Inducción al cierre usando MTA ventajas y desventajas
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2014-07
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
un serio problema para el endodoncista, para lo cual se debe usar
para estos casos el MTA (agregado de trióxido mineral) el mismo que
es un medicamento de elección en una inducción al cierre. Este
trabajo es un estudio de caso de tipo cualitativo, que tuvo como
propósito incluir el cierre apical (apicoformación-apexificaión), se
realizo en un paciente joven de sexo masculino con 22 años de edad
que presentaba fractura en el tercio medio de la corona con
compromiso pulpar en la pieza 11, se realizaron radiografías de
control preoperatorias y post-operatorias para observar la evolución
del caso después de un mes. También se tomaron fotografías para
que el paciente observe el proceso y el cambio de la pieza dental, al
obtener el cierre apical se pudo evidenciar que ya no se presentaron
síntomas de molestia como las presentaba antes del tratamiento. Se
compararon muchas ventajas y desventajas del MTA para poder
demostrar y conocer como actúa dentro de la inducción al cierre. La
apicoformacion tiene como objetivo limpiar el conducto radicular
necrótico para poder introducir el material de obturación con
capacidad de inducir el cierre apical. En nuestro estudio realizado
llegamos a saber que el MTA actúa como agente bactericida y
bacteriostático por su elevado Ph y por la concentración de iones de
hidroxilo, tiene estabilidad dimensional, no es corrosivo, no
pigmenta, no es activo electroquímicamente y es de muy fácil
manejo, genera un buen selle periférico y es biocompatible.
When there is a lack of apical closure, although rare, gives a serious problem for the endodontist, to which should be used for these cases the MTA (aggregate of mineral trioxide) the same as a drug of choice for induction into closure. This paper is a case study qualitative, which was aimed to include the apical closure (apexification-apexificaión), was performed in a young male patient 22 years of age I had a fracture in the middle tercio crown with commitment on the part 11 pulp, post-operative to monitor the progress of the case after a month preoperative radiographs made and control. Photographs were also taken for the patient to observe the process and the change of the tooth, to obtain the apical closure became evident that no symptoms of discomfort and as the pretherapy presented. Many advantages and disadvantages of MTA were compared to demonstrate and learn how induction works within the closure. Apexification aims to clean the necrotic root canal to enter the sealing material capable of inducing apical closure. In our study we came to know that the MTA acts as bactericidal and bacteriostatic agent by high pH and the concentration of hydroxyl ions, has dimensional stability, non-corrosive, non-pigmented, is not active electrochemically and is very easy to use , generates a good peripheral seal and is biocompatible.
When there is a lack of apical closure, although rare, gives a serious problem for the endodontist, to which should be used for these cases the MTA (aggregate of mineral trioxide) the same as a drug of choice for induction into closure. This paper is a case study qualitative, which was aimed to include the apical closure (apexification-apexificaión), was performed in a young male patient 22 years of age I had a fracture in the middle tercio crown with commitment on the part 11 pulp, post-operative to monitor the progress of the case after a month preoperative radiographs made and control. Photographs were also taken for the patient to observe the process and the change of the tooth, to obtain the apical closure became evident that no symptoms of discomfort and as the pretherapy presented. Many advantages and disadvantages of MTA were compared to demonstrate and learn how induction works within the closure. Apexification aims to clean the necrotic root canal to enter the sealing material capable of inducing apical closure. In our study we came to know that the MTA acts as bactericidal and bacteriostatic agent by high pH and the concentration of hydroxyl ions, has dimensional stability, non-corrosive, non-pigmented, is not active electrochemically and is very easy to use , generates a good peripheral seal and is biocompatible.
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Palabras clave
ENDODONCIA, MINERAL DE TRIOXIDO AGREGADO, APICE DEL DIENTE
Citación
Carrión Rodríguez, Fanny Karolay (2014) : Inducción al cierre usando MTA ventajas y desventajas