Loading...
Publication
Desenho da incisão na exodontia terceiros molares : uma revisão sistemática
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.38 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: A exodontia dos terceiros molares mandibulares (3MM) é uma das intervenções mais realizadas em cirurgia oral, frequentemente indicada por motivos como: falta de espaço, dor, infeção, ou razões ortodônticas ou preventivas. O desenho da incisão é um fator técnico fundamental e a escolha da técnica adequada pode influenciar significativamente o pós-operatório. O objetivo geral desta revisão sistemática é avaliar a influência do desenho da incisão no pós-operatório da exodontia dos 3MM. Os objetivos específicos incluem a análise de variáveis intra e pós-operatórias como: tempo cirúrgico, dor, edema, trismo, cicatrização, estado periodontal do segundo molar (2M) adjacente e qualidade de vida, de acordo com o tipo de incisão utilizado. Materiais e Métodos: Foi realizada uma pesquisa nas bases de dados PubMed, Scopus e Web of Science, utilizando os termos MeSH: “third molar”, “third molars” e “surgical wound”, segundo os critérios PRISMA. O risco de viés foi avaliado pela ferramenta Cochrane RoB2. Foram incluídos apenas ensaios clínicos randomizados, publicados em inglês, francês e português, desde 2004. Resultados: Foram identificados 460 artigos nas bases de dados científicas. Após uma triagem rigorosa, 15 estudos preencheram os critérios de inclusão e foram analisados. Destes, foram extraídos dados sobre dor, edema, trismo, estado periodontal do 2M, cicatrização, tempo cirúrgico e qualidade de vida, comparando diferentes desenhos de incisão. Conclusão: O desenho da incisão na exodontia dos 3MM influencia complicações pós-operatórias, especialmente nos primeiros dias após a cirurgia. Técnicas menos invasivas, como a incisão MIEF, em vírgula ou para-marginal, associam-se frequentemente a menor dor, melhor cicatrização e menor impacto sobre o estado periodontal do 2M adjacente, além da qualidade de vida do paciente. Contudo, a variabilidade metodológica e a influência de outros fatores clínicos reforçam a necessidade de abordagens individualizadas e de mais estudos com protocolos padronizados.
Introduction: The extraction of mandibular third molars (3MM) is one of the most frequently performed procedures in oral surgery, often requires due to lack of space, pain, infection, orthodontic or preventive reasons. Incision design is a fundamental technical factor and choosing the appropriate technique might influence the postoperative outcome. The main objective of this systematic review is to evaluate the influence of incision design on postoperative outcomes following 3MM extraction. Specific objectives include the analysis of intra- and postoperative variables such as surgical time, pain, swelling, trismus, healing, periodontal status of the adjacent second molar (2M) and quality of life, according to the type of incision used. Materials and Methods: A search was conducted in the PubMed, Scopus, and Web of Science databases using the MeSH terms: “third molar,” “third molars,” and “surgical wound,” in accordance with PRISMA guidelines. The risk of bias was assessed using the Cochrane RoB2 tool. Only randomized clinical trials published in English, French, or Portuguese since 2004 were included. Results: A total of 460 articles were identified in the scientific databases. After a rigorous screening process, 15 studies met the inclusion criteria and were analyzed. Data on pain, swelling, trismus, periodontal status of the 2M, healing, surgical time, and quality of life were extracted and compared across different incision designs. Conclusion: The incision design in 3MM extraction influences postoperative complications, especially in the first days after surgery. Less invasive techniques, such as the MIEF, comma-shaped, or para-marginal incisions, are often associated with reduced pain, improved healing, and less impact on the periodontal status of the adjacent 2M and on patient quality of life. However, methodological variability and the influence of other clinical factors highlight the need for individualized approaches and further studies with standardized protocols.
Introduction: The extraction of mandibular third molars (3MM) is one of the most frequently performed procedures in oral surgery, often requires due to lack of space, pain, infection, orthodontic or preventive reasons. Incision design is a fundamental technical factor and choosing the appropriate technique might influence the postoperative outcome. The main objective of this systematic review is to evaluate the influence of incision design on postoperative outcomes following 3MM extraction. Specific objectives include the analysis of intra- and postoperative variables such as surgical time, pain, swelling, trismus, healing, periodontal status of the adjacent second molar (2M) and quality of life, according to the type of incision used. Materials and Methods: A search was conducted in the PubMed, Scopus, and Web of Science databases using the MeSH terms: “third molar,” “third molars,” and “surgical wound,” in accordance with PRISMA guidelines. The risk of bias was assessed using the Cochrane RoB2 tool. Only randomized clinical trials published in English, French, or Portuguese since 2004 were included. Results: A total of 460 articles were identified in the scientific databases. After a rigorous screening process, 15 studies met the inclusion criteria and were analyzed. Data on pain, swelling, trismus, periodontal status of the 2M, healing, surgical time, and quality of life were extracted and compared across different incision designs. Conclusion: The incision design in 3MM extraction influences postoperative complications, especially in the first days after surgery. Less invasive techniques, such as the MIEF, comma-shaped, or para-marginal incisions, are often associated with reduced pain, improved healing, and less impact on the periodontal status of the adjacent 2M and on patient quality of life. However, methodological variability and the influence of other clinical factors highlight the need for individualized approaches and further studies with standardized protocols.
Description
Keywords
Terceiro molar Terceiros molares Desenho da incisão Third molar Third molars Incision design
Pedagogical Context
Citation
Publisher
CC License
Without CC licence