Análisis de las ventajas y desventajas del uso del detector de caries
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2013-06-21
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
En la actualidad el empleo de un colorante detector de caries ha quedado casi rezagado pues es considerado como un material innecesario en la práctica odontológica, sin embargo, a menudo nos encontramos con problemas post operatorios como caries recidivante en restauraciones con resinas pudiéndose observar clínicamente sin ninguna dificultad. Por lo tanto podemos cuestionar si el uso de este material es necesario en cada acción restauradora que involucre caries o depende de la técnica y destreza de cada profesional.
En el trabajo de investigación se pretende demostrar mediante un análisis comparativo las ventajas y desventajas que implica el uso o del colorante detector de caries como medio de diagnóstico para la detección de dentina infectada y su diferenciación de la dentina afectada ya que esto permite al profesional odontológico emplear técnicas más conservadoras pudiendo asi mantener la integridad del tejido dentario reversible ante la injuria producida por la caries.
La observación del operador no es lo suficientemente desarrollada para distinguir a simple vista detalles como la presencia de caries recidivante en la profundidad de una cavidad preparada previa a una restauración o peor aún distinguir el tejido dentinario que debe eliminar del que debe conservar ocasionando muchas de las veces exposiciones pulpares que en términos de restauración conservadora podría considerarse un fracaso.
El colorante detector de caries es un compuesto químico formado por un grupo cromoformo responsable de brindar el color y un grupo axocromo que le permite formar sales mediante la disociación de electrolitos.
En el año de 1972 se lleva a la práctica odontológica el uso de una base rojo fucsina como medio de detección de la dentina cariada infectada a partir de la misma se han ido desarrollando nuevos medios de detección
2
de caries por medio de colorantes diferentes pero siempre con el mismo objetivo conservador.
Un estudio publicado en The Journal of Clinical Pediatric Dentistry en el 2000 (Azza A. El-Housseiny), evaluaba el efecto del colorante en el grabado ácido y adhesión del material restaurador en la preparación cavitaria de 108 piezas dentarias. Concluyeron que no afectaba significativamente la adhesión de las compositas ni a dentina ni a esmalte.
Si bien es cierto que el empleo del detector de caries es muy beneficioso para el éxito de nuestros tratamientos, podemos también recalcar ciertos aspectos negativos de este material que lo hacen no perfecto como el hecho de que no es capaz de teñir bacterias por lo tanto los limites dentina infectada-dentina afectada son indiferenciables.
Sabiendo de la importancia del uso de este material, como futuros profesionales debemos estar conscientes de que podemos brindar a nuestros pacientes un servicio de calidad o prepararnos para ciertas complicaciones en la práctica clínica, por lo tanto deberíamos considerar emplear en nuestra práctica el detector de caries como un agente colorante que nos brindará una mejor visualización de la dentina infectada permitiéndonos conservar la afectada y evitando muchas de las veces exposiciones pulpares.
At present the use of a detector dye decay has been almost behind it is considered unnecessary material in the dental practice , however , we often encounter problems post op as recurrent caries restorations resins can be observed clinically without any difficulty. Therefore we can question whether the use of this material is needed in each restoration action involving cavities or depends on the technique and skill of each professional. The research aims to demonstrate through a comparative analysis of the advantages and disadvantages involved in using or caries detector dye as a diagnostic tool for the detection of infected dentin and affected dentin differentiation as this allows the dental professional use more conservative techniques can also maintain the integrity of reversible injury to dental tissue caused by decay . The observation operator is not sufficiently developed to distinguish at a glance details such as the presence of recurrent caries in the depth of a cavity prepared prior to a restoration or worse distinguish dentin tissue that must be removed from the preserve causing many sometimes pulp exposures in terms of conservative restoration could be considered a failure. The caries detector dye is a chemical compound formed by a group responsible for providing cromoformo color axocromo group and allowing it to form salts by the dissociation of electrolytes. In 1972 takes dental practice to use a basic fuchsin red as a means of detecting infected carious dentin therefrom have developed new methods of detecting 2 caries by different but always with the same conservative target dyes. A study published in The Journal of Clinical Pediatric Dentistry in 2000 ( Azza A. El- Housseiny ) , evaluating the effect of the dye in the acid etching and bonding of the restorative material to the cavity preparation of 108 teeth . They concluded that not significantly affect the adhesion of the Compositae or dentin or enamel. While it is true that the use of caries detector is very beneficial to the success of our treatments , we also emphasize certain negative aspects of this material do not perfect as the fact that it is not capable of staining bacteria so the infected dentin - affected dentin limits are indistinguishable . Knowing the importance of the use of this material , as professionals we must be aware that we can provide our patients with quality service or prepare for certain complications in clinical practice , therefore we should consider using in our practice caries detector as a coloring agent that will give us a better view of the preserve allowing infected dentin affected and avoiding many times pulp exposures.
At present the use of a detector dye decay has been almost behind it is considered unnecessary material in the dental practice , however , we often encounter problems post op as recurrent caries restorations resins can be observed clinically without any difficulty. Therefore we can question whether the use of this material is needed in each restoration action involving cavities or depends on the technique and skill of each professional. The research aims to demonstrate through a comparative analysis of the advantages and disadvantages involved in using or caries detector dye as a diagnostic tool for the detection of infected dentin and affected dentin differentiation as this allows the dental professional use more conservative techniques can also maintain the integrity of reversible injury to dental tissue caused by decay . The observation operator is not sufficiently developed to distinguish at a glance details such as the presence of recurrent caries in the depth of a cavity prepared prior to a restoration or worse distinguish dentin tissue that must be removed from the preserve causing many sometimes pulp exposures in terms of conservative restoration could be considered a failure. The caries detector dye is a chemical compound formed by a group responsible for providing cromoformo color axocromo group and allowing it to form salts by the dissociation of electrolytes. In 1972 takes dental practice to use a basic fuchsin red as a means of detecting infected carious dentin therefrom have developed new methods of detecting 2 caries by different but always with the same conservative target dyes. A study published in The Journal of Clinical Pediatric Dentistry in 2000 ( Azza A. El- Housseiny ) , evaluating the effect of the dye in the acid etching and bonding of the restorative material to the cavity preparation of 108 teeth . They concluded that not significantly affect the adhesion of the Compositae or dentin or enamel. While it is true that the use of caries detector is very beneficial to the success of our treatments , we also emphasize certain negative aspects of this material do not perfect as the fact that it is not capable of staining bacteria so the infected dentin - affected dentin limits are indistinguishable . Knowing the importance of the use of this material , as professionals we must be aware that we can provide our patients with quality service or prepare for certain complications in clinical practice , therefore we should consider using in our practice caries detector as a coloring agent that will give us a better view of the preserve allowing infected dentin affected and avoiding many times pulp exposures.
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MATERIALES DENTALES, CARIES DENTALES