Factores que inciden en el fracaso de la aplicación de los sellantes para fosas y fisuras en la denticion temporaria
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2011-04-15
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
El procedimiento de Restauraciones Preventivas de Resinas evolucionó del uso
de los sellantes de puntos y fisuras en la odontología preventiva. Este
procedimiento fue descrito por primera vez por Simonsen en 1977. Es una
extensión natural de la filosofía preventiva de sellar las zonas de fisuras
susceptibles de caries, a una filosofía de restauración de la caries mínima
(restauración mínimamente invasiva). Con el advenimiento de las técnicas y los
composites, las restauraciones preventivas o minirrestauraciones se difundieron
rápidamente y hoy se utilizan en todas partes del mundo.
Cuando los sellantes son utilizados como alternativa terapéutica se realizan
procedimientos restauradores microconservadores los cuales fomentan la
preservación de la estructura dental y no su remoción innecesaria, como es la
utilización de la remineralización empleando diversos materiales y métodos
como son: barnices fluorados, aplicaciones tópicas de fluoruro de sodio, de
aminotetrafluoruro, enjuagues de clorexidina, etc.
La técnica del sellado, cuando se emplea paralelamente con flúor, puede
presentar un gran efecto en la reducción del índice de caries oclusal. Los
selladores oclusales fueron desarrollados por Cueto y Buonocore (1965)
específicamente para prevenir la caries en la región de fosas y fisuras y se ha
demostrado que son muy eficaces.
The method of Preventive Resin Restorations evolved using of pit and fissure sealants in preventive dentistry. this procedure was first described in 1977 by Simonsen . It is a natural extension of the philosophy of preventive fissure sealing areas susceptible to caries, restoration to a philosophy of minimal decay ( minimally invasive restoration ) . With the advent of techniques and composites , preventive restorations or spread minirrestauraciones quickly and now used all over the world. When the sealants are used as an alternative therapy performed microconservative restorative procedures which encourage preservation of tooth structure and not the unnecessary removal , as is the remineralization utilization using various materials and methods such as: fluorinated coatings , topical application of fluoride sodium, aminotetrafluoruro , chlorhexidine rinses , etc. . Sealing technique , when being operated by fluorine, it can present a great effect on reducing the rate of occlusal caries. the occlusal sealants were developed by Cueto and Buonocore (1965 ) specifically to prevent caries in pits and fissures region and has shown to be very effective.
The method of Preventive Resin Restorations evolved using of pit and fissure sealants in preventive dentistry. this procedure was first described in 1977 by Simonsen . It is a natural extension of the philosophy of preventive fissure sealing areas susceptible to caries, restoration to a philosophy of minimal decay ( minimally invasive restoration ) . With the advent of techniques and composites , preventive restorations or spread minirrestauraciones quickly and now used all over the world. When the sealants are used as an alternative therapy performed microconservative restorative procedures which encourage preservation of tooth structure and not the unnecessary removal , as is the remineralization utilization using various materials and methods such as: fluorinated coatings , topical application of fluoride sodium, aminotetrafluoruro , chlorhexidine rinses , etc. . Sealing technique , when being operated by fluorine, it can present a great effect on reducing the rate of occlusal caries. the occlusal sealants were developed by Cueto and Buonocore (1965 ) specifically to prevent caries in pits and fissures region and has shown to be very effective.
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ODONTOLOGIA PEDIATRICA, SELLADORES DE FOSAS Y FISURAS, DENTICION DECIDUA, FLUOR