Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso)
La microcirugía endodóntica se realiza con el objetivo de inducir una reparación del tejido periapical alterado por procesos infecciosos que se encuentran asociados con fracasos endodónticos previos, traumatismos, anatomía radicular compleja y eventos indeseables durante el proceso de instrumentació...
- Autores:
-
Aguiar Arcos, Angie Alexandra
Coronado Guerrero, Liz Katherin
Morales Castellanos, Catalina
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2019
- Institución:
- Universidad Santo Tomás
- Repositorio:
- Repositorio Institucional USTA
- Idioma:
- spa
- OAI Identifier:
- oai:repository.usta.edu.co:11634/44847
- Acceso en línea:
- http://hdl.handle.net/11634/44847
- Palabra clave:
- Cone beam computed tomography
Bone Changes
Bioceramics
Microcirugía
Odontología
Endodoncia
Diagnóstico por imágenes
Atención odontológica
Tomografía computarizada de rayo de cono
Cambios óseos
Biocerámicos
- Rights
- openAccess
- License
- Atribución-NoComercial-SinDerivadas 2.5 Colombia
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Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) |
| title |
Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) |
| spellingShingle |
Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) Cone beam computed tomography Bone Changes Bioceramics Microcirugía Odontología Endodoncia Diagnóstico por imágenes Atención odontológica Tomografía computarizada de rayo de cono Cambios óseos Biocerámicos |
| title_short |
Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) |
| title_full |
Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) |
| title_fullStr |
Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) |
| title_full_unstemmed |
Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) |
| title_sort |
Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso) |
| dc.creator.fl_str_mv |
Aguiar Arcos, Angie Alexandra Coronado Guerrero, Liz Katherin Morales Castellanos, Catalina |
| dc.contributor.advisor.none.fl_str_mv |
Serpa, María Fernanda Chaves Cabrera, Angela María Jiménez, Oscar |
| dc.contributor.author.none.fl_str_mv |
Aguiar Arcos, Angie Alexandra Coronado Guerrero, Liz Katherin Morales Castellanos, Catalina |
| dc.contributor.corporatename.spa.fl_str_mv |
Universidad Santo Tomás |
| dc.subject.keyword.spa.fl_str_mv |
Cone beam computed tomography Bone Changes Bioceramics |
| topic |
Cone beam computed tomography Bone Changes Bioceramics Microcirugía Odontología Endodoncia Diagnóstico por imágenes Atención odontológica Tomografía computarizada de rayo de cono Cambios óseos Biocerámicos |
| dc.subject.lemb.spa.fl_str_mv |
Microcirugía Odontología Endodoncia Diagnóstico por imágenes Atención odontológica |
| dc.subject.proposal.spa.fl_str_mv |
Tomografía computarizada de rayo de cono Cambios óseos Biocerámicos |
| description |
La microcirugía endodóntica se realiza con el objetivo de inducir una reparación del tejido periapical alterado por procesos infecciosos que se encuentran asociados con fracasos endodónticos previos, traumatismos, anatomía radicular compleja y eventos indeseables durante el proceso de instrumentación. El presente artículo muestra la evolución de 12 casos que fueron sometidos a microcirugía endodóntica, utilizando como material de obturación Biocerámicos Endosequence® y Biodentine®. El análisis se realizó mediante tomografía de rayo de cono CBCT, el cual permitió evaluar los cambios óseos posterior a cirugía perirradicular. Se realizó un estudio observacional descriptivo de 12 casos en 7 pacientes controlados a los 3, 5, 12, 18 y 24 meses midiendo el ancho, alto, profundidad y perímetro de la lesión para determinar el proceso de cicatrización ósea. Tres casos (2-3-4) presentaron cicatrización completa a los 18 meses y 5 meses respectivamente, los casos evidenciaron cambios volumétricos a los 3 meses posterior al procedimiento quirúrgico que, con el paso del tiempo de evaluación, se vieron reflejados en reducción del tamaño de la lesión. Un caso fracasó a los 3 meses postquirúrgico. Conclusiones: Se observan cambios óseos favorables en los diferentes periodos de tiempo con CBCT independiente del tamaño de la lesión. |
| publishDate |
2019 |
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2019-06-12 |
| dc.date.accessioned.none.fl_str_mv |
2022-06-09T16:28:40Z |
| dc.date.available.none.fl_str_mv |
2022-06-09T16:28:40Z |
| dc.type.local.spa.fl_str_mv |
Trabajo de grado |
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info:eu-repo/semantics/acceptedVersion |
