Diagnóstico y Tratamiento de las Fístulas Cutáneas Odontogénicas
Revisión Sistemática
Palabras clave:
endodoncia, origen odontogénico, fístula cutánea, maxilar inferior, maxilar superiorResumen
Se realizó una revisión sistemática de la literatura científica en relación con las variantes de tratamiento que recibieron las piezas dentarias permanentes asociadas a la presencia de una fístula cutánea. Se incluyeron reportes de casos clínicos en inglés, publicados en los últimos diez años. Se obtuvieron 481 artículos, 359 excluidos por escasez de datos en título e incumplimiento de criterios de selección. Se excluyeron 89 por carecer de tratamiento. Se incluyeron 33 artículos. Se analizaron fístulas de 45 piezas dentarias, superiores e inferiores, anteriores y posteriores. En base a los resultados obtenidos se llegó a la conclusión de que las fístulas cutáneas faciales de origen odontogénico se diagnostican de manera errónea; esto conduce a un tratamiento inadecuado y secuelas estéticas. Realizar un correcto diagnóstico y adecuado plan de tratamiento permite una curación rápida y predecible. Los hallazgos obtenidos establecen que realizar un correcto tratamiento endodóntico en la pieza afectada, es la terapéutica adecuada para lograr el cierre definitivo de la fístula, sin necesidad de tratar quirúrgicamente la misma.
Citas
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