<div class"text-justify">Me realizado esta pregunta en varias ocasiones, cual es el criterio que manejamos cuando indicamos una exodoncia o cuando indicamos un tratamiento más conservador # <center>![CollageMaker_20210828_204520970.jpg](https://images.hive.blog/DQmXGrc9y19HKpPh2oBe7DCbSzPsg31uxT4PTU8MTdKGGyE/CollageMaker_20210828_204520970.jpg)<sub>(1)</sub></center> # Lo primero que observamos, es la sintomatologia, si hay dolor, inflamación u otra alteración sistémica que pueda ayudarme a realizar el diagnóstico. # Segundo que tanto tejido remanente nos queda es decir, que cantidad de tejido sano nos queda para luego realizar una restauración o una corona, si no queda mucho tejido o las paredes quedan muy debilitadas lo más razonable es la exodoncia. # <center>![IMG_2019-11-23_20-56-22.JPG](https://images.hive.blog/DQmVCLLPbymVw7iZzZ6qEtzxTebzHZo1ye3r9gjNpuq2krf/IMG_2019-11-23_20-56-22.JPG)<sub> En este caso podemos restaurar con resinas por que nos queda mucho tejido sano tiene muy buen pronóstico y durabilidad (2)</sub></center> # Eso lo podemos determinar realizando un buen exámen clínico y poder preveer lo que en un futuro pueda suceder, si realizamos algún tipo de tratamiento alternativo, pero debe quedar asentado en la historia clinica como un inciso extra que el paciente se hace responsable, del cuidado y de la durabilidad del diente. # Mientras menos tejido dental sano nos quede hay una gran posibilidad de que el diente sufra alguna fractura en el futuro, también va a depender del material que utilicemos para restaurar. # <center>![IMG_2020-02-28_20-27-12.JPG](https://images.hive.blog/DQmSbrKiAmyPEQAE8uiBE2uVJtZBqou7EA2bjDP9bDtuAXG/IMG_2020-02-28_20-27-12.JPG)<sub> En estos casos podemos observar gran cantidad de tejido sano menos en el último caso que tenemos un diente extraído por caries muy profunda (3)</sub></center> # Para determinar esto calculamos la proporción de tejido dental remanente es calculado por el número de paredes involucradas, la profundidad de la cavidad y el grosor de las paredes después de la eliminación de tejido carioso. # Dependiendo de estos factores es que determinamos el éxito, la retención, la durabilidad de una restauración o la desición en caso contrario de la exodoncia, en algunos casos es díficil determinar la amplitud de la cavidad por que hay procesos donde se forma una especie de embudo, y podemos observar una cavidad pequeña pero a la hora de eliminarla se transforma en una más amplia de lo previsto. # <center>![IMG_2020-03-11_15-05-42.JPG](https://images.hive.blog/DQmR5TT1Y4GVouzitMCUr5vkA9GU66UUzyXpgY9Fw2K9rxn/IMG_2020-03-11_15-05-42.JPG)<sub>En este caso tenemos un diente con poco tejido remanente luego de una endodoncia se coloca un perno intraradicular para hacer una reconstrucción, pronóstico reservado depende mucho del cuidado del paciente (4)</sub></center> # Lo importante es que se realice un buen exámen clínico y hablar muy claro con el paciente con respecto a las posibilidades y distintas alternativas para realizar un buen diagnóstico y pronóstico y por lo tanto un mejor tratamiento. # [Referencia de Información Relevante](https://clinicacampoy.es/endodoncia-o-extraccion-de-piezas-dentales/) # Si te gustó la información y la publicación puedes apoyarme con tu comentario, si quieres puedes seguirme, cualquier duda o pregunta estoy aquí para ayudarte.</div> # <center><h2>@helengutier2 # NOS VEMOS EN LA CIMA</h2> # <sub>Fotos Originales (1-2-3-4) Bogotá Colombia Programa Editor: Maker Collage - Foto Collage</sub></center>
author | helengutier2 |
---|---|
permlink | como-decidir-entre-conservar-o-extraer-un-diente |
category | hive-148441 |
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created | 2021-08-29 02:28:33 |
last_update | 2021-08-29 02:28:33 |
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Congratulations, your post has been upvoted by @dsc-r2cornell, which is the curating account for @R2cornell's Discord Community. <center>Curated by @blessed-girl</center> <center>![r2cornell_curation_banner.png](https://cdn.steemitimages.com/DQmTwPSK52pG2QZmyNE2XHeEtuHCNSpRwmTGY7wMaWbTp8A/r2cornell_curation_banner.png)</center> Enhorabuena, su "post" ha sido "up-voted" por @dsc-r2cornell, que es la "cuenta curating" de la Comunidad de la Discordia de @R2cornell.
author | dsc-r2cornell |
---|---|
permlink | qymmnd |
category | hive-148441 |
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created | 2021-08-30 00:28:27 |
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Electronic-terrorism, voice to skull and neuro monitoring on Hive and Steem. You can ignore this, but your going to wish you didnt soon. This is happening whether you believe it or not. https://ecency.com/fyrstikken/@fairandbalanced/i-am-the-only-motherfucker-on-the-internet-pointing-to-a-direct-source-for-voice-to-skull-electronic-terrorism
author | gangstalking |
---|---|
permlink | re-helengutier2-como-decidir-entre-conservar-o-extraer-un-diente-20210829t022840556z |
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<center>[![](https://images.hive.blog/175x175/http://hivebuzz.me/@helengutier2/level.png?202108292116)](https://hivebuzz.me/@helengutier2) **Congratulations @helengutier2**! You raised your level and are now a **Dolphin**!</center> **Check out the last post from @hivebuzz:** <table><tr><td><a href="/hivebuzz/@hivebuzz/pud-202109"><img src="https://images.hive.blog/64x128/https://i.imgur.com/805FIIt.jpg"></a></td><td><a href="/hivebuzz/@hivebuzz/pud-202109">Hive Power Up Day - September 1st 2021 - Hive Power Delegation</a></td></tr></table>
author | hivebuzz |
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Su post ha sido valorado por @ramonycajal ![microscope.jpg](https://images.hive.blog/DQmcb9N21n9jxKJAyszgc6hzToELf1YspiZKS5QEwbMHbcn/microscope.jpg)
author | ramonycajal |
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