Avances en Odontoestomatologia最新文献

{"title":"Abordaje clínico mínimamente invasivo de fluorosis dental en estadios de TF1 a TF5. Revisión sistemática","authors":"J. C. Rodríguez, A. Peñuela, M. S. Esparza, R. Pineda, V Silva Borrero, D. Gálvis, C. Lara, S. Aguilera–Rojas, I. R. Mejía","doi":"10.4321/s0213-12852021000200005","DOIUrl":"https://doi.org/10.4321/s0213-12852021000200005","url":null,"abstract":"","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46971255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efecto de las férulas oclusales en la disfunción temporomandibar: revisión sistemática","authors":"S. Ordoñez, M. Rojas, B. V. Ron","doi":"10.4321/s0213-12852021000200003","DOIUrl":"https://doi.org/10.4321/s0213-12852021000200003","url":null,"abstract":"espanolLos TMD son patologias que se presentan con frecuencia en nuestro medio, las causas van asociadas a factores como interferencias oclusales, problemas articulares, estres y otras etiologias que provocan inestabilidad del sistema estomatognatico; desencadenando una serie de problemas, con una manifestacion comun, encontrada a lo largo de esta revision bibliografica, el dolor. Objetivo: Analizar si las ferulas oclusales controlan el dolor relacionado con trastornos temporomandibulares. Materiales y Metodos. Revision sistematica, protocolo PRISMA, articulos cientificos en plataforma electronicas PUBLIMED, MEDLINE, WEB SCIENCE, SCOPUS, COCHRANE LIBRARY, 2009 a 2018, bases complementarias SCIELO, REDILYC, LATINDEX. Muestra total n = 59 articulos tamizaje, seleccion definitiva n= 13 articulos que cumplen los criterios de inclusion como palabras claves (Ferulas, ferulas oclusales, trastorno de la articulacion temporomandibular, sindrome de disfuncion de articulacion temporomandibular); de los cuales 5 articulos son de estudio transversal y 8 caso y control. Resultados: n=13 articulos observacionales, casos y control, que indican en sus conclusiones que las ferulas oclu-sales tienen un efecto positivo en los pacientes con trastornos temporomandibulares, disminuyendo considerable-mente la sintomatologia. Discusion: las ferulas oclusales se consideran tratamientos placebos, que deben ser complementados con otras alternativas terapeuticas. Conclusion: Las ferulas oclusales son dispositivos eficientes que cumplen con el objetivo de controlar la sintomatologia en los pacientes que padecen trastornos temporomandibulares. EnglishThe tempomandibular disorders are pathologies that occur frequently in our environment, the causes are associated with factors such as occlusal interference, joint problems, stress and other etiologies that cause instability of the stomatognathic system; triggering a series of problems, with a common manifestation, found throughout this bibliographic review, pain. Aims. To test whether occlusal splints control pain related to temporomandibular disorders. Methods. Systematic review, PRISMA protocol, scientific articles on electronic platforms PUBLIMED, MEDLINE, WEB SCIENCE, SCOPUS, COCHRANE LIBRARY, 2009 to 2018, complementary bases SCIELO, REDILYC, LATINDEX. Total sample no. 59 sieving items, definitive selection n=13 articles that meet the criteria of inclusion as keywords (splints, occlusal splints, temporomandibular joint disorder, joint dysfunc-tion syndrome temporomandibular). Results. n=13 observational articles, cases and control, indicating in their conclusions that occlusal splints have a positive effect in patients with temporomandibular disorders, considerably decreasing symptomatology. Discussion. Occlusal splints are considered placebo treatments, which should be supplemented with other therapeutic alternatives. Conclusion.Occlusal splints are efficient devices that meet the goal of controlling symptomatology in patie","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44885978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resultados clínicos de la rehabilitacion fija con implantes KYT ® en pacientes edentulos totales","authors":"V. Cantón, L. Barrado, D. M. S. D. Zaldivar","doi":"10.4321/s0213-12852021000100004","DOIUrl":"https://doi.org/10.4321/s0213-12852021000100004","url":null,"abstract":"espanolIntroduccion. El objetivo del presente estudio era mostrar los resultados del tratamiento con rehabilitacion fija mediante implantes dentales en pacientes edentulos totales. Metodos. 