Amputación apical en pieza dentaria endodonciada con enucleación de diente supernumerario
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2017
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
En la actualidad la cirugía periapical es de importancia para preservar aquellas piezas dentarias que presentan patología periapical a pesar del tratamiento de endodoncia. Mediante este tratamiento quirúrgico se da a la pieza dentaria endodonciada la oportunidad de poder tener funcionalidad en la arcada dentaria. También se debe resaltar que a más de la lesión apical radiográficamente se observaba un diente supernumerario situado profundamente por vía palatina. Un buen diagnóstico clínico y radiográfico son de importancia para el éxito del tratamiento quirúrgico, además de los cuidados y precauciones que se deben seguir antes, durante y después del procedimiento. Resaltar la importancia de esta técnica quirúrgica que en un pasado fue desterrada debido a la aparición de los implantes dentales, ya que los cirujanos bucales veían como una opción más rentable extraer la pieza y posteriormente rehabilitar con un implante dental. A finales de la década de los noventas la apicectomía vuelve a resurgir al mostrar una drástica mejoría en sus resultados.
At present periapical surgery is of importance to preserve those dental pieces that present periapical pathology despite the treatment of endodontics. Through this surgical treatment, the endodontic tooth is given the opportunity to be able to have functionality in the dental arch. It should also be noted that more than the apical lesion was radiographically observed a supernumerary tooth located deep palatally. A good clinical and radiographic diagnosis are important for the success of the surgical treatment, besides the precautions and precautions that must be followed before, during and after the procedure. To emphasize the importance of this surgical technique that in the past was banished due to the appearance of dental implants, since the oral surgeons saw as a more profitable option to extract the piece and later to rehabilitate with a dental implant. At the end of the decade of the nineties the apicectomy returns to resurface when showing a drastic improvement in its results.
At present periapical surgery is of importance to preserve those dental pieces that present periapical pathology despite the treatment of endodontics. Through this surgical treatment, the endodontic tooth is given the opportunity to be able to have functionality in the dental arch. It should also be noted that more than the apical lesion was radiographically observed a supernumerary tooth located deep palatally. A good clinical and radiographic diagnosis are important for the success of the surgical treatment, besides the precautions and precautions that must be followed before, during and after the procedure. To emphasize the importance of this surgical technique that in the past was banished due to the appearance of dental implants, since the oral surgeons saw as a more profitable option to extract the piece and later to rehabilitate with a dental implant. At the end of the decade of the nineties the apicectomy returns to resurface when showing a drastic improvement in its results.
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APICECTOMIA, CIRUGIA BUCAL, ENDODONCIA