Restauración de diente endodonciado con prótesis fija unitaria
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2019-09
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Las piezas tratadas endodonticamente presentan características distintas a los dientes vitales, respecto a su resistencia y estructura debido a la pérdida de agua lo que causa fragilidad dentaria. La presente investigación tuvo como objetivo establecer los protocolos de restauración de un diente endodonciado, con el fin de devolverle la estética al paciente mediante la utilización de una prótesis fija unitaria. Se realizó una investigación descriptiva con la utilización del método cualitativo- deductivo. Se atendió a una paciente con pérdida de estructura dental en pieza 15 de 2/3 de la corona dental en sentido vestíbulo/palatino, debido a que no presentaba tejido dental suficiente, para lograr un efecto férula, se optó por usar poste fibra de vidrio, por presentar módulos de elasticidad similares a la dentina, lo que lo hace más resistente a la fractura dental a comparación de los postes colados y corona de disilicato de litio. Como resultados se obtuvo que para lograr una rehabilitación de un diente endodonciado, que ha perdido estructura dental, los postes intrarradiculares son una buena opción, como retención de material restaurador y que las coronas de disilicato de litio, por presentar buenas propiedades óptica, brindan una excelente estética y naturalidad a la pieza dentaria del paciente. En conclusión se debe realizar previamente un protocolo, con las acciones clínicas que se van a realizar según sean las necesidades del paciente, teniendo conocimiento de los protocolos de cementación, ya que son una parte fundamental en la rehabilitación y optimiza resultados a largo plazo.
Endodontic treated pieces have different characteristics to the vital teeth, with respect to their resistance and structure due to the loss of water, which causes dental fragility. The objective of this research is to establish the protocols for restoring an endodontic tooth, in order to bring back the aesthetics to the patient through the use of a fixed unit prosthesis. A descriptive investigation is carried out using the qualitative deductive method. A patient with loss of dental structure in part 15 of 2/3 of the dental crown in the lobby / palatine sense was treated, because she did not have enough dental tissue, to achieve a splint effect, a fiberglass post was used, for presenting dentine like elasticity modules, which makes it more resistant to dental fracture compared to cast posts and lithium disilicate crown. As a result, it was obtained that in order to achieve a rehabilitation of an endodontic tooth, which has lost dental structure, intraradicular posts are a good option, such as retention of restorative material and that lithium disilicate crowns, because they have good optical properties, provide excellent aesthetics and naturalness to the patient's tooth. In all, a protocol must be carried out previously according to the needs of the patient, having knowledge of the cementation protocols, since they are an essential part in the rehabilitation and optimize long term results.
Endodontic treated pieces have different characteristics to the vital teeth, with respect to their resistance and structure due to the loss of water, which causes dental fragility. The objective of this research is to establish the protocols for restoring an endodontic tooth, in order to bring back the aesthetics to the patient through the use of a fixed unit prosthesis. A descriptive investigation is carried out using the qualitative deductive method. A patient with loss of dental structure in part 15 of 2/3 of the dental crown in the lobby / palatine sense was treated, because she did not have enough dental tissue, to achieve a splint effect, a fiberglass post was used, for presenting dentine like elasticity modules, which makes it more resistant to dental fracture compared to cast posts and lithium disilicate crown. As a result, it was obtained that in order to achieve a rehabilitation of an endodontic tooth, which has lost dental structure, intraradicular posts are a good option, such as retention of restorative material and that lithium disilicate crowns, because they have good optical properties, provide excellent aesthetics and naturalness to the patient's tooth. In all, a protocol must be carried out previously according to the needs of the patient, having knowledge of the cementation protocols, since they are an essential part in the rehabilitation and optimize long term results.
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PROTOCOLOS CLINICOS, RESTAURACION DENTAL, TRATAMIENTO ENDODONTICO