Restauración de clase IV con poste de fibra de vidrio y resinfor
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2011-04-15
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La Operatoria Dental en el pasado se desarrolló empíricamente, pues con
la civilización, se inició la caries dental, por tanto el hombre debe haber
buscado desde tiempos muy primitivos el alivio a las molestias
ocasionadas por la caries.
Ya en excavaciones realizadas en el antiguo Egipto se ha encontrado
momias con relleno de oro en sus dientes tallados. Son estas las primeras
obturaciones encontradas, lo que no se ha logrado saber es si estas
obturaciones fueron realizadas en vida o como un adorno al embalsamar
las momias.
En América también se han encontrado incrustaciones de oro y piedras
preciosas en dientes de aborígenes pre incas e incas.En Estados Unidos
la Odontología nació en el siglo XVII con la llegada de varios barberos
dentistas de Inglaterra, que fundamentalmente realizaban extracciones.
Estos primeros dentistas habían aprendido su oficio de otros más
experimentados, pero hasta ese momento la Odontología se realizaba sin
ninguna base científica es decir era una odontología empírica.
Investigadores y pensadores con visión de futuro hicieron grandes
avances en la profesión, con PierFauchard la Odontología salió del
empirismo en el siglo XVIII. Fauchard publicó en 1746 la segunda edición
de un libro que contenía los conocimientos odontológicos de la época,
siendo el primero en aconsejar la eliminación de los tejidos cariados y ya
hablaba de un aparato para taladrar dientes.
Fauchard investigó con gran detalle la patología oral, citando numerosas
historias clínicas y el tratamiento que había recomendado. Los problemas
de la dentición le interesaron de gran manera y subrayó la importancia de
retener los dientes caducos hasta que llega el momento en que se caen.
Habló de la reimplantación de dientes arrancados y del trasplante de
dientes de un individuo a otro, anticipándose en cerca de cuarenta años al
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trabajo de John Junter. También utilizó la técnica del empaste de una
muela con su posterior relleno de la cavidad con plomo y zinc. Dedicó
especial atención a la odontología protésica y describió cómo construir
puentes individuales además de prótesis parciales y completas. Aconsejó
usar para las prótesis tanto dientes humanos como dientes tallados de
marfil y diseñó métodos para retener en su sitio dentaduras superiores e
inferiores, uniéndolas mediante láminas de acero o muelles en espiral.
Fauchard también construyó tres prótesis sin muelles sujetadas por la
presión atmosférica, pero falló al no apreciar en todo su valor este
principio de retención que mantiene las prótesis en su sitio durante su
uso. No continuó con el estudio de este fenómeno, lo que habría sido un
paso monumental hacia delante. Sin embargo, su trabajo como pionero
en colorear y esmaltar las bases de las dentaduras para simular las
encías naturales inspiró a los que le siguieron en la confección de prótesis
postizas que parecieran más reales y fueran cómodas de llevar.
La comprensión de Fauchard respecto a las enfermedades periodentales
fue muy avanzada para su tiempo. Creía que para prevenir las
enfermedades gingivales era conveniente el raspado de los dientes y el
desbridamiento de las raíces. Partidario de la odontología preventiva,
recomendaba el uso de enjuagues bucales como parte del cuidado diario.
Ilustró su libro con excelentes dibujos de los instrumentos que diseñó, las
prótesis fabricadas y de sus aparatos protésicos. Además, dotó al
gabinete del dentista de una nueva dignidad y lo decoró, insistiendo en
que el paciente, en vez de sentarse en el suelo con el dentista de pie
junto a él, se sentase en un sillón que fuese sólido y firme, adecuado y
confortable, cuyo respaldo debía de ser de pelo de caballo, o con una
almohada blanda más o menos levantada, según la estatura del paciente.
Fauchard se hizo acreedor de gran fama y respeto durante su vida.
Separó con eficacia la odontología del campo de la cirugía y, sobre todo,
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del oficio de los sacamuelas, equiparándola a una profesión
independiente, con su campo debidamente circunscrito de deberes y
servicios y su propio nombre. Fue Fauchard quien acuñó él término de
cirujano dentista y cambió el rumbo de la odontología.
En el siglo XIX, (1840) Chapin Harris fundó la primera escuela dental en
Baltimore, este acontecimiento, marcó el nacimiento oficial de la
educación Odontológica.En 1867, la Universidad de Harvard estableció el
primer programa odontológico de carácter universitario.A principios del
siglo XX aparece G. V. Black, quien es el verdadero creador y propulsor
de la Operatoria Dental científica, sus obras editadas, los trabajos
publicados y su infatigable labor docente, sus principios y leyes sobre
preparación de cavidades.
El propósito del presente trabajo es, describir las restauraciones de clase
IV, con el fin de devolver a la pieza dentaria su morfología al mismo
tiempo su función masticatoria y devolviéndole una buena estética al
paciente.
