Preservation Of Tooth Socket In Upper Premolar: Case Report
Preservación De Alveolo En Premolar Superior: Reporte De Caso
| dc.contributor | en-US | |
| dc.contributor | es-ES | |
| dc.creator | Ojeda, Gabriel | |
| dc.creator | Orellana, Andrea | |
| dc.creator | Matamala, Loreto | |
| dc.date | 2021-01-18 | |
| dc.date.accessioned | 2021-04-16T03:03:18Z | |
| dc.date.available | 2021-04-16T03:03:18Z | |
| dc.identifier | https://revistas.uv.cl/index.php/asid/article/view/2649 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/165613 | |
| dc.description | Background: Socket preservation (SP) is a technique that aims to reduce the dimensional changes that occur in the socket and soft tissues (ST) after tooth extraction, to facilitate subsequent rehabilitation with implants1,2,9. The advantages of this procedure include the maintenance of existing hard tissues (HT) and ST, conservation of the volume of the alveolar ridge in order to improve aesthetic and functional results, and optimize future procedures2 . The objectives are to preserve post-extraction alveolar volume, manage HT and ST to an optimal situation regardless of the moment chosen for implantation, and improve aesthetic results.Clinical Presentation: Female patient, 18 years old, ASA II, passive smoker 2/day, her reason for consultation was a fractured tooth that required rehabilitation treatment. The clinical examination revealed tooth 1.4 in a residual state with associated gingival hyperplasia, gingivitis induced by generalized plaque, and a thin gingival biotype. The periapical radiograph showed a biradicular tooth with a radiolucent area immediately on the camera. As the tooth had no possibility of treatment, extraction with PDA technique was indicated, for future implant rehabilitation. A xenograft of bovine origin and Jason's membrane (MDJ) was used. In the first control, the detachment of MDJ was observed. At 6 months the collapse of the vestibular table was evident.Clinical Relevance: The treatment aims to maintain the volume of HT and ST since the rehabilitation with implants would be delayed and it is documented that in nonpreservative techniques at 6 months there is a loss of 40% in height and 60% in thickness3 , the facial alveolar bone (FAB) being the most affected7,8,9. Although the fact of performing an atraumatic extraction is also considered a PDA technique, the use of bioactive materials further reduces dimensional changes4 , in addition, the use of resorbable membranes avoids subjecting patients to a second intervention6 . The most frequent complication is ST dehiscence4,5, an inconvenience that may have influenced the detachment of MDJ.Conclusion: Although the results were not as expected due to the aforementioned complication, it should be noted that the use of this technique is favorable not only aesthetically but also functionally for greater success in future treatment. | en-US |
| dc.description | Antecedentes: La preservación de alveolo (PDA) disminuye los cambios dimensionales producidos en el alveolo y tejidos blandos (TB) tras la exodoncia facilitando posteriormente la rehabilitación con implantes1,2,9. Las ventajas comprenden la mantención de tejidos duros (TD) y TB, conduciéndolos a una situación óptima con independencia del momento elegido para realizar implante y mejorar resultado estético; conservación del volumen de la cresta alveolar con el fin de mejorar los resultados estéticos y funcionales, y optimizar futuros procedimientos2.Presentación Clínica: Paciente sexo femenino, 18 años, ASA II, fumador pasivo. Presenta diente 1.4 resto radicular con hiperplasia gingival asociada, gingivitis inducida por placa generalizada en periodonto intacto y biotipo gingival fino. La radiografía informa diente birradicular, área radiolúcida inmediata a cámara. Se indica exodoncia de diente 1.4 con técnica de PDA. Se utilizó xenoinjerto y membrana de Jason (MDJ). Al control se observó el desprendimiento de MDJ. A los 6 meses colapsó la tabla vestibular.Relevancia Clínica: El objetivo es mantener el volumen de TD y TB ya que la rehabilitación con implantes sería de forma diferida y en técnicas sin preservación a los 6 meses hay una pérdida de 40% en altura y 60% en espesor3 , siendo la tabla vestibular más afectada7,8,9. Si bien el hecho de realizar una exodoncia atraumática también es considerada una técnica de PDA el uso de materiales bioactivos reduce aún más los cambios dimensionales4 , además el uso de membrana de reabsorbibles evita someter a los pacientes a una segunda intervención6. La complicación más frecuente es la dehiscencia de TB4,5 , inconveniente que puede haber influenciado en el desprendimiento de la MDJ.Conclusión: Si bien los resultados no fueron los esperados, se destaca que el uso de esta técnica es favorable estéticamente y funcionalmente para un mayor éxito en el futuro tratamiento. | es-ES |
| dc.format | application/pdf | |
| dc.language | spa | |
| dc.publisher | Universidad de Valparaíso | es-ES |
| dc.relation | https://revistas.uv.cl/index.php/asid/article/view/2649/2580 | |
| dc.rights | Copyright (c) 2020 Applied Sciences in Dentistry | es-ES |
| dc.rights | http://creativecommons.org/licenses/by/4.0 | es-ES |
| dc.source | Applied Sciences in Dentistry; Vol. 1 (2020): Supl. 1 | en-US |
| dc.source | Applied Sciences in Dentistry; Vol. 1 (2020): Supl. 1 | es-ES |
| dc.source | 0719-5761 | |
| dc.source | 0719-5761 | |
| dc.subject | Tooth Socket; Surgery, Oral; Oral Surgical Procedures; Tooth Extraction; Heterografts | en-US |
| dc.subject | Preservación de alveolo; alveolo dental; exodoncia; xenoinjerto | es-ES |
| dc.title | Preservation Of Tooth Socket In Upper Premolar: Case Report | en-US |
| dc.title | Preservación De Alveolo En Premolar Superior: Reporte De Caso | es-ES |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion | |
| dc.type | en-US | |
| dc.type | es-ES |
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Applied Sciences in Dentistry
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