Adhesión dentaria con resina en odontología pediátrica caso clínico
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Es poder demostrar el logro de la adhesión a las estructuras dentarias, sellado de
interface diente-material restaurador, creando con esto la eliminación de la
penetración de microorganismo y disminuyendo el riesgo de caries secundaria, la
pigmentación marginal y el daño irreversible a la pulpa. Varios sistemas de
adhesión a dentina se han desarrollado a través de los años, presentando
diferentes mecanismos de adhesión y utilizando diversos recursos para obtener
adhesión. Se lleva a cabo una revisión de las diferentes generaciones de los
sistemas de adhesión con la finalidad de obtener un mejor entendimiento del
pasado, presente y futuro de la adhesión a la estructura dental. Estos cambio
afectan tanto a los materiales utilizados como a las preparaciones de los dientes y
han permitido optimizar los tratamientos evitando el desprendimiento del material,
la cual y han contribuido además a preservan mayor cantidad de sustancia dental
sana, que en ocasiones debía sacrificarse para conseguir la retención mecánica y
así pudiendo mejorar el sellado marginal. La utilización de sistemas adhesivos
proporciona así una nueva interacción entre el material restaurador y el tejido
dental lo que permite considerar que, tanto desde el punto de vista biológico como
funcional, ambas partes: restauración y diente se comportan como una unidad. A
pesar de la aparente simplicidad de este procedimiento, es esencial que todas las
etapas operatorias y restauradoras sean seguidas, así como la cuidadosa
selección de los casos clínicos y manipulación e inserción del material restaurador
con el fin de obtener resultados satisfactorios. Este caso clínico procura presentar
las etapas clínicas de forma detallada, así como las indicaciones,
contraindicaciones, ventajas y limitaciones de la técnica del Tratamiento
Restaurador.
The aim of this study is to understand the achievement of adherence to tooth structure, will seal the interface tooth-restorative material, thereby creating the elimination of bacterial penetration, reducing the risk of secondary caries, marginal pigmentation and irreversible damage to the pulp. Several dentin bonding systems have been developed through the years, with different mechanisms of adhesion and using various resources for accession. It performed a review of the different generations of bonding systems in order to gain a better understanding of past, present and future adherence to tooth structure. These changes affect both the materials used and to the preparations of the teeth and optimize treatments have allowed avoiding the detachment of the material, which can improve the marginal seal and have also helped to preserve as much healthy tooth substance, sometimes He is sacrificed to achieve mechanical retention. The use of adhesive systems and provides a new interaction between the restorative material and dental tissue allowing considered, both biologically and functionally, both parts: restoration and tooth behave as a unit. Despite the apparent simplicity of this procedure it is essential that all the operative stages are adhered and restorative and careful selection of clinical cases and handling and insertion of the restorative material in order to obtain satisfactory results. This case seeks to present the clinical stages in detail, as well as the indications, contraindications, advantages and limitations of the technique of a traumatic restorative treatment.
The aim of this study is to understand the achievement of adherence to tooth structure, will seal the interface tooth-restorative material, thereby creating the elimination of bacterial penetration, reducing the risk of secondary caries, marginal pigmentation and irreversible damage to the pulp. Several dentin bonding systems have been developed through the years, with different mechanisms of adhesion and using various resources for accession. It performed a review of the different generations of bonding systems in order to gain a better understanding of past, present and future adherence to tooth structure. These changes affect both the materials used and to the preparations of the teeth and optimize treatments have allowed avoiding the detachment of the material, which can improve the marginal seal and have also helped to preserve as much healthy tooth substance, sometimes He is sacrificed to achieve mechanical retention. The use of adhesive systems and provides a new interaction between the restorative material and dental tissue allowing considered, both biologically and functionally, both parts: restoration and tooth behave as a unit. Despite the apparent simplicity of this procedure it is essential that all the operative stages are adhered and restorative and careful selection of clinical cases and handling and insertion of the restorative material in order to obtain satisfactory results. This case seeks to present the clinical stages in detail, as well as the indications, contraindications, advantages and limitations of the technique of a traumatic restorative treatment.
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Palabras clave
RESINAS, MATERIALES DENTALES, ADHESION DENTAL