Estudio comparativo de las técnicas de irrigación
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2017
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Al momento de realizar una endodoncia el profesional odontólogo se ve frente a una situación decisiva para el éxito o fracaso del procedimiento, esta es poder eliminar la mayor cantidad barrillo dentinario que puede alojar bacterias y/o toxinas bacterianas en el interior de los túbulos dentinarios, la técnica de irrigación convencional, es decir la irrigación de solución mediante jeringa, cumple con los requerimientos de limpieza y desinfección, por tal motivo sigue vigente, pero estudios realizados durante la última década han demostrado que esta técnica es efectiva tan solo a nivel del tercio coronal del conducto radicular, pero es incapaz de llegar a zonas apicales, el objetivo fue determinar la eficacia de la técnica de irrigación con activación ultrasónica pasiva frente a la convencional irrigación con jeringa, en la eliminación del barrido dentinario, se utilizaron 30 dientes superior e inferior sin tratamiento de conducto, repartidos en 3 grupos de 10 dientes cada uno separados en Grupo A, que se irrigo con solución salina (control), Grupo B, se irrigo con técnica de presión positiva con jeringa y aguja, Grupo C, se irrigo con técnica de presión pasiva ultrasónica. La técnica de irrigación con hipoclorito de sodio combinado con EDTA aplicado con jeringa presenta una buena limpieza del conducto pero no es muy buena su penetración en el conducto, la activación de la solución irrigadora con ultrasonido pasivo presenta mejor penetración en el conducto y de la misma manera ejerce una mejor acción limpiadora.
At the time of endodontics the professional dentist is faced with a decisive situation for the success or failure of the procedure, this is to eliminate the largest amount of dentin that can harbor bacteria and / or bacterial toxins inside the dentinal tubules, The conventional irrigation technique, ie syringe solution irrigation, meets the requirements of cleaning and disinfection, for this reason still valid, but studies conducted during the last decade have shown that this technique is effective only at the level of the third The objective of this study was to determine the efficacy of the irrigation technique with passive ultrasonic activation compared to the conventional syringe irrigation. In the removal of the dentinal sweep, 30 upper and lower teeth were used. Inferior without treatment of conduit, distributed in 3 groups of 10 teeth c Group A, which was irrigated with saline solution (control), Group B, was irrigated with a positive pressure technique with syringe and needle, Group C, irrigated with a technique of passive ultrasonic pressure. The technique of irrigation with sodium hypochlorite combined with EDTA applied with syringe presents a good cleaning of the conduit but its penetration in the conduit is not very good, the activation of irrigating solution with passive ultrasound presents better penetration in the conduit and of the same Way it exerts a better cleaning action.
At the time of endodontics the professional dentist is faced with a decisive situation for the success or failure of the procedure, this is to eliminate the largest amount of dentin that can harbor bacteria and / or bacterial toxins inside the dentinal tubules, The conventional irrigation technique, ie syringe solution irrigation, meets the requirements of cleaning and disinfection, for this reason still valid, but studies conducted during the last decade have shown that this technique is effective only at the level of the third The objective of this study was to determine the efficacy of the irrigation technique with passive ultrasonic activation compared to the conventional syringe irrigation. In the removal of the dentinal sweep, 30 upper and lower teeth were used. Inferior without treatment of conduit, distributed in 3 groups of 10 teeth c Group A, which was irrigated with saline solution (control), Group B, was irrigated with a positive pressure technique with syringe and needle, Group C, irrigated with a technique of passive ultrasonic pressure. The technique of irrigation with sodium hypochlorite combined with EDTA applied with syringe presents a good cleaning of the conduit but its penetration in the conduit is not very good, the activation of irrigating solution with passive ultrasound presents better penetration in the conduit and of the same Way it exerts a better cleaning action.
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ENDODONCIA, OBTURACION DEL CONDUCTO RADICULAR, IRRIGANTES DEL CONDUCTO RADICULAR