Incrustaciónes de ceromero en dientes posteriores tratados endodónticamente con anclaje intracameral
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2015-06
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Universidad de Guayaquil. Facultad Piloto de Odontología.
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En Facultad Piloto de Odontología en la Clínica Integral se han presentado casos de pacientes con dientes posteriores endodonciados y en algunos de los casos necesitan restauraciones y unos de los principales métodos son las incrustaciones de ceromero para dar estabilidad y función masticatoria. Antes de cualquier tipo de restauración es necesario reevaluar el diente y mas aun si la pieza dentaria presenta endodoncia para determinar si el diente es restaurable o no. Los dientes tratados endodónticamente poseen unas características físicas, mecánicas y estéticas distintas a los dientes vitales. La pérdida considerable de tejido dentario sano puede provocar la imposibilidad de transmitir las fuerzas oclusales a las áreas de soporte (ligamento periodontal y tejido óseo), concentrándolas, sobre todo, en el área coronaria del diente y la porción apical de la raíz resultando en una mayor susceptibilidad a las fracturas dentales. El principal objetivo de la odontología moderna es brindar a los pacientes restauraciones con óptima estética y con técnicas menos invasivas evitando al máximo los efectos indeseables de los metales. Los ceromeros son materiales relativamente nuevos que utilizamos para la elaboración de las incrustaciones, Se trata de un polímero optimizado que incorpora en su composición finísimas partículas de cerámica y fibras reforzadas. En el sector posterior prevalecen las fuerzas verticales axiales y no es necesario una técnica invasiva como son los anclajes intrarradiculares, ya que este tipo de técnicas producen mucho desgaste en el tejido dentinal del conducto y algunas veces da como resultado el fracaso de las restauraciones en los dientes posteriores endodonciados, es por eso que el anclaje intracameral es menos invasiva y produce los mismos resultados, dar estabilidad y función masticatoria, sin desgate del remanente dentinario de la raíz protegiendo así el tratamiento endodóntico.
Palabras Claves: Incrustaciones – Ceromeros – Anclaje Intracameral
In Faculty Pilot Comprehensive Dentistry Clinic there have been cases of patients with posterior teeth endodontically treated and in some cases need restorations and one of the main methods are inlaid ceromer to give stability and masticatory function. Before any type of restoration is necessary to reevaluate the tooth and even more if the tooth has root canal to determine if the tooth is restorable or not. Endodontically treated teeth possess physical, mechanical and vital teeth at different aesthetic characteristics. Considerable loss of healthy dental tissue may cause the inability to transmit occlusal forces to the support areas (periodontal ligament and bone tissue), concentrating mainly in the crown area of the tooth and the apical portion of the root resulting in increased susceptibility to dental fractures. The main goal of modern dentistry is to provide patients with optimal esthetic restorations and less invasive techniques possible with minimal undesirable effects of metals. The cerómeros are relatively new materials used for the manufacture of inlays, it is an optimized polymer incorporating at its finest composition reinforced ceramic particles and fibers. In posterior vertical axial forces prevail and an invasive technique is not necessary such as Intraradicular anchors as such techniques produce high wear in the duct dentinal tissue and sometimes results in restoration failures in endodontically treated posterior teeth is why the intracameral anchor is less invasive and produces the same results, provide stability and masticatory function without desgate remaining dentin root thus protecting the endodontic treatment. Keywords: Scale - Ceromer - Intracameral Anchor
In Faculty Pilot Comprehensive Dentistry Clinic there have been cases of patients with posterior teeth endodontically treated and in some cases need restorations and one of the main methods are inlaid ceromer to give stability and masticatory function. Before any type of restoration is necessary to reevaluate the tooth and even more if the tooth has root canal to determine if the tooth is restorable or not. Endodontically treated teeth possess physical, mechanical and vital teeth at different aesthetic characteristics. Considerable loss of healthy dental tissue may cause the inability to transmit occlusal forces to the support areas (periodontal ligament and bone tissue), concentrating mainly in the crown area of the tooth and the apical portion of the root resulting in increased susceptibility to dental fractures. The main goal of modern dentistry is to provide patients with optimal esthetic restorations and less invasive techniques possible with minimal undesirable effects of metals. The cerómeros are relatively new materials used for the manufacture of inlays, it is an optimized polymer incorporating at its finest composition reinforced ceramic particles and fibers. In posterior vertical axial forces prevail and an invasive technique is not necessary such as Intraradicular anchors as such techniques produce high wear in the duct dentinal tissue and sometimes results in restoration failures in endodontically treated posterior teeth is why the intracameral anchor is less invasive and produces the same results, provide stability and masticatory function without desgate remaining dentin root thus protecting the endodontic treatment. Keywords: Scale - Ceromer - Intracameral Anchor
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INCRUSTACIONES DENTALES, DIENTE ENDODONTICAMENTE TRATADO, RESTAURACION DENTAL PROVISIONAL