Efecto de la fibrina rica en plaquetas leucocitarias como bio - material post - exodoncia para la regeneración tisular en el paciente diabetico controlado
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2018-09
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Universidad de Guayaquil. Facultad Piloto de Odontología
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El presente estudio de caso, tiene como objetivo evaluar los efectos de la fibrina rica en plaquetas leucocitarias como biomaterial para estimular la regeneración tisular adecuada post-extracción dental del paciente diabético controlado. La cicatrización en este tipo de pacientes es más lenta debido a la disminución en la liberación de factores de crecimiento y citocinas que intervienen directamente en el proceso de epitelización, lo que los hace vulnerables a adquirir infecciones, esto es ocasionado también por la falta de respuesta de los neutrófilos. El diseño de la investigación es cualitativo y de tipo descriptivo, documental, no experimental y de laboratorio, cuya metodología a utilizar es el método científico de corte transversal, ya que se aplicó la fibrina rica en plaquetas leucocitarias como biomaterial post-exodoncia en un paciente atendido en la Facultad Piloto de Odontología de la Universidad de Guayaquil. Posterior al acto quirúrgico con su respectivo protocolo, se llevó controles clínicos mediante la técnica de observación. Se obtuvieron resultados muy satisfactorios, donde se evidenció que la herida quirúrgica se encontraba en la fase de remodelación al cabo de 15 días. Dando como conclusión que la fibrina rica en plaquetas leucocitarias era capaz de acelerar la cicatrización del tejido blando en la cavidad bucal del paciente diabético controlado, considerándolo además un biomaterial ideal, debido a su facilidad de obtención y a su naturaleza autóloga. El presente estudio será de utilidad en el campo de la cirugía oral y sus anexos, demostrando que se pueden obtener resultados más predecibles al momento de tratar quirúrgicamente en la consulta al paciente diabético controlado.
The present case study has as objective evaluate the effects of fibrin rich in leukocyte platelets as biomaterial to stimulate adequate tissue regeneration post-dental extraction of the diabetic controlled patient. Scarring in this type of patients tends to be slow due to the decrease of growth factors and cytokines which directly intervene in the epithelization process. The decrease of the release of growth factors and cytokines makes the patients vulnerable to acquiring post-exodontia infections which are also caused because of the lack of neutrophils response (defense cells). The design of the research is qualitative and descriptive, documentary, not experimental, and laboratory, whose methodology to use is scientific method with cross-section, since fibrin rich in leukocyte platelets was applied as a post-exodontic biomaterial in a patient attended at the Odontology Pilot School of the University of Guayaquil, then we can continue with the surgical act according with its protocol. The patient was monitored through the technique of observation, were obtained very satisfactory results, which showed that the surgical wound was in the remodeling phase after 15 days. The conclusion was that the fibrin rich in leukocyte platelets was able to accelerate the healing of soft tissue in the oral cavity of the diabetic controlled patient, considering it also an ideal biomaterial, due to its ease of obtaining and its autologous nature. The present study will be useful in the field of oral surgery, by demonstrating that more predictable results can be obtained from the diabetic patient while during surgery
The present case study has as objective evaluate the effects of fibrin rich in leukocyte platelets as biomaterial to stimulate adequate tissue regeneration post-dental extraction of the diabetic controlled patient. Scarring in this type of patients tends to be slow due to the decrease of growth factors and cytokines which directly intervene in the epithelization process. The decrease of the release of growth factors and cytokines makes the patients vulnerable to acquiring post-exodontia infections which are also caused because of the lack of neutrophils response (defense cells). The design of the research is qualitative and descriptive, documentary, not experimental, and laboratory, whose methodology to use is scientific method with cross-section, since fibrin rich in leukocyte platelets was applied as a post-exodontic biomaterial in a patient attended at the Odontology Pilot School of the University of Guayaquil, then we can continue with the surgical act according with its protocol. The patient was monitored through the technique of observation, were obtained very satisfactory results, which showed that the surgical wound was in the remodeling phase after 15 days. The conclusion was that the fibrin rich in leukocyte platelets was able to accelerate the healing of soft tissue in the oral cavity of the diabetic controlled patient, considering it also an ideal biomaterial, due to its ease of obtaining and its autologous nature. The present study will be useful in the field of oral surgery, by demonstrating that more predictable results can be obtained from the diabetic patient while during surgery
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DIABETES MELLITUS, CICATRIZACION DE HERIDAS, CIRUGIA BUCO-MAXILOFACIAL