Abordaje contemporáneo en el tratamiento de conductos radiculares
Fecha
2022-09
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Cuando se realiza el acceso endodóntico, uno de los principales inconvenientes que
se presenta es el debilitamiento de la estructura dental debido a la eliminación excesiva de
tejido sano para la localización de conductos con sus respectivos desgastes
compensatorios para facilitar la manipulación de los instrumentos; es así que, actualmente
existen nuevas técnicas consideradas como “endodoncia mínimamente invasiva”, que
permiten conservar una mayor cantidad de tejido, sobre todo de la dentina pericervical. El
objetivo de este estudio fue describir las técnicas de abordaje contemporáneo en el
tratamiento de conductos radiculares en la etapa de acceso cameral. La metodología
utilizada fue de tipo exploratorio, cualitativo y descriptivo. Expresándose además en el
marco teórico las teorías que serían necesarias para comprender el tema y cumplir con los
objetivos planteados, teorías sobre los accesos camerales convencionales y aquellas
nuevas técnicas como la Truss Access y la técnica de Acceso Ninja. En el análisis de
resultados se observó que las nuevas técnicas permiten mantener en mayor grado el tejido
sano a diferencia de las técnicas convencionales. Se concluyó que las técnicas
mínimamente invasivas, tienen como mayor ventaja a las técnicas contemporáneas, que
disminuyen el grado de daño a estructuras dentales sanas como la dentina, permitiendo
mantener el techo de la cámara pulpar de las piezas, lo que contribuye a que disminuya el
porcentaje de fracturas o fisuras durante su función; sin embargo, es necesario aumentar
los estudios in vivo, ya que hasta ahora solo se han realizado pruebas in vitro.
When endodontic access is performed, one of the main drawbacks is the weakening of the tooth structure due to the excessive removal of healthy tissue for the location of canals with their respective compensatory wear to facilitate the manipulation of the instruments; Thus, there are currently new techniques considered as "minimally invasive endodontics", which make it possible to conserve a greater amount of tissue, especially pericervical dentin. The aim of this study was to describe the contemporary approach techniques in root canal treatment at the chamber access stage. The methodology used was exploratory, qualitative and descriptive. The theoretical framework also expressed the theories that would be necessary to understand the subject and meet the objectives set out, theories on conventional cameral accesses and those new techniques such as Truss Access and the Ninja Access technique. In the analysis of the results, it was observed that the new techniques allow maintaining healthy tissue to a greater extent than the conventional techniques. It was concluded that the major advantage of minimally invasive techniques over contemporary techniques is that they reduce the degree of damage to healthy dental structures such as dentin, allowing to maintain the roof of the pulp chamber of the pieces, which contributes to reduce the percentage of fractures or fissures during their function. However, it is necessary to increase the number of studies in live specimens, since so far only in vitro tests have been performed.
When endodontic access is performed, one of the main drawbacks is the weakening of the tooth structure due to the excessive removal of healthy tissue for the location of canals with their respective compensatory wear to facilitate the manipulation of the instruments; Thus, there are currently new techniques considered as "minimally invasive endodontics", which make it possible to conserve a greater amount of tissue, especially pericervical dentin. The aim of this study was to describe the contemporary approach techniques in root canal treatment at the chamber access stage. The methodology used was exploratory, qualitative and descriptive. The theoretical framework also expressed the theories that would be necessary to understand the subject and meet the objectives set out, theories on conventional cameral accesses and those new techniques such as Truss Access and the Ninja Access technique. In the analysis of the results, it was observed that the new techniques allow maintaining healthy tissue to a greater extent than the conventional techniques. It was concluded that the major advantage of minimally invasive techniques over contemporary techniques is that they reduce the degree of damage to healthy dental structures such as dentin, allowing to maintain the roof of the pulp chamber of the pieces, which contributes to reduce the percentage of fractures or fissures during their function. However, it is necessary to increase the number of studies in live specimens, since so far only in vitro tests have been performed.
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Palabras clave
ENDODONCIA, DESGASTE DENTAL, FISURAS DENTALES