Tratamiento con carillas de porcelana en dientes con abrasión del esmalte
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
En odontología han sido descritos varios procesos crónicos destructivos que afectan los dientes y producen perdida irreversible de su estructura, dentro de estos trastornos encontramos la abrasión, atrición, abfraccion y erosión los cuales son denominados de manera general como desgaste dental. Los pacientes pueden presentar lesiones resultado de abrasión dentro de una complejidad variante. Las lesiones tempranas por abrasión se presentan como depresiones superficiales y grietas o ranuras sobre la superficie dental. Inicialmente, mientras las áreas afectadas por abrasión estén confinadas al esmalte o al cemento dental, el paciente no experimentará sensibilidad ni dolor, y a menos que la superficie abrasada sea visible en los dientes anteriores, es posible que el paciente no se dé cuenta del daño en la superficie. Mientras que las áreas afectadas aumenten en profundidad, el esmalte o el cemento dental se verán comprometidos y la dentina se verá expuesta y afectada de igual manera por esta abrasión. Una vez ocurrido esto, muchos pacientes experimentarán sensibilidad. Uno de los tratamiento son las carillas de porcelana son un tratamiento restaurador que ha probado su bondad después de muchos años de uso clínico, especialmente en el sector anterior por sus implicaciones estéticas, con porcentajes de éxito próximos al 95% a los 15 años. En el presente trabajo se hace una exposición del tratamiento con carillas de porcelana, incluyendo las indicaciones y contraindicaciones para su empleo, sus ventajas e inconvenientes, el diagnóstico, la comunicación con el paciente, las técnicas de preparación dentaria, el cementado de las mismas y el mantenimiento posterior.
In dentistry they have been described several chronic destructive processes that affect the teeth and produce irreversible loss of structure, within these disorders are abrasion, attrition and erosion abfraction which are known generally as tooth wear. Patients may present with lesions result of abrasion within a variant complexity. Early lesions are presented as abrasive surface depressions and cracks or grooves on the tooth surface. Initially, while the areas affected by abrasion are confined to the enamel or cementum, the patient does not have tenderness or pain, and unless the scorched surface is visible in the anterior teeth, it is possible that the patient may not notice the damage the surface. While the affected areas to increase in depth, enamel or cementum will be compromised and dentine will be exposed and affected equally by this abrasion. Once this happened, many patients experience sensitivity. One of the treatment are porcelain veneers are restorative treatment that has proven its goodness after many years of clinical use, especially in the anterior region for its aesthetic implications, with success rates close to 95% at 15 years. In this article an exposure treatment is done with porcelain veneers, including indications and contraindications for use, its advantages and disadvantages, diagnosis, communication with the patient, the techniques of tooth preparation, cementation of them and subsequent maintenance.
In dentistry they have been described several chronic destructive processes that affect the teeth and produce irreversible loss of structure, within these disorders are abrasion, attrition and erosion abfraction which are known generally as tooth wear. Patients may present with lesions result of abrasion within a variant complexity. Early lesions are presented as abrasive surface depressions and cracks or grooves on the tooth surface. Initially, while the areas affected by abrasion are confined to the enamel or cementum, the patient does not have tenderness or pain, and unless the scorched surface is visible in the anterior teeth, it is possible that the patient may not notice the damage the surface. While the affected areas to increase in depth, enamel or cementum will be compromised and dentine will be exposed and affected equally by this abrasion. Once this happened, many patients experience sensitivity. One of the treatment are porcelain veneers are restorative treatment that has proven its goodness after many years of clinical use, especially in the anterior region for its aesthetic implications, with success rates close to 95% at 15 years. In this article an exposure treatment is done with porcelain veneers, including indications and contraindications for use, its advantages and disadvantages, diagnosis, communication with the patient, the techniques of tooth preparation, cementation of them and subsequent maintenance.
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ESTETICA DENTAL, CARILLAS DENTALES, ABRASION DENTAL