Efeitos pós-operatórios do descolamento tecidual com ultrassom cirúrgico nas exodontias de terceiros molares inferiores: estudo clínico

• Autor(a) principal: Souza, Bárbara Cecília Oliveira [UNESP]
• Data de Publicação: 2018
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/203281; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2019-04-18/000911953.pdf
• topic: Piezocirurgia; Dente serotino; Ultrassom em odontologia; Extração dentária; Piezosurgery

The use of the ultrasound device for detachment of mucoperiostal flaps in exodontia has been suggested as an alternative to reduce discomfort and postoperative edema, but without a great scientific basis. The aim of this study was to evaluate the postoperative effects of tissue detachment by means of surgical ultrasound. The study consisted of ten healthy young patients, who had the 38 and 48 semi-included or included teeth with indication of ostectomy and odontostomy, and who presented similarities regarding surgical difficulty. Each patient had the two lower third molars removed in two surgical times, the one-sided tooth included in the control group, with the conventional technique of flap detachment (Molt detachment) and its contralateral included in the researched group (tip detachment). ultrasound). The interval between the two surgeries was at least 15 days. The parameters evaluated in the study were: surgical time, pain, edema, trismus and dehiscence in the postoperative period, in 5 times: preoperative, 01, 03, 07 and 14 postoperative days. As results were obtained that on average: the operative time was lower in the control group; no suture dehiscence was observed in both groups; trismus did not present significant differences, although it was slightly lower in the studied group, however the edema presented significant differences. It was reported that 7 of the 10 patients preferred the conventional surgical method and only 3 chose the method researched. It was concluded that the edema was significantly lower on the third postoperative day, when the surgical ultrasound was used