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Formación de Recurso Humano para la Ctel: Trabajo de grado de Especialización |
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http://purl.org/coar/resource_type/c_7a1f |
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info:eu-repo/semantics/bachelorThesis |
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Aguiar Arcos, A. A., Coronado Guerrero, L.K. y Morales Castellanos, C. (2018). Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso). [Tesis de Especialización]. Universidad Santo Tomás. Bucaramanga, Colombia |
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http://hdl.handle.net/11634/44847 |
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reponame:Repositorio Institucional Universidad Santo Tomás |
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repourl:https://repository.usta.edu.co |
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Aguiar Arcos, A. A., Coronado Guerrero, L.K. y Morales Castellanos, C. (2018). Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso). [Tesis de Especialización]. Universidad Santo Tomás. Bucaramanga, Colombia reponame:Repositorio Institucional Universidad Santo Tomás instname:Universidad Santo Tomás repourl:https://repository.usta.edu.co |
| url |
http://hdl.handle.net/11634/44847 |
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spa |
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spa |
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Kim S, Kratchman S. Modern Endodontic Surgery Concepts and Practice: A Review. J Endod. 2006;32(7):601–23. Gutmann JL. Surgical endodontics : past , present , and future. Endod Top. 2014;30(1):29–43. Patel S, Durack C, Abella F, Shemesh H, Roig M, Lemberg K. Cone beam computed tomography in Endodontics - a review. Int Endod J. 2015;48(1):3–15. Santos T, Raimundo R, Rocio A, Arias M, Diaz E OD. The use of cone beam computed tomography in den- tistry. Odontol Clínico-Científica. 2010;9(4):303–6. Gerra M E., V. T, E. G. “Detección de enterococcus faecalis en dientes con fracaso en el tratamiento endodóntico” [Internet]. Vol. 42, Acta Odontologica Venezolana. 2004. p. 64–7. Available from: http://www.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0001-63652008000100013&lng=es. Schulz M, von Arx T, Altermatt HJ, Bosshardt D. Histology of Periapical Lesions Obtained During Apical Surgery. J Endod. 2009;35(5):634–42. Chen I, Karabucak B, Wang C, Wang HG, Koyama E, Kohli MR, et al. Healing after root-end microsurgery by using mineral trioxide aggregate and a new calcium silicate-based bioceramic material as root-end filling materials in dogs. J Endod. 2015;41(3):389–99. López FU, Kopper PMP, Cucco C, Della Bona A, De Figueiredo JAP, Vier-Pelisser FV. Accuracy of cone-beam computed tomography and periapical radiography in apical periodontitis diagnosis. J Endod. 2014;40(12):2057–60. Song M, Nam T, Shin SJ, Kim E. Comparison of clinical outcomes of endodontic microsurgery: 1 Year versus long-term follow-up. J Endod [Internet]. 2014;40(4):490–4. Available from: http://dx.doi.org/10.1016/j.joen.2013.10.034 Wang ZH, Zhang MM, Wang J, Jiang L, Liang YH. Outcomes of Endodontic Microsurgery Using a Microscope and Mineral Trioxide Aggregate: A Prospective Cohort Study. J Endod [Internet]. 2017;43(5):694–8. Available from: http://dx.doi.org/10.1016/j.joen.2016.12.015 Andreasen JO.Jensen JE. Rud J. A follow-up study of 1,000 cases treated by endodontic surgery. 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Int Endod J. 2007;40(7):493–503. Jansson L, Sandstedt P, Låftman AC, Skoglund A. Relationship between apical and marginal healing in periradicular surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(5):596–601. Castellanos D, Valdés JM GO. Diagnóstico y tratamiento de pacientes remitidos para cirugía periapical. facultad de estomatología. la habana 2014-2015. organo Cient Estud ciencias medicas Cuba. 2016;54(January 2014):1–12. Cardona J GR. Anatomía radicular, una mirada desde la micro-cirugía endodóntica: Revisión. CES Odontol. 2015;28(2):70–99. Lin L, Chen MYH, Ricucci D, Rosenberg PA. Guided Tissue Regeneration in Periapical Surgery. J Endod [Internet]. 2010;36(4):618–25. Available from: http://dx.doi.org/10.1016/j.joen.2009.12.012 Gutmann JL. Parameters of achieving quality anesthesia and hemostasis in surgical endodontics. Anesth Pain Control Dent [Internet]. 1993;2(4):223–6. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med3&NEWS=N&AN=8180525 Tsesis I, Rosen E, Schwartz-Arad D, Fuss Z. Retrospective Evaluation of Surgical Endodontic Treatment: Traditional versus Modern Technique. J Endod. 