Tratamiento ortodontico con aparatología removible para el cierre de diastemas
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Fecha
2017
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Los diastemas de la línea media superior son comúnmente encontrados tanto en
dentición decidua como en mixta, y la mayoría de ellos cierra espontáneamente al
momento en el cual erupcionan los caninos superiores. Sin embargo, en algunos
casos, si el diastema persiste es asociado a un frenillo labial superior grueso y
bajo, y como consecuencia, muchos odontólogos han concluido que el frenillo es
el causante de este espacio, procediendo a realizar frenectomías prematuras y en
muchas ocasiones innecesarias para la corrección del diastema labial superior.
Muchas investigaciones han sugerido que el proceso natural de crecimiento y
desarrollo conlleva al adelgazamiento del frenillo labial superior, sin embargo, éste
sigue siendo parte de un conjunto de factores causantes del diastema junto con:
hábitos, malformaciones dentarias y condiciones patológicas y hereditarias.
Actualmente las frenectomías están siendo realizadas sin comprobar si realmente
son necesarias en caso de espacio entre los incisivos centrales superiores, y es
ahí donde radica la importancia de conocer la etiología de esta entidad y al mismo
tiempo determinar el plan de tratamiento adecuado.
Maxillary midline diastemas are commonly found in both deciduous and mixed dentition, and most of them spontaneously close when the upper canines erupt. However, in some cases, if the diastema persists, it is associated to a thick and low upper labial frenulum. As a result, many dentists have concluded that the frenulum is causing this space, and they indicate frenectomies that are often premature and unnecessary for the correction of the upper labial diastema. Many studies have suggested that the natural process of growth and development leads to thinning the upper lip frenulum. Nevertheless, this is still part of a set of factors causing diastema, along with habits, dental malformations, and hereditary and pathological conditions. Frenectomies are currently being made without checking whether they are really necessary in case of space between the maxillary central incisors, and therein lies the importance of understanding the etiology of this entity and simultaneously determine the correct treatment plan
Maxillary midline diastemas are commonly found in both deciduous and mixed dentition, and most of them spontaneously close when the upper canines erupt. However, in some cases, if the diastema persists, it is associated to a thick and low upper labial frenulum. As a result, many dentists have concluded that the frenulum is causing this space, and they indicate frenectomies that are often premature and unnecessary for the correction of the upper labial diastema. Many studies have suggested that the natural process of growth and development leads to thinning the upper lip frenulum. Nevertheless, this is still part of a set of factors causing diastema, along with habits, dental malformations, and hereditary and pathological conditions. Frenectomies are currently being made without checking whether they are really necessary in case of space between the maxillary central incisors, and therein lies the importance of understanding the etiology of this entity and simultaneously determine the correct treatment plan
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Palabras clave
ORTODONCIA, DIASTEMA, APARATOS ORTODONTICOS