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PPG_35182 | 448.73 KB | Adobe PDF |
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Abstract(s)
Exodontias de terceiros molares são procedimentos comuns realizados por médicos dentistas, e apesar de rotineiro podem causar transtornos ou complicações trans e/ou pós operatórias. Vários fatores estão ligados às possíveis complicações, como idade e o grau de impactação do dente, em casos de terceiros molares inferiores, a sua íntima relação com o nervo alveolar inferior. Existem exames imaginológicos como radiografias e tomografias computadorizadas que podem ser utilizadas no pré-operatório a fim de auxiliar o medico dentista a estabelecer a relação entre essas estruturas, evitando futuros transtornos como a parestesia. Algumas técnicas cirúrgicas vêm sendo discutidas como métodos alternativos em casos onde há a hipótese de lesão do nervo. Este trabalho realiza uma revisão de literatura sobre o tema terceiros molares inferiores e suas relações com o nervo alveolar inferior, a fim de relacionar os riscos cirúrgicos com posicionamento do terceiro molar associando exames complementares com técnicas cirúrgicas, com o fim de prever possíveis complicações.
Third molars extraction are common procedures performed by dentists, and despite frequency , it may cause trans and / or postoperative complications. Several factors are related to the possible complications, such as age and degree of impactation of the tooth, in cases of lower third molars, its intima relationship with the inferior alveolar nerve. There are imaging examinations such as x-rays and CT scans that can be used preoperatively to assist the dentist to establish the relationship between these structures, avoiding future disorders such as paresthesia. Some surgical techniques have been discussed as alternative methods in cases where there is a hypothesis of nerve damage. This paper presents a review of the literature on the third lower molar theme and its relationship with the inferior alveolar nerve, in order to relate the surgical risks with third molar positioning, associating complementary exams with surgical techniques, in order to predict possible complications.
Third molars extraction are common procedures performed by dentists, and despite frequency , it may cause trans and / or postoperative complications. Several factors are related to the possible complications, such as age and degree of impactation of the tooth, in cases of lower third molars, its intima relationship with the inferior alveolar nerve. There are imaging examinations such as x-rays and CT scans that can be used preoperatively to assist the dentist to establish the relationship between these structures, avoiding future disorders such as paresthesia. Some surgical techniques have been discussed as alternative methods in cases where there is a hypothesis of nerve damage. This paper presents a review of the literature on the third lower molar theme and its relationship with the inferior alveolar nerve, in order to relate the surgical risks with third molar positioning, associating complementary exams with surgical techniques, in order to predict possible complications.
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Keywords
Injúria ao nervo alveolar inferior Terceiro molar inferior Classificação Cirurgia Canal mandibular Radiografia Tomografia Injury to inferior alveolar nerve Lower third molar Classification Surgery Mandibular canal Radiography Tomography