Problemas asociados a la pérdida de piezas dentarias por tratamiento endodónticos
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2017
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Los problemas asociados a la pérdida de piezas dentarias por tratamiento endodónticos cada día presentan mayor demanda en las consultas odontológicas. La carencia de detalles de gran importancia y que en muchos de los casos los odontólogos pasan desapercibido ayuda a que el fracaso endodóntico valla aumentando progresivamente.
Una serie de procedimientos antes y después de la terapia pulpar conllevan al éxito de un tratamiento endodóntico, pero entre los fracasos más comunes iniciales que se presentan en la consulta odontológica es debido a la escases de conocimientos de la anatomía pulpar de las piezas dentarias y entre los fracasos finales encontramos que los que más prevalecen son los dientes que no terminan con una restauración definitiva, ya sea por medio de una terapia reconstructiva total o parcial, para el estudiante de estomatología o el practicante de odontología general para que su resultado endodóntico sea más predecible en cuanto a pronóstico a largo plazo se refiere. Teniendo como finalidad el tratamiento de endodoncia es prevenir la aparición de problemas periodontales a nivel apical produciendo la inflamación de los tejidos. Para obtener éxito, se deben seguir meticulosamente diversos pasos durante los tratamientos de conductos. Sin embargo, por un sinnúmero de motivos, muchos practicantes de odontología general que hacen endodoncias obvian estos pasos y cometen errores que ponen en entredicho el futuro del diente o de los dientes tratados endodónticamente. Los principales errores de procedimiento de los dentistas de práctica general es en la fase de reevaluación diagnóstica y planificación deberemos de realizar una valoración del tratamiento endodóntico, la cantidad de tejido dentario remanente, el estado periodontal de la pieza, los requerimientos estéticos, la morfología radicular, la localización del diente en la arcada, las cargas oclusales recibidas y si el diente a restaurar va a ser utilizado como pilar de prótesis fija.
The problems associated with the loss of dental pieces by endodontic treatment each day present greater demand in dental consultations. The lack of details of great importance and that in many cases the dentists go unnoticed helps that the endodontic failure fences increasing progressively. A number of procedures before and after pulpal therapy lead to the success of endodontic treatment, but among the most common initial failures that occur in the dental office is due to the lack of knowledge of the pulp anatomy of dental pieces and between The final failures we find that the most prevalent are the teeth that do not end with a definitive restoration, either by means of a total or partial reconstructive therapy, for the stomatology student or the general dentistry practitioner so that their endodontic result is more Predictable as far as long-term prognosis is concerned. With the purpose of the treatment of endodontics is to prevent the appearance of periodontal problems at the apical level producing inflammation of the tissues. To be successful, several steps must be meticulously followed during root canal treatments. However, for a number of reasons, many general practitioners of endodontics obviate these steps and make mistakes that challenge the future of the tooth or teeth endodontically treated. The main procedural errors of dentists of general practice is in the phase of diagnostic reevaluation and planning we must make an assessment of the endodontic treatment, the amount of dental tissue remaining, the periodontal condition of the piece, aesthetic requirements, root morphology , The location of the tooth in the arch, occlusal loads received and whether the tooth to be restored is to be used as a fixed prosthesis pillar.
The problems associated with the loss of dental pieces by endodontic treatment each day present greater demand in dental consultations. The lack of details of great importance and that in many cases the dentists go unnoticed helps that the endodontic failure fences increasing progressively. A number of procedures before and after pulpal therapy lead to the success of endodontic treatment, but among the most common initial failures that occur in the dental office is due to the lack of knowledge of the pulp anatomy of dental pieces and between The final failures we find that the most prevalent are the teeth that do not end with a definitive restoration, either by means of a total or partial reconstructive therapy, for the stomatology student or the general dentistry practitioner so that their endodontic result is more Predictable as far as long-term prognosis is concerned. With the purpose of the treatment of endodontics is to prevent the appearance of periodontal problems at the apical level producing inflammation of the tissues. To be successful, several steps must be meticulously followed during root canal treatments. However, for a number of reasons, many general practitioners of endodontics obviate these steps and make mistakes that challenge the future of the tooth or teeth endodontically treated. The main procedural errors of dentists of general practice is in the phase of diagnostic reevaluation and planning we must make an assessment of the endodontic treatment, the amount of dental tissue remaining, the periodontal condition of the piece, aesthetic requirements, root morphology , The location of the tooth in the arch, occlusal loads received and whether the tooth to be restored is to be used as a fixed prosthesis pillar.
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FRACASO ENDODONTICO, TERAPIA PULPAR, TRATAMIENTO DEL CONDUCTO RADICULAR