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Revista odontológica mexicana
versión impresa ISSN 1870-199X
Rev. Odont. Mex vol.11 no.2 Ciudad de México jun. 2007
https://doi.org/10.22201/fo.1870199xp.2007.11.2.15872
Casos clínicos
Alargamiento de corona clínica, mediante electrocirugía, en dientes anteriores primarios severamente destruidos y su conservación a largo plazo: Reporte de un caso
Crown enlargement using electrosurgery in severely destroyed anterior primary teeth
1 Facultad de Odontología Mexicali. Universidad Autónoma de Baja California. México.
Se describe una técnica para conservar dientes anterosuperiores primarios severamente afectados por caries, utilizando un método electroquirúrgico para alargar la corona clínica y restaurarlos con coronas de acero inoxidable. Se realizó en cada diente terapia pulpar (pulpotomía con formocresol o pulpectomía con vitapex). Las ventajas de este procedimiento incluyen, primordialmente, la conservación de dientes que de otra manera serían extraídos. Además, favorece la eficacia masticatoria, disminuye la posibilidad de adquirir algunos hábitos parafuncionales, la presencia de problemas emocionales, y sobre todo, es rápido y sencillo. Este procedimiento se ilustra en los casos que se reportan, tras 24 meses de evaluación y seguimiento clínico en pacientes infantiles con caries temprana de la infancia (Caries de biberón), atendidos bajo anestesia general.
Palabras clave: Incisivos superiores primarios; alargamiento de corona; electrocirugía; caries temprana de la infancia
A technique for the preservation of severely carious primary maxillary incisors using an electrosurgical procedure for crown enlargement and restoring with stainless steel crowns is described. Pulp therapy (Fc pulpotomy or pulpectomy with vitapex) was previously performed on each tooth. The advantage of this technique, is essentially, the preservation of these teeth that otherwise would have been extracted. In addition, it improves masticatory efficiency, avoids speech and emotional problems as well as aberrant habits. The technique is illustrated in the case report in which a 24 month follow up clinical evaluation was performed in 2 children with ECC (baby bottle syndrome) treated under general anesthesia.
Keywords: Upper primary teeth; crown enlargement; electrosurgery; early childhood caries
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