NOTAS DE ENDODONCIA
APOYO
ACADÉMICO POR ANTOLOGÍAS
UNIDAD
14: ENDODONCIA PEDIÁTRICA
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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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KEY WORDS:
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REGRESAR A LA SECCIÓN SOBRE TERAPÉUTICA DEL DIENTE PERMANENTE CON ÁPICE INMADURO
RESUMEN DEL ARTÍCULO CITADO:
PERIAPICAL REPAIR AND CLOSURE OF A PULPLESS TOOTH USING CALCIUM HYDROXIDE
Kalaskar R, Tiku A, Damle SG.
Nair Hospital Dental College, Mumbai Central, Mumbai, India.
A case with a open apex and a large periapical lesion in a 10 year old boy is presented. The lesion formed as a result of necrosis from trauma to a maxillary right central incisor 1 year ago. Apical closure and complete healing of periapical lesion was observed after non-surgical endodontic treatment using calcium hydroxide paste. This report suggests that even large periapical lesions could respond favourably to non-surgical treatment.
Apexification (apical barrier formation) is a well-established treatment in immature teeth with necrotic pups. Many materials and methods have bee used successfully, but the exact mechanism of action is unknown. However, calcium hydroxide remains a popular material to accomplish apical closure because of its apparent ability to permit calcific tissue formation over the apex.
Apexification is indicated when pulps of young permanent teeth with incompletely formed roots become necrotic. Weinstein and Goldman, working on adult monkey teeth, concluded that calcium hydroxide stimulated the deposition of hard tissue in young teeth, but not in adult teeth. Ludlow reported a case in which a tooth with a large periapical lesion did not respond to calcium hydroxide and camphorated parachlorophenol treatment until the lesion was curetted. It has bee suggested that the presence of a cyst may impede or prevent root-end closure even with the use of calcium hydroxide. However, biologic Apexification was reported to occur in adult teeth with periapical lesions and even in teeth previously subjected to periapical surgery.
The aim of this case report is to demonstrate that apical closure and periapical healing can occur even in cystlike large periapical lesions.Kalaskar R. et al. PERIAPICAL REPAIR AND CLOSURE OF A PULPLESS TOOTH USING CALCIUM HYDROXIDE. J Indian Soc Pedod Prev Dent. 2004 Sep;22(3):158-61. Disponible en http://www.ncbi.nlm.nih.gov/pubmed/15573666
Investigado por Fabiola Méndez Pérez, Alumna del grupo 2622, 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 |