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Advisor(s)
Abstract(s)
Introdução
O aparecimento de complicações pós-operatórias no ramo da cirurgia oral é um acontecimento comum e que tem implicações importantes na recuperação do paciente, para além de criar uma morbilidade elevada. Em particular, a alveolite seca, que apresenta aspectos clínicos debilitantes, como é o caso da dor pós-operatória. Sendo esta uma patologia de origem multifactorial, é imperativo saber quais os factores de risco mais importantes para o seu aparecimento. A importância da formação e preservação do coágulo sanguíneo alveolar indica o envolvimento dos mecanismos de coagulação na etiologia desta complicação.
Objectivo
No presente estudo pretende encontrar-se possíveis correlações entre estes vários factores de risco e o aparecimento desta condição, assim como outras complicações pós-operatórias.
Metodologia
Foi preenchido, pelo autor, um questionário na consulta de pós-operatório dos pacientes submetidos a exodontias na consulta de Cirurgia Oral da Clínica Universitária da UCP-CRB. Os dados recolhidos foram analisados com o recurso ao programa de análise estatística SPSS (Statistical Program for the Social Sciences) 20, de modo a calcular prevalências e correlações.
Resultados
Observou-se um aparecimento de alveolite seca exclusivo ao género feminino, com uma incidência de 6% (ligeiramente acima da encontrada na bibliografia). Verificou-se também uma relação entre o incumprimento das indicações pós-operatórias e o aparecimento de alveolite seca (P=0,011)
Conclusão
A alveolite seca é uma patologia enigmática do ponto de vista etiológico, devido à sua origem multifactorial. No entanto, o incumprimento das indicações pós-operatórias e os ciclos hormonais de estrogénio apresentam uma relação estatisticamente significativa com o aparecimento desta patologia
Introduction Post-operative complications are common in oral surgery, and have important effects in the recovery of the patient, as well as an increased morbidity rate. Dry socket, in particular, presents debilitating clinical aspects, like post-operative pain. Since this is a condition with a multifactorial etiology, it is imperative to know which risk factors are more important in its emergence. The importance of the formation and preservation of the alveolar blood clot indicates the involvement of the hemostasis mechanisms in the etiology of this complication. Objectives In the present study, it is intent to find possible correlations between these risk factors and the emergence of this condition, as well as other post-operative complications. Methodology The author filled in a questionnaire on the follow-up visit of the patients who were subject to dental extractions at Clinica Universitária of UCP-CRB. The gathered data was analyzed using the Statistical Program for the Social Sciences (SPSS) 20, in order to calculate prevalences and correlations. Results The cases of dry socket were exclusive to female patients, with an incidence of 6% (slightly above what was found in the bibliography). There was found a relation between the disregard for post-operative instructions and the development of dry socket (P=0,011).Conclusion Etiologically speaking, dry socket is an enigmatic disease because of its multifactorial origin. However, the disregard for post-operative instructions and the estrogen cycles show a statistical significant relation with the occurrence of this condition.
Introduction Post-operative complications are common in oral surgery, and have important effects in the recovery of the patient, as well as an increased morbidity rate. Dry socket, in particular, presents debilitating clinical aspects, like post-operative pain. Since this is a condition with a multifactorial etiology, it is imperative to know which risk factors are more important in its emergence. The importance of the formation and preservation of the alveolar blood clot indicates the involvement of the hemostasis mechanisms in the etiology of this complication. Objectives In the present study, it is intent to find possible correlations between these risk factors and the emergence of this condition, as well as other post-operative complications. Methodology The author filled in a questionnaire on the follow-up visit of the patients who were subject to dental extractions at Clinica Universitária of UCP-CRB. The gathered data was analyzed using the Statistical Program for the Social Sciences (SPSS) 20, in order to calculate prevalences and correlations. Results The cases of dry socket were exclusive to female patients, with an incidence of 6% (slightly above what was found in the bibliography). There was found a relation between the disregard for post-operative instructions and the development of dry socket (P=0,011).Conclusion Etiologically speaking, dry socket is an enigmatic disease because of its multifactorial origin. However, the disregard for post-operative instructions and the estrogen cycles show a statistical significant relation with the occurrence of this condition.
Description
Keywords
Complicações pós-operatórias Hemostasia Coágulo sanguíneo Cirurgia oral Dry socket Post-operative complications Hemostasis Blood clot Oral surgery