MEDEIROS, R. S.; http://lattes.cnpq.br/9775137821088679; MEDEIROS, Ruth de Souza.
Résumé:
Surgical removal of the third molars is one of the most routine minor oral
surgery procedures in the clinic. Most third molar surgeries are performed
uneventfully. However, such procedure may cause serious complications to the
patient, such as the continuity solution of the maxillary sinus forming a sinus
buccal communication. Sinus buccal communication (CBS) is an open
connection between the oral cavity and the maxillary sinus. The aim of this
study was to evaluate the prevalence of oral sinus communications in upper
third molar surgeries performed by the Academic League of Surgery of the
Federal University of Campina Grande. The universe consisted of all medical
records of patients treated by the Academic League of Surgery and submitted
to upper third molar extraction from April 2018 to August 2019 at the Federal
University of Campina Grande, Patos, Paraíba. Of the 249 medical records
evaluated, (71.9%) were female, with an average age of (25.92) years, with
caries disease (24.8%) being the main indication factor for extraction. The most
used image exam for evaluation of the dental element was the panoramic
radiography (95.9%). In Winter's classification both dental elements 18 and 28
were most commonly upright (74.4% and 65.9% respectively). The most
commonly used preoperative medications were corticosteroids (44.1%) and
postoperative medications were analgesics associated with anti-inflammatory
drugs (58.5%) and no statistically significant association was found between
sinus or oral communication ( 0.8%), sex (p = 0.484), age (p = 0.416) and
extracted teeth (p = 0.737). CBS is a rare complication associated with removal
of the upper third molars.