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

Investigação Científica

  • 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

Introduction: establish an association between the radiographic classification and the surgical techniquerelated to the lower third molars. Materials and method: a retrospective study was carried out, with thedescriptive analysis of the data. The sample consisted of 100 patients (n = 100) from the spontaneous demandwho sought out the Dental Clinic of UFC (Ceará’s Federal University) – Campus Sobral, between december2017 to july 2018, and who followed the inclusion criteria: patient with panoramic radiography, free ofactive periodontal disease and tooth with at least two thirds of root formation; and as exclusion criteria:patients with associated bone pathologies, teeth with less than two thirds of root formation and patients whodid not wish to participate in the study. Results: patients included in the study were from 18 to 25 years ofage, most of them male, with complaints of pain. Using the radiographic classification of Pell & Gregory, themost found positions were 1A (35%), 2B (28%) and 2A (17%). The most prevalent surgical techniques werethe open ones. Could be done the extraction by closed surgical technique (forceps or lever) (n = 27), withflap preparation plus osteotomy (OST) (n = 25) and flap plus osteotomy plus odontostomy (ODS) (n = 48).Conclusion: teeth with radiographic classification, grade of inclusion and different preoperative plans hadthe same protocol (flap + OST + ODS) in the surgical act. It is evident that radiographic classification stillsan effective method to aid in operative planning, but it can be complemented by other diagnostic standards,such as a specific classification of the root anatomy.

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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