Absceso Dentoalveolar Agudo en pieza dentaria #11 en paciente de 40 años sexo femenino
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2017
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Se presenta el caso de una paciente de 40 años que acude a la clínica integral de la Facultad Piloto de Odontología por dolor pulsátil, clínicamente se observa fistula a nivel de la pieza # 11, donde actualmente presenta una restauración simple por la cara palatina. En el examen radiográfico se observa una sombra radiolúcida a nivel apical y el ligamento periodontal engrosado y desajuste cavitario con caries recidivante. Dados los signos y síntomas se diagnostica que es un absceso dentoalveolar agudo el que se define como una compilación localizada de pus en el hueso alveolar que envuelve el ápice de un diente que presenta muerte pulpar con extensión de la infección por medio del foramen apical a los tejidos perirradiculares. Se tuvo como objetivo Identificar los signos y síntomas del absceso dentoalveolar agudo, para aplicar un tratamiento adecuado para dicha patología. Por lo que se elabora un plan de tratamiento que incluye medicación farmacológica y endodoncia de la pieza afectada en 3 sesiones. Se presenta serie radiográfica y seguimiento del tratamiento endodóntico, con el instrumental y medicamento adecuado. Una vez terminado el tratamiento se realizó el seguimiento periódico hasta establecer que el absceso dentoalveolar había desaparecido por completo. Con la información recolectada se alcanzaron los objetivos planteados. Concluyendo en que la causa mas comun de los abcesos dentoalveolares agudos son los desajustes cavitarios, traumatismo y caries recidivantes, las cuales sumados a otros factores producen esta patologia periapical a los pacientes.
Presents the case of a 40 year old patient who attends the integral clinic of the Pilot Faculty of Dentistry due to pulsatile pain, clinically it is observed fistula at the level of the piece # 11, where it currently presents a simple restoration by the face Palatine. The radiographic examination shows a radiolucent shade at the apical level and the thickened periodontal ligament and cavitary misfit with recurrent caries. Given the signs and symptoms it is diagnosed as an acute dentoalveolar abscess which is defined as a localized compilation of pus in the alveolar bone that surrounds the apex of a tooth that presents pulp death with extension of the infection through the apical foramen to the perirradicular tissues. The objective was to identify the signs and symptoms of acute dentoalveolar abscess, to apply an appropriate treatment for this pathology. Therefore a treatment plan is elaborated in which it includes pharmacological medication and endodontics of the affected piece in 3 sessions. Radiographic series and step by step of the endodontic treatment are presented, with the appropriate instruments and medication. After the treatment was completed, periodic follow-up was performed until the dentoalveolar abscess had completely disappeared. With the information collected the objectives were achieved. Concluding that the most common cause of acute dentoalveolar abscesses are cavitary imbalances, traumatism and recurrent caries, which, together with other factors, produce this periapical pathology in patients.
Presents the case of a 40 year old patient who attends the integral clinic of the Pilot Faculty of Dentistry due to pulsatile pain, clinically it is observed fistula at the level of the piece # 11, where it currently presents a simple restoration by the face Palatine. The radiographic examination shows a radiolucent shade at the apical level and the thickened periodontal ligament and cavitary misfit with recurrent caries. Given the signs and symptoms it is diagnosed as an acute dentoalveolar abscess which is defined as a localized compilation of pus in the alveolar bone that surrounds the apex of a tooth that presents pulp death with extension of the infection through the apical foramen to the perirradicular tissues. The objective was to identify the signs and symptoms of acute dentoalveolar abscess, to apply an appropriate treatment for this pathology. Therefore a treatment plan is elaborated in which it includes pharmacological medication and endodontics of the affected piece in 3 sessions. Radiographic series and step by step of the endodontic treatment are presented, with the appropriate instruments and medication. After the treatment was completed, periodic follow-up was performed until the dentoalveolar abscess had completely disappeared. With the information collected the objectives were achieved. Concluding that the most common cause of acute dentoalveolar abscesses are cavitary imbalances, traumatism and recurrent caries, which, together with other factors, produce this periapical pathology in patients.
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ENDODONCIA, ABSCESO DENTOALVEOLAR, OBTURACION DEL CONDUCTO RADICULAR