Exodoncia de restos radiculares empleando técnica quirúrgica abierta y rehabilitación prostodoncica inmediata.
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2016-05
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Universidad de Guayaquil. Facultad de Piloto de Odontología
Resumen
La presencia de restos radiculares en maxilar y mandíbula es un hecho muy
frecuente en la práctica diaria, los motivos son muy diversos, entre los que
destacamos: la poca o nula educación de salud oral tanto en sus aspectos
preventivos, curativos o de higiene de nuestros pacientes. En la cirugía cuando
se fracasa realizando la técnica cerrada o intuimos un grado de dificultad
importante por tener mala visibilidad del resto radicular optaremos por la
exodoncia quirúrgica o técnica abierta que consiste en la preparación de un
colgajo, y la realización de una osteotomía normalmente en la zona vestibular,
facilitando su extracción y se la hace más rápida, poco traumática y con un mejor
postoperatorio. El objetivo de nuestro procedimiento fue la extracción quirúrgica
mínimamente invasiva y su inmediata rehabilitación del paciente mediante
prótesis parciales acrílicas. El resultado del tratamiento quirúrgico da una óptima
cicatrización post extracción debido a la planeación y preparación pre quirúrgica,
además una rehabilitación inmediata con altos estándares funcionales mediante la
utilización de prótesis parciales de materiales adecuado.
The presence of root remains in the maxilla and mandible is a very common occurrence in daily practice, the reasons are diverse, among which are: little or no oral health education both in its preventive, curative or health value of our patients. In surgery when fails performing closed technique or intuit a significant degree of difficulty by having poor visibility of the root rest opt for surgical open technique extraction or consisting of the preparation of a flap, and performing an osteotomy typically in the vestibular area, facilitating removal and makes it faster, less traumatic and postoperative better. The objective of my procedure was minimally invasive surgical removal and immediate rehabilitation of the patient by giving acrylic partial dentures. The outcome of surgical treatment gives optimal healing post extraction due to pre-surgical planning and preparation, plus immediate rehabilitation with high functional standards by using materials suitable partials.
The presence of root remains in the maxilla and mandible is a very common occurrence in daily practice, the reasons are diverse, among which are: little or no oral health education both in its preventive, curative or health value of our patients. In surgery when fails performing closed technique or intuit a significant degree of difficulty by having poor visibility of the root rest opt for surgical open technique extraction or consisting of the preparation of a flap, and performing an osteotomy typically in the vestibular area, facilitating removal and makes it faster, less traumatic and postoperative better. The objective of my procedure was minimally invasive surgical removal and immediate rehabilitation of the patient by giving acrylic partial dentures. The outcome of surgical treatment gives optimal healing post extraction due to pre-surgical planning and preparation, plus immediate rehabilitation with high functional standards by using materials suitable partials.
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Palabras clave
EXOSTOSIS, COLGAJOS QUIRURGICOS, PROTESIS DENTAL