The Dental Surgery in the past developed empirically , because with civilization , tooth decay began , so the man must have sought from very early times relief of discomfort caused by decay . Already in excavations in ancient Egypt has been found mummies with gold filling in your prepared teeth . Are these the first seals found, what has not been achieved to know is whether these seals were made in life or as an ornament to embalm mummies. In America it is also found gold and inlaid stones toothed precious Inca and pre Aboriginal incas.En United States Dentistry was born in the seventeenth century with the arrival of several barbers dentists in England, which primarily performed extractions. These first dentists had learned his craft from more experienced , but so far dentistry was done without no scientific basis that is was an empirical dentistry. Researchers and visionary thinkers made great developments in the profession , with the left PierFauchard Dentistry empiricism in the eighteenth century. Fauchard published in 1746 the second edition a book containing dental knowledge of the time , be the first to advise the removal of decayed tissue and as spoke of an apparatus for drilling teeth. Fauchard investigated in great detail the oral pathology , citing numerous medical records and treatment he had recommended . problems Teething greatly interested him and stressed the importance of retained deciduous teeth until the time when fall arrives. He spoke of the replantation of teeth and ripped Transplant teeth from one individual to another , anticipating by nearly forty years 10 John Junter work . He also used the technique of filling a grinding with subsequent filling of the cavity with lead and zinc. he dedicated focus on prosthetics and described how to build individual bridges plus partial and complete dentures . he advised used for both human teeth denture teeth carved ivory and methods designed to hold upper dentures in place and lower , linking them through steel sheets or coil springs . Fauchard also built three prostheses without springs clamped by the atmospheric pressure, but failed to appreciate the full value of this retaining principle maintaining the prosthesis in place during its use . No continued the study of this phenomenon , which would have been a monumental step forward. However, his work as a pioneer in coloring and glazing denture bases to simulate natural gums inspired those who followed him in the manufacture of prostheses plate that seem more real and were comfortable to wear. Fauchard understanding about periodontal disease It was very advanced for its time . Thought to prevent gum disease was convenient scraping teeth and debridement of the root . Supporter of preventive dentistry , recommended the use of mouthwash as part of daily care. He illustrated his book with excellent drawings of the instruments that he designed , the prostheses made and their prosthetic devices. Furthermore, it gave the Dentist cabinet a new dignity and decorated , insisting the patient , instead of sitting on the floor with the dentist standing next to him sit on a chair that was solid and firm, appropriate and Comfortable , whose support must be horsehair , or a soft pillow roughly lifted , according to the size of the patient . Fauchard creditor of great fame and respect in his lifetime . Effectively separated dentistry surgery field and , especially , 11 the office of the sacamuelas , equating to a profession independently, with its duly circumscribed field of duties and services and their own name. Fauchard was he who coined term dental surgeon and changed the course of dentistry. In the nineteenth century , ( 1840 ) Chapin Harris founded the first dental school in Baltimore, this event marked the official birth of the education Odontológica.En 1867 , Harvard University established the first dental program universitario.A character early G. twentieth century appears V. Black , who is the real creator and promoter scientific Operative Dentistry , his published works , works published and tireless teaching , principles and laws preparing cavities . The purpose of this paper is to describe the class restorations IV , in order to restore the tooth morphology at the same time restoring your chewing function and good aesthetics patient.
The Dental Surgery in the past developed empirically , because with civilization , tooth decay began , so the man must have sought from very early times relief of discomfort caused by decay . Already in excavations in ancient Egypt has been found mummies with gold filling in your prepared teeth . Are these the first seals found, what has not been achieved to know is whether these seals were made in life or as an ornament to embalm mummies. In America it is also found gold and inlaid stones toothed precious Inca and pre Aboriginal incas.En United States Dentistry was born in the seventeenth century with the arrival of several barbers dentists in England, which primarily performed extractions. These first dentists had learned his craft from more experienced , but so far dentistry was done without no scientific basis that is was an empirical dentistry. Researchers and visionary thinkers made great developments in the profession , with the left PierFauchard Dentistry empiricism in the eighteenth century. Fauchard published in 1746 the second edition a book containing dental knowledge of the time , be the first to advise the removal of decayed tissue and as spoke of an apparatus for drilling teeth. Fauchard investigated in great detail the oral pathology , citing numerous medical records and treatment he had recommended . problems Teething greatly interested him and stressed the importance of retained deciduous teeth until the time when fall arrives. He spoke of the replantation of teeth and ripped Transplant teeth from one individual to another , anticipating by nearly forty years 10 John Junter work . He also used the technique of filling a grinding with subsequent filling of the cavity with lead and zinc. he dedicated focus on prosthetics and described how to build individual bridges plus partial and complete dentures . he advised used for both human teeth denture teeth carved ivory and methods designed to hold upper dentures in place and lower , linking them through steel sheets or coil springs . Fauchard also built three prostheses without springs clamped by the atmospheric pressure, but failed to appreciate the full value of this retaining principle maintaining the prosthesis in place during its use . No continued the study of this phenomenon , which would have been a monumental step forward. However, his work as a pioneer in coloring and glazing denture bases to simulate natural gums inspired those who followed him in the manufacture of prostheses plate that seem more real and were comfortable to wear. Fauchard understanding about periodontal disease It was very advanced for its time . Thought to prevent gum disease was convenient scraping teeth and debridement of the root . Supporter of preventive dentistry , recommended the use of mouthwash as part of daily care. He illustrated his book with excellent drawings of the instruments that he designed , the prostheses made and their prosthetic devices. Furthermore, it gave the Dentist cabinet a new dignity and decorated , insisting the patient , instead of sitting on the floor with the dentist standing next to him sit on a chair that was solid and firm, appropriate and Comfortable , whose support must be horsehair , or a soft pillow roughly lifted , according to the size of the patient . Fauchard creditor of great fame and respect in his lifetime . Effectively separated dentistry surgery field and , especially , 11 the office of the sacamuelas , equating to a profession independently, with its duly circumscribed field of duties and services and their own name. Fauchard was he who coined term dental surgeon and changed the course of dentistry. In the nineteenth century , ( 1840 ) Chapin Harris founded the first dental school in Baltimore, this event marked the official birth of the education Odontológica.En 1867 , Harvard University established the first dental program universitario.A character early G. twentieth century appears V. Black , who is the real creator and promoter scientific Operative Dentistry , his published works , works published and tireless teaching , principles and laws preparing cavities . The purpose of this paper is to describe the class restorations IV , in order to restore the tooth morphology at the same time restoring your chewing function and good aesthetics patient.
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OPERATORIA DENTAL, CARIES DENTALES