Tratamiento multidisciplinario en paciente con diente inmaduro y afección periapical – Caso Clínico
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2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Los procesos de muertes pulpares prematuros de dientes permanentes siempre han sido causa de preocupación dentro de la odontología y para esto se han creado varios mecanismos para la conservación del diente en boca, es importante mantener la vitalidad pulpar para que pueda completarse el desarrollo normal radicular, muchas veces nos encontramos con la totalidad de la pulpa necrosada previo a la culminación de la formación radicular viéndonos obligados a estimular el cierre apical mediante el uso de químicos como el hidróxido de calcio o el tratamiento quirúrgico mediante la obturación retrograda donde tenemos varias alternativas como el uso de mta, amalgama sin zinc, ionómero de vidrio, derivados de pasta zinquenólicas y el aplanamiento por calor posterior a la endodoncia, la elección de uno de ellos recaerá directamente sobre el operador siendo considerado el éxito posteriormente a los 2 años de realizado el tratamiento, en el caso que describo posteriormente tiene como objetivo analizar las causas para el tratamiento en un paciente con diente inmaduro y afección periapical en este caso se optó por la obturación endodóntica con técnica de obturación en frio previo a la confección de un cono principal extra grande y el aplanamiento con calor en el proceso quirúrgico obteniendo resultados favorables para el paciente tal como se lo puede comprobar en las radiografías de control que se le realizo a los 6 y 12 meses.
Processes premature pulpares deaths of permanent teeth have always been a concern in dentistry and for this have been created several mechanisms for conservation of the tooth in the mouth, it is important to maintain pulp vitality for the completion of the root normal development, many times we find the whole prior to completion of root formation were obliged to stimulate the apical closure by using chemicals such as calcium hydroxide or surgical treatment by retrograde filling where we necrotic pulp several alternatives such as use of mta, amalgam without zinc, glass ionomer derived from metallic oxide paste and flattening after endodontic heat, choosing one of them will fall directly on the operator being considered success later at 2 years of completed treatment , if I describe later aims to analyze the causes in the treatment in patients with immature tooth and periapical condition in this case we chose endodontic obturation with obturation technique in prior to the making of a main cone extra large cold and the flattening heat in the surgical process favorable results for the patient as it can check on radiographs control that was performed at 6 and 12 months.
Processes premature pulpares deaths of permanent teeth have always been a concern in dentistry and for this have been created several mechanisms for conservation of the tooth in the mouth, it is important to maintain pulp vitality for the completion of the root normal development, many times we find the whole prior to completion of root formation were obliged to stimulate the apical closure by using chemicals such as calcium hydroxide or surgical treatment by retrograde filling where we necrotic pulp several alternatives such as use of mta, amalgam without zinc, glass ionomer derived from metallic oxide paste and flattening after endodontic heat, choosing one of them will fall directly on the operator being considered success later at 2 years of completed treatment , if I describe later aims to analyze the causes in the treatment in patients with immature tooth and periapical condition in this case we chose endodontic obturation with obturation technique in prior to the making of a main cone extra large cold and the flattening heat in the surgical process favorable results for the patient as it can check on radiographs control that was performed at 6 and 12 months.
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NECROSIS PULPAR, DIENTE, TRATAMIENTO QUIRURGICO