Desobturaciòn de Conductos Con Instrumentos Rotatorios
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología.
Resumen
La desobturación de conductos es un procedimiento que consiste en el retiro parcial o total del material obturador del sistema de conductos, la efectividad en la remoción de la masa obturadora compuesta por gutapercha y cemento está condicionada a su posición, extensión y adaptación a las paredes del conducto, por lo tanto el profesional debe estar preparado para la remoción del material obturador. Cuando una pieza dentaria muestra síntomas, como también lesiones periapicales o que tiene un tratamiento deficiente, se debe de realizar una valoración del caso y se debe de decidir el tipo de tratamiento más adecuado para el mismo. El objetivo del siguiente caso es eliminar la gutapercha aplicando la técnica con limas rotatorias de NITI PROTAPER los cuales son diseñados para el retratamiento de materiales de obturación. Que corresponde a un paciente femenino de 30 años de edad en el incisivo central superior izquierdo, la cual se obtuvo como resultado que esta técnica no funciona en su totalidad de manera individual, si no que siempre tienen que ser técnicas combinadas como por ejemplo: una técnica rotatoria junto con una técnica manual
The unblocking of ducts is a procedure that involves partial or total removal of the sealing material of the duct system, the effectiveness in removing the sealing mass composed of gutta-percha and cement is conditional on its position, extension and adaptation to the walls of duct, therefore the professional must be prepared for the removal of the sealant material. When presented with a tooth treated endodontically, presenting symptoms, appearance of periapicales lesions or poor treatment to be rehabilitated, we must evaluate the case and decide the most appropriate for the same therapeutic approach. The aim of this case is to remove the gutta percha using the technique with rotating NiTi PROTAPER which are designed for the reprocessing of filling materials. Which corresponds to a female patient of 30 years old in the upper central incisors, which was obtained as a result this technique does not work in full individually, if not always have to be techniques combined such as: a technique rotating together with a manual technique
The unblocking of ducts is a procedure that involves partial or total removal of the sealing material of the duct system, the effectiveness in removing the sealing mass composed of gutta-percha and cement is conditional on its position, extension and adaptation to the walls of duct, therefore the professional must be prepared for the removal of the sealant material. When presented with a tooth treated endodontically, presenting symptoms, appearance of periapicales lesions or poor treatment to be rehabilitated, we must evaluate the case and decide the most appropriate for the same therapeutic approach. The aim of this case is to remove the gutta percha using the technique with rotating NiTi PROTAPER which are designed for the reprocessing of filling materials. Which corresponds to a female patient of 30 years old in the upper central incisors, which was obtained as a result this technique does not work in full individually, if not always have to be techniques combined such as: a technique rotating together with a manual technique
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Palabras clave
ENDODONCIA, LIMAS ROTATORIAS, RETRATAMIENTO ENDODONTICO