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DOI: https://doi.org/10.15332/us.v8i1.1181

TRATAMIENTO DE UNA REABSORCIÓN EXTERNA INFLAMATORIA CON TRIÓXIDO DE MINERAL AGREGADO: REPORTE DE UN CASO

Humberto Ferreira Arquez

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Resumen

Paciente masculino de 9 años de edad, sin antecedentes médicos que contribuyan al caso. En el examen clínico y radiográfico se observó una extensa y progresiva reabsorción radicular externa inflamatoria, una extensa lesión periapical, una bolsa periodontal y movilidad dentaria grado 2 a nivel del 21. Cinco meses atrás, el paciente sufrió trauma dental (avulsión), ese incisivo, fue mantenido en condiciones seca (envuelto en un pañuelo), reimplantado, reposicionado y ferulizado por odontólogo general dos horas después del trauma. Seguido a la preparación biomecánica se realizaron recambios de hidróxido de calcio cada cuatro semanas durante 6 meses; las características clínico patológicas mostraron una resolución parcial del proceso (disminución de la lesión periapical, pero persistía la pérdida ósea, la reabsorción radicular externa, la movilidad dentaria grado 2; y el defecto periodontal). Se decidió obturar completamente el conducto radicular con MTA blanco, los exámenes radiográficos seis meses después mostraron cambios en la densidad - trabeculado del hueso alveolar y la lámina ósea alrededor de la superficie radicular, no fue encontrada bolsa periodontal, la movilidad del diente fue considerada normal (grado 1), con subsecuente detención del proceso de reabsorción. Radiografias a los 24- 48- 54 meses mostraron una adecuada reparación de la reabsorción. Clínicamente el diente fue asintomático. El propósito de este artículo es reportar la reparación y detención de una extensa reabsorción radicular externa inflamatoria mediante el uso de MTA.
[Ferreira H. Tratamiento con Trióxido de Mineral Agregado en una reabsorción externa inflamatoria: reporte de caso. Ustasalud 2009; 8: 53 - 59]


Palabras clave

Reabsorción externa inflamatoria; Trióxido de mineral agregado; Hidróxido de calcio

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