2006;32(5):412–6. Floratos S, Kim S. Modern Endodontic Microsurgery Concepts: A Clinical Update. Dent Clin North Am. 2017;61(1):81–91. Lovato KF, Sedgley CM. Antibacterial activity of EndoSequence root repair material and ProRoot MTA against clinical isolates of enterococcus faecalis. J Endod. 2011;37(11):1542–6. Encinas FS, Pérez-Bryan RB, Rodríguez MD. Diferentes tipos de MTA como materiales de obturación a retro. Endodoncia (Mex). 2010;28(3):153–66. Damas BA, Wheater MA, Bringas JS, Hoen MM. Cytotoxicity comparison of mineral trioxide aggregates and endosequence bioceramic root repair materials. J Endod. 2011;37(3):372–5. Althbiti A, Al-qarni SM, Almadih AIA, Omar AS. Bioceramic in Endodontics – A Critical Assessment of Old and New Technologies EC MICROBIOLOGY Review Article. EC Microbiol. 2017;4(2017):169–76. Harrison JW, Jurosky KA. Wound healing in the tissues of the periodontium following periradicular surgery. III. The osseous excisional wound. J Endod. 1992;18(2):76–81. Patel S, Aldowaisan A, Dawood A. A novel method for soft tissue retraction during periapical surgery using 3D technology: a case report. Int Endod J. 2017;50(8):813–22. Miller AA, Takimoto K, Wealleans J, Diogenes A. Effect of 3 Bioceramic Materials on Stem Cells of the Apical Papilla Proliferation and Differentiation Using a Dentin Disk Model. J Endod [Internet]. 2018;(17):1–5. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0099239917313092 De-Deus G, Canabarro A, Alves G, Linhares A, Senne MI, Granjeiro JM. Optimal Cytocompatibility of a Bioceramic Nanoparticulate Cement in Primary Human Mesenchymal Cells. J Endod. 2009;35(10):1387–90. Iliescu AA, Tulus G, Perlea P, Gheorghiu IM, Iliescu MG, Manolea HO. Bioceramics and Endodontics: Present and Expectations in Clinical Use. Defect Diffus Forum [Internet]. 2017;376:29–38. Available from: http://www.scientific.net/DDF.376.29 Trope M, Bunes a LF, Debelian G. Root filling materials and techniques : bioceramics a new hope ? Endod Top. 2015;86–96. Shokouhinejad N, Nekoofar MH, Razmi H, Sajadi S, Davies TE, Saghiri MA, et al. Bioactivity of EndoSequence Root Repair Material and Bioaggregate. Int Endod J. 2012;45(12):1127–34. Alsubait S, Al-Haidar S, Al-Sharyan N. A Comparison of the Discoloration Potential for EndoSequence Bioceramic Root Repair Material Fast Set Putty and ProRoot MTA in Human Teeth: An In Vitro Study. J Esthet Restor Dent. 2017;29(1):59–67. Marconyak LJ, Kirkpatrick TC, Roberts HW, Roberts MD, Aparicio A, Himel VT, et al. A comparison of coronal tooth discoloration elicited by various endodontic reparative materials. J Endod [Internet]. 2016;42(3):470–3. Available from: http://dx.doi.org/10.1016/j.joen.2015.10.013 Derleme EB. S129. 2017;51:128–37. Oltra E, Cox TC, LaCourse MR, Johnson JD, Paranjpe A. Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a micro-computed tomographic comparison. Restor Dent Endod [Internet]. 2017;42(1):19. Available from: https://synapse.koreamed.org/DOIx.php?id=10.5395/rde.2017.42.1.19 Jonathan Harris, Rebolledo M, Higgins S ML. Healing and Bone Regeneration of the Jaws Cystectomy Post : Case Report and Literature Review. Univ Odontol. 2011;30(65):71–8. Fernandez-Tresguerres Hernandez-Gil I, Alobera Gracia MA, Del Canto Pingarrin M, Blanco Jerez L. Bases fisiologicas de la regeneración Ósea I. Histología y fisiología del tejido óseo. Med Oral Patol Oral Cir Bucal. 2006;11(1):32–6. Song M, Jung I, Lee S, Lee C, Kim E. Prognostic Factors for Clinical Outcomes in Endodontic Microsurgery : A Retrospective Study. J Endod [Internet]. 2011;37(7):927–33. Available from: http://dx.doi.org/10.1016/j.joen.2011.04.005 Safi C, Kojli MR, Kratchman SI, Setzer FC KB. Outcome of Endodontic Microsurgery Using Mineral Trioxide Aggregate or Root Repair Material as Root-end Filling Material : A Randomized Controlled Trial with Cone-beam Computed Tomographic Evaluation. J Endod. 2019;S0099-2399(19):1–9. Barone C, Dao T, Basrani B, Wang N F. Treatment Outcome in Endodontics: The Toronto Study—Phases 3, 4, and 5: Apical Surgery. J Endod [Internet]. 2010;36(1):28–35. Available from: http://dx.doi.org/10.1016/j.joen.2009.09.001 Crossen D, Morelli T, Tyndall DA, Tawil PZ. Periapical Microsurgery : A 4-dimensional Analysis of Healing Patterns. J Endod [Internet]. 2019;45(4):402–5. Available from: https://doi.org/10.1016/j.joen.2018.11.002 Curtis DM, Vanderweele RA, Ray JJ, Wealleans JA. Clinician-centered Outcomes Assessment of Retreatment and Endodontic Microsