Estado actual de los postes anatómicos en restauraciones dentales
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2021-03
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
En la actualidad es más común enfrentarse a un paciente que desea agotar todos los recursos posibles para mantener su pieza en boca antes que extraérsela. Varios estudios evidencian que para rehabilitar y seguir manteniendo en boca las piezas que poseen terapia pulpar previa y extensa destrucción coronaria es necesario el uso de un aditamento intraconducto para poder mejorar la retención de la futura restauración dental que será colocada luego del tratamiento endodóntico. Los postes anatomizados se realizan mediante una técnica mínimamente invasiva, en la cual se logra modelar el poste al conducto y no viceversa preservando mayor tejido radicular al interior del conducto. El objetivo de este trabajo es describir el protocolo clínico de confección de los postes anatómicos, a través de una metodología exploratoria, descriptiva y documental mediante la revisión bibliográfica de varios artículos científicos dentro de los años 2015-2021 de revistas indexadas durante el ciclo II 2020-2021 utilizando como instrumento una ficha de registro de datos estructurada. Obteniendo como resultado que existe una técnica diferente para la rehabilitación de dientes tratados endodónticamente cumpliendo un protocolo clínico sistematizado. En conclusión, se determinó que no se posee suficiente información actualizada para determinar si existe una diferencia significativa que garantice que el uso de postes anatómicos frente a los postes de fibra convencionales brinda mayores beneficios, además que los postes anatómicos conllevan mayor tiempo clínico a comparación de los postes prefabricados convencionales, pero ahorran tiempo y dinero tanto al operador como al paciente si los comparamos con los postes colados.
Nowadays, it is more common to face a patient who wishes to exhaust all possible resources to keep his tooth in the mouth rather than extracting it. Several studies show that in order to rehabilitate and keep in the mouth the teeth with previous pulp therapy and extensive coronary destruction, it is necessary to use an intra-canal attachment to improve the retention of the future dental restoration that will be placed after the endodontic treatment. Anatomized posts are made by means of a minimally invasive technique in which the post is modeled to the canal and not vice versa, preserving more root tissue inside the canal. The aim of this work is to describe the clinical protocol of making anatomical posts, through an exploratory, descriptive and documentary methodology by means of the bibliographic review of several scientific articles within the years 2015-2021 of indexed journals during the cycle II 2020-2021, by using as an instrument a structured data registration form. Obtaining as a result that there is a different technique for the rehabilitation of treated teeth endodontically, complying with a systematized clinical protocol. In conclusion, it was determined that there is not enough updated information to determine if there is a significant difference that guarantees that the use of anatomical posts versus conventional fiber posts provides greater benefits, in addition to the fact that anatomical posts take longer clinical time compared to conventional prefabricated posts, but save time and money for both the operator and the patient if we compare them with cast posts.
Nowadays, it is more common to face a patient who wishes to exhaust all possible resources to keep his tooth in the mouth rather than extracting it. Several studies show that in order to rehabilitate and keep in the mouth the teeth with previous pulp therapy and extensive coronary destruction, it is necessary to use an intra-canal attachment to improve the retention of the future dental restoration that will be placed after the endodontic treatment. Anatomized posts are made by means of a minimally invasive technique in which the post is modeled to the canal and not vice versa, preserving more root tissue inside the canal. The aim of this work is to describe the clinical protocol of making anatomical posts, through an exploratory, descriptive and documentary methodology by means of the bibliographic review of several scientific articles within the years 2015-2021 of indexed journals during the cycle II 2020-2021, by using as an instrument a structured data registration form. Obtaining as a result that there is a different technique for the rehabilitation of treated teeth endodontically, complying with a systematized clinical protocol. In conclusion, it was determined that there is not enough updated information to determine if there is a significant difference that guarantees that the use of anatomical posts versus conventional fiber posts provides greater benefits, in addition to the fact that anatomical posts take longer clinical time compared to conventional prefabricated posts, but save time and money for both the operator and the patient if we compare them with cast posts.
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FIBRA DE VIDRIO, DIENTE ENDODONTICAMENTE TRATADO, POSTE DE FIBRA DE VIDRIO