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UNIDAD 13 CIRUGIA PREPROTETICA 13.1 Concepto y consideraciones generales 13.2 Procedimientos quirúrgicos correctivos en tejidos 13.3 Procedimientos quirúrgicos en tejidos duros
Alamilla Cortes Marlen Hernández de la Cruz Claudia Patricia Patricia
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CIRUGIA PREPROTETICA 2
CONCEPTO Intervención
quirúrgica destinada a mejorar o acondicionar los maxilares, en especial a los procesos alveolares, con el fin de adaptar una prótesis dental, obteniendo resultados funcionales, estéticos y psicológicos. psicológicos.
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CIRUGIA PREPROTETICA 3
La prótesis debe tener un tejido de soporte firme, sin protuberancias, inserciones musculares o hiperplasias mucoperiosticas que impidan una buena estabilidad.
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CIRUGIA PREPROTETICA 4
FINALIDAD •
•
•
•
Proceso alveolar bien conformado Dimensiones normales Profundidad adecuada Paredes paralelas Borde superior lo más cercano a lo horizontal Mucosa adherente
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CIRUGÍA PREPROTETICA CRITERIOS 5
•
•
•
Guernse cita criterios que Goodsell señalo como ideales para la realización de una prótesis: Soporte óseo aceptable Cubierta de tejido blanda adecuada Ausencia de concavidades o protuberancias sobresalientes
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CIRUGÍA PREPROTETICA CRITERIOS 6 •
•
•
•
•
Ausencia de bandas cicatriciales que impidan el ajuste periférico de la prótesis Ausencia de fibras musculares o frenillos Relación satisfactoria de los rebordes alveolares superior e inferior Ausencia de pliegues de tejidos blandos, hipertrofias en los rebordes o en los surcos. Ausencia de enfermedade enfermedadess neoplásicas
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CIRUGÍA PREPROTETICA 7
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CIRUGIA PREPROTETICA 8
VALORACION DEL PACIENTE
Valoración del estado local y general. Estudio clínico y radiológico
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CIRU CI RUG G A PR PREP EPRO ROTE TETI TICA CA VALORACIÓN DEL 9
PACIENTE •
Estudio clínico Mucosa firme y adherida
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CIRU CI RUG G A PR PREP EPRO ROTE TETI TICA CA VALORACIÓN DEL 10
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CIRU CI RUG G A PR PREP EPRO ROTE TETI TICA CA TEJIDOS 11
BLANDOS •
•
Frenillos Bridas cicatriciales Hiperplasia del surco vestibular
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GENIOPLASTIA 32
INDICACIONES
Mejoramiento del tercio inferior Alargamiento del menton Alargamiento del labio
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GENIOPLASTIA TECNICA 33
QUIRURGICA GENIOPLASTIA DE DESLIZAMIENTO
Retrogenia moderada: déficit de mentón en el plano sagital ≥ 7 mm y ≤ 14 mm
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GENIOPLASTIA TECNICA 34
QUIRURGICA
Abordaje intraoral: incisión de primer premolar a primer premolar en la encía libre del labio inferior a unos 5 mm del pliegue vestibular.
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GENIOPLASTIA TECNICA 35
QUIRURGICA
La disección en el plano subperióstico, llega al borde inferior de la sínfisis y prolonga lateralmente todo lo posible, identificando la emergencia de los nervios mentonianos. Una vez obtenida una buena exposición, se
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GENIOPLASTIA TECNICA 36
QUIRURGICA
Previamente se marca la línea media y el límite superior a este nivel, el cual no debe sobrepasar el nivel del doble de la longitud de la corona anatómica de los incisivos mediales para evitar dañar las raíces dentarias.
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GENIOPLASTIA TECNICA 37
QUIRURGICA
El corte ha de atravesar las dos corticales
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GENIOPLASTIA TECNICA 38
QUIRURGICA
Con los 2 segmentos separados, se
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GENIOPLASTIA TECNICA 39
QUIRURGICA
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GENIOPLASTIA TECNICA 40
QUIRURGICA
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GENIOPLASTIA TECNICA 41
QUIRURGICA
GENIOPLASTIA EN ESCALÓN
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GENIOPLASTIA
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GENIOPLASTIA
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GENIOPLASTIA
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GENIOPLASTIA
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EXOSTOSIS
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Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
Trusted by over 1 million members
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
Trusted by over 1 million members
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
Trusted by over 1 million members
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
Trusted by over 1 million members
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
Trusted by over 1 million members
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
Trusted by over 1 million members
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
Trusted by over 1 million members
Try Scribd FREE for 30 days to access over 125 million titles without ads or interruptions! Start Free Trial Cancel Anytime.
