Uso del MTA (agregado de trióxido mineral) en reparación de falsas vías en tratamiento de conducto (un caso clínico)
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2012-06-15
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
Durante el año 2011 se observo radiográficamente casos de falsas vías
en piezas dentales con pacientes que ignoran lo delicado del caso como
resultado de iatrogenias realizadas por parte del estudiante de
odontología como practicante de pre grado ya sea por, una incorrecta:
apertura, localización de conducto, diagnóstico radiográfico, acceso de la
cámara pulpar, instrumentación, preparación del conducto. Sin el
conocimiento debido oportuno y experiencia aunque poca pero muy
necesaria, en ocasiones para así poder tener una idea clara del caso que
se tiene en frente, debe tenerse en cuenta que es de suma importancia
llevar una asepsia profunda, optima esterilización del instrumental a
utilizar la idea debe ser clara en toda su extensión de lo que se va a
realizar, probablemente aparte de la falsa vía se puede encontrar en el
conducto una proliferación de bacterias tanto endógenas como exógenas
que se habría de contra restar. Una de las soluciones hoy por hoy es el
cemento MTA (Agregado de Trióxido de Mineral) con la finalidad de
favorecer la reparación y regeneración tisular tanto de las estructuras
periodontales como intrarradiculares analizando: el nivel, el lugar, el
tamaño, la forma de la perforación en la pieza a tratar evitando así la
perdida o la extracción de este. En los actuales tiempos extraer una pieza
dental no vendría a ser la solución mas bien vendría a ser el último
recurso no sin antes recurrir a todos los medios conocidos, para así no
tener que optar de que una pieza dental sea sustituida por una protésica
en lugar de sanar o restaurar la pieza dental que se encuentra en boca.
In 2011 cases of false paths observed radiographically in teeth with patients who ignore the sensitivity of the case as result of iatrogenic made by the student dentistry as a practitioner of either undergraduate or improper : opening , duct location , radiographic diagnosis , access pulp chamber , instrumentation, canal preparation. without appropriate knowledge and experience because although little but very necessary at times in order to have a clear idea of the case you have in front, it should be noted that it is important take a deep antisepsis , optimal sterilization of instruments to to use the idea should be clear in its entirety than to be perform , possibly apart from the false track can be found in the through a proliferation of both endogenous and exogenous bacteria that would counter subtract. One solution today is the MTA cement ( Mineral trioxide aggregate ) in order to promote tissue repair and regeneration of both of the structures Periodontal as intracanal analyzing : the level, the place, the size, shape of the hole in the workpiece to be treated thereby avoiding the loss or removal of this . In modern times remove a piece dental would not be the solution but rather would be the last no action without resort to any known means , so as not having to choose a tooth that is replaced by a prosthetic rather than heal or restore the tooth that is in mouth.
In 2011 cases of false paths observed radiographically in teeth with patients who ignore the sensitivity of the case as result of iatrogenic made by the student dentistry as a practitioner of either undergraduate or improper : opening , duct location , radiographic diagnosis , access pulp chamber , instrumentation, canal preparation. without appropriate knowledge and experience because although little but very necessary at times in order to have a clear idea of the case you have in front, it should be noted that it is important take a deep antisepsis , optimal sterilization of instruments to to use the idea should be clear in its entirety than to be perform , possibly apart from the false track can be found in the through a proliferation of both endogenous and exogenous bacteria that would counter subtract. One solution today is the MTA cement ( Mineral trioxide aggregate ) in order to promote tissue repair and regeneration of both of the structures Periodontal as intracanal analyzing : the level, the place, the size, shape of the hole in the workpiece to be treated thereby avoiding the loss or removal of this . In modern times remove a piece dental would not be the solution but rather would be the last no action without resort to any known means , so as not having to choose a tooth that is replaced by a prosthetic rather than heal or restore the tooth that is in mouth.
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