Manejo terapéutico conservador de quistes odontogénicos mediante descompresión activa: análisis mediante radiografía panorámicas
| dc.contributor.advisor | Arango Fernández, Hernán Guillermo | |
| dc.contributor.advisor | Gamboa Hernández, Carolina | |
| dc.contributor.advisor | Tocora Rodriguez, Juan Camilo | |
| dc.contributor.author | Carrascal Villalba, Bryan Luis | |
| dc.contributor.author | Zambrano Coronel, José Federico | |
| dc.date.accessioned | 2025-08-11T20:51:21Z | |
| dc.date.available | 2025-08-11T20:51:21Z | |
| dc.date.issued | 2025-08 | |
| dc.description.abstract | Antecedentes: Los quistes odontogénicos son cavidades patológicas recubiertas por epitelio que se desarrollan en los maxilares, cuyo crecimiento puede causar reabsorción ósea y desplazamiento dentario. La descompresión activa es una técnica conservadora que busca reducir el volumen de estas lesiones mediante la aplicación de presión negativa, favoreciendo la regeneración ósea y evitando cirugías invasivas. Objetivo: Describir la evolución radiográfica del tamaño de los quistes odontogénicos tratados mediante descompresión activa en cuatro casos clínicos. Metodología: Se realizó un estudio retrospectivo tipo serie de casos. Se analizaron radiografías panorámicas secuenciales (inicial, a los 3 y a los 6 meses) de cuatro pacientes tratados en una clínica odontológica en Barranquilla entre 2019 y 2023 con el dispositivo Hemovac (Evocyst). Se midieron las dimensiones de los quistes usando software digital para evaluar la reducción de tamaño. Resultados: En todos los casos se observó una disminución progresiva en las dimensiones de los quistes. Los quistes de tamaño moderado presentaron una reducción más rápida, mientras que los más grandes mostraron una disminución más gradual. El porcentaje de reducción varió entre 40% y 87%, según el tamaño inicial de la lesión. Conclusión: En esta serie de casos, la descompresión activa con Hemovac (Evocyst) se asoció con una reducción progresiva del tamaño de los quistes odontogénicos, lo que sugiere que podría ser una técnica mínimamente invasiva y conservadora útil en el manejo de estas lesiones. Estos hallazgos preliminares respaldan su uso en casos seleccionados, especialmente en lesiones grandes o en zonas anatómicamente complejas, aunque se requieren estudios con mayor tamaño de muestra y diseño analítico para confirmar su eficacia. | |
| dc.description.abstractenglish | Background: Odontogenic cysts are pathological cavities covered by epithelium that develop in the maxillary bones, whose growth can cause bone resorption and tooth displacement. Active decompression is a conservative technique that seeks to reduce the volume of these lesions by applying negative pressure, promoting bone regeneration, and avoiding radical bone resections. Aim: To describe the radiographic evolution of the size of odontogenic cysts treated by active decompression in four clinical cases. Methods: A retrospective case series study was conducted. Sequential panoramic radiographs (initial, at 3 and 6 months) of four patients treated at a dental clinic in the city of Barranquilla between 2019 and 2023 with the Hemovac (Evocyst) device were analyzed. The dimensions of the cysts were measured using digital software to assess size reduction. Results: In all cases, a progressive decrease in cyst dimensions was observed. Moderate-sized cysts showed a more rapid reduction, while larger cysts showed a more gradual decrease. The percentage of reduction varied between 40% and 87%, depending on the initial size of the lesion. Conclusions: In this series of cases, active decompression with Hemovac (Evocyst) was associated with a progressive reduction in the size of odontogenic cysts, suggesting that it could be a useful, minimally invasive, and conservative technique in the management of these lesions. These preliminary findings support its use in selected cases, especially in large lesions or anatomically complex areas. However, studies with larger sample sizes and analytical designs are needed to confirm its efficacy. | |
| dc.description.degreelevel | Especialización | spa |
| dc.description.degreename | Especialista en cirugía oral y maxilofacial | spa |
| dc.description.sponsorship | SOMECA Clínica Odontológicas | |
| dc.description.sponsorship | Grupo de Investigación UNIECLO – Unidad de Epidemiología Clínica Oral | |
| dc.format.mimetype | application/pdf | |
| dc.identifier.instname | instname:Universidad El Bosque | spa |
| dc.identifier.reponame | reponame:Repositorio Institucional Universidad El Bosque | spa |
| dc.identifier.repourl | repourl:https://repositorio.unbosque.edu.co | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12495/15696 | |
| dc.language.iso | es | |
| dc.publisher.faculty | Facultad de Odontología | spa |
| dc.publisher.grantor | Universidad El Bosque | spa |
| dc.publisher.program | Especialización en cirugía oral y maxilofacial | spa |
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| dc.relation.references | 74. Castro-Núñez J. Decompression of odontogenic cystic lesions: Past, present, and future. J Oral Maxillofac Surg [Internet]. 2016;74(1):104.e1-104.e9. Available from: http://dx.doi.org/10.1016/j.joms.2015.09.004 | |
| dc.relation.references | 75. Ochsenius Germán, Escobar Enrico, Godoy Luis, Peñafiel Cristián. Odontogenic Cysts: Analysis of 2.944 cases in Chile. Med. oral patol. oral cir.bucal (Internet) [Internet]. 2007 Mar [citado 2025 Jul 30] ; 12( 2 ): 85-91. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S169869462007000200001&lng=es. | |
| dc.rights | Attribution-NonCommercial-ShareAlike 4.0 International | en |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | |
| dc.rights.accessrights | https://purl.org/coar/access_right/c_abf2 | |
| dc.rights.local | Acceso abierto | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-sa/4.0/ | |
| dc.subject | Descompresión Activa | |
| dc.subject | Quistes Odontogénicos | |
| dc.subject | Regeneración Ósea | |
| dc.subject.keywords | Active decompression | |
| dc.subject.keywords | Odontogenic cysts | |
| dc.subject.keywords | Bone regeneration | |
| dc.subject.nlm | WU 600 | |
| dc.title | Manejo terapéutico conservador de quistes odontogénicos mediante descompresión activa: análisis mediante radiografía panorámicas | |
| dc.title.translated | Conservative therapeutic management of odontogenic cysts by active decompression. Analysis using panoramic radiograph | |
| dc.type.coar | https://purl.org/coar/resource_type/c_7a1f | |
| dc.type.coarversion | https://purl.org/coar/version/c_970fb48d4fbd8a85 | |
| dc.type.driver | info:eu-repo/semantics/bachelorThesis | |
| dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
| dc.type.local | Tesis/Trabajo de grado - Monografía - Especialización | spa |
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