Third molar extraction with odontogenic cyst

Abstract

After asepsis and antisepsis, truncal anesthesia of the lower left dental nerve is performed, as well as an infiltrative blockade of the long buccal nerve; It is performed in a scalloped pattern on tooth 37 and long distal discharge in the direction of the ascending ramus of the mandible. The full-thickness flap is raised and the osteotomy is started with low speed and irrigation with 0.9% saline solution, with a No. 8 tungsten carbide round bur. , the lesion is discovered and partial removal of the capsule is carried out so that it can be sent for analysis by pathology, tooth germ is extracted and pending pathology results, a drain or decompression tube is placed, since several authors affirm that this type of lesions grow due to the hydrostatic pressure gradient between the lumen of the cyst and the outside. The drain is held in position with 3/0 silk sutures between the drain and the oral mucosa. Hemostasis is performed by compression with gases. Postoperative care is indicated and medication is sent:

• Amoxicillin + Clavulanic Acid 1 gr. Tablets at a dose of 1 tablet every 12 hours for 7 days.

• Ketorolac 30 mg sublingual every 12 hours for 3 days.

• Paracetamol 1 gr. One dose every 8 hours for 3 days.