Manejo clínico en dientes permanentes jóvenes con ápice inmaduro en pulpas necróticas
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2023-03
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Introducción: es frecuente observar dientes permanentes jóvenes con alteraciones en el
tejido pulpar, producto de procesos cariosos avanzados o tras sufrir traumatismos, lo cual los
conlleva a la pérdida de vitalidad de la pulpa y por lo tanto a detener el desarrollo de la raíz,
resultando dientes con raíces cortas y paredes muy delgadas, aumentando el riesgo de fractura. Objetivo: Determinar el manejo clínico que se emplean en dientes permanentes
jóvenes con ápice inmaduro en pulpas necróticas. Metodología: El método que se utilizara
es Analítico – sintético debido a que en la presente investigación se realizó un análisis
extenso de información obtenida de varias publicaciones científicas, tesis donde hablan
acerca del desarrollo dentario y técnicas de tratamientos en dientes con ápices inmaduros
dependiendo de su estado pulpar. Discusión: Tanto la técnica de apexificación como
revascularización permiten el cierre apical en dientes con rizogénesis incompleta y necrosis
pulpar: la apexificación induce el cierre del ápice por medio de una barrera de tejido
mineralizado. Y la revascularización estimula la maduración de la raíz, permitiendo el
engrosamiento de las paredes del conducto y el alargamiento radicular. Conclusión: El
manejo clínico de los dientes permanentes jóvenes con pulpa necrótica consiste en la
desinfección del conducto radicular para posteriormente conseguir el cierre apical, a través
de diversas técnicas que han demostrado altos porcentajes de éxito en cuanto a resolución de
patología periapical, estableciendo opciones efectivas para el tratamiento de dientes
permanentes inmaduros con pulpa necrótica y/o patología periapical.
Introduction: It is frequent to observe young permanent teeth with alterations in the pulp tissue, product of advanced carious processes or after suffering traumatisms, which leads to the loss of vitality of the pulp and therefore to stop the development of the root, resulting in teeth with short roots and very thin walls, increasing the risk of fracture. Objective: To determine the clinical management used in young permanent teeth with immature apex in necrotic pulps. Methodology: The method that will be used is Analytical - synthetic because in the present investigation an extensive analysis of information obtained from various scientific publications was carried out, theses where they talk about dental development and treatment techniques in teeth with immature apices depending on their pulp state. Discussion: Both the apexification and revascularization techniques allow apical closure in teeth with incomplete rhizogenesis and pulpal necrosis: apexification induces apex closure through a mineralized tissue barrier. And revascularization stimulates root maturation, allowing thickening of the canal walls and root elongation. Conclusion: The clinical management of young permanent teeth with necrotic pulp consists of root canal disinfection to subsequently achieve apical closure, through various techniques that have shown high success rates in terms of periapical pathology resolution, establishing effective options. For the treatment of immature permanent teeth with necrotic pulp and/or periapical pathology.
Introduction: It is frequent to observe young permanent teeth with alterations in the pulp tissue, product of advanced carious processes or after suffering traumatisms, which leads to the loss of vitality of the pulp and therefore to stop the development of the root, resulting in teeth with short roots and very thin walls, increasing the risk of fracture. Objective: To determine the clinical management used in young permanent teeth with immature apex in necrotic pulps. Methodology: The method that will be used is Analytical - synthetic because in the present investigation an extensive analysis of information obtained from various scientific publications was carried out, theses where they talk about dental development and treatment techniques in teeth with immature apices depending on their pulp state. Discussion: Both the apexification and revascularization techniques allow apical closure in teeth with incomplete rhizogenesis and pulpal necrosis: apexification induces apex closure through a mineralized tissue barrier. And revascularization stimulates root maturation, allowing thickening of the canal walls and root elongation. Conclusion: The clinical management of young permanent teeth with necrotic pulp consists of root canal disinfection to subsequently achieve apical closure, through various techniques that have shown high success rates in terms of periapical pathology resolution, establishing effective options. For the treatment of immature permanent teeth with necrotic pulp and/or periapical pathology.
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APEXIFICACION, PULPA DENTAL, REVASCULARIZACION