15 pacientes fueron tratados con 143 implantes Ktx ® con superficie arenada y grabada para la rehabilitacion total fija. Los implantes fueron cargados segun dos protocolos, diferido despues de un periodo de cicatrizacion de 4-6 meses e inmediatamente en el mismo dia de la cirugia. El seguimiento clinico medio fue de 29.3 meses. Resultados. Los hallazgos clinicos indican una supervivencia y exito de los implantes del 99,3%. El 74,8% de los implantes fueron no sumergidos y el 25,2% sumergidos. Un implante se perdio durante el seguimiento clinico. En el 60% de los pacientes se realizo una cirugia basica y en el 40%, cirugia avanzada (regeneracion osea, elevacion sinusal, injertos oseos). 111 implantes fueron cargados de forma inmediata y 32 implantes de forma diferida. Los pacientes fueron rehabilitados con 22 protesis totales fijas atornilladas. La periimplantitis fue observada en el 13,2% de los implantes y las complicaciones prostodoncicas en el 18,1% de las protesis. Conclusiones. Este estudio indica que el tratamiento con rehabilitacion fija mediante implantes dentales en pacientes edentulos totales constituye una terapeutica con exito. EnglishIntroduction. The aim of this study was to report the outcome of treatment of fully edentulous patients with fixed prostheses supported with dental implants. Methods. 15 patients were treated with 143 Ktx ® sandblasted and acid surface implants for fixed maxilla/mandible rehabilitation. Implants were loaded with two protocols, delayed after a healing free-loading period of 4-6 months, and immediate in the same day of the surgery. The mean follow-up were 29.3 months. Results. Clinical results indicate a survival and success rate of implants of 99.3%. 74.8% implants were nonsubmerged and 25.2% submerged. One implant were lost during the follow-up period. In 60% of patients, the surgical procedure were basic and in 40%, advanced surgery (regeneration, sinus lift, bone graft). 111 implants were loaded immediately and 32 implants with delayed laoding. The patients were restored with 22 screw fixed rehabilitations. Peri-implantitis were observed in 13.2% of implants and technical complicacions in 18.1% of prostheses. Conclusions. This study indicate that treatment with fixed rehabilitations by dental implants in totally eden-tulous patients constitute a successful treatment.","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41318617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La eficacia clínica a largo plazo de los implantes con conexión interna y superficie arenada y grabada","authors":"J. G. González, E. Marquez, J. Munoz, N. Garrido, Á. J. Guerra, L Monsalve Guil, I. O. García, E. V. Ortega","doi":"10.4321/s0213-12852021000100002","DOIUrl":"https://doi.org/10.4321/s0213-12852021000100002","url":null,"abstract":"","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44583589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tratamiento Laser-Lok® en implantes dentales. A propósito de un caso clínico","authors":"M. Blázquez-Hinarejos, K. Gómez-Izquierdo, A. Estrugo-Devesa, R. Ayuso-Montero, J. López-López","doi":"10.4321/s0213-12852021000100006","DOIUrl":"https://doi.org/10.4321/s0213-12852021000100006","url":null,"abstract":"espanolUno de los retos mas importantes, hoy en dia, en implantologia oral es evitar la perdida osea alrededor de los implantes oseointegrados y funcionales con el paso del tiempo. Una de las superficies que se ha desarrollado en los ultimos anos es la resultante de la microtexturacion mediante laser. Diversos estudios han demostrado la adhesion del tejido conectivo a las superficies tratadas con laser en la zona cervical de los implantes oseointegrados, consiguiendo de este modo un sellado biologico a este nivel. Revisamos lo publicado sobre este tema y presentamos un caso clinico de insercion de un implante unitario con tratamiento laser en su zona cervical desde su colocacion hasta la restauracion final, donde se observa la buena integracion de los tejidos y el exito del caso a largo plazo. EnglishThere are certainly situations where the standard implants can not be placed or suppose a risk for the crestal bone maintenance. The narrow implants have been used for a wide variety of indications, stablishing scientifically-based treatment protocols with excellent long-term results.In the present study we present a narrative review of narrow implants highlighting their indications and limitations, and a case report where narrow implants have been sh it is evident that narrow implants are an alternative when rehabilitate edentulous spaces with low available bone in the horizontal direction or reduced mesio-distal spaces in aesthetic areas.","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43156133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Propiedades osteoinductivas de la dentina en regeneración ósea. Estudio preliminar","authors":"H. L. Sacristán, M. D. C. Pingarrón, M. A. A. Gracia, C. C. D. Arriba, J. S. Calvo","doi":"10.4321/s0213-12852021000100005","DOIUrl":"https://doi.org/10.4321/s0213-12852021000100005","url":null,"abstract":"espanolIntroduccion: El concepto de preservacion alveolar esta relacionado con los procedimientos llevados a cabo tras realizar una exodoncia dentaria con el fin de reducir la reabsorcion dentro del alveolo. La dentina ha sido propuesta como un biomaterial para este fin. Este articulo tiene como proposito evaluar la efectividad de la dentina en la preservacion alveolar y contrastar sus propiedades. Material y Metodo: Se presentan como parte de un estudio en desarrollo los primeros casos tras realizar exodoncias multiples. Determinamos un alveolo de estudio preservado con dentina y un alveolo control en el que estabilizamos el coagulo. La estabilidad dimensional de ambos alveolos se valoro mediante CBCT pasadas 8 y 16 semanas. Tras este periodo colocamos dos implantes experimentales de superficie Bioecth®. A las 16 semanas fueron explantados con trefina y sustituidos por implantes convencionales. Estas muestras fueron analizadas histologica e histomorfometricamente. Resultados: En el analisis tomografico apreciamos mayor estabilidad dimensional en el lado estudio. Histologicamente observamos ausencia de celulas inflamatorias, o signos de reaccion a cuerpo extrano, ademas de particulas de dentina completamente rodeadas de hueso neoformado, y frentes osteogenicos partiendo de particulas de dentina. Discusion: Los resultados obtenidos a partir de este estudio en humanos estan en consonancia con lo que ha sido descrito en la literatura. Observamos a nivel tomografico menor variacion dimensional en los alveolos donde se llevo a cabo la preservacion con dentina particulada, estos resultados sumados al analisis histologico contrastan las propiedades descritas para injertos particulados de dentina no desmineralizada, biocompatibilidad, osteoconduccion y osteoinduccion. EnglishIntroduction: The concept of alveolar preservation is related to the procedures carried out after perfor-ming a tooth extraction in order to reduce resorption within the alveolus. Dentin has been proposed as a biomaterial for this purpose. The aim of this article is to evaluate the effectiveness of dentin in alveolar preservation and to contrast its properties. Material and Method: The first cases are presented as part of a work in progress study after multiple extractions. It is determined a study socket preserved with dentin and a control socket in which the clot is stabilized.The dimensional stability of both sockets was assessed by CBCT after 8 and 16 weeks. After this period, two experimental Bioecth® surface implants were placed. After 16 weeks these were explanted with trephine and replaced with conventional implants. The samples were analyzed histologically and histomorphometrically. Results: In the tomographic analysis it was observed greater dimensional stability on the study side. It was noted the absence of inflammatory cells, or signs of foreign body reaction in the histology. In addition, dentin particles were completely surrounded by newly formed bone, and appeared ost","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48002936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implantes estrechos como alternativa para la restauración del sector estético anterior","authors":"Á. Mena, C. G. Bade, M. G. Vila, N Manzanares Mayandia, R. Ayuso-Montero, J. López","doi":"10.4321/s0213-12852021000100003","DOIUrl":"https://doi.org/10.4321/s0213-12852021000100003","url":null,"abstract":"espanolExisten determinadas situaciones donde los implantes, considerados estandar, no se pueden colocar o suponen un riesgo para el mantenimiento de la cresta marginal. Los implantes de diametro estrecho se han empleado para numerosas indicaciones, estableciendose protocolos de tratamiento, cientificamente fundamentados, con excelentes resultados a largo plazo. En el presente trabajo presentamos una revision historica de los implantes estrechos, destacando sus indicaciones y limitaciones y presentamos un caso clinico en el que se han mostrado utiles. CASO CLINICO. Se presenta el caso de una mujer de 59 anos de edad, con antecedentes de cancer de mama en el 2008, que precisa la extraccion de los cuatro incisivos supriores. El caso se resuelve con dos implantes estrechos postextraccion y protesis inmediata para preservar el aspecto estetico. Conclusiones. En el caso que presentamos se evidencia que los implantes estrechos son una alternativa cuando rehabilitamos espacios edentulos con poca disponibilidad osea en el sentido horizontal o espacios mesio-distales reducidos en zonas esteticas. EnglishThere are certainly situations where the standard implants can not be placed or suppose a risk for the cres-tal bone maintenance. The narrow implants have been used for a wide variety of indications, stablishing scientifically-based treatment protocols with excellent long-term results.In the present study we present a narrative review of narrow implants highlighting their indications and limitations, and a case report where narrow implants have been shown useful. CASE REPORT. A 59-year-old woman case report is presented, with a breast cancer history in 2008, who required the extraction of the four upper incisors. The case is solved with two post-extraction narrow im plants and an immediate prosthesis to preserve aesthetics.","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44218738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electromiografía de Superficie y Articulografía Electromangética para Análisis de Dimensión Vertical. Reporte de Protocolo","authors":"J. Gómez, F. Lezcano, V. Peldoza, R. Fuentes","doi":"10.4321/S0213-12852020000300004","DOIUrl":"https://doi.org/10.4321/S0213-12852020000300004","url":null,"abstract":"espanolIntroduccion: La correcta determinacion de la Dimension Vertical (DV) es esencial al momento de rehabilitar a un paciente. En la literatura existen escasas investigaciones que relacionen en conjunto la DV con otras variables como actividad electromiografica.El objetivo de este estudio es describir una tecnica para el analisis de la DV a traves del Espacio Libre de Inoclusion (ELI), mediante la utilizacion dearticulografiaelectromagnetica y electromiografia de superficie. Material y Metodos: Se registro la DV mediante el uso de un articulografo electromagnetico AG501 simultaneamente con la actividad electromiografica de musculos masetero y temporal mediante la utilizacion de electromiografo de superficie EMG VIII, segun protocolo de DVO y DVP.El estudio se realizo en el Laboratorio de Fisiologia Oral del Centro de Investigacion en Ciencias Odontologicas (CICO) con la Aprobacion del Comite Etico Cientifico de la Universidad de La Frontera. Resultados: Se obtuvo un protocolo para el uso de electromiografia y articulografia electromagnetica 3D en el analisis de dimension vertical, el cual permite caracterizar la dimension vertical mediante una medicion de distanciavertical, medicion de distancia 3D, angulo de apertura y la actividad electrica de los musculos elevadores de la mandibula a distintos grados de apertura. Conclusion: El protocolo obtenido puede ser utilizado con el fin de generar recomendaciones clinicas para rehabilitar a pacientes. EnglishIntroduction: The correct determination of the Vertical Dimension (VD) is essential when rehabilitating a patient. There is little research in the literature that collectively relates the VD to other variables such as electromyographic activity. The objective of this study is to describe a technique for the analysis of the VD through the Interocclusal Distance, using electromagnetic articulography and surface electromyography. Material and Methods: The VD was recorded by using an AG501 electromagnetic articulgraph simultaneously with the electromyographic activity of masseter and temporal muscles using EMG VIII surface electromyograph, according to DVO and DVP protocol. The study was carried out in the Oral Physiology Laboratory of the Center for Research in Dental Sciences (CICO) with the approval of the Scientific Ethical Committee of the University of La Frontera. Results: A protocol was obtained for the use of electromyography and 3D electromagnetic articulography in the vertical dimension analysis, which allows the vertical dimension to be characterized by a vertical distance measurement, 3D distance measurement, opening angle and the electrical activity of the lifting muscles of the jaw to different degrees of opening. Conclusion: The proposed protocol could be used to generate clinical recommendations to rehabilitate patients","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45632941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La respuesta tisular a implantes dentales con plataforma reducida (platform switching)","authors":"M. Gonzalez, I. O. García, Á. J. Guerra, L Monsalve Guil, J. Munoz, E. Marquez, E. V. Ortega","doi":"10.4321/S0213-12852020000200007","DOIUrl":"https://doi.org/10.4321/S0213-12852020000200007","url":null,"abstract":"espanolLa evolucion en los disenos de los sistemas de implantes y en la configuracion de los pilares protesicos ha desarrollado el concepto de plataforma reducida que comprende la colocacion de un pilar mas estrecho que la plataforma del implante para aumentar su distancia de la interfase hueso-implante. La plataforma reducida es considerada un factor importante para preservar la estabilidad del hueso crestal y de los tejidos blandos y asegurar el exito de los implantes dentales a largo plazo. La plataforma reducida reduce las fuerzas oclusales y la contaminacion bacteriana en la interfase entre el hueso crestal y el implante. Los estudios experimentales en animales y clinicos en pacientes muestran su eficacia para prevenir la perdida osea y de los tejidos blandos periimplantarios Conclusiones: La introduccion de la plataforma reducida constituye un importante campo en la investigacion experimental en implantologia oral y en el tratamiento clinico con implantes para mantener los tejidos periimplantarios. EnglishThe evolution of designs of implant systems and abutments configurations has developed the concept of platform-switching that involves the connection of a narrower abutment to the platform implant to allow horizontal distance of the interface bone-implant. Platform-switching is considered an important factor to preserve the stability of crestal bone and soft tissue ensuring the success of dental implants in the long-term follow-up. Platform-switching reduces the forces of occlusal loading and bacterial contamination in the interface between the crestal bone and the implant. Experimental studies in animals and clinical studies in patients showed that implants with platform-switching have demonstrated the effectiveness to prevent peri-implant bone loss and subsequent soft tissue loss. Conclusions: The platform-switching constitute an important field for research of experimental implant dentistry and clinical implant treatment in the maintenance of peri-implant tissues.","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70423783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fractura mandibular tardía post exodoncia de molares inferiores. Caso clínico","authors":"A. Oliva, M Farnes Montpeyo, A. E. Devesa, E. J. Salas, C. A. Obispo, A. M. Roig, J. López-López","doi":"10.4321/s0213-12852019000300002","DOIUrl":"https://doi.org/10.4321/s0213-12852019000300002","url":null,"abstract":"espanolLa extraccion del tercer molar es un procedimiento comun en cirugia oral. Una de las complicaciones es la fractura mandibular. Con una incidencia postoperatoria menor a un 0.005%. Los factores que contribuyen al riesgo de fractura del angulo mandibular despues de una extraccion del tercer molar incluyen el nivel de impactacion, la anatomia del diente, infecciones locales previas, edad, sexo, presencia de formaciones quisticas y bruxismo entre otras. Presentamos un caso clinico de fractura mandibular postoperatoria a las cinco semanas tras la exodoncia del 47 y 48 incluidos en posicion horizontal. El objetivo final del tratamiento de una fractura mandibular es la consolidacion osea manteniendo la oclusion dental. En nuestro caso, al no tratarse de una fractura que sobrepasaba las corticales y sin desplazamiento mandibular, no fue subsidiaria de un tratamiento quirurgico y se resolvio con reposo funcional. EnglishThe lower third molar extraction is a common procedure in oral surgery. One of its complications, although uncommon, is the mandibular fracture. Postoperatively, it has an incidence lower than 0.005%. The factors that may contribute to the risk of the mandibular angle fracture after an extraction of the third molar include the leve! of impaction are the anatomy of the tooth, previous local infections, age, sex, cysts and bruxism among others. We present a clinical case of postoperative mandibular fracture at five weeks after the extraction of 47 and 48 included in horizontal position. The ultimate treatment goal of a mandibular fracture is to reach a bone consolidation with the premorbid dental occlusion. In our case, as it was not a fracture that surpassed the cortical and there was not a mandibular displacement, it was not need a surgical treatment so it was resolved with functional rest.","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46682702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}