Aclaramiento cosmético intracoronario aplicado en dientes no vitales utilizando peróxido de urea y perborato sodio
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2016-05
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El presente trabajo, “Aclaramiento cosmético intracoronario aplicado en dientes no vitales utilizando peróxido de urea y perborato de sodio”, consiste en un tratamiento conservador que permite restaurar dientes no vitales con discromía oscurecidos o manchados que pueden realizarse una recomía con éxito, comparando el grado de blanqueamiento logrado mediante la utilización de peróxido de urea y perborato de sodio, devolviendo el color similar al diente natural determinando el tiempo.
Mediante un caso clínico con una paciente de 48 años de sexo femenino para comparar la eficacia de la técnica convencional de blanqueamiento intracoronario en dos piezas con discromía, en la que se emplea: en la pieza # 24 utilizaremos Peróxido de Urea al 15% (Carisma Tooth Whitening System 15%) y en la pieza # 25 utilizaremos Perborato de Na., evitando un sobreblanqueamiento y obteniendo una recromía adecuada para satisfacción del paciente.
Lo que pudimos observar en el blanqueamiento interno es que tanto la mezcla del perborato de sodio (borosan) con agua oxigenada o peróxido de hidrogeno es igual que el peróxido de urea o peróxido de carbamida (Carisma Tooth Whintening System al 15%) la diferencia está en el tiempo, hasta terminar de colocar la obturación provisional ya se notó un cambio en la pieza #24 que contenía peróxido de urea o peróxido de carbamida, se debe considerar el sellado base para evitar el contacto del agente blanqueador con la entrada del conducto endodonciado para evitar filtración, reabsorción cervical externa del diente e inflamación del periodonto.
Debemos realizar un buen diagnóstico para conocer la etiología, las técnicas de blanqueamiento y que materiales utilizaremos para poder obtener resultados satisfactorios
This paper, cosmetic clearance intracoronary applied non-vital teeth using urea peroxide and sodium perborate, is a conservative treatment to restore vital not darkened or stained teeth can be clarified successfully, comparing the degree of whitening achieved by the use of urea peroxide and sodium perborate, returning the natural tooth color similar to determining the time. Using a case with a 48-year female to compare the efficacy of the conventional technique intracoronary bleaching in two pieces dyschromia, which is used: in part # 24 use urea peroxide 15% (Carisma Tooth Whitening System 15%) and in part # 25 use perborate Na., avoiding and getting adequate sobreblanqueamiento recromía for patient satisfaction. What we observed in the internal bleaching is that both the mixture of sodium perborate (borosan) with hydrogen peroxide or hydrogen peroxide is like urea peroxide or carbamide peroxide (Charisma Tooth Whintening System 15%) the difference is in time, to finish placing the temporary filling and a change was noticed in the piece # 24 containing urea peroxide or carbamide peroxide, one should consider the sealed base to avoid contact of the bleaching agent with the duct inlet endodontic to prevent leakage, external cervical tooth resorption and periodontal inflammation. We must make a good diagnosis to determine the etiology, whitening techniques and materials we use in order to obtain satisfactory results.
This paper, cosmetic clearance intracoronary applied non-vital teeth using urea peroxide and sodium perborate, is a conservative treatment to restore vital not darkened or stained teeth can be clarified successfully, comparing the degree of whitening achieved by the use of urea peroxide and sodium perborate, returning the natural tooth color similar to determining the time. Using a case with a 48-year female to compare the efficacy of the conventional technique intracoronary bleaching in two pieces dyschromia, which is used: in part # 24 use urea peroxide 15% (Carisma Tooth Whitening System 15%) and in part # 25 use perborate Na., avoiding and getting adequate sobreblanqueamiento recromía for patient satisfaction. What we observed in the internal bleaching is that both the mixture of sodium perborate (borosan) with hydrogen peroxide or hydrogen peroxide is like urea peroxide or carbamide peroxide (Charisma Tooth Whintening System 15%) the difference is in time, to finish placing the temporary filling and a change was noticed in the piece # 24 containing urea peroxide or carbamide peroxide, one should consider the sealed base to avoid contact of the bleaching agent with the duct inlet endodontic to prevent leakage, external cervical tooth resorption and periodontal inflammation. We must make a good diagnosis to determine the etiology, whitening techniques and materials we use in order to obtain satisfactory results.
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DISCROMIA, BLANQUEAMIENTO DENTAL, RECROMIA