Reatratamiento endodóntico de un incisivo lateral superior con abceso agudo evolucionado: relato de un caso clínico
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología.
Resumen
En este trabajo investigativo se presenta el caso de una paciente joven de 24 años que acude a la clínica integral de la Facultad piloto de Odontología a quien se le realiza un retratamiento endodóntico, causado por una filtración coronaria. La paciente comenta que hace 5 años se realizó un tratamiento endodóntico de la pieza dentaria #22; Y hace seis meses mientras disfrutaba de una bebida helada sintió un dolor, Al examen clínico intraoral se observa una fistula a nivel apical por vestibular, al examen radiográfico se observa una sombra radiolúcida nivel apical y el ligamento periodontal engrosado y el tratamiento endodóntico en mal estado. Por lo que se realiza el retratamiento endodóntico en 3 sesiones. El retratamiento endodóntico es el tratamiento que se aplica cuando se diagnostica un fracaso endodóntico, ya sea este causado por varios factores como los son: la filtración coronaria, deficiente irrigación, ausencia de radiografías durante el tratamiento endodóntico, deficiencia en la obturación del conducto radicular, entre otras. Por lo que esta investigación tuvo como objetivo determinar el retratamiento endodóntico incisivo lateral superior con absceso agudo evolucionando. Se presenta serie radiográfica y el paso a paso del retratamiento endodóntico, con el instrumental y medicamento adecuado. Con la información recolectada se alcanzaron los objetivos planteados. Concluyendo en es indispensable realizar un diagnóstico correcto y adecuado antes de un tratamiento endodóntico, además conocer las técnicas y el protocolo adecuado para realizarlo así se evitara futuros fracasos en dichos tratamientos. El retratamiento se ha convertido hoy en día en la esperanza para los pacientes que han padecido este problema. Vale recalcar que se debe hacer un estudio profundo del motivo del fracaso endodóntico para no repetirlo.
In this research work the case of a young patient of 24 who attends the clinic comprehensive pilot Dentistry who is an endodontic retreatment performed, caused by coronary Faculty filtration occurs. The patient says that 5 years ago endodontic treatment of tooth # 22 piece was made; And six months ago while enjoying a cold drink he felt a pain, intraoral clinical examination fistula at the apical level observed by vestibular, the radiographic examination apical radiolucent shadow level and periodontal ligament thickened and endodontic treatment is observed in poor condition. So the endodontic retreatment is performed in 3 sessions. Endodontic retreatment is the treatment that applies when an endodontic failure, whether it is caused by several factors as they are diagnosed: coronary filtration, poor irrigation, lack of radiographs during endodontic treatment, deficiency in root canal filling, among other. So this research was to determine the endodontic retreatment upper lateral incisor with acute abscess evolving. Radiographic series and the step of endodontic retreatment with suitable instruments and medication is presented. With the information gathered the objectives were achieved. Concluding it is essential to make a correct and proper diagnosis before endodontic treatment, also know the techniques and the proper protocol to realize it and avoid future failures in such treatments. The retreat has become today in hope for patients who have had this problem. It stressed that should make a thorough study of the cause of endodontic failure to not repeat it.
In this research work the case of a young patient of 24 who attends the clinic comprehensive pilot Dentistry who is an endodontic retreatment performed, caused by coronary Faculty filtration occurs. The patient says that 5 years ago endodontic treatment of tooth # 22 piece was made; And six months ago while enjoying a cold drink he felt a pain, intraoral clinical examination fistula at the apical level observed by vestibular, the radiographic examination apical radiolucent shadow level and periodontal ligament thickened and endodontic treatment is observed in poor condition. So the endodontic retreatment is performed in 3 sessions. Endodontic retreatment is the treatment that applies when an endodontic failure, whether it is caused by several factors as they are diagnosed: coronary filtration, poor irrigation, lack of radiographs during endodontic treatment, deficiency in root canal filling, among other. So this research was to determine the endodontic retreatment upper lateral incisor with acute abscess evolving. Radiographic series and the step of endodontic retreatment with suitable instruments and medication is presented. With the information gathered the objectives were achieved. Concluding it is essential to make a correct and proper diagnosis before endodontic treatment, also know the techniques and the proper protocol to realize it and avoid future failures in such treatments. The retreat has become today in hope for patients who have had this problem. It stressed that should make a thorough study of the cause of endodontic failure to not repeat it.
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RETRATAMIENTO ENDODONTICO, ABSCESO PERIAPICAL, ENDODONCIA