Factores del fracaso en restauraciones adhesivas directas de resina compuesta
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2022-09
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Al ser la adhesión una de las técnicas más utilizadas en muchos de los procedimientos odontológicos en la actualidad comprendiendo desde restauraciones hasta cementación de postes, debemos conocer todo acerca de los sistemas adhesivos, es decir desde su composición hasta su correcto uso y manipulación. Es por ello que este trabajo investigativo tiene como objetivo identificar los factores que inciden en el fracaso de adhesión de restauraciones de resinas compuestas. La metodología que posee la investigación es de tipo bibliográfica con un enfoque cualitativo, exploratorio, documental, analítico, sintético e histórico. Los resultados abordados evidencian que gran parte de los fracasos de adhesión se dan por varios factores como un mal manejo clínico por parte del operador pues el uso de los adhesivos sugiere pasos que deben seguirse de manera rigurosa para su correcto funcionamiento, por lo que se sugiere el uso de barreras aislantes como diques de goma para evitar la contaminación con saliva o sangre al momento de la operatoria dental y procurar una correcta técnica de acondicionamiento de la pieza dental. Como conclusión el seguir de manera estricta los protocolos que se determinan para el uso de los diferentes sistemas adhesivos es de vital importancia para asegurarnos de que la adhesión entre el material restaurador y la pieza dental sea totalmente funcional y esta no este destinada al fracaso.
As adhesion is one of the most used techniques in many dental procedures today, ranging from restorations to post cementation, we must know everything about adhesive systems, that is, from their composition to their correct use and handling. That is why this research work aims to identify the factors that affect the failure of adhesion of composite resin restorations. The methodology of the research is bibliographical with a qualitative, exploratory, documentary, analytical, synthetic and historical approach. The results addressed show that a large part of the adhesion failures are due to several factors such as poor clinical management by the operator, since the use of the adhesives suggests steps that must be followed rigorously for their correct operation, for which it is suggested the use of insulating barriers such as rubber dams to avoid contamination with saliva or blood at the time of dental surgery and to ensure a correct technique for conditioning the tooth. In conclusion, strictly following the protocols that are determined for the use of the different adhesive systems is of vital importance to ensure that the adhesion between the restorative material and the tooth is fully functional and is not destined to fail.
As adhesion is one of the most used techniques in many dental procedures today, ranging from restorations to post cementation, we must know everything about adhesive systems, that is, from their composition to their correct use and handling. That is why this research work aims to identify the factors that affect the failure of adhesion of composite resin restorations. The methodology of the research is bibliographical with a qualitative, exploratory, documentary, analytical, synthetic and historical approach. The results addressed show that a large part of the adhesion failures are due to several factors such as poor clinical management by the operator, since the use of the adhesives suggests steps that must be followed rigorously for their correct operation, for which it is suggested the use of insulating barriers such as rubber dams to avoid contamination with saliva or blood at the time of dental surgery and to ensure a correct technique for conditioning the tooth. In conclusion, strictly following the protocols that are determined for the use of the different adhesive systems is of vital importance to ensure that the adhesion between the restorative material and the tooth is fully functional and is not destined to fail.
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Palabras clave
ADHESION DENTAL, ESMALTE DENTAL, FRACASO ENDODONTICO