El retratamiento, primera opción ante el fracaso endodóntico
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2016-05
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Universidad de Guayaquil. Facultad de Piloto de Odontología
Resumen
El presente trabajo es un análisis de resultados a encuestas realizadas a
profesionales docentes de la Facultad Piloto de Odontología de la Universidad de
Guayaquil. Cuya finalidad tiene el conocer cuál es la primera opción ante un
fracaso endodóntico, la presente investigación lo ha demostrado. Un 94% de los
encuestados lo considera como su primera alternativa el retratamiento
endodontico. El 57% considera que tiene una taza de éxito del 80%. El 50% de los
encuestado consideran que el implante dental no es una solución definitiva antes
el fracaso. También se hace una revisión de los conceptos de éxito y fracaso en
endodoncia. Se describen las principales causas del fracaso del tratamiento de
conductos radiculares: periodontales, protésicas o restauradoras y endodónticas.
Se exponen las principales indicaciones de retratamiento planteando la necesidad
del mismo, no sólo en aquellos casos en los que existan inequívocos síntomas de
fracaso, sino también en aquellos dientes que estando asintomáticos y con un
tratamiento de conductos dudoso, vayan a necesitar un nuevo tratamiento
protésico o restaurador. Se hace también una revisión de la apicectomía sus
indicaciones y contraindicaciones la técnica de osteotomía y la procedente
amputación de ápice radicular. Se toma en detalle el implante dental, indicaciones,
contraindicaciones, tipos y tamaños, la prótesis sobre implantes y por último la
periimplantitis sus causas y posterior tratamiento.
This paper is an analysis of results of surveys of professional teachers in the Pilot School of Dentistry at the University of Guayaquil. Whose purpose is to know what is the first choice to endodontic failure, this research has shown. 94% of respondents considered as the first alternative endodontic retreatment. 57% believe it has a success rate of 80%. 50% of respondents believe that the dental implant is not a definitive solution before failure. a review of the concepts of success and failure in endodontics is also made. periodontal, prosthetic and endodontic or restorative: the main causes of failure of root canal treatment are described. The main indications for retreatment are shown to pose the need for it, not only in cases where there are unmistakable signs of failure, but also in those teeth being asymptomatic and treatment of doubtful ducts will need a new prosthetic treatment or restorer. apicectomy a review of the indications and contraindications osteotomy technique and from root apex amputation is also made. Taken in detail the dental implant indications, contraindications, types and sizes, implant prosthetics and finally perimplantitis its causes and treatment.
This paper is an analysis of results of surveys of professional teachers in the Pilot School of Dentistry at the University of Guayaquil. Whose purpose is to know what is the first choice to endodontic failure, this research has shown. 94% of respondents considered as the first alternative endodontic retreatment. 57% believe it has a success rate of 80%. 50% of respondents believe that the dental implant is not a definitive solution before failure. a review of the concepts of success and failure in endodontics is also made. periodontal, prosthetic and endodontic or restorative: the main causes of failure of root canal treatment are described. The main indications for retreatment are shown to pose the need for it, not only in cases where there are unmistakable signs of failure, but also in those teeth being asymptomatic and treatment of doubtful ducts will need a new prosthetic treatment or restorer. apicectomy a review of the indications and contraindications osteotomy technique and from root apex amputation is also made. Taken in detail the dental implant indications, contraindications, types and sizes, implant prosthetics and finally perimplantitis its causes and treatment.
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Palabras clave
RETRATAMIENTO, APICECTOMIA, IMPLANTES DENTALES