Necropulpectomía II en incisivo central superior izquierdo
Fecha
2011-04-15
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
El conocimiento del estado de la pulpa dentaria y de los tejidos
periapicales es imprescindible para la elaboración y planteamiento de un
adecuado tratamiento. En endodoncia este procedimiento es crucial por lo
que exige todo nuestro esfuerzo y destreza, el objetivo central es
demostrar con el caso clínico, las técnicas adecuadas para realizar una
Necropulpectomía en endodoncia y aprender a realizar un correcto
diagnóstico para entregar un resultado favorable al paciente.
La patología dental, de cualquier etiología (infecciosa, traumática,
consuntiva, e incluso congénita), compromete la vitalidad del complejo
Dentino-pulpar; es necesario una terapéutica específica que responda a
las necesidades de preservar la integridad del tejido conjuntivo pulpar.
El tratamiento de conductos busca la eliminación de los microorganismos,
del sistema de conductos radiculares, los mismos que pueden
encontrarse libres en el conducto, colonizando en grado variable las
paredes del mismo o en los túbulos destinarios hasta el orificio apical.
Aunque gran parte de estos microorganismos pueden ser eliminados
durante la preparación biomecánica, ésta no alcanza todo el sistema de
conductos. En este sentido, la presencia de restos contaminados puede
hacer fracasar el tratamiento.
La necrosis pulpar generalmente es asintomática, pero hay una alteración
en el color de la dentina coronaria.
El examen radiográfico puede evidenciar restauraciones mal ajustadas o
una cavidad de caries, podemos también observar el ensanchamiento del
espacio del ligamento periodontal, denotando que jamás debemos
considerar una alteración pulpar como estanca, dado que aunque no sea
evidente, compromete al periodonto. La prueba del tallado de la cavidad
será de gran valor en los casos de dudas de diagnóstico, para estos
casos está indicada la Necropulpectomía.
The knowledge of the state of the pulp and tissue periapical is essential for the development and launching of a treatment. In endodontics procedure is crucial so which requires all our effort and skill, the main objective is demonstrate the clinical case , the proper techniques for a Necropulpectomía endodontics and learn how to make a correct diagnosis to deliver a favorable outcome for the patient. Dental disease of any etiology (infectious , traumatic , consumptive , and even congenital) , compromises the vitality of the complex Dentin-pulp , a specific therapeutic need that meets the need to preserve the integrity of the pulp tissue . Root canal therapy seeks to eliminate the microorganisms , the root canal system , the same can found free in the duct, the colonized to varying degrees walls thereof or in the tubules to the apical destinarios hole . Although much of these microorganisms can be eliminated biomechanical preparation during this does not reach all the system ducts . In this sense , the presence of contaminated debris can derail treatment. Pulp necrosis is usually asymptomatic , but there is an alteration Color in the coronal dentin . Radiographic examination may show ill-fitting restorations or cavity decay , we can also observe the widening of periodontal ligament space , denoting that we never consider a pulp alteration as tight , as though it is not Clearly , commits the periodontium. The test cavity carved will be of great value in cases of diagnostic doubt , for these cases Necropulpectomía is indicated.
The knowledge of the state of the pulp and tissue periapical is essential for the development and launching of a treatment. In endodontics procedure is crucial so which requires all our effort and skill, the main objective is demonstrate the clinical case , the proper techniques for a Necropulpectomía endodontics and learn how to make a correct diagnosis to deliver a favorable outcome for the patient. Dental disease of any etiology (infectious , traumatic , consumptive , and even congenital) , compromises the vitality of the complex Dentin-pulp , a specific therapeutic need that meets the need to preserve the integrity of the pulp tissue . Root canal therapy seeks to eliminate the microorganisms , the root canal system , the same can found free in the duct, the colonized to varying degrees walls thereof or in the tubules to the apical destinarios hole . Although much of these microorganisms can be eliminated biomechanical preparation during this does not reach all the system ducts . In this sense , the presence of contaminated debris can derail treatment. Pulp necrosis is usually asymptomatic , but there is an alteration Color in the coronal dentin . Radiographic examination may show ill-fitting restorations or cavity decay , we can also observe the widening of periodontal ligament space , denoting that we never consider a pulp alteration as tight , as though it is not Clearly , commits the periodontium. The test cavity carved will be of great value in cases of diagnostic doubt , for these cases Necropulpectomía is indicated.
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Palabras clave
ENDODONCIA, NECROPULPECTOMIA, ENFERMEDADES DE LA PULPA DENTAL