NOTAS DE ENDODONCIA
APOYO
ACADÉMICO POR ANTOLOGÍAS
UNIDAD
14: ENDODONCIA PEDIÁTRICA
| CONTENIDO GENERAL DEL CURSO | CONTENIDO DE LA UNIDAD | BIBLIOGRAFÍA DE ESTA SECCIÓN | ARTÍCULOS REVISADOS | PALABRAS CLAVE | SECCIONES: 1ª 2ª 3ª 4ª 5ª |
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14.1. Generalidades de la endodoncia pediátrica 14.2. Anatomía dental y morfología pulpar de los dientes temporales. 14.2.1. Comparación con los dientes permanentes 14.2.2. Calcificación del ápice radicular
14.3. Terapéutica pulpar en dientes temporales 14.3.1. Indicaciones y contraindicaciones generales 14.3.1.1. Factores dentarios 14.3.1.2. Factores no dentarios 14.3.2. Recubrimientos pulpares 14.3.3. Pulpotomía con formocresol 14.3.3.1. Materiales 14.3.3.2. Técnicas 14.3.4. Pulpectomía 14.3.4.1. Indicaciones y contraindicaciones 14.3.4.2. Procedimientos
14.4. Tratamiento de dientes permanentes con ápice inmaduro 14.4.1. Dientes vitales con ápices abiertos (apicogénesis) 14.4.2. Dientes no vitales con ápices abiertos (apexificación) 14.4.2.1. Diferentes técnicas 14.5. Generalidades de la endodoncia geriátrica 14.5.1. Cambios histológicos pulpares por la edad 14.6. Historia Clínica General 14.6.1. Importancia en el paciente de la tercera edad 14.7. Historia Clínica dental 14.7.1. Diagnóstico 14.7.1.1. Vitalidad pulpar
14.7.2.1. Anestesia 14.7.2.2. Acceso 14.7.2.3. Preparación del conducto 14.7.2.4. Obturación 14.7.3. Reparación de los tejidos 14.8. Cirugía endodóntica 14.9. Restauración del diente
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REGRESAR A LA SECCIÓN DE ENDODONCIA GERIÁTRICA
Patient Age Is No Contraindication to Endodontic Treatment
• Geoffrey H. Sperber, BSc Hons, MS, BDS, PhD, Dr Med Dent hc •
• Donald C. Yu, BS, DMD, CAGS, MScD, FRCD(C), FAGD •
Clinical decision making in elderly patients is becoming increasingly challenging as our society ages. Edentulism was once considered normal for anyone entering the seventh decade of life, as was so eloquently declaimed by Jaques in Shakespeare’s As You Like It : “sans teeth, sans eyes, sans taste, sans everything.” Today, however, preservation of the natural dentition has been so successful that tooth loss is no longer accepted as inevitable. Nonetheless, there is a cohort of elderly individuals who did not benefit from modern preventive practices and who now present a dilemma in terms of maintaining the masticatory apparatus necessary for nutritional intake.3 Even with excellent dental care, such patients experience abrasion of the natural tooth crowns with age, and embedded roots are left within the alveolar bone.
According to previous concepts of dental care, extraction of these roots would have been recommended, but today’s goal of excellence in endodontics dictates otherwise. Our experience of performing endodontic treatment on the retained roots of a 93-year-old patient provides an unusual opportunity to justify and indicate the need for such treatment in elderly people. The retention of roots of excessively worn or destroyed tooth crowns is in fact a highly desirable objective, as it allows the alveolar bone in which the roots are lodged to be maintained. The loss of tooth roots is a well-known cause of alveolar bone resorption and is an example of Wolff ’s law of bone architecture,4 whereby bone structure reflects its function. In the absence of tooth roots, the need for the alveolar bone disappears, which leads to resorption.4,5 Moreover, loss of teeth alters the material properties of cortical thickness, elastic and shear moduli, anisotropy and stiffness of the cortical mandibular bone, thereby greatly weakening the mandible.
Sperber, G. H. et al. Patient Age Is No Contraindication to Endodontic Treatment. J Can Dent Assoc 2003; 69(8):494–6
Investigado por la Alumna Subomy Quintana Guadarrama del grupo 2601 (2008), FES Iztacala, UNAM
| CONTENIDO GENERAL DEL CURSO | CONTENIDO DE LA UNIDAD | BIBLIOGRAFÍA DE ESTA SECCIÓN | ARTÍCULOS REVISADOS | PALABRAS CLAVE | SECCIONES: 1ª 2ª 3ª 4ª 5ª |