Protocolos de irrigación en Endodoncia: conceptos y técnicas actualizadas
No hay miniatura disponible
Archivos
Fecha
2015-06
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La irrigación es un procedimiento clave dentro de la terapéutica
endodóntica y al mismo tiempo ha creado una gran controversia
para el profesional, en la elección de la mejor técnica y sistema de
irrigación, ya que uno de los objetivos principales de la terapia
endodóntica es lograr la desinfección completa del sistema de
conductos para garantizar el éxito del tratamiento. Dentro de
estafase de desinfección, adquiere especial importancia la irrigación
de los mismos con diferentes soluciones, debido a que no solo se
debe eliminar el tejido orgánico sino también los residuos
producidos por la instrumentación. La efectividad de la limpieza
mecánica y química, depende del contacto del irrigante con la
totalidad del conducto radicular, siendo un reto en especial el tercio
apical debido al menor diámetro del conducto y mayores
complejidades anatómicas. La limpieza y desinfección de un
conducto radicular es más difícil de lograr a nivel del tercio apical,
debido a varios aspectos como son su menor diámetro y su
complejidad anatómica. Es por éste motivo que la irrigación juega un
papel fundamental en el tratamiento, para poder limpiar áreas
inaccesibles por la instrumentación mecánica.La remoción del
barrido dentinario es un procedimiento fundamental y recomendado
para mejorar la eficacia en el tratamiento de Endodoncia. La
eliminación nos permitirá tener túbulos dentinarios más permeables,
logrando así, una mejor penetración de las sustancias irrigadores,
medicamentos intraconducto y finalmente, de los cementos
selladores, permitiendo de esta manera, un sellado hermético de los
conductos radiculares, mejorando el pronóstico del tratamiento.
Irrigation is a key procedure in the endodontic therapy and at the same time has created a lot of controversy for professional, in choosing the best technique and irrigation system, as one of the main objectives of endodontic therapy is to achieve complete disinfection of the duct system to ensure the success of treatment.2. Within this disinfection phase, it is particularly important irrigate them with different solutions, because not only must remove organic tissue but also the waste produced by the instrumentación3. The effectiveness of mechanical and chemical cleaning, irrigating depends contact with the entire root canal, remains a challenge especially due to the lower apical duct diameter and larger anatomical complexities. Cleaning and disinfecting of a root canal is more difficult to achieve at the level of the apical third, due to several aspects such as its smaller diameter and anatomical complexity. It is for this reason that irrigation plays a key role in treatment, to clean inaccessible areas by removal of dentin instrumentation mecánica.La sweep is a fundamental and recommended to improve efficiency in the treatment of root canal procedure. The elimination will give us more permeable dentinal tubules, thus achieving better penetration of substances irrigators, intracanal medications and finally sealants cements, thereby allowing a tight seal of the root canal, improving the prognosis of treatment.
Irrigation is a key procedure in the endodontic therapy and at the same time has created a lot of controversy for professional, in choosing the best technique and irrigation system, as one of the main objectives of endodontic therapy is to achieve complete disinfection of the duct system to ensure the success of treatment.2. Within this disinfection phase, it is particularly important irrigate them with different solutions, because not only must remove organic tissue but also the waste produced by the instrumentación3. The effectiveness of mechanical and chemical cleaning, irrigating depends contact with the entire root canal, remains a challenge especially due to the lower apical duct diameter and larger anatomical complexities. Cleaning and disinfecting of a root canal is more difficult to achieve at the level of the apical third, due to several aspects such as its smaller diameter and anatomical complexity. It is for this reason that irrigation plays a key role in treatment, to clean inaccessible areas by removal of dentin instrumentation mecánica.La sweep is a fundamental and recommended to improve efficiency in the treatment of root canal procedure. The elimination will give us more permeable dentinal tubules, thus achieving better penetration of substances irrigators, intracanal medications and finally sealants cements, thereby allowing a tight seal of the root canal, improving the prognosis of treatment.
Descripción
Palabras clave
ENDODONCIA, IRRIGANTES DEL CONDUCTO RADICULAR, TRATAMIENTO DEL CONDUCTO RADICULAR