EGRESADO DOCTORADO EN ADMINISTRACION EGRESADO MAESTRIA EN ADMINISTRACION DE SERVICIOS DE SALUD DIPLOMADO EN DOCENCIA E INVESTIGACION UNIVERSITARIA ESPECIALISTA EN CIRUGIA ORAL Y MAXILOFACIAL MIEMBRO FELLOW DE LA IAOMS COP: 7057 - RNE: 0050
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TRAUMATISMOS ALVEOLODENTARIOS Tratamientos
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Los traumatism traumatismo o alveolo dentarios constituyen la segunda segunda causaa de aten caus atención ción odon odontoló tológica gica dura durante nte el creci crecimien miento to y des esar arro roll llo o del del ind ndiv ivid iduo uo,,
por det etrá ráss de
la pato patolo log gía
prov pr ovoc ocad adaa po porr ca cari ries es.. La alta alta pr prev eval alen enci ciaa
en niños niños de
cortaa edad, nos cort nos deben alertar alertar acerc acercaa de las consecuen consecuencias cias
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Prevalencia Epidemiológicamente se indica que uno de cada dos niño ni ños, s, sufren sufren mayor mayor o men enor or gr grad ado o de un tr trau auma mati tism smo o dentario. La prevalencia de traumatismo en dentición temporal se sitúa claramente alrededor de la edad en la que el niño
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Prevalencia El tipo de lesión mas común es la Luxación, debido a la pro pr opia
esttru es ruct ctur uraa ós ósea ea del pre reeesc sco olar ar,, co con n es esp pac acio ioss
medulares grandes y ligamento periodontal mas elástico. Para los traumatismo en los dientes permanentes, las cifr ci fras as so son n sim imil ilar ares es en entr tree 4 y 37 37%; %; si sien endo do la ed edad ad de
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Los dientes más afectados son los incisivos centrales superiores, superiores, incisivos laterales superiores y
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Reconocer
la
configuración
del
diente y de sus tejidos
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Etiología
Factores Predisponentes: Mal posición dentaria.
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Diagnóstico Realizar una adecuada Historia Clínica.
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Indicaciones para el Tratamiento Funcionales: –
Dificultad y/o dolor a la masticación.
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Intrusión •
ápice inmaduro: se debe esperar a que se produzca la
reer re erup upci ción ón es espo pont ntán ánea ea de dell di dien ente te in intr trui uido do.. Se Segu guim imie ient nto o durante un periodo de varios meses. •
ápice formado: tracción ortodóncica.
•
dentición temporal:
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Luxación intrusiva o Intrusión: Intrusión : desplazamiento del diente en el hueso alveolar que se encuentra fracturado. * Si el Tratam ratamiento iento es Quir Quirúrg úrgico: ico: -Reubicación digital y/o quirúrg quirúrgico ico al plano Oclusal. -Ferulización con alambre y resina
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Avulsión Dentaria Desplazamiento Desplazamien to completo del diente fuera del alveolo.
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El
tratamiento
implica
UN
HECHO
DE
URGENCIA,, ya que la demora en el reimplante y URGENCIA un almacenaje inadecuado juegan roles decisivos en el futuro de la pieza dentaria avulsionada. Un diente reiimp re mpla lant ntad ado o den entr tro o de lo loss 30 mi minu nuto toss ti tieene un
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TRATAMIENTO DE LA DENTARIA
AVULSION
En las primeras horas se debe intentar el reimplante dentario Mantener la pieza dentaria en un medio adecuado. L
i
d
i
l i
d
la
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Lavado que se puede hacer con agua o con solución fisiológica.
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Posteriormente, se realizará un estrecho seguimiento en el que, en función del estado del ápice, se valorará el momento
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III.- LESIONES DEL HUESO DE SOSTEN
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Lesiones del hueso de sostén: Fractura conminuta de la cavidad alveolar. Fractura de la pared alveolar.
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Fractura del hueso alveolar:
La
fractura
suele
reducirse
con
simple
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