Éxito o fracaso de biopulpectomias cuyo cono de gutapercha termina a 1mm por debajo del ápice anatómico
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2015-06
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Universidad de Guayaquil. Facultad Piloto de Odontología.
Resumen
Un tratamiento de conducto radicular tiene como objetivo realizar el sellado hermético del conducto radicular a través de la obturación del mismo. Una longitud de trabajo correcta y exacta, respetando la morfología de los conductos radiculares y estableciendo de manera ordenada los procedimientos del tratamiento de conducto que engloban la triada endodóntica, determinaran una obturación radicular correcta que por ende no invadirán los tejidos periapicales y los tejidos adyacentes, proporcionando un sellado tridimensional, evitándose fracasos endodónticos como la sobreobturación con conos de gutapercha y material sellador por debajo del ápice anatómico. Se establece que la constricción apical es el límite idóneo en el tratamiento de conducto, el cual debe ser ubicado aproximadamente a 1 mm del foramen apical. El impacto de los conos de gutapercha y material sellador en los tejidos periapicales, presenta como consecuencia reacciones inflamatorias con mayor probabilidad a que existe proliferación epitelial. En esta revisión bibliográfica se detalla cada uno de los procedimientos que conciernen a la triada endodóntica, determinando una longitud de trabajo correcta, la cual nos llevará al éxito de nuestro tratamiento de conducto. Respetando la constricción apical, estamos evitando la extrusión de los conos de gutapercha y del material sellador a los tejidos del ápice y periapice. El objetivo de este trabajo de titulación es dar a conocer a los estudiantes de Odontologia o profesional de la salud sobre la ocurrencia de los accidentes que se pueden presentar al momento de realizar un tratamiento de conducto, y la manera de solucionarlos, para evitar fracasos endodónticos.
A root canal treatment aims to make the sealing of the root canal through the seal thereof. Length correct and accurate work, respecting the morphology of root canals and establishing orderly procedures that include root canal endodontic triad, determine the correct root filling which thus will not invade the periapical tissues and adjacent tissues, providing a three-dimensional sealing, avoiding endodontic failures as overfilling with gutta-percha and sealer material below the anatomic apex. It provides that the apical constriction is the ideal limit in the root canal, which must be located approximately 1 mm from the apical foramen. The impact of the gutta-percha and sealer material into the periapical tissues, presented as a result inflammatory reactions are more likely to exist epithelial proliferation. In this literature review detailing each of the procedures concerning endodontic triad, determining a correct working length, which will lead to success in our root canal. Respecting the apical constriction, we are preventing extrusion of gutta-percha and sealant to the apex and periapical tissues. The objective of this work degree is to acquaint students dental or health care professional about the occurrence of accidents that can occur when performing a root canal, and how to fix them, to avoid endodontic failures.
A root canal treatment aims to make the sealing of the root canal through the seal thereof. Length correct and accurate work, respecting the morphology of root canals and establishing orderly procedures that include root canal endodontic triad, determine the correct root filling which thus will not invade the periapical tissues and adjacent tissues, providing a three-dimensional sealing, avoiding endodontic failures as overfilling with gutta-percha and sealer material below the anatomic apex. It provides that the apical constriction is the ideal limit in the root canal, which must be located approximately 1 mm from the apical foramen. The impact of the gutta-percha and sealer material into the periapical tissues, presented as a result inflammatory reactions are more likely to exist epithelial proliferation. In this literature review detailing each of the procedures concerning endodontic triad, determining a correct working length, which will lead to success in our root canal. Respecting the apical constriction, we are preventing extrusion of gutta-percha and sealant to the apex and periapical tissues. The objective of this work degree is to acquaint students dental or health care professional about the occurrence of accidents that can occur when performing a root canal, and how to fix them, to avoid endodontic failures.
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FRACASO ENDODONTICO, BIOPULPECTOMIA, GUTAPERCHA, TRATAMIENTO DEL CONDUCTO RADICULAR