universidade Federal do Ceará - campus Sobral
Palavras-chave: Third molar, Panoramic radiography, Oral Surgery

Resumo

Objetivo: realizar uma associação entre a classificação radiográfica e a técnica cirúrgica relacionada aos terceiros molares inferiores. Materiais e método: foi realizado um estudo retrospectivo, com a análise descritiva dos dados. A amostra foi constituída de 100 pacientes (n = 100), provenientes de demanda espontânea, que procuraram o ambulatório de Odontologia da Universidade Federal do Ceará (UFC) – Campus Sobral, no período de dezembro de 2017 a julho de 2018, e que seguiram os seguintes critérios de inclusão: presença de radiografia panorâmica, ausência de doença periodontal ativa e dentes com no mínimo dois terços de formação radicular. Já os critérios de exclusão foram: pacientes com patologias ósseas associadas aos terceiros molares inferiores, dentes com menos de dois terços de formação radicular e pacientes que não desejassem participar do estudo. Resultados: os pacientes incluídos no estudo tinham idades entre 18 e 25 anos, a maioria do sexo masculino, com queixas álgicas. Em relação à classificação de Pell & Gregory, as posições mais encontradas foram 1A (35%), 2B (28%) e 2A (17%). As técnicas cirúrgicas mais prevalentes foram as abertas (73%). Em relação às técnicas cirúrgicas, foram encontradas: técnica cirúrgica fechada (fórceps ou alavanca) (n = 27), com confecção de retalho mais osteotomia (OST) (n = 25) e por retalho mais osteotomia e odontossecção (ODS) (n = 48). Conclusão: é evidente que a classificação radiográfica ainda é um método eficaz para auxiliar no planejamento operatório, mas pode ser complementada por outros padrões de diagnóstico, como uma classificação específica da anatomia radicular.  

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Publicado
2019-03-28
Como Citar
Moura, C., Filho, J., Bezerra, M., Carneiro, B., Viana, F., & Sampieri, M. (2019). Association between radiographic classification and surgical technique in extractions of third lower molars. Revista Da Faculdade De Odontologia - UPF, 24(1), 8-13. https://doi.org/10.5335/rfo.v24i1.8818
Seção
Artigos