Terapia pulpar no vital con daño periapical
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2011-04-15
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Universidad de Guayaquil. Facultad de Odontología
Resumen
Por varios años los odontólogos han realizado tratamientos de conductos
en una cita, es decir, la iniciación y finalización del tratamiento en una
sesión; ha existido mucha controversia con respecto a este tipo de
modalidad terapéutica, ya que tanto el tratamiento endodóntico en una
cita como en varias citas presentan cada uno sus ventajas y desventajas.
El objetivo de la terapia endodóntica es lograr una limpieza y
conformación del conducto radicular para poder obturarlo
tridimensionalmente y mantener la salud de los tejidos perriradiculares.
Con el avance tecnológico, del que no ha sido ajena la endodoncia, no
existe desde éste punto de vista, motivación alguna para prolongar los
tratamientos en más de una sesión.
Sin embargo, el pronóstico a largo plazo y los síntomas del paciente
después del tratamiento son dos temas importantes relacionados con el
número de citas, necesitándose profundas investigaciones que aclaren
incógnitas sobre estos aspectos.
Existen muchos estudios realizados sobre dolor postoperatorio,
agudizaciones, éxito y fracaso de los tratamientos endodónticos
realizados en una sesión; tomando en cuenta la condición pulpar y
periapical del diente, tipo de dientes, edades, raza, sexo, si fue
premedicado o no, si era retratamiento, tipo de técnica de instrumentación
y de obturación, y si existía dolor previo así como otras variables.
El objetivo de esta revisión bibliográfica es revisar los conceptos
tradicionales, principios biológicos, mecánicos y clínicos de los
tratamientos de conductos realizados en una sesión.
For years dentists have performed root canals on a date , ie , the initiation and completion of treatment in a session , has been much controversy over this type of therapeutic modality , as both an endodontic cites several quotes each have their advantages and disadvantages. The aim of the endodontic therapy is to achieve a clean and shaping of the root canal to seal it dimensionally and maintain the health of tissues perriradiculares . With technological advancement , which has not been immune endodontics , no exists from this point of view , some motivation to prolong treatments in more than one session . However, the long-term prognosis and the patient's symptoms after treatment are two important issues related to number of citations , requiring extensive research to clarify unknowns about these aspects . There are many studies on postoperative pain, exacerbations , success and failure of endodontic treatment performed in one session ; taking into account the condition and pulp periapical tooth , tooth type , age , race, sex , whether it was premedicated or not, if it was retreating , type of instrumentation technique and sealing , and if there was previous pain and other variables. The aim of this review is to review the concepts traditional , biological principles of mechanical and clinical root canals done in one session.
For years dentists have performed root canals on a date , ie , the initiation and completion of treatment in a session , has been much controversy over this type of therapeutic modality , as both an endodontic cites several quotes each have their advantages and disadvantages. The aim of the endodontic therapy is to achieve a clean and shaping of the root canal to seal it dimensionally and maintain the health of tissues perriradiculares . With technological advancement , which has not been immune endodontics , no exists from this point of view , some motivation to prolong treatments in more than one session . However, the long-term prognosis and the patient's symptoms after treatment are two important issues related to number of citations , requiring extensive research to clarify unknowns about these aspects . There are many studies on postoperative pain, exacerbations , success and failure of endodontic treatment performed in one session ; taking into account the condition and pulp periapical tooth , tooth type , age , race, sex , whether it was premedicated or not, if it was retreating , type of instrumentation technique and sealing , and if there was previous pain and other variables. The aim of this review is to review the concepts traditional , biological principles of mechanical and clinical root canals done in one session.
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ENDODONCIA, PULPA DENTAL