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Revista odontológica mexicana
versión impresa ISSN 1870-199X
Rev. Odont. Mex vol.11 no.4 Ciudad de México dic. 2007
https://doi.org/10.22201/fo.1870199xp.2007.11.4.15715
Trabajos originales
Respuesta pulpar dental pre y posoperatoria a la cirugía ortognática
Pre-operatory and post operatory pulpar response to osteotomies
* Residente del 2º año de la Especialidad de Ortodoncia del Hospital Infantil de México Federico Gómez. México.
§ Jefe del Servicio de Cirugía Maxilofacial del Hospital Infantil de México Federico Gómez. México.
II Profesor de Endodoncia Especialidad de Estomatología Pediátrica y Ortodoncia del Hospital Infantil de México Federico Gómez. México.
¶ Profesor Titular de la Especialidad de Ortodoncia del Hospital Infantil de México Federico Gómez. México.
‡ Práctica privada limitada a Endodoncia. México.
La cirugía ortognática es un procedimiento utilizado de rutina para la corrección de disarmonías dentofaciales con el propósito de corregir las discrepancias óseas, así como recuperar la función y estética facial. El propósito de este artículo es evaluar la respuesta pulpar pre y posoperatoria en pacientes jóvenes sometidos a cirugía ortognática del Hospital Infantil de México Federico Gómez (HIMFG). Se realizaron registros de sensibilidad térmica a 189 órganos dentarios sanos de 14 pacientes, por medio de lápices de bióxido de carbono, con intervalos de tiempo: al mes y los dos meses del procedimiento quirúrgico, con la finalidad de conocer el periodo de latencia en que se recupera la sensibilidad dental. Se realizaron pruebas Q Cochran y X2 para conocer estos periodos. Los resultados obtenidos mostraron que los dientes presentaron una parestesia temporal, producto del procedimiento quirúrgico, la cual se recupera en un 53.9% al mes y en un 83.7% a los dos meses.
Palabras clave: Cirugía ortognática; respuesta pulpar
The orthognathic surgery is a routine procedure used for the correction of dentofacial disarmonies with the aim to correct the bone discrepancies, as well as to achieve function and facial aesthetics. The purpose of this study was to evaluate the pulpal pre and postoperative response in young patients subjected to Orthognathic surgery at Hospital Infantil de México Federico Gómez. Thermal sensibility measurements were done to 189 healthy teeth in 14 patients using carbon dioxide sticks, at different periods of time (one and two months after surgery) to establish the period of recovery of dental sensibility. Q Cochran and X2 tests were done to know this periods. The results showed that the teeth presented a temporary paresthesia due to the surgical procedure. This disappeared in 53.9% cases in a month and in 83.7% of the cases at two months.
Key words: Orthognathic surgery; pulpal response
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