Incidencia clínica en los conductos en forma de "C" de los segundos molares inferiores utilizando como base la valoración radiográfica
Fecha
2013
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Editorial Ciencias Odontológicas Universidad de Guayaquil
Resumen
El estudio que se presenta a continuación abarca la necesidad de
utilizar otro medio de diagnóstico para un mejor análisis en
tratamientos de los conductos, ya que con el avance de la tecnología
los profesionales en la rama de endodoncia tienen que actualizarse
constantemente, para ello se toma en consideración que sus
conclusiones ameritan a ser cada vez más precisas y exactas,
obteniendo como resultado acrecentar el éxito en el tratamiento de los
molares inferiores.
Los conductos en forma de ¨C¨ son una anomalía radicular que se
presenta en los segundos molares mandibulares, con un 35% de
aparición. Si se introduce una lima en el conducto mesial y otra en el
distal, la radiografía muestra que ambas limas están en el mismo
conducto. Esta configuración en ¨C¨ indica la existencia de una
hendidura continua entre todos los conductos, con una curvatura
desde el plano mesolingual hasta el vestibular, y alrededor del plano
vestibular en sentido distolingual. Esto se ocasiona por una falla en el
desarrollo de la vaina epitelial de Hertwig o de una fusión en el área
de la furca durante el desarrollo de los dientes, cuando sucede en los
dos lados resultara en la formación de una raíz cónica o parismática.
Se analizará que el éxito de la terapia endodóntica radica en el buen
conocimiento de la morfología radicular, el crear un buen acceso a la
2
cámara pulpar, se trabajará con excelente visibilidad y con suficiente
tiempo durante la cita odontológica.
Los segundos molares mandibulares son los dientes posiblemente
más tratados de los dientes posteriores. Según estudios realizados se
ha notado que la morfología de los dientes cambia con el transcurso
de los años. Según la edad, el depósito de dentina secundaria resulta
en la formación de estructuras que seguramente dan origen a la
diferenciación del sistema de conductos radiculares resultante en el
desarrollo de canales separados o transversalmente unidos.
La diferenciación de un conducto simple en un conducto complejo
ocurre comúnmente en raíces que son comprimidas o que presenten
surcos externos de desarrollo, otra configuración radicular en los
segundos molares con conductos en forma de ¨C¨ se pueden
representar por fusión vestibular o lingual de la raíz en las zonas
mesial o distal.
Realizar un tratamiento de conducto sin un estudio previo sobre la
anatomía interna de los dientes complementada con la radiografía
para diagnóstico, es como trabajar vendados los ojos (a ciegas), lo
que conllevaría al incremento porcentual en el fracaso de
tratamientos endodónticos.
The study presented below covers the need to other means of diagnosis for better analysis treatments of ducts, and that with the advancement of technology professionals in the field of endodontics must be updated constantly , so it is taken into consideration that its conclusions deserve to be increasingly precise and accurate time resulting in increasing success in the treatment of molars . Ducts as ¨ C ¨ are a root anomaly presented in mandibular second molars , with 35% of appearance . If a file is inserted into the mesial line and another in the distal , the film shows that the two files are in the same duct . This configuration ¨ C ¨ indicates the existence of a continuous slit between all channels, with a curvature from the plane to the vestibular mesolingual and around the plane in vestibular distolingually . This is caused by a fault in the development of Hertwig 's epithelial sheath or merger in the area furcation during tooth development , when it occurs in the both sides will result in the formation of a conical or parismática root . It will analyze the success of endodontic therapy is in good knowledge of root morphology , creating good access to the 2 pulp chamber will work with excellent visibility and sufficient time during the dental appointment. The mandibular second molar teeth are possibly more treated posterior teeth . According to studies conducted have noticed that the morphology of the teeth changes over the years. By age , the deposit of secondary dentine is in the formation of structures that will surely give rise to differentiation resulting root canal system in the development of separate channels or transversely joined . The differentiation of a single conduit in a complex conduit commonly occurs in roots are compressed or showing Development external grooves , another configuration in the root second molars with ducts as ¨ C ¨ can represented by vestibular or lingual root fusion in areas mesial or distal . Perform a root canal without a previous study on the internal anatomy of the teeth complemented with X-ray diagnostic , it's like working blindfolded ( blind ) , what the percentage increase that would result in the failure of endodontic treatments.
The study presented below covers the need to other means of diagnosis for better analysis treatments of ducts, and that with the advancement of technology professionals in the field of endodontics must be updated constantly , so it is taken into consideration that its conclusions deserve to be increasingly precise and accurate time resulting in increasing success in the treatment of molars . Ducts as ¨ C ¨ are a root anomaly presented in mandibular second molars , with 35% of appearance . If a file is inserted into the mesial line and another in the distal , the film shows that the two files are in the same duct . This configuration ¨ C ¨ indicates the existence of a continuous slit between all channels, with a curvature from the plane to the vestibular mesolingual and around the plane in vestibular distolingually . This is caused by a fault in the development of Hertwig 's epithelial sheath or merger in the area furcation during tooth development , when it occurs in the both sides will result in the formation of a conical or parismática root . It will analyze the success of endodontic therapy is in good knowledge of root morphology , creating good access to the 2 pulp chamber will work with excellent visibility and sufficient time during the dental appointment. The mandibular second molar teeth are possibly more treated posterior teeth . According to studies conducted have noticed that the morphology of the teeth changes over the years. By age , the deposit of secondary dentine is in the formation of structures that will surely give rise to differentiation resulting root canal system in the development of separate channels or transversely joined . The differentiation of a single conduit in a complex conduit commonly occurs in roots are compressed or showing Development external grooves , another configuration in the root second molars with ducts as ¨ C ¨ can represented by vestibular or lingual root fusion in areas mesial or distal . Perform a root canal without a previous study on the internal anatomy of the teeth complemented with X-ray diagnostic , it's like working blindfolded ( blind ) , what the percentage increase that would result in the failure of endodontic treatments.
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Palabras clave
ENDODONCIA, CONDUCTO RADICULAR, RADIOGRAFIA DENTAL