Reparación apical y periapical post tratamiento endodóntico
Archivos
Fecha
2021-03
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Siempre que se produce una agresión al tejido apical y periapical, el cuerpo mediante su biología intrínseca repara dicha injuria; el daño hacia estos tejidos no solo se da por medio de patologías de origen odontogénico sino que también puede ser ocasionada durante el tratamiento endodóntico por errores característicos de una mala instrumentación; la reparación está compuesta por una serie de eventos que hacen posible que el tejido se repare y está comprende tres fases: Fase inflamatoria, fase proliferativa y fase de remodelación. Esta cascada de sucesos hace posible que el tejido se repare y además recupere su salud y función. Sin embargo pueden encontrarse factores locales y sistémicos que hacen un poco más extenso éste proceso y en algunos casos de no ser evaluados podrían llevar al fracaso la reparación tisular. El objetivo del presente artículo de revisión es describir el proceso de reparación apical y periapical post tratamiento endodóntico. El método usado es el inductivo-deductivo, analítico sintético, observacional indirecto, explorativo, revisión, no experimental, descriptivo, documental, transversal y retrospectivo. El resultado en la reparación periapical consiste en la sustitución de células dañadas por nuevas y la vascularización contiene todos los elementos necesarios para la reparación, pero ésta es impedida si los agentes causantes no son eliminados. En conclusión es importante comprender la diferencia entre reparación y regeneración para poder diferenciar la forma en que los tejidos buscan la recuperación de la continuidad, mantener la salud tisular y evitar que los procesos infecciosos persistan.
Whenever, there is an aggression to the apical and periapical tissue, the body through its intrinsic biology repairs this injury. The damage to these tissues is not only caused by pathologies of odontogenic origin but can also be caused during endodontic treatment by characteristic errors of poor instrumentation. The repair is composed of a series of events that make it possible for the tissue to repair itself and comprises three phases: inflammatory phase, proliferative phase and remodeling phase. This cascade of events makes it possible for the tissue to repair itself and also to recover its health and function. However, there may be local and systemic factors that make this process a little more extensive and in some cases, if not evaluated, could lead to tissue repair failure. The aim of this review article is to evaluate the apical and periapical repair process after endodontic treatment. The method used is inductive-deductive, synthetic analytical, indirect observational, exploratory, review, non-experimental, descriptive, documentary, cross-sectional and retrospective. In conclusion, it is important to understand the difference between repair and regeneration in order to differentiate the way in which tissues seek the recovery of continuity, maintain tissue health and avoid the persistence of infectious processes.
Whenever, there is an aggression to the apical and periapical tissue, the body through its intrinsic biology repairs this injury. The damage to these tissues is not only caused by pathologies of odontogenic origin but can also be caused during endodontic treatment by characteristic errors of poor instrumentation. The repair is composed of a series of events that make it possible for the tissue to repair itself and comprises three phases: inflammatory phase, proliferative phase and remodeling phase. This cascade of events makes it possible for the tissue to repair itself and also to recover its health and function. However, there may be local and systemic factors that make this process a little more extensive and in some cases, if not evaluated, could lead to tissue repair failure. The aim of this review article is to evaluate the apical and periapical repair process after endodontic treatment. The method used is inductive-deductive, synthetic analytical, indirect observational, exploratory, review, non-experimental, descriptive, documentary, cross-sectional and retrospective. In conclusion, it is important to understand the difference between repair and regeneration in order to differentiate the way in which tissues seek the recovery of continuity, maintain tissue health and avoid the persistence of infectious processes.
Descripción
PDF
Palabras clave
LESIONES ENDOPERIODONTALES TRATAMIENTO, REGENERACION OSEA, CICATRIZACION DE HERIDAS