Tratamiento quirúrgico en fracaso endodóntico de pz #22
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2019-04
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Universidad de Guayaquil. Facultad Piloto de Odontología.
Resumen
El curetaje apical con apicectomía forma parte de un procedimiento quirúrgico en un fracaso endodóntico. Tiene como finalidad de remover el contenido patológico alrededor del ápice de un diente presente en el interior de la cavidad quirúrgica, como tejido de granulación, restos de membrana quística, cuerpos extraños y eliminar el ápice dental involucrado en caso de que se encuentre afectado. Sin embargo, en determinados casos al realizar una apicectomía puede influir en la estabilidad de la restauración en donde la alternativa del tratamiento pudiera ser un curetaje apical sin apicectomía. En este estudio o caso clínico se realizó un curetaje apical sin apicectomía con obturación retrograda (MTA: Agregado Trióxido Mineral), la cual se realizó en la clínica de cirugía en la facultad piloto de odontología de la universidad estatal de Guayaquil. El objetivo de este estudio es identificar el tipo de terapia quirúrgica indicada en una pieza con sobreobturación Pz#22. En fin en este caso no hubo la necesidad de realizar la apicectomía, ya que no había procesos infecciosos que hubiera comprometido al ápice.
Apical curettage with apicoectomy is part of a surgical procedure in endodontic failure. Its purpose is to remove the pathological content around the apex of a tooth present inside the surgical cavity, such as granulation tissue, cystic membrane debris, foreign bodies and eliminate the dental apex involved in case it is affected. However, in certain cases, performing an apicoectomy may influence the stability of the restoration, where the alternative treatment could be an apical curettage without apicoectomy. In this study or clinical case an apical curettage was performed without apicectomy with retrograde obturation (MTA: Mineral Trioxide Aggregate), which was performed in the surgery clinic in the dental school of the State University of Guayaquil. The objective of this study is to identify the type of surgical therapy indicated in a piece with overshoot Pz # 22. In short in this case there was no need to perform apicoectomy, since there were no infectious processes that would have compromised the apex.
Apical curettage with apicoectomy is part of a surgical procedure in endodontic failure. Its purpose is to remove the pathological content around the apex of a tooth present inside the surgical cavity, such as granulation tissue, cystic membrane debris, foreign bodies and eliminate the dental apex involved in case it is affected. However, in certain cases, performing an apicoectomy may influence the stability of the restoration, where the alternative treatment could be an apical curettage without apicoectomy. In this study or clinical case an apical curettage was performed without apicectomy with retrograde obturation (MTA: Mineral Trioxide Aggregate), which was performed in the surgery clinic in the dental school of the State University of Guayaquil. The objective of this study is to identify the type of surgical therapy indicated in a piece with overshoot Pz # 22. In short in this case there was no need to perform apicoectomy, since there were no infectious processes that would have compromised the apex.
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Palabras clave
APICECTOMIA, MATERIALES DE OBTURACION DEL CONDUCTO RADICULAR, APICE DEL DIENTE