Caso clínico: Viabilidad en el tratamiento de Endodoncia en paciente adulto mayor con problemas de atrición dentaria
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Fecha
2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Los tratamientos de endodoncia en pacientes adultos mayores, por causa de
atrición dentaria debe realizarse minuciosamente ya que nos enfrentamos a
conductos atrésicos, cámaras pulpares calcificadas y conductos pulpares
calcificados, etc. Paciente de 65 años se realiza tratamiento endodóntico en la pieza
43, a causa de atrición. En el proceso de instrumentación se aplicó la técnica
corono- apical (Crown down) iniciando el limado con la lima número 10 hasta la lima
número 40, para una mejor conformación del conducto se utilizó las fresa GatesGlidden,
ya que colaboran al ensanchamiento inicial del orificio de entrada y facilitan
instrumentación del conducto, manteniendo una irrigación constante con soluciones
de hipoclorito sódico al 2.5 % alternadas con EDTA en todo el proceso de
instrumentación. En la etapa de obturación del conductor se realizó con la
“TÉCNICA HIBRIDA DE TAGGER MODIFICADA” la cual utiliza el gutacondensor o
técnica termomecánica, la cual proporciona a un mejor sellado tridimensional del
sistema de conductos. de los resultados obtenidos se puede concluir que no todos
los dientes que presentan atrición, poseen conducto(s) obliterado(s), es importante
la radiografía preoperatoria en diferentes angulaciones, así mismo la colaboración
del paciente es un factor fundamental. El objetivo de esta investigación es
determinar la viabilidad del tratamiento de endodoncia en pacientes Adultos
Mayores con problemas de atrición dentaria.
Endodontic treatments in adult’s patients with dental attrition diagnosis must be done meticulously. As we working with atresia and calcified dental conducts and calcified dental pulp chambers, etc. 65 years old patient with endodontic treatment in lower right canine because of dental attrition. Crown-Down technique was performed in the instrumentation process. The file procedure of the dental conduct began with N 10 file until N 40. To aim a better dental conduct conformation GatesGlidden files was used, as they collaborate with a better widding process of the intial entrance conduct perforation and they help also with the instrumentation process. In combination with above, during whole instrumentation process, irrigation with sodium hypochlorite 2.5% solution plus EDTA was used constantly. Modified Tager Hibrid Technique was performed in dental conduct filling which use gutacondensers and termoplasticifiters that help with a better tridimentional sealed of dental conducts systems. In conclusion endodontic treatments in adults patients is really complicated to perform, as biological alterations that they dental conducts suffer due to aging and the effects produced by irritants that dental organism have been exposure during life time. As general aim we have to determinate viability of dental attrition endodontic treatment in adults patients.
Endodontic treatments in adult’s patients with dental attrition diagnosis must be done meticulously. As we working with atresia and calcified dental conducts and calcified dental pulp chambers, etc. 65 years old patient with endodontic treatment in lower right canine because of dental attrition. Crown-Down technique was performed in the instrumentation process. The file procedure of the dental conduct began with N 10 file until N 40. To aim a better dental conduct conformation GatesGlidden files was used, as they collaborate with a better widding process of the intial entrance conduct perforation and they help also with the instrumentation process. In combination with above, during whole instrumentation process, irrigation with sodium hypochlorite 2.5% solution plus EDTA was used constantly. Modified Tager Hibrid Technique was performed in dental conduct filling which use gutacondensers and termoplasticifiters that help with a better tridimentional sealed of dental conducts systems. In conclusion endodontic treatments in adults patients is really complicated to perform, as biological alterations that they dental conducts suffer due to aging and the effects produced by irritants that dental organism have been exposure during life time. As general aim we have to determinate viability of dental attrition endodontic treatment in adults patients.
Descripción
Palabras clave
ENDODONCIA, ADULTO MAYOR, OBTURACION DEL CONDUCTO RADICULAR