Hiloterapia como tratamiento coadyuvante en la extracción quirúrgica de terceros molares. A propósito de un caso clínico

Abstract

lntroduction: The extraction of third molars is common practice in the dental practice. The postoperative appearance of physiological responses such as pain, inflammation, bruising and trismus is very common, far which the treatment of choice is still pharmacology. The hilotherapy is a complementary alternative treatment that is part of the therapeutic physical medicine which consists on a unit connected to a preformed face contour mask that, by constantly reducing tissue temperature, aims to achieve decreased blood flow, inflammation, pain and edema. Clinical case: A clinical case of a 22-year-old woman is presented, with no interesting medical record, who went to the Virgen de la Paloma Hospital with pain in the left lower third molar. Once the clinical and radiological examination of the patient had been carried out, a treatment plan for the extraction of the tour wisdom teeth, under general anesthesia, was proposed. lmmediately after the surgery, the patient was placed the facial mask of Hilotherm® on, programmed at a constant temperature of 15ºC. lt was reviewed twice, 24h and 8 days after the intervention. Conclusions: Hilotherm® facial mask therapy has been shown to be useful in the reduction of postoperative pain and inflammation derived from the surgical extraction of third molars, probably due to the possibility of constant temperature control and greater patient collaboration. There is not enough scientific evidence to support its possible participation in the reduction of bruising. Likewise, this system suggests a significant increase in the quality of the life of patients, as well as good acceptance from patients, providing them with more comfort and satisfaction.