Técnicas modernas para la extracción de instrumento en el sistema de conductos multiradiculares
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2015-06
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Universidad de Guayaquil. Facultad Piloto de Odontología.
Resumen
Al realizar la terapia endodóntica, específicamente durante el abordaje, la preparación biomecánica y la obturación del sistema de conductos, pueden ocurrir accidentes que deben ser prevenidos, tomando en cuenta ciertos factores como la técnica e interpretación radiográfica, las consideraciones anatómicas del diente a tratar y las condiciones del instrumental, entre otros.
Independientemente de la prevención, cuando éstos accidentes ocurren deben ser evaluados y relacionados al pronóstico del diente, para establecer un plan de tratamiento adecuado.
En este trabajo serán revisados los tratamientos correspondientes a los accidentes como perforaciones, fractura de instrumentos, desviaciones de la anatomía del conducto, sobreinstrumentación, sobreextensión y sobreobturación, fracturas verticales, enfisema y edema de los tejidos, aspiración y deglución de instrumentos y por último alergias, donde se incluye la hipersensibilidad al látex y al hipoclorito de sodio.
En el desarrollo de esta monografía, se señalan tratamientos ya establecidos que actualmente no han sido modificados, como también las diversas técnicas y los diferentes materiales utilizados para tratar un mismo accidente, obteniendo un resultado exitoso.
El objetivo de esta revisión bibliográfica es describir los accidentes que pueden ocurrir durante la terapia endodóntica y analizar la prevención y el tratamiento de los accidentes que se producen durante el abordaje, la preparación biomecánica y la obturación del sistema de conductos radiculares.
When endodontic therapy, specifically during the approach, the biomechanical preparation and sealing ductwork, accidents must be prevented, taking into account factors such as technical and radiographic interpretation, anatomic considerations of the tooth to be treated can occur and instrumental conditions, among others. Regardless of prevention, accidents happen when they should be evaluated and related to prognosis of the tooth, to establish an appropriate treatment plan. This work will be reviewed relevant to accidents as perforations, broken instruments, deviations from the canal anatomy on instrumentation, overextension and shutter, vertical fractures, emphysema and edema of tissues, aspiration and swallowing instruments treatments and Finally allergies, where latex hypersensitivity and sodium hypochlorite is included. In the development of this monograph, as currently established treatments have not been modified, as well as the various techniques and different materials used to treat the same accident, obtaining a successful outcome are identified. The aim of this review is to describe the accidents that may occur during endodontic therapy and analyze the prevention and treatment of accidents occur during the approach, the biomechanical preparation and obturation of the root canal system.
When endodontic therapy, specifically during the approach, the biomechanical preparation and sealing ductwork, accidents must be prevented, taking into account factors such as technical and radiographic interpretation, anatomic considerations of the tooth to be treated can occur and instrumental conditions, among others. Regardless of prevention, accidents happen when they should be evaluated and related to prognosis of the tooth, to establish an appropriate treatment plan. This work will be reviewed relevant to accidents as perforations, broken instruments, deviations from the canal anatomy on instrumentation, overextension and shutter, vertical fractures, emphysema and edema of tissues, aspiration and swallowing instruments treatments and Finally allergies, where latex hypersensitivity and sodium hypochlorite is included. In the development of this monograph, as currently established treatments have not been modified, as well as the various techniques and different materials used to treat the same accident, obtaining a successful outcome are identified. The aim of this review is to describe the accidents that may occur during endodontic therapy and analyze the prevention and treatment of accidents occur during the approach, the biomechanical preparation and obturation of the root canal system.
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ABRASION DENTAL, LIMAS ROTATORIAS, INSTRUMENTOS ROTATORIOS