Tratamiento de la fractura en el ángulo mandibular por medio del abordaje intraoral.

Abstract

Introduction: The urgent care that a general dentist can perform in front of a mandibular fracture must be aimed at helping the patient to be out of risk. Treatment should be performed immediately by performing segment reduction and fixation in a centrict occlusion relationship, followed by pharmacological therapy. This will allow us to refer the patient to specialized second or third level in hospital care. Objective: The aim of this work is to determine the treatments that we can perform through the intraoral approach to avoid complications associated with healing when extraoral approaches are used. Materials and Methods: This article is a non-experimental, retrospective, analytical, descriptive qualitative systematic review. We collected 42 articles based on the inclusion and exclusion method. They were collected using meta searchers: PubMed, Scielo, Scholar Google, Elsevier. Analysis and Discussion of Results: Mandibular fractures must be treated urgently thinking in the fundamental principles of its management, to obtain good results, which can be treated by intraoral surgical or temporal approaches and may become a definitive treatment. Conclusion: Urgent care in a timely manner should offer antiinflammatory treatment, prevent infection, and stabilize bone segments in relation to occlusion, which reduces bleeding and allow the patient to arrive in better conditions for specialized care at a second or third level in hospital care. We believe that in many cases temporary care can become a definitive treatment.