{"id":12412,"date":"2024-08-26T08:41:42","date_gmt":"2024-08-26T06:41:42","guid":{"rendered":"https:\/\/zarc4endo.com\/?p=12412"},"modified":"2024-08-26T08:41:42","modified_gmt":"2024-08-26T06:41:42","slug":"caso-clinico-del-dr-luis-baroni-retratamiento-del-diente-24","status":"publish","type":"post","link":"https:\/\/zarc.jevnet.es\/es\/caso-clinico-del-dr-luis-baroni-retratamiento-del-diente-24\/","title":{"rendered":"Caso Cl\u00ednico del Dr. Luis Baroni: retratamiento del diente 24"},"content":{"rendered":"

El doctor Luis Baroni retrat<\/span><\/b>a un 24 con limas Excalibur<\/a> y lo obtura con el cemento NeoSealer Flo\u00ae<\/a> de Zarc<\/span><\/b>\u00a0<\/span><\/p>\n

Hoy les presentamos un interesante caso cl\u00ednico gestionado por el Dr. Luis Baroni, que pone de manifiesto la importancia de la vigilancia continua y el uso de tecnolog\u00edas avanzadas en el tratamiento endod\u00f3ntico.<\/span>\u00a0<\/span><\/p>\n

Historia cl\u00ednica del paciente<\/span><\/b>\u00a0<\/span><\/h2>\n

El paciente acudi\u00f3 por primera vez a consulta en 2017 con la preocupaci\u00f3n de evaluar la posibilidad de retratamiento de los dientes 26 y 24. En ese momento, se decidi\u00f3 retratar el diente 26 debido a la presencia de una periodontitis apical sintom\u00e1tica. El diente 24, a pesar de una obturaci\u00f3n cuestionable, no presentaba signos ni s\u00edntomas de patolog\u00eda, por lo que se opt\u00f3 por un control radiogr\u00e1fico peri\u00f3dico.<\/span>\u00a0<\/span><\/p>\n

Desarrollo del caso<\/span><\/b>\u00a0<\/span><\/h3>\n

Tras cuatro a\u00f1os de seguimiento, se observa una imagen radiol\u00facida a nivel periapical del diente 24, aunque el paciente segu\u00eda asintom\u00e1tico. Se realiza un CBCT (Tomograf\u00eda Computarizada de Haz C\u00f3nico) para evaluar el tama\u00f1o de la lesi\u00f3n, confirmando la presencia de una periodontitis apical asintom\u00e1tica y la necesidad de un retratamiento no quir\u00fargico.<\/span>\u00a0<\/span><\/p>\n

Planificaci\u00f3n del tratamiento<\/span><\/b>\u00a0<\/span><\/h3>\n

El tratamiento presentaba varios desaf\u00edos:<\/span>\u00a0<\/span><\/p>\n

    \n
  1. Acceso a trav\u00e9s de una corona metal-cer\u00e1mica<\/span><\/b>: la corona estaba bien adaptada y el paciente prefer\u00eda no removerla.<\/span>\u00a0<\/span><\/li>\n
  2. Remoci\u00f3n de un perno met\u00e1lico prefabricado<\/span><\/b>: insertado en la ra\u00edz Disto-Vestibular, con el riesgo de descementado de la corona prot\u00e9sica.<\/span>\u00a0<\/span><\/li>\n
  3. Localizaci\u00f3n del conducto mesio-vestibular omitido<\/span><\/b>: determinante para tratar la periodontitis apical.<\/span><\/li>\n<\/ol>\n

    Ejecuci\u00f3n del tratamiento<\/span><\/b>\u00a0<\/span><\/h3>\n

    El tratamiento se realiz\u00f3 conforme a lo planificado, sin complicaciones adicionales. Se utilizaron las im\u00e1genes 3D del CBCT y el Microscopio \u00d3ptico CJ-Optik para guiar el procedimiento. Los pasos incluyeron:<\/span>\u00a0<\/span><\/p>\n

      \n
    • Desobturaci\u00f3n de los conductos<\/span><\/b>: utilizando el sistema Z-Down y la lima Excalibur<\/span>\u00ae<\/span> E-25.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
        \n
      • Irrigaci\u00f3n y desinfecci\u00f3n<\/span><\/b>: con hipoclorito de sodio al 4% y EDTA al 17%, activados con el dispositivo ultras\u00f3nico Z-Activator.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n
          \n
        • Medicaci\u00f3n intraconducto<\/span><\/b>: se aplica hidr\u00f3xido de calcio para mejorar la desinfecci\u00f3n y el clima periapical.<\/span>\u00a0<\/span><\/li>\n<\/ul>\n

          Obturaci\u00f3n final<\/span><\/b>\u00a0<\/span><\/h3>\n

          Para la obturaci\u00f3n, se utiliza cemento biocer\u00e1mico<\/strong> NeoSealer Flo<\/span> \u00ae<\/span>, impregnando las puntas de gutapercha 25\/.04 by Zarc con biocer\u00e1mico<\/strong> y realizando la t\u00e9cnica en fr\u00edo con cono \u00fanico de gutapercha.<\/span>\u00a0<\/span><\/p>\n

          Conclusi\u00f3n<\/span><\/b>\u00a0<\/span><\/h3>\n

          Este caso destaca la importancia de una planificaci\u00f3n meticulosa y el uso de tecnolog\u00edas avanzadas para superar los retos cl\u00ednicos complejos. Gracias a la experiencia del Dr. Luis Baroni y al uso de herramientas innovadoras, se pudo proporcionar un tratamiento exitoso, asegurando la salud dental y el bienestar del paciente.<\/span>\u00a0<\/span><\/p>\n

          En Zarc, continuamos comprometidos con ofrecer tratamientos de vanguardia y cuidado excepcional a nuestros pacientes. Si tienes alguna consulta, no dudes en contactarnos.<\/span>\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

          En Zarc, nuestra misi\u00f3n es trascender fronteras para ofrecer una cobertura internacional incomparable en el campo de la endodoncia.<\/p>\n","protected":false},"author":1,"featured_media":12414,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[237,238],"tags":[197,177,198,195],"class_list":["post-12412","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualidad-en","category-casos-clinicos","tag-caso-clinico","tag-endodoncia","tag-excalibur-2","tag-zarc"],"yoast_head":"\nCaso Cl\u00ednico del Dr. Luis Baroni: retratamiento del diente 24 - Zarc<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Caso Cl\u00ednico del Dr. Luis Baroni: retratamiento del diente 24 - 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