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Identificación de pacientes con iatrogenias realizadas en otras instituciones, que ingresaron al Servicio de Atención Prioritaria de la Facultad de Odontología de la Universidad de Antioquia en el periodo 2009-1
| Content Provider | Semantic Scholar |
|---|---|
| Author | Gómez, Viviana Andrea Alvarado Gallego, Víctor Obando, Natalia Andrea Sánchez Vélez, Eliana Pineda |
| Copyright Year | 2010 |
| Abstract | Introduccion: las iatrogenias odontologicas entendidas como alteraciones de la salud bucal del paciente, provocadas por el odontologo, se dan aun entre profesionales altamente calificados, por lo que su prevencion es necesaria para una practica consciente en el esfuerzo de disminuir errores. El objetivo de este estudio fue conocer las iatrogenias odontologicas realizadas en entidades externas a la Facultad, en los pacientes que ingresaron al Servicio de Atencion Prioritaria de la Facultad de Odontologia de la Universidad de Antioquia en el periodo 2009-1 y obtener datos de la historia clinica que nos permitieran caracterizar de forma global este tipo de poblacion y asi orientar el servicio de manera adecuada. Metodos: se revisaron 839 historias clinicas del Servicio de Atencion Prioritaria debidamente diligenciadas. En los 36 casos que se evidencio radiograficamente la presencia de iatrogenia se realizo un analisis estadistico descriptivo, con el fin de caracterizar la poblacion afectada. Resultados: de las historias clinicas con evidencia de iatrogenia el 61,1% correspondio a mujeres y 38,9% a hombres; en cuanto al sistema de aseguramiento, el 36,1% pertenecian al regimen subsidiado de salud. Se observaron iatrogenias como: endodoncias subobturadas (31,3%), subextendidas (23,5%), restauraciones sobrecontorneadas (15,6%), filtracion coronal, perforaciones radiculares, elementos intrarradiculares desadaptados, sobreobturacion endodontica, fractura vertical radicular, trauma oclusal, fractura del diente, mal manejo de trauma dentoalveolar y subcontorneado de la restauracion, en ese orden de frecuencia. Conclusiones: el 4,29% de la historias revisadas en el 2009-I evidenciaron iatrogenia odontologica, con mayor frecuencia de tipo endodontico y con remision al endodoncista. ABSTRACT. Introduction: dental iatrogeny, defined as an alteration of the health status of a patient caused by a dental professional, is seen even among highly-qualified professionals; therefore, its prevention is a key factor to carry out a conciensous practice in an effort to reduce the number of mistakes. The objective of this study was to document cases of dental iatrogeny performed at outside institutions in patients who were admitted to the Emergency Service, College of Dentistry at University of Antioquia in Medellin, Colombia, during the first semester of 2009 (2009-I). Furthermore, to obtain data from the dental history in order to characterize this type of population and provide a correct orientation for this service. Methods: 839 complete dental records from the Emergency Service were reviewed. In the 36 cases with radiographic evidence of iatrogenic procedures, a descriptive statistical analysis was carried out to characterize the affected population. Results: after analyzing the dental records with radiographic evidence of iatrogeny, 61.1% corresponded to female patients and 38.9% to male patients. Regarding the health care system, 36.1% corresponded to the subsidized system. The following iatrogenic events were observed and they are presented in order of frequency: underfilled endodontic obturations (31.3%), overextended obturations (23.5%), overcontoured restorations (15.6%), coronal leaking, root perforations, poorly-adapted intraradicular elements, overfilled endodontic obturations, vertical root fractures, occlusal trauma, tooth fracture, poorly-handled dental trauma, and undercontoured restorations. Conclusions: 4.29% of the dental records reviewed in 2009-1 showed evidence of dental iatrogeny. There was a higher frequency of endodontic problems with referral to the endodontist. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://repository.ucc.edu.co/bitstream/ucc/1372/1/identificacion%20pacientes%202010.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
