Publicação
Avaliação da aplicação de um apósito intra-alveolar após extração dentária
| Resumo: | INTRODUCTION: Tooth extractions are the most common procedure in oral surgery. Bleeding is to be expected after an extraction, however, if hemostasis is not properly achieved, we may be facing a pathological situation, postoperative bleeding. Different types of local treatment are available for this type of complication, such as intra-alveolar hemostatic dressings like collagen and resorbable gelatin sponges, which are frequently used. However, there is little information in the literature about their effects on alveolar healing.OBJECTIVE: To evaluate the advantages of using an intra-alveolar aftercare after tooth extractions carried out at the MIMD Oral Surgery clinic, and the possible complications associated with its use.MATERIALS AND METHODS: The Prospective Observational Clinical Study carried out is based on the post-operative follow-up of patients who underwent exodontia in the oral surgery consultation at the Department of Dental Medicine, Stomatology and Maxillofacial Surgery of the Faculty of Medicine of the University of Coimbra and, through questionnaires, to understand the effect of the application of an intra-alveolar aftertaste. The data obtained was analyzed using IBM® SPSS version 28 software. Data analysis included a descriptive analysis and differences between variables were assessed using Fisher's exact test and the Mann-Whitney test.RESULTS: There was a statistically significant difference between the extent of hemostasis and the suturing of the socket between groups. In terms of pain, swelling, trismus, bleeding or other complications at the 72-hour control, there were no statistically significant differences. However, there were statistically significant differences (p<0.05) when swelling and the presence of dry socket were compared between the two groups.CONCLUSION: In this study, the intra-alveolar dressing was effective in its hemostatic effect at 72 hours and 7 days, although not statistically significant. However, at 7 days there was a statistically significant increase in the incidence of dry alveolitis when the dressing was placed. |
|---|---|
| Autores principais: | Dias, Maria Margarida Pinheiro |
| Assunto: | Tooth Extraction Intra-Alveolar Dressing Hemostasis Alveolar Healing Dry Socket Exodontia Apósito Intra-Alveolar Hemostasia Cicatrização Alveolar Alveolite Seca |
| Ano: | 2025 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso embargado |
| Instituição associada: | Universidade de Coimbra |
| Idioma: | português |
| Origem: | Estudo Geral - Universidade de Coimbra |
| Resumo: | INTRODUCTION: Tooth extractions are the most common procedure in oral surgery. Bleeding is to be expected after an extraction, however, if hemostasis is not properly achieved, we may be facing a pathological situation, postoperative bleeding. Different types of local treatment are available for this type of complication, such as intra-alveolar hemostatic dressings like collagen and resorbable gelatin sponges, which are frequently used. However, there is little information in the literature about their effects on alveolar healing.OBJECTIVE: To evaluate the advantages of using an intra-alveolar aftercare after tooth extractions carried out at the MIMD Oral Surgery clinic, and the possible complications associated with its use.MATERIALS AND METHODS: The Prospective Observational Clinical Study carried out is based on the post-operative follow-up of patients who underwent exodontia in the oral surgery consultation at the Department of Dental Medicine, Stomatology and Maxillofacial Surgery of the Faculty of Medicine of the University of Coimbra and, through questionnaires, to understand the effect of the application of an intra-alveolar aftertaste. The data obtained was analyzed using IBM® SPSS version 28 software. Data analysis included a descriptive analysis and differences between variables were assessed using Fisher's exact test and the Mann-Whitney test.RESULTS: There was a statistically significant difference between the extent of hemostasis and the suturing of the socket between groups. In terms of pain, swelling, trismus, bleeding or other complications at the 72-hour control, there were no statistically significant differences. However, there were statistically significant differences (p<0.05) when swelling and the presence of dry socket were compared between the two groups.CONCLUSION: In this study, the intra-alveolar dressing was effective in its hemostatic effect at 72 hours and 7 days, although not statistically significant. However, at 7 days there was a statistically significant increase in the incidence of dry alveolitis when the dressing was placed. |
|---|
Atividades financiadas
Não foram encontrados projetos financiados.