Retratamiento de conducto radicular en dientes anteriores y posteriores a base de xilol
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Fecha
2010
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Universidad de Guayaquil. Facultad Piloto de Odontología. Escuela de Postgrado "Dr. José Apolo Pineda"
Resumen
El retratamiento de conductos es un tema que debe conocerse y manejarse adecuadamente para poder indicarlo cuando realmente corresponda, por lo tanto el adecuado manejo de los criterios clínicos, radiográficos y el buen manejo del diagnóstico son de fundamental importancia para que el retratamiento sea llevado con éxito. La anatomía radicular interna juega un papel decisivo en la capacidad del operador para eliminar los irritantes del sistema de conductos que permitan la reparación del ligamento periodontal apical. El retratamiento de conductos debe ser siempre la primera opción terapéutica para solucionar un fracaso endodóntico. Consiste en la eliminación del relleno presente, la nueva limpieza y conformación de los conductos, así como la identificación y corrección de la causa del fracaso del tratamiento previo (de ser posible). Los conductos vuelven a ser rellenados y sellados, para realizar posteriormente un seguimiento radiográfico para valorar la evolución. La reconstrucción de un diente endodonciado, implica distintos factores como el grado de destrucción, la valoración del estado periodontal, la situación en la arcada, el material de reconstrucción ideal, etc. El presente trabajo aportar unas pautas de actuación protocolizada, de manera que puedan ser de utilidad en la toma de decisiones sobre el diagnóstico, pronóstico y el tratamiento del diente endodonciado. Su método de trabajo es realizado por la investigación explicativa, misma que recoge datos del que, como, y porque un tratamiento endodóntico fracasa, la manera como eliminar el contenidos del mismo y su reconstrucción definitiva, considerando el diagnostico clínico y radiográfico.
The canal retreatment is an issue that should be known and properly managed in order to indicate when it really appropriate, so proper management of clinical, radiographic and good management of diagnosis are of fundamental importance for the successful re-treatment is carried . The internal root anatomy plays a decisive role in the ability of the operator to remove the irritants of the duct system to allow the apical periodontal ligament repair. The retreat of ducts should always be the first therapeutic option for solving a root canal failure. Involves the removal of this fill, the new cleaning and shaping of the canals, as well as identifying and correcting the cause of the failure of previous treatment (if possible). Return ducts to be filled and sealed for subsequent radiographic follow-up to assess progress. The reconstruction of a tooth root canal, involves factors such as the degree of destruction, the assessment of periodontal status, the situation in the arcade, the ideal reconstruction material, etc. This work patterns of action provide standardized, so that they can be useful in making decisions about diagnosis, prognosis and treatment of endodontic tooth. His method of work is done by explanatory research, collecting data same, as, and because a root canal treatment fails, how to remove the contents, and final reconstruction, considering the clinical and radiographic diagnosis.
The canal retreatment is an issue that should be known and properly managed in order to indicate when it really appropriate, so proper management of clinical, radiographic and good management of diagnosis are of fundamental importance for the successful re-treatment is carried . The internal root anatomy plays a decisive role in the ability of the operator to remove the irritants of the duct system to allow the apical periodontal ligament repair. The retreat of ducts should always be the first therapeutic option for solving a root canal failure. Involves the removal of this fill, the new cleaning and shaping of the canals, as well as identifying and correcting the cause of the failure of previous treatment (if possible). Return ducts to be filled and sealed for subsequent radiographic follow-up to assess progress. The reconstruction of a tooth root canal, involves factors such as the degree of destruction, the assessment of periodontal status, the situation in the arcade, the ideal reconstruction material, etc. This work patterns of action provide standardized, so that they can be useful in making decisions about diagnosis, prognosis and treatment of endodontic tooth. His method of work is done by explanatory research, collecting data same, as, and because a root canal treatment fails, how to remove the contents, and final reconstruction, considering the clinical and radiographic diagnosis.
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ODONTOLOGIA INTEGRAL, TRATAMIENTO ENDODONTICO, ENDODONCIA