Mi Consulta Diaria - #7 - Dra. Se me aflojó un diente y me duele. by helengutier2

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spanish · @helengutier2 · Aug 27 '19 (edited)

$2.12

Mi Consulta Diaria - #7 - Dra. Se me aflojó un diente y me duele.

<div class"text-justify">Hola, hoy les traigo un caso bastante crítico, se trata de un paciente femenino de 57 años que acude a la consulta por tener una movilidad en el incisivo inferior derecho (31).

![IMG_20190812_105350.jpg](https://cdn.steemitimages.com/DQmSfV1gTS9hYp6QfjjF6VtGhqH2ebaMdHvzZ17DtVAo1pJ/IMG_20190812_105350.jpg)
Esta movilidad se puede presentar por varias razones:
1.- Por una enfermedad periodontal crónica de mucha data donde se han perdido los tejidos de soporte.
2.- Por ausencia de los molares, y el no uso de prótesis hace que toda la carga de la fuerza de la mordida descanse en los incisivos y cause pérdida de los tejidos de soportes

<center><a href="http://www.glitter-graphics.com"><img src="http://dl7.glitter-graphics.net/pub/2856/2856667tnvnx5j4q4.gif" width=177 height=18 border=0></a><br></center>

Los tejidos de soporte son los que recubren al diente y lo mantiemen dentro del alveolo y son el hueso y el ligamento periodontal. Al tener pérdida de estos, irremediablemente el diente se mueve.

![IMG_2019-08-26_11-37-14.JPG](https://cdn.steemitimages.com/DQmZb3kkuTU4hHzk3NFxDsBrfLidmbs3nKkrkavcWDmP31s/IMG_2019-08-26_11-37-14.JPG)

En algunos casos la movilidad es poca y puede indicarse injerto de hueso y cirugía periodontal, pero en casos que la movilidad es mucha el diagnóstico es la exodoncia o extracción del diente.

<center><a href="http://www.glitter-graphics.com"><img src="http://dl7.glitter-graphics.net/pub/2856/2856667tnvnx5j4q4.gif" width=177 height=18 border=0></a><br></center>


En este caso no hay tejido suficiente para una cirugía periodontal y se indica la exodoncia del diente.

<center><a href="http://www.glitter-graphics.com"><img src="http://dl7.glitter-graphics.net/pub/2856/2856667tnvnx5j4q4.gif" width=177 height=18 border=0></a><br></center>


Es de destacar que adicional a la exodoncia a la paciente se le indicó el uso de una prótesis parcial removible, para poder porteger al los dientes restantes

<center><a href="http://www.glitter-graphics.com"><img src="http://dl7.glitter-graphics.net/pub/2856/2856667tnvnx5j4q4.gif" width=177 height=18 border=0></a><br></center>



Se comienza con la aplicación de anestesia local con un técnica intraligamentaria, luego con un forceps #151 indicado para dientes inferiores se hace el agarre y se da movimiento de torsión, para despegarlo definitivamente del poco soporte y se presiona hacía arriba para sacarlo, 
luego se curetea para eliminar cualquier resto infeccioso en el alveolo que pueda retrasar el proceso de cicatrización luego se indica antiflamatorio y analgésicos, se indica cita para dentro de 7 días, para valoración y toma de impresión para la prótesis.

![IMG_2019-08-26_11-40-18.JPG](https://cdn.steemitimages.com/DQmRifpwZ97YRn9divA6ymFBJPpdTa6kpqJhbURpH16gBYZ/IMG_2019-08-26_11-40-18.JPG)

Es de aclarar que todo esto se pudo haber evitado con la visita periódica al odontólogo, a veces por temor terminamos con este tipo de procedimientos definitivos.

<center><a href="http://www.glitter-graphics.com"><img src="http://dl7.glitter-graphics.net/pub/2856/2856667tnvnx5j4q4.gif" width=177 height=18 border=0></a><br></center>


Si te gusto la publicación puedes votar y/o comentar, también puedes seguirme, cualquier consulta o duda puedes escribirme estoy para servirte.</div>

<center><a href="http://www.glitter-graphics.com"><img src="http://dl7.glitter-graphics.net/pub/2856/2856667tnvnx5j4q4.gif" width=177 height=18 border=0></a><br></center>


<center>NOS VEMOS EN LA CIMA

<a href="http://www.glitter-graphics.com"><img src="http://dl5.glitter-graphics.net/pub/153/153625nqc2f58k5n.gif" width=429 height=25 border=0></a><br></center>

![3W72119s5BjWMGm4Xa2MvD5AT2bJsSA8F9WeC71v1s1fKfGkK9mMKuc3LcvF4KigbWg9UsrpEPYxPRz9TY4NDrYgwbpqNPBLAUoseU3hn72qVijpAcp9LJ.png](https://cdn.steemitimages.com/DQmf4Z8MHL4YkpuhFRmDYXDpZ3CTcBD47LvpVQkowFNGmq4/3W72119s5BjWMGm4Xa2MvD5AT2bJsSA8F9WeC71v1s1fKfGkK9mMKuc3LcvF4KigbWg9UsrpEPYxPRz9TY4NDrYgwbpqNPBLAUoseU3hn72qVijpAcp9LJ.png)
Fotos Originales CRO Odontoven, Bogotá-Colombia

👍 votovzla, cervantes, msp-curation, curie, followbtcnews, heiditravels, pgarcgo, helpie, crimsonclad, eonwarped, tombstone, angelesdesteemit, mariusfebruary, jgcastrillo19, la-colmena, paulag, gargon, ramonycajal, mosqueteros, wartrapa, clayboyn, vact, victoriabsb, wackou, titin, musicvoter2, icondark, juliakponsford, hendrikdegrote, thelittlebank, c-squared, arcange, glokdm, camuel, curx, r0nd0n, carrieallen, goblinknackers, krystle, daan, solominer, ylich, zaxan, helpiecake, mdcomes, elarca, zapncrap, macoolette, stellae, st3llar, gabriellecd, zainenn, javiermurillo, doomsdaychassis, osm0sis, ctime, discordiant, jauregui98, ilazramusic, teo, tincho, makingblocks, richjr, lunaticpandora, and 430 others

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elarca	9,652,785,249	100%
jvphotography	236,633,289	8.1%
longer	350,681,758	50%
blewitt	1,088,820,605	0.16%
rx-tech	85,184,391	50%
gunboat	442,970,810	100%
kafupraise	83,957,343	34%
duocover	233,944,663	50%
hhtb	73,794,272	1.2%
carita-feliz	124,807,538	8.1%
angelica7	2,439,714,881	18%
jauregui98	7,294,350,401	90%
ilovecryptopl	312,282,965	1.92%
yomismosoy	636,049,470	50%
bflanagin	543,424,359	1.2%
libe	80,971,390	8.1%
andreacastaneda	1,494,255,280	45%
hisdaserrano	386,330,639	100%
jesusmedit	188,473,968	8.1%
lillywilton	991,685,086	20%
adonisr	597,667,386	16.2%
velazquezboy	2,019,395,088	100%
hansmast	138,718,575	1.2%
zainenn	8,983,681,173	7.5%
goblinknackers	16,219,869,028	4%
icondark	40,646,903,438	100%
juancrdrums	69,119,517	16.2%
gpcx86	18,252,003	1%
salvadorhr18	1,280,369,079	75%
mariichuy	1,417,080,879	45%
reinaseq	879,412,605	16.2%
yaelg	2,560,887,661	5%
pvinny69	96,069,180	1.2%
minuetoacademy	59,580,175	16.2%
pabloptimista	166,734,846	8.1%
steeming-ali	98,256,762	8.1%
tianalaunik	319,386,682	50%
aleatory	536,226,930	100%
emsteemians	101,732,246	10%
andreasalas	418,455,911	8.1%
c-squared	23,966,709,081	9.98%
betza90	368,916,111	100%
la-colmena	66,228,945,070	100%
rmartinezpoeta	217,418,035	45%
betianacb	245,445,589	50%
annaabi	180,516,789	1.2%
javiermurillo	8,855,393,252	22.5%
thelittlebank	31,186,396,584	7.5%
zahyel	535,013,173	100%
javyeslava.photo	439,555,692	6.48%
lizdeluca	605,124,602	8.1%
aullidodecisne	217,796,860	50%
luisamundaray	246,009,357	50%
trang	213,655,094	1.2%
laissez-faire	49,517,711	100%
angoujkalis	168,538,194	8.1%
rhethypo	90,945,923	1.2%
memes777	1,452,983,989	16.2%
fenix7	215,909,530	45%
onelovesteem	226,817,131	1.2%
the.success.club	566,899,125	1.2%
chickenmeat	328,975,469	1.2%
macoolette	9,148,320,579	1.2%
javier.dejuan	531,760,504	2.4%
bernardwest	66,476,773	2.4%
el-panal	5,711,521,284	90%
lion200	626,146,015	0.96%
reverseacid	190,278,457	1.2%
leoantonio	245,443,519	50%
adyorka	130,823,738	6.48%
wav-dr	100,320,518	1%
esthersanchez	240,599,962	30%
doctorlibro	468,789,846	100%
eu-id	117,161,884	10%
byercatire	2,107,321,443	100%
eliasseth	332,082,175	8.1%
raoufwilly	256,733,671	4.5%
elelobos	2,498,567,667	100%
eonwarp	1,518,639,242	100%
jjmarquez	1,417,571,645	100%
nacho.pdf	185,081,599	50%
alvin0617	177,495,989	1.2%
stellae	9,072,120,304	100%
vibesforlife	3,089,755,139	10%
onexel	431,315,345	100%
felixlarosa1	177,976,675	50%
chipdip	1,682,961,077	1.2%
variedades	652,309,170	15%
equipodelta	5,571,599,874	21%
alex-hm	1,050,022,031	50%
javierh95	206,274,710	50%
bluesniper	2,169,089,999	0.5%
mrsbozz	338,223,186	5%
arar5	1,860,782,757	50%
drazeus	2,112,153,755	50%
helpiecake	13,209,245,328	100%
travisung	4,241,904,715	1.2%
ctime	7,461,575,436	0.25%
miguelmederico	2,937,087,836	45%
tottylive	171,465,265	50%
ghostdylan	919,009,771	50%
fantastictwins	179,317,850	50%
kikegil	77,261,529	8.1%
hairgistix	1,057,495,404	1.2%
goodcontentbot	53,580,578	50%
ratspencer	205,311,862	8.1%
electru	272,433,767	45%
herculean	51,193,036	50%
pulleyhead	97,324,345	2.4%
aniita	251,056,196	8.1%
toufiqurrahman32	114,487,784	5%
elarca.play	343,492,327	100%
alexgamer	127,092,479	50%
bluemaskman	127,959,306	1.2%
donasys	60,681,671	51%
breakout101	228,565,655	1.2%
chrisluke	179,448,024	26%
emendoza45	182,629,726	45%
arnaldoropeza	585,312,502	8.1%
sumotori	701,077,274	75%
stellafranco	94,628,864	16.2%
alexmonster	35,962,236	50%
smdragon	131,036,248	50%
dennishubys	179,964,623	50%
brendanweinhold	46,117,653	100%
bergelmirsenpai	765,438,872	10%
draconel	1,185,702,451	45%
patris	627,466,433	8.1%
zackarie	136,487,276	8.1%
josefelix	95,632,807	28%
yiobri	2,172,104,515	50%
ricardomello	722,658,576	16.2%
crivec68	232,045,300	2.49%
iamsaray	186,763,222	8.1%
yonnathang	131,817,736	4.5%
pandaparker	1,218,497,484	100%
racentenog	155,912,423	8.1%
spectra-ventures	183,443,845	8.1%
startyourjourney	183,643,611	8.1%
digitalmack	183,780,258	8.1%
tim-mack	183,479,135	8.1%
myotherstuff	2,960,318,191	10%
naturalbornk	165,926,891	50%
sidinca	760,790,406	35%
templo.pay	732,503,192	70%
ilovecanada	40,567,049	1.08%
reitsportdokus	399,325,515	8.1%
deltacristiana	399,437,584	35%
uncafeyalgomas	1,009,133,763	70%
loistargarien	106,344,127	8.1%
luv.token	199,351,010	8.1%
makingblocks	6,342,186,966	7.5%
twenty1	0	1.08%
soloduet	0	1.08%
angelesdesteemit	95,131,654,509	70%
camila19	1,187,359,417	100%
gassa28	12,201,157	10%
treasure-chest	3,413,654,822	100%
hyborian-strain	97,662,729	2.43%
nomsinc	103,566,144	25%
elgranpoeta	1,522,640,521	100%
the.melvo	452,037,507	100%
poppie-schultz	98,674,959	10%
mxgstudios	515,663,328	100%
c00k13	214,759,051	6.83%
polofb	103,075,981	50%
radaquest-hh	131,011,739	16.2%
spaco	69,847,509	3.08%
lc2	78,339,422	33.33%
angeles-trail	646,615,699	45.5%
tuerca	113,223,396	20%
amico.spa	322,799,061	100%
acido1120	86,841,500	8.1%
aidve.spaco	643,201,192	90%
arm27312	31,527,464	50%
roadstories.trib	3,449,996,727	21%
gospaco	73,492,890	16.2%
wiriwiri.spaco	0	9.72%

@angelesdesteemit · Aug 26 '19

<center>
Gracias por mostrarnos parte de su trabajo y brindarnos consejos para mejorar y cuidar de nuestra dentadura.
https://i.ibb.co/YW1vFsV/msj-fn.png
Curador: @equipodelta
</center>

properties (22)

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`permlink`	pwv34e
`category`	spanish
`json_metadata`	{"tags":["spanish"],"users":["equipodelta"],"image":["https://i.ibb.co/YW1vFsV/msj-fn.png"],"app":"steemit/0.1"}
`created`	2019-08-26 20:48:18
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@helengutier2 · Aug 26 '19

Gracias a ustedes por apoyar mi publicación es parte de mí trabajo difundir la salud bucal estoy formada para eso y estoy a su orden para lo que se le ofrezca que este en mis manos gracias

properties (22)

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`permlink`	pwv3jd
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`created`	2019-08-26 20:57:15
`last_update`	2019-08-26 20:57:15
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`root_title`	"Mi Consulta Diaria - #7 - Dra. Se me aflojó un diente y me duele."
`beneficiaries`	`[]`
`max_accepted_payout`	1,000,000.000 HBD
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@c-squared · Aug 28 '19

c-squared-comment

<div class="pull-left">https://cdn.steemitimages.com/DQmaSUWYsJ3AMUEMRqCSaoKJVNvtsbKm4fNAtmTidr8Uggc/C%20Squared%20Logo%20Transparency%20200px.png</div>Este post fue compartido en el canal #spanish-curation de la comunidad de curación  <a href="https://discord.gg/MtbAeQv">Curation Collective</a> y obtuvo upvote y resteem por la cuenta de la comunidad @c-squared después de su curación manual.<hr/>This post was shared in the #spanish-curation channel in the <a href="https://discord.gg/MtbAeQv">Curation Collective Discord community</a> for curators, and upvoted and resteemed by the @c-squared community account after manual review.<br/>@c-squared runs a <a href="https://steemit.com/witness/@c-cubed/announcing-the-launch-of-the-new-c-squared-witness">community witness</a>. Please consider using one of your witness votes on us <a href ="https://steemconnect.com/sign/account-witness-vote?witness=c-squared&approve=true">here</a>

properties (22)

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`permlink`	20190828t175600479z
`category`	spanish
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`created`	2019-08-28 17:56:00
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@helengutier2 · Aug 28 '19

Muchas gracias, por apoyar mi publicación, esto me inspira a seguir adelante y a dar lo mejor de mi para la comunidad

properties (22)

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`permlink`	pwypvy
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@camila19 · Aug 26 '19

Felicidades gran trabajo eres una excelente profesional sigue adelante eres un gran baluarte para la comunidad gracias por compartir tu trabajo

properties (22)

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`permlink`	pwuw9d
`category`	spanish
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`created`	2019-08-26 18:20:03
`last_update`	2019-08-26 18:20:03
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`last_payout`	2019-09-02 18:20:03
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@helpiecake · Aug 28 '19

Hola!

Este post ha sido manualmente curado, reestemeado 
y alimentado con una deliciosa torta virtual del 
equipo de curacion @helpiecake!

Mucho amor para ti de parte de toda la comunidad @helpie!
Manten en alto tu buen trabajo!

<a href="http://steemit.com/@helpie">
![helpiecake](https://cdn.steemitimages.com/DQmSMHakv7bq1joQpgSQFCe1xFBTGNuBY2ZCHdKdmGi2MXP/helpiecake-chocolate-cake.png)
</a>

😬
Manualmente curado por @victoriabsb.


<sub>
¿Sabías que @helpie es un Witness (testigo) de la comunidad? 
para más información de nuestro proyecto, 
por favor visita [el post de Actualizaciones de este mes](https://steemit.com/update/@helpie/helpie-update-june-2019).
</sub>

properties (22)

@helengutier2 · Aug 28 '19

Muchas gracias por su apoyo

properties (22)

`author`	helengutier2
`permlink`	pwybo0
`category`	spanish
`json_metadata`	{"tags":["spanish","palnet"],"app":"palnet/0.1"}
`created`	2019-08-28 14:45:39
`last_update`	2019-08-28 14:45:39
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@la-colmena · Aug 26 '19

<div class=text-justify>

-----

<div class="pull-right">

![Colmena-Curie.jpg](https://cdn.steemitimages.com/DQmWrBRFeS1yuiwUptBTkhNJgaNU9Xgv7a5QzvE7qFw5Gdf/Colmena-Curie.jpg)

</div>

# 
¡Felicidades! Esta publicación obtuvo *upvote* y fue compartido por **@la-colmena**, un proyecto de **Curación Manual** para la comunidad hispana de **Steemit** que cuenta con el respaldo de **@curie**.

Si te gusta el trabajo que hacemos, te invitamos a darle tu voto a este comentario y a votar como testigo por [**Curie**](https://steemconnect.com/sign/account_witness_vote?approve=1&witness=curie). 

Si quieres saber más sobre nuestro proyecto, acompáñanos en  Discord: [La Colmena](https://discord.gg/SYwngna).

-----

</div>

👍 lc2

`author`	la-colmena
`permlink`	20190826t234229672z
`category`	spanish
`json_metadata`	{"tags":["spanish"],"app":"la-colmena"}
`created`	2019-08-26 23:42:33
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properties (23)vote details (1)

voter	weight	wgt%	rshares	pct	time
lc2	0 B		0	10%

@helengutier2 · Aug 28 '19

Geaciasssss por su valioso apoyo, a mi aporte a la comunidad

properties (22)

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`permlink`	pwybqe
`category`	spanish
`json_metadata`	{"tags":["spanish","palnet"],"app":"palnet/0.1"}
`created`	2019-08-28 14:47:06
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`children`	0
`last_payout`	2019-09-04 14:47:06
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`total_payout_value`	0.000 HBD
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`body_length`	60
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`beneficiaries`	`[]`
`max_accepted_payout`	1,000,000.000 HBD
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@mosqueteros · Aug 28 '19

![Banner (Firma para Comentarios).png](https://cdn.steemitimages.com/DQmb7DUdjWGzdBwFawV4S65d52giJEeBRUbZsoNvzceCkWE/Banner%20(Firma%20para%20Comentarios).png)

properties (22)

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`permlink`	pwxcas
`category`	spanish
`json_metadata`	{"tags":["spanish"],"image":["https://cdn.steemitimages.com/DQmb7DUdjWGzdBwFawV4S65d52giJEeBRUbZsoNvzceCkWE/Banner%20(Firma%20para%20Comentarios).png"],"app":"steemit/0.1"}
`created`	2019-08-28 02:01:54
`last_update`	2019-08-28 02:01:54
`depth`	1
`children`	1
`last_payout`	2019-09-04 02:01:54
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`total_payout_value`	0.000 HBD
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@helengutier2 · Aug 28 '19

Graciasssss por su apoyo todos para uno y uno para todos....

properties (22)

`author`	helengutier2
`permlink`	pwyboz
`category`	spanish
`json_metadata`	{"tags":["spanish","palnet"],"app":"palnet/0.1"}
`created`	2019-08-28 14:46:15
`last_update`	2019-08-28 14:46:15
`depth`	2
`children`	0
`last_payout`	2019-09-04 14:46:15
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`beneficiaries`	`[]`
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@ramonycajal · Aug 27 '19

![CURADORES-01.gif](https://cdn.steemitimages.com/DQmdARgRdaxHcoZjoWaV4p17QyaAteKSPLXRS11y2b3MvdG/CURADORES-01.gif)

👍 wilsonlozano

`author`	ramonycajal
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properties (23)vote details (1)

voter	weight	wgt%	rshares	pct	time
wilsonlozano	0 B		34,546,733	20%

@helengutier2 · Aug 28 '19

Gracias por seguir apoyandome, y por valorar mi trabajo seguiré mostrando mi labor para nutrir a nuestra comunidad

properties (22)

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@shabaperween · Sep 12 '19

Good smile friend have nice day.

👍 sameer62

`author`	shabaperween
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`created`	2019-09-12 17:15:12
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properties (23)vote details (1)

voter	weight	wgt%	rshares	pct	time
sameer62	0 B		524,154,733	100%

@steemitboard · Aug 26 '19

Congratulations @helengutier2! You have completed the following achievement on the Steem blockchain and have been rewarded with new badge(s) :

<table><tr><td><img src="https://steemitimages.com/60x70/http://steemitboard.com/@helengutier2/voted.png?201908262151"></td><td>You received more than 3000 upvotes. Your next target is to reach 4000 upvotes.</td></tr>
</table>

<sub>_You can view [your badges on your Steem Board](https://steemitboard.com/@helengutier2) and compare to others on the [Steem Ranking](https://steemitboard.com/ranking/index.php?name=helengutier2)_</sub>
<sub>_If you no longer want to receive notifications, reply to this comment with the word_ `STOP`</sub>



###### [Vote for @Steemitboard as a witness](https://v2.steemconnect.com/sign/account-witness-vote?witness=steemitboard&approve=1) to get one more award and increased upvotes!

properties (22)

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`category`	spanish
`json_metadata`	{"image":["https://steemitboard.com/img/notify.png"]}
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@stellae · Aug 26 '19

curado

<div class='pull-left'><img src='https://steemitimages.com/240x0/https://cdn.steemitimages.com/DQmX1VXLm6F6mGXMVpzD2CkzY8J4xCMDRFuTWY5KDzNuJ7B/stellae.png/'></div><div class='text-justify'><br>Gracias por compartir tu contenido con la comunidad de <a href='https://discord.gg/NBV9bdy'>El Arca </a> (@elarca), el mismo ha sido votado por nuestra iniciativa de curación artística @stellae. Si deseas puedes delegar SP al proyecto: <a href='https://bit.ly/2IC9sbM'>Delegate 25 SP </a> <a href='https://bit.ly/2VX7aa5'>Delegate 50 SP </a> <a href='https://bit.ly/2KWGV2v'>Delegate 100 SP </a> <a href='https://bit.ly/2W1UtuJ'>Delegate 250SP </a> <a href='https://bit.ly/2L7jqUi'>Delegate 500SP </a> o seguir nuestro <a href='https://steemauto.com/dash.php?i=1&trail=stellae'>trail de curación</a> en Steem Auto. Recuerda usar los tags palnet y creativecoin para obtener mayores recompensas.</div>

properties (22)

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`permlink`	re-mi-consulta-diaria-7-dra-se-me-aflojo-un-diente-y-me-duele
`category`	spanish
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@helengutier2 · Aug 26 '19

Gracias por su apoyo

properties (22)

`author`	helengutier2
`permlink`	pwv3nt
`category`	spanish
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`created`	2019-08-26 20:59:57
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@yonnathang · Aug 27 '19

Muy crudas esas imágenes hahaha!

properties (22)

`author`	yonnathang
`permlink`	pwwi5w
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`created`	2019-08-27 15:10:45
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@helengutier2 · Aug 27 '19

Jajajajajaja son reales muy reales

properties (22)

`author`	helengutier2
`permlink`	pwx1z0
`category`	spanish
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@helengutier2 · Aug 27 '19

Jajajajaja, son reales

properties (22)