Revascularización en un molar inferior, con un tercio de formación radicular

Mayid Barzuna Ulloa; Christian González Alfaro

doi:10.59334/ROV.v1i30.142

Autores/as

Mayid Barzuna Ulloa Universidad Latina de Costa Rica.
Christian González Alfaro Universidad Latina de Costa Rica.

DOI:

https://doi.org/10.59334/ROV.v1i30.142

Palabras clave:

Revascularización, hidróxido de calcio, ápice abierto, células madre

Resumen

La revascularización amplía, hoy en día, el panorama de cómo recuperar un diente que se encuentra con un tercio de su formación radicular, producto de un evento de necrosis pulpar. El procedimiento indicado por la literatura implica una serie de pasos como el uso de pasta tri o biantibiótica o del hidróxido de calcio, para lograr mayor éxito en la técnica. Sin embargo, hay excepciones a la regla. Se describe un caso clínico, el cual incluyó una revascularización no planeada y a la cual, como consecuencia de los materiales utilizados, el diente respondió de excelente manera. Se modificaron las técnicas descritas en la literatura y se logró la formación radicular, demostrada a nivel radiográfico, aún en presencia de una fuerte infección, la cual se drenó por tejido extraoral, manifestando el alto grado de concentración bacteriana en la zona afectada. Como resultado, una vez más se muestra el potencial de regeneración, diferenciación y capacidad de respuesta de las células madre. El caso clínico tiene una evolución de 8 años.

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Citas

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