Análisis comparativo entre la aplicación de técnica incremental y técnica matriz oclusal de material fotocurable (fermit-ivoclar) en restauraciones de caries oculta en molares permanentes de pacientes pediátricos. Facultad Piloto de Odontología periodo 2014 – 2015
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2015-06
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Universidad de Guayaquil. Faaultad Piloto de Odontología
Resumen
La caries dental es una enfermedad multifactorial considerada como el
padecimiento de mayor prevalencia y costo en el mundo. Se produce
por un desequilibrio entre un proceso dinámico constante de
desmineralización y remineralización de la estructura dentaria. En
especial la caries oculta es una lesión difícil de diagnosticar ya que
clínicamente no es visible. Llamada síndrome de “fluoruro está
relacionada con el acceso a fuentes de fluoruro las cuales brindan una
mayor protección a la superficie externa del diente ocultando la lesión.
En niños se aumenta la dificultad en su tratamiento por la poca
cooperación y mayor cantidad de citas, tiempo de acciones clínicas
largas y el resultado final muchas veces no es satisfactorio. El fin de
esta investigación es demostrar que la técnica matriz oclusal de
material de obturación fotocurable (fermit-ivoclar) para el tratamiento en
niños ofrece mejor pronóstico, mayor facilidad, bajo costo, acorta el
tiempo operatorio y resultado final satisfactorio disminuyendo el
número de citas y obviando algunos pasos en el tratamiento. La
investigación es no experimental de tipo bibliográfica y descriptiva
porque nos basamos en información recopilada en años anteriores para
conocer la naturaleza de cada uno de los componentes formadores de
la lesión y las características brindadas por los tratamientos. Las
conclusiones fueron que la formación de caries oculta está relacionada
con los factores productores de caries en sí y el acceso a fuentes de
flúor que proporciona la remineralizacion de la capa externa del diente
ocultando la lesión, la radiografía periapical e interproximal son
auxiliares indispensables para el diagnóstico y la técnica matriz oclusal
para el tratamiento de las caries oculta en niños permite ahorro del
tiempo operatorio, una reproducción de detalles anatómicos casi
exacta, excelente estética y control oclusal mínimo.
The dental caries is a multifactorial disease which is considered the most prevalent and expensive ailment in the world. That is caused by an imbalance in a constant dynamic process of demineralization and remineralization of tooth structure. Especially the occult caries is a difficult injury to detect because it is not clinically visible. Also called fluoride syndrome because it is related with the access to fluoride sources which provide a better protection to the external surface of tooth hiding the injury. With children is more difficult the treatment because of their little cooperation and it caused more number of dates, long clinical interventions and many times the final result is not satisfactory. The purpose of this research is to prove that the occlusal matrix technique with photocurable sealing material for treatment in children offers better forecast, greater ease, low cost, less time in clinical action and satisfactory final result decreasing the number of dates and obviating some steps during the treatment. The investigation is not experimental and descriptive literature because we rely on information collected in previous years to know the nature of each of the components forming the injury and the features provided by the treatments. The conclusions were that the formation of hidden decay is related to the producers themselves decay factors and access to sources of fluoride which provides the remineralization of the outer layer of the tooth hiding the injury; the periapical radiography and bitewings are indispensable for the diagnosis and that the occlusal matrix as occult caries treatment is perfect for children because it allows saving operative time, having an anatomic details reproduction almost perfect, excellent aesthetics and minimal occlusal control.
The dental caries is a multifactorial disease which is considered the most prevalent and expensive ailment in the world. That is caused by an imbalance in a constant dynamic process of demineralization and remineralization of tooth structure. Especially the occult caries is a difficult injury to detect because it is not clinically visible. Also called fluoride syndrome because it is related with the access to fluoride sources which provide a better protection to the external surface of tooth hiding the injury. With children is more difficult the treatment because of their little cooperation and it caused more number of dates, long clinical interventions and many times the final result is not satisfactory. The purpose of this research is to prove that the occlusal matrix technique with photocurable sealing material for treatment in children offers better forecast, greater ease, low cost, less time in clinical action and satisfactory final result decreasing the number of dates and obviating some steps during the treatment. The investigation is not experimental and descriptive literature because we rely on information collected in previous years to know the nature of each of the components forming the injury and the features provided by the treatments. The conclusions were that the formation of hidden decay is related to the producers themselves decay factors and access to sources of fluoride which provides the remineralization of the outer layer of the tooth hiding the injury; the periapical radiography and bitewings are indispensable for the diagnosis and that the occlusal matrix as occult caries treatment is perfect for children because it allows saving operative time, having an anatomic details reproduction almost perfect, excellent aesthetics and minimal occlusal control.
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CARIES DENTALES - PREVENCION, RADIOGRAFIA DENTAL, ODONTOLOGIA PEDIATRICA