Uso de clorhexidina, edta y solucion salina como irrigantes en conductos radiculares
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2011-03
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Universidad de Guayaquil. Facultad Piloto de Odontología. Escuela de Postgrado "Dr. José Apolo Pineda"
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El presente estudio se refiere al tipo de investigación bibliográfica descriptiva, la misma ubica como objeto de estudio a la Clorhexidina, EDTA y Solución Salina y el campo de acción en los conductos radiculares, su objetivo es valorar el uso de estos irrigantes. Vale recordar que el tratamiento de conductos es necesario ante una enfermedad endodóntica que, a su vez, es producto de bacterias. Este comienza con un diagnóstico incluyendo un examen clínico y radiográfico completo. El tratamiento de sistemas de conducto radicular consiste de dos fases: limpieza y conformado de la cavidad de acceso, seguido de la obturación. Es necesario el uso de EDTA desde el comienzo de la preparación para eliminar la capa mineral antes de que esta se condense dentro del sistema de conductos lo cual taparía las entradas de los conductos laterales y accesorios y túbulos dentinarios. La clorhexidina se utiliza como bactericida. El agua destilada se utiliza entre cada solución irrigante para prevenir un efecto más eficiente de los agentes químicos en los tejidos. Teniendo en cuenta las diferentes situaciones clínicas, estos irrigantes contribuyen a aumentar el número de tratamientos exitosos, sin olvidar que deben estar acompañados de una obturación tridimensional y que debemos realizar una minuciosa absorción de los fluidos para que la adherencia del sellador con la dentina no se veacomprometida.
The present study concerns the type of bibliographic description, the same places as objects of study to chorhexidina, EDTA and saline, and the scope of the root canals, their objective is to evaluate the use of these irrigants. It is worth remembering that the root canal is necessary to endodontic disease, which in turn is a product of bacteria. It begins with a diagnosis including a complete clinical and radiographic examination. Treatment of root canal system consists of two stages: cleaning and shaping of the access cavity, followed by the shutter. It is necessary to use EDTA since the beginning of the preparation to remove the mineral layer before it condenses inside the duct system which would plug the entrances to the lateral and accessory canals and dentinal tubules. Chorhexidina is used as a bactericide. Distilled water is used between each irrigating solution to prevent a more efficient use of chemicals in tissues. Taking into account the different clinical situations, these irrigants help increase the number of successful treatments, without forgetting that they must be accompanied by a three-dimensional filling and that we make a thorough absorption of fluids so that the adhesion of sealant with dentin not compromised.
The present study concerns the type of bibliographic description, the same places as objects of study to chorhexidina, EDTA and saline, and the scope of the root canals, their objective is to evaluate the use of these irrigants. It is worth remembering that the root canal is necessary to endodontic disease, which in turn is a product of bacteria. It begins with a diagnosis including a complete clinical and radiographic examination. Treatment of root canal system consists of two stages: cleaning and shaping of the access cavity, followed by the shutter. It is necessary to use EDTA since the beginning of the preparation to remove the mineral layer before it condenses inside the duct system which would plug the entrances to the lateral and accessory canals and dentinal tubules. Chorhexidina is used as a bactericide. Distilled water is used between each irrigating solution to prevent a more efficient use of chemicals in tissues. Taking into account the different clinical situations, these irrigants help increase the number of successful treatments, without forgetting that they must be accompanied by a three-dimensional filling and that we make a thorough absorption of fluids so that the adhesion of sealant with dentin not compromised.
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ODONTOLOGIA INTEGRAL, IRRIGANTES DEL CONDUCTO RADICULAR, ENDODONCIA