{"id":14848,"date":"2021-06-25T08:05:58","date_gmt":"2021-06-25T08:05:58","guid":{"rendered":"https:\/\/zarc4endo.com\/?p=2851"},"modified":"2021-06-25T08:05:58","modified_gmt":"2021-06-25T08:05:58","slug":"retratamiento-por-fractura-de-un-instrumento","status":"publish","type":"post","link":"https:\/\/zarc.jevnet.es\/es\/retratamiento-por-fractura-de-un-instrumento\/","title":{"rendered":"Retratamiento por fractura de un instrumento, tratado con RetreatAll y BlueShaper"},"content":{"rendered":"

[vc_row full_width=\u00bbstretch_row\u00bb][vc_column][vc_empty_space][vc_column_text css=\u00bb.vc_custom_1702986803470{margin-top: -30px !important;}\u00bb]<\/p>\n

Retratamiento por fractura de un instrumento, tratado con RetreatAll\u00ae y BlueShaper\u00ae<\/span><\/span><\/span><\/h1>\n

[\/vc_column_text][vc_column_text]<\/p>\n

La doctora Purificaci\u00f3n Varela nos presenta un caso cl\u00ednico en el que le practica retratamiento con limas RetreatAll\u00ae y BlueShaper\u00ae a un primer molar superior por fractura de instrumento.<\/h4>\n

[\/vc_column_text][vc_column_text]Una de las causas del fracaso del tratamiento endod\u00f3ncico<\/strong> es la persistencia de la infecci\u00f3n debido a la falta de limpieza de los conductos radiculares y consecuentemente la inadecuada obturaci\u00f3n del sistema de conductos.<\/p>\n

Esto puede ser debido a diferentes causas, entre ellas es frecuente la fractura de un instrumento dentro del conducto que obstaculiza la penetraci\u00f3n de los materiales de limpieza y su obturaci\u00f3n posterior. El instrumento separado conduce a una limpieza incompleta del conducto radicular y con frecuencia da lugar a un fracaso en el tratamiento.<\/p>\n

Para completar con \u00e9xito el tratamiento, se debe eliminar el instrumento separado preferentemente y, si no es posible, intentar baipasearlo.[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\u00bbstretch_row\u00bb][vc_column][vc_empty_space][vc_column_text]<\/p>\n

Caso cl\u00ednico: Retratamiento por Fractura de un Instrumento<\/span><\/strong><\/h3>\n

[\/vc_column_text][vc_column_text]Paciente referido para volver a realizarle un tratamiento de endodoncia del 16.[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\u00bbstretch_row\u00bb][vc_column][vc_empty_space][vc_column_text]<\/p>\n

Diagn\u00f3stico<\/span><\/strong><\/h3>\n

[\/vc_column_text][vc_column_text]Realizamos RX y observamos en ra\u00edz mesial del 16 una lima fracturada en el conducto mesiovestibular con periodontitis apical. Fig. 1)[\/vc_column_text][vc_single_image image=\u00bb2854″ img_size=\u00bbfull\u00bb add_caption=\u00bbyes\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]<\/p>\n

Fig. 1: Radiograf\u00eda preoperatoria. Fragmento de lima en el 16.<\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\u00bbstretch_row\u00bb][vc_column][vc_empty_space][vc_column_text]<\/p>\n

Tratamiento<\/span><\/strong><\/h3>\n

[\/vc_column_text][vc_column_text]Se desobturan los conductos con las limas RetreatAll\u00ae<\/sup> 1 y 2 (Zarc4endo), Zr1 (30.04 de 21 mm) y Zr2 (25.04 de 25 mm), (Fig 2), muy eficaces para la eliminaci\u00f3n de la gutapercha sin necesidad de disolventes que producen una pasta dif\u00edcil de eliminar de la pared del conducto.\u00a0 Se elimina el fragmento separado \u00a0con ayuda de la punta ultras\u00f3nica Star X\u00ae<\/sup> 3 de Dentsply Sirona y la ET25\u00ae<\/sup> de Satelec.<\/p>\n

