Restauración de incisivo inferior fracturado mediante procedimientos de invasión mínima

Dentistry is immersed in a new paradigm: It is impossible to think of any restoring technique without the participation of adhesion phenomena.The development of fiber glass posts and adhesive restoration procedures may be used as the most reliable technique in minimal invasive dentistry. The fib...

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Detalles Bibliográficos
Publicado en:Revista de la Facultad de Odontología
Autores principales: Carrazco, María E., Ferrari, Pablo
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Acceso en línea:https://bdigital.uncu.edu.ar/fichas.php?idobjeto=5123
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Sumario:Dentistry is immersed in a new paradigm: It is impossible to think of any restoring technique without the participation of adhesion phenomena.The development of fiber glass posts and adhesive restoration procedures may be used as the most reliable technique in minimal invasive dentistry. The fiber glass posts show many advantages: a) an anisotropic behavior, b) low modulus of elasticity, c) good mechanical resistance, d) the layer that lodges the fiber post requires a minimal preparation, e) they are bond with loaded adherent cements, obtaining a homogeneous surface that intervenes between the fiber post and the dental tissues and, also, connecting the post to the tissues of the root canal and substituting the dentine mechanically. The obtained clinical case was submitted to “Clínica Integrada III” FOUNCuyo during the academic year 2009 for its resolution. The patient showed a dentoenamel fracture dating from 4 years, with a compromised vitality and a periapical process. By means of endodontic procedures, a hole was drilled in the root canal wall that was sealed by placing calcium hydroxide and by sealing the gutta-percha cone. A clinical and radiographic monitoring revealed the reparation of the apical process. Then, the tooth was restored with composite resins and a fiber glass post cemented with resin cement. Given the characteristics of the endodontic treatment performed and, since the sealing allowed the root perforation to avoid the nanofiltration into the tooth, it was decided to leave a further portion of the gutta-percha cone despite the advice of many authors.