Complicaciones durante la exodoncia de terceros molares asociada a factores de riesgo, UCSG 2017.

Abstract

Introduction: Studies show that 21% of complications during third molar extractions involve oroanthral communications, 18,2% are due to hemorrhaging, in 18% of the cases the anesthesia’s effect wears off, and the remaining 31,6% are soft-tissue lesions. Objective: To determine the risk factor of the most frequent complications during third molar extractions performed on Universidad Católica Santiago de Guayaquil’s dentistry clinic’s patients. Resources and methodology: The following analytic, transversal, case control study sampled 50 patients with systemic diseases with the intent of determining the most frequent complications that occurred during third molar extractions in UCSG’s dentistry clinic. Results: Out of 50 patients that presented systemic diseases 36 (72%) had complications during their third molar extractions. Diabetic patients (33% of the sample) had grade 2 soft-tissue lesions (P 0, 04). 33% of patients who suffer from high blood pressure experienced a decline in systemic factors (P 0, 03). Root fractures and oroanthral communications were directly associated to the third molar’s depth and position. Conclusion: Patients with systemic diseases should be handled with care to have optimal results. If complications do occur, complementary tests such as glycosylated hemoglobin, glucose levels, blood pressure, and a consultation with the patient’s head doctor should be the way to go.