Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado

dc.contributor.advisorNiño Barrera, Javier Laureano
dc.contributor.advisorGamboa Martínez, Luis Fernando
dc.contributor.authorHernández Mejía, Daniela Patricia
dc.date.accessioned2020-01-21T21:16:06Z
dc.date.available2020-01-21T21:16:06Z
dc.date.issued2018
dc.description.abstractLos objetivos de esta investigación fueron: Analizar si factores como la edad, el tipo de diente y el género están asociados con la extrusión de material obturador radiográficamente visible como desenlace imprevisto en dientes sometidos a tratamiento endodóntico con una técnica de obturación termoplástica (Calamus® o GuttaCore®) y determinar si la presencia de esta sobreobturación está asociada con dolor postoperatorio. Se seleccionaron 120 dientes con diagnósticos que implicaban pulpa vital y con indicación de tratamiento de endodoncia. La preparación biomecánica se llevó a cabo con el sistema Protaper Next® con lima apical principal X2 o X3. Los dientes se dividieron aleatoriamente de la siguiente forma (n=60): El grupo 1 se obturó con el sistema Guttacore® y el grupo 2 se obturó con una técnica de obturación de cono único y el sistema de obturación Calamus®. Se observó que las técnicas de obturación termoplástica generaron sobreobturación en 53.33% del total (64 dientes), 56.66% se presentaron en el grupo de obturación con Guttacore® y 50% en el grupo de la técnica con el sistema Calamus®. Se encontró que los dientes anteriores presentaron asociación con la presencia de sobreobturación (p=0.024) (OR=4.35). De los 120 dientes tratados, 10 (8.33 %) presentaron dolor posoperatorio y sobreobturación radiográficamente visible. La asociación entre la presencia de extrusión de material de obturación y dolor leve-moderado fue estadísticamente significativa con un valor p=0.002. Como conclusión las técnicas de obturación termoplástica en endodoncia Guttacore® y el sistema Calamus® están asociadas significativamente con la probabilidad de extrusión de material obturador y dicha sobreobturación está asociada con dolor postoperatorio, los dientes anteriores presentan 4 veces más riesgo de sobreobturación con las técnicas de obturación utilizadas.spa
dc.description.abstractenglishThe objectives of this research were: To analyse if factors such as age, type of tooth and gender are associated with the radiographically visible obturative material as an unforeseen development on teeth which have been endodontically treated with a thermoplastic obturation technique (Calamus® or GuttaCore®) and determine if such presence is associated with post-operative pain. There were 120 teeth selected with diagnosis implicating vital pulp and indicating an endodontic treatment. Biomechanical preparation was carried out with the Protaper Next® with an X2 or X3 apical file. The teeth were randomly divided thus (n=60): group one was obturated with Guttacore® and group two with a single-cone technique and the Calamus® obturation system. It was observed that the thermoplastic techniques generated an extended obturation in 53.33% of teeth (64), 56.66% were with the Guttacore® group and 50% with the Calamus® system. Anterior teeth presented association with extended obturation (p= 0.024) (OR=4.35). Out of the 120 treated teeth, ten (8.33%) presented post-operative pain and visible extended obturation. The association between presence of extruded obturative material and mild-to-moderate pain was statistically significant: p=0.002. It may be stated as a conclusion that the mentioned techniques - Guttacore® and Calamus® - are significantly associated with the probability of extruded obturative material and such extended obturation is also associated with post-operative pain. Anterior teeth present four times more risk of extended obturation with these techniques.eng
dc.description.degreelevelPregradospa
dc.description.degreenameEspecialista en endodonciaspa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/1896
dc.language.isospa
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en endodonciaspa
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dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.creativecommons2018
dc.rights.localAcceso abiertospa
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subject.nlmWU 230spa
dc.titleFactores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizadospa
dc.title.translatedFactors associating a Calamus® or Guttacore ®thermoplastic obturation with the presence of extended posterior apical obturation. Randomized clinical trialspa
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1fspa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.type.localTrabajo de gradospa
dc.type.localTesis/Trabajo de grado - Monografía - Doctoradospa

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