Estudio comparativo del uso de la técnica de obturación termomecánica con gutacondensos y la técnica de condensación lateral, realizados en pacientes en la Clínica Integral de la Facultad Piloto de Odontología.
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2015-06
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
obturación de conductos radiculares, cuyo fin en general es el relleno
íntegro y tridimensional del o los conductos. La utilización generalizada
de una sola técnica de obturación para todos los casos, sin el debido
análisis clínico y sobretodo radiográfico, ha traído consigo la
microfiltración, que traerá como consecuencia el fracaso endodóntico.
La condensación lateral ha sido la técnica más realizada por
profesionales, técnica menos costosa, debido a que no se requiere la
utilización de gutacondensores, hornos u obturadores especiales para
su ejecución. La técnica termomecánica de McSpadden requiere de la
utilización de un instrumento llamado compactador. El compactador de
McSpadden es un instrumento similar a una lima Hedstroem con rosca
investida. Generalmente se utiliza un cono de gutapercha ahorrando
así el uso de materiales. El objetivo de esta investigación fue establecer
las diferencias entre la técnica de condensación lateral, y la técnica
termomecánica con gutacondensos en pacientes atendidos en la
Clínica Integral de la Facultad Piloto de Odontología. La metodología es
el diseño de la investigación que fue de tipo experimental y descriptivo
debido a que se realizaron casos clínicos para comprobar la hipótesis
planteada inicialmente; sus métodos fueron inductivo, sintético y
comparativo; el tipo de investigación fue exploratoria, descriptiva,
correlacional y explicativa. Conclusiones: radiográficamente, no existió
diferencia significativa entre estas dos técnicas. Se concluyó que las
diferencias entre estas dos técnicas radicaron en el tiempo, y en los
casos clínicos en que se los pueda aplicar, mas no se encontró
diferencias radiográficas significativas.
purpose is generally the three- dimensional filling of ducts. The widespread use of a single technique for sealing all cases, without a previous proper clinical and radiographic examination, it has brought microleakage, that cause endodontic failure. The lateral condensation technique has been the most commonly technique performed by professionals, it is a less expensive technique, because it’s not necessary the use of gutta- condensors, stoves or special seals to make it. The thermomechanical technique of McSpadden requires the use of an instrument called McSpadden compactor. McSpadden compactor is a rotary instrument, which is similar to a Hedstroem file but inverted. A point of gutta-percha is generally used thus saving the use of materials. The aim of this research was to establish the differences between lateral condensation technique and thermomechanical technique with gutta-condensors in patients treated at the Integral Clinic of School of Dentistry, of the University of Guayaquil. The methodology is the design of research that was experimental and descriptive because clinical cases were performed to test the hypothesis initially proposed; their methods were inductive, synthetic and comparative; the type of research was exploratory, descriptive, correlational and explanatory. Conclusions: radiographically, there was no significant difference between these two techniques. It was concluded that the differences between these two techniques were in time, and clinical cases that they can be applied, but there were not significant differences radiographically.
purpose is generally the three- dimensional filling of ducts. The widespread use of a single technique for sealing all cases, without a previous proper clinical and radiographic examination, it has brought microleakage, that cause endodontic failure. The lateral condensation technique has been the most commonly technique performed by professionals, it is a less expensive technique, because it’s not necessary the use of gutta- condensors, stoves or special seals to make it. The thermomechanical technique of McSpadden requires the use of an instrument called McSpadden compactor. McSpadden compactor is a rotary instrument, which is similar to a Hedstroem file but inverted. A point of gutta-percha is generally used thus saving the use of materials. The aim of this research was to establish the differences between lateral condensation technique and thermomechanical technique with gutta-condensors in patients treated at the Integral Clinic of School of Dentistry, of the University of Guayaquil. The methodology is the design of research that was experimental and descriptive because clinical cases were performed to test the hypothesis initially proposed; their methods were inductive, synthetic and comparative; the type of research was exploratory, descriptive, correlational and explanatory. Conclusions: radiographically, there was no significant difference between these two techniques. It was concluded that the differences between these two techniques were in time, and clinical cases that they can be applied, but there were not significant differences radiographically.
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ENDODONCIA, OBTURACION DEL CONDUCTO RADICULAR, MICROFILTRACION