Alterações de sensibilidade após a remoção de terceiros molares inferiores

Faber, Jorge

doi:10.1590/s1415-54192005000600003

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“…Dada la reducción del riesgo de provocar daño nervioso durante la coronectomía, los autores recomiendan su empleo, sobre todo, en aquellos pacientes en los que las repercusiones del daño nervioso pudieran resultar más serias (Leung & Cheung, 2002;Pawelzik et al, 2002;Robert et al, 2005). Asi mismo la probable afectación del paquete neurovascular pudiera lesionar la arteria alveolar inferior y provocar una hemorragia considerable al ser traccionada durante los procedimientos de extracción quirúrgica de los terceros molares al presentar raíces ubicadas en el trayecto del canal mandibular (Robert et al;Pogrel et al, 2003;Faber, 2005). Renton et al (2005) evaluaron el riesgo de lesión del NAI incluyendo la coronectomía en el procedimiento quirúrgico en pacientes seleccionados aleatoriamente; el uso de esta técnica redujo significativamente la iatrogenia sobre este nervio, sin embargo destacaron que la movilización de las raíces tras la coronectomía para su eliminación podría ser responsable de complicaciones.…”

Section: Introductionunclassified

Coronectomy in Third Mandibular Molars as an Alternative Treatment to Prevent Damage to the Inferior Alveolar Nerve: Bibliographic Review and 30 Cases Report

et al. 2018

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The inferior alveolar nerve (IAN) injury to remove the third molars is often caused by the intimate relationship between the nerve and the roots of the teeth. Coronectomy technique or intentional root retention, may minimize this problem. Thirty patients underwent coronectomy in 30 third molars with follow up of at least 6 months. Coronectomy technique deliberately protected the lingual nerve as part of the surgical procedure. All roots were at least 3 mm below the buccal and lingual bony walls. All patients were radiographed preoperatively, immediately postoperatively, and after 6 months. There were no cases of IAN damage involved in this study of 30 patients who underwent 30 coronectomies. There was one case of transient lingual nerve involvement, probably by the use of lingual retractor. One patient required subsequent removal of the roots of both lower third molars, due to lack of healing, and one patient required subsequent removal of a root cause of migration back to the surface. migration of the roots was observed in approximately 30 % of patients during a period of six months. Coronectomy seems to be a viable technique in those cases where the removal of all tooth could put the IAN at considerable risk of damage. The technique appears to be associated with a low incidence of complications, but the subsequent migration of the roots can be a problem in the long term.

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Section: Introductionunclassified

Coronectomy in Third Mandibular Molars as an Alternative Treatment to Prevent Damage to the Inferior Alveolar Nerve: Bibliographic Review and 30 Cases Report

et al. 2018

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“…É possível que o estudo das complicações da remoção de terceiros molares associado ao surgimento de futuras técnicas, como a prototipagem, tragam muitos benefícios aos pacientes na remoção dos terceiros molares inferiores (Faber, 2005).…”

Section: (Ramos Jr ; Medeiros 2004)unclassified

Estudo eletromiográfico do músculo masseter em indivíduos submetidos à cirurgia de terceiros molares inferiores

Barros¹

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DEDICATÓRIA Utilizaram-se a terminologia e as definições estatísticas conforme o GUIA PARA EXPRESSÃO DA INCERTEZA DE MEDIÇÃO, Segunda Edição Brasileira do Guide to the Expression of Uncertainty in Measurement (BIPM, IEC, IFCC, ISSO, IUPAC, IUPAP, OIML, 1983). Edição Revisada (Agosto de 1998) -Rio de Janeiro: ABNT, INMETRO, SBM, 1998. As abreviaturas dos títulos dos periódicos de acordo com LIST OF JOURNALS INDEXED IN INDEX MEDICUS (1992) e na LILACS -LITERATURA LATINO-AMERICANA E DO CARIBE EM CIÊNCIAS DA SAÚDE (1995).Referências: adaptado de International Committee of Medical Journals Editors (Vancouver). Observamos, no vigésimo primeiro dia, recuperação próxima da normalização no gênero feminino e ainda aquém no gênero masculino.Constatamos que a eletromiografia de superfície é sensível para controle da evolução pós-cirúrgica, demonstrando ser um método eficaz e seguro.

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Alterações de sensibilidade após a remoção de terceiros molares inferiores

Cited by 2 publications

References 2 publications

Coronectomy in Third Mandibular Molars as an Alternative Treatment to Prevent Damage to the Inferior Alveolar Nerve: Bibliographic Review and 30 Cases Report

Coronectomy in Third Mandibular Molars as an Alternative Treatment to Prevent Damage to the Inferior Alveolar Nerve: Bibliographic Review and 30 Cases Report

Estudo eletromiográfico do músculo masseter em indivíduos submetidos à cirurgia de terceiros molares inferiores

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