Association of ozonated water and fibrin sponge in the extraction of impacted teeth: case report
DOI:
https://doi.org/10.70614/gfhp5581Keywords:
Third molar, Ozone therapy, Fibrin spongeAbstract
Third molars may remain impacted even when fully developed. Presenting themselves fully included, when intra osseous, or partially included, in the alveolar process and mucosa. Pell and Gregory's classification regarding the positioning of the wisdom teeth can be obtained in relation to the lower second molar. The conventional treatment is tooth extraction, given its relationship with the Inferior Alveolar Nerve, specific field control and irrigation techniques are adopted for each situation. In view of this, the objective of this study was to present an extraction of impacted impacted third molars, with the association of ozone and fibrin sponge. Patient L.G.B.A., 23 years old, attended Clínica Integrada da Faculdade do Amazonas – IAES, complaining of pain in the posterior region of the mandible. 28 and 38 included and impacted. Treatment of choice was tooth extraction, associated with ozone therapy and fibrin sponge. Anesthesia was performed with Articaine 4% of 1:100,000, of the Upper Nerves Posterior and Palatine Major, and the Lower Nerves, Buccal and Lingual, complementing with infiltration. An incision was made with a N°15c scalpel, intrasucular and relaxing, with the aim of greater visibility of the operative field, occlusal osteotomy with a C6 surgical spherical drill, odontosection and disclosure of the roots with a 702 HL drill under abundant Ozone irrigation, elevating the element of the Straight and Headbrink seldin type levers. Subsequently, the cavity was cleaned and a fibrin sponge was inserted, synthesized with Nylon 4-0, to approximate the surgical edges.
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