Despu\u00e9s de repermeabilizar y corregir la longitud de trabajo, terminamos la conformaci\u00f3n de los conductos con las limas BlueShaper<\/strong>\u00ae<\/sup><\/a> . Se realiza la irrigaci\u00f3n pre-obturaci\u00f3n con hipoclorito de sodio al 5,25% y EDTA al 17%, activando ambos irrigantes con el\u00a0 activador ultras\u00f3nico Ultra X\u00ae<\/sup> y punta X Blue (flexible) (Fig 3).<\/p>\n

Obturamos los tres conductos con Thermafil\u00ae<\/sup> (Fig. 4) y reenviamos para reconstrucci\u00f3n de la corona.<\/p>\n

Revisi\u00f3n 3 meses mas tarde (Fig 5)[\/vc_column_text][vc_single_image image=\u00bb2856″ img_size=\u00bbfull\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]<\/p>\n

Fig. 2 \u00a0RetreatAll<\/a>\u00ae<\/sup> 1 & 2<\/p>\n

[\/vc_column_text][vc_single_image image=\u00bb2858″ img_size=\u00bbfull\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]<\/p>\n

Fig. 3 Ultrasonic activator UltraX\u00ae<\/sup> and X-Blue tip (soft).<\/p>\n

[\/vc_column_text][vc_single_image image=\u00bb2860″ img_size=\u00bbfull\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]<\/p>\n

Fig. 4 Conducto obturado<\/p>\n

[\/vc_column_text][vc_single_image image=\u00bb2862″ img_size=\u00bbfull\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]<\/p>\n

Fig. 5\u00a0Tres meses m\u00e1s tarde<\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\u00bbstretch_row\u00bb bg_type=\u00bbbg_color\u00bb bg_color_value=\u00bb#e8e8e8″][vc_column width=\u00bb1\/4″][vc_single_image image=\u00bb2332″ img_size=\u00bb210×210″ style=\u00bbvc_box_circle_2″][\/vc_column][vc_column width=\u00bb3\/4″][vc_column_text]<\/p>\n

Dra. Purificaci\u00f3n Varela<\/span><\/strong><\/h3>\n
Licenciada en Medicina y Doctora en Medicina y Cirug\u00eda por la Universidad de Santiago de Compostela. Directora del M\u00e1ster y Curso de Especializaci\u00f3n en Endodoncia de la Facultad de Medicina y Odontolog\u00eda de Santiago de Compostela. Secretaria de la Sociedad Espa\u00f1ola de Odontolog\u00eda Conservadora. Presidenta de la EFAM. Dictante de conferencias nacionales e internacionales. Autora de numerosas publicaciones indexadas. Endodoncista en Bahillo Policl\u00ednica Dental.<\/h5>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=\u00bbstretch_row\u00bb][vc_column][vc_empty_space][vc_column_text]<\/p>\n

M\u00e1s informaci\u00f3n<\/span><\/strong><\/h3>\n

[\/vc_column_text][vc_column_text]Si est\u00e1s deseando probar nuestros productos ponte en contacto con nosotros a trav\u00e9s del correo electr\u00f3nico a hola@zarc4endo.com<\/a>. \u00a1Estaremos encantados de asesorarte![\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

La doctora Purificaci\u00f3n Varela nos presenta un caso cl\u00ednico en el que le practica retratamiento con limas RetreatAll\u00ae y BlueShaper\u00ae a un primer molar superior por fractura de instrumento.<\/p>\n","protected":false},"author":1,"featured_media":14386,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[237,238],"tags":[185,177,178,179],"class_list":["post-14848","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualidad-en","category-casos-clinicos","tag-blueshaper","tag-endodoncia","tag-endodoncia-o2o","tag-limas-rotatorias"],"yoast_head":"\nZarc4Endo | Caso de retratamiento con limas RetratAll\u00ae y BlueShaper\u00ae<\/title>\n<meta name=\"description\" content=\"Caso cl\u00ednico donde la Dra. 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