Aspectos controversiales en relación al manejo de los terceros molares asintomáticos.

  • José P. Crestanello Nese Universidad Católica del Uruguay (UCU).
Palabras clave: tercer molar, retención, impactado, tratamiento quirúrgico, manejo, asintomático, cirugía

Resumen

RESUMEN. La extracción de los terceros molares (3M), erupcionados o retenidos, es el procedimiento quirúrgico más frecuentemente
realizado en cirugía buco maxilofacial (CBMF). No existen dudas sobre su indicación de extracción cuando son la causa de dolor, infección o algún otro síntoma o signo. Pero, existe aún controversia, con respecto al manejo de aquellos 3M retenidos o semierupcionados asintomáticos. Algunos clínicos, consideran que su extracción profiláctica (EP) se debe realizar para evitar que ocasionen problemas. Sin embargo, otros opinan, que el control clínico y radiográfico frecuente, es la opción más adecuada. En este trabajo, se revisó la literatura para analizar alguna de las indicaciones más frecuentemente mencionadas, con la intención
de discutir y clarificar alguno de los aspectos controversiales respecto al manejo de los 3M asintomáticos.

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Biografía del autor/a

José P. Crestanello Nese, Universidad Católica del Uruguay (UCU).

Cirujano Buco Maxilofacial. Coordinador del Servicio de Cirugía Buco Maxilofacial del Hospital Maciel.
Asistente de la Cátedra de Semiología y Patología
Buco Maxilofacial, Facultad de Odontología,
Universidad Católica del Uruguay.

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Publicado
2016-04-01