Abordaje quirúrgico de restos radiculares asociados a patologías periapicales
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2022-09
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La cirugía bucal es una rama de la estomatología, que trata las enfermedades y
accidentes con intervenciones manuales realizadas con un instrumental determinado.
La extracción de restos radiculares a colgajo (ABORDAJE) es la conducta indicada
ante la fractura de un diente que se está extrayendo. En este trabajo se hace un
aglomerado de situaciones y casos en que se necesita realizar un abordaje para
extracción de restos dentro de la cavidad bucal teniendo en cuenta diversos factores y
razones por que las piezas dentarias llegan a estas instancias.
Debe utilizarse después que se ha intentado la extracción del resto radicular por la vía
alveolar sin éxito, por lo general cuando sucede esto las maniobras se realizan al
instante y así dar solución al problema. Los indicadores de la exodoncia de dientes
permanentes son:
• Caries no restaurables.
• Pérdida de soporte óseo. (Indicación periodontal).
• Fracaso repetitivo de endodoncia convencional y no convencional.
• Trauma dento-alveolar que no permita la rehabilitación final.
• Infecciones apicales refractarias, periodontitis apical crónica.
• Infecciones de espacios profundos asociados.
• Transformación Quístico-tumoral de sacos dentarios
• Reabsorción Radicular externa y/o interna. El propósito de este trabajo es describir, analizar, y explicar previo a la revisión de
literatura, es Determinar el Abordaje Quirúrgico en extracciones de Restos Radiculares
asociados a Patologías Periapicales cuáles son las indicaciones, técnica quirúrgica
además de los cuidados post-operatorios.
Se concluye que es importante diagnosticar y evaluar siempre que se vaya a realizar un
abordaje para una extracción de restos radiculares; también de la misma manera tener
una base de conocimiento sobre las patologías que pueden relacionarse o asociarse en
relación a este caso.
Oral surgery is a branch of dentistry, which treats diseases and accidents with manual interventions performed with specific instruments. The extraction of root remnants with a flap (APPROACH) is the indicated procedure in the event of a fracture of a tooth that is being extracted. In this work, an agglomeration of situations and cases in which it is necessary to carry out an approach for the extraction of remains within the oral cavity is made, taking into account various factors and reasons why the teeth reach these instances. It should be used after an attempt has been made to extract the root residue through the alveolar route without success. Usually, when this happens, the maneuvers are carried out instantly and thus solve the problem. The indicators of the extraction of permanent teeth are: • • Non-restorable caries. • Loss of bone support. (periodontal indication). • Repetitive failure of conventional and unconventional endodontics. • Dento-alveolar trauma that does not allow final rehabilitation. • Refractory apical infections, chronic apical periodontitis. • Associated deep space infections. • Cystic-tumor transformation of dental sacs • External and/or internal root resorption. The purpose of this work is to describe, analyze, and explain prior to the literature review, it is to determine the Surgical Approach in extractions of Radicular Remains associated with Periapical Pathologies what are the indications, surgical technique in addition to post-operative care. It is concluded that it is important to diagnose and evaluate whenever an approach is to be carried out for the extraction of root remains; also in the same way to have a knowledge base on the pathologies that can be related or associated in relation to this case.
Oral surgery is a branch of dentistry, which treats diseases and accidents with manual interventions performed with specific instruments. The extraction of root remnants with a flap (APPROACH) is the indicated procedure in the event of a fracture of a tooth that is being extracted. In this work, an agglomeration of situations and cases in which it is necessary to carry out an approach for the extraction of remains within the oral cavity is made, taking into account various factors and reasons why the teeth reach these instances. It should be used after an attempt has been made to extract the root residue through the alveolar route without success. Usually, when this happens, the maneuvers are carried out instantly and thus solve the problem. The indicators of the extraction of permanent teeth are: • • Non-restorable caries. • Loss of bone support. (periodontal indication). • Repetitive failure of conventional and unconventional endodontics. • Dento-alveolar trauma that does not allow final rehabilitation. • Refractory apical infections, chronic apical periodontitis. • Associated deep space infections. • Cystic-tumor transformation of dental sacs • External and/or internal root resorption. The purpose of this work is to describe, analyze, and explain prior to the literature review, it is to determine the Surgical Approach in extractions of Radicular Remains associated with Periapical Pathologies what are the indications, surgical technique in addition to post-operative care. It is concluded that it is important to diagnose and evaluate whenever an approach is to be carried out for the extraction of root remains; also in the same way to have a knowledge base on the pathologies that can be related or associated in relation to this case.
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EXODONCIA, TECNICAS QUIRURGICAS, CIRUGIA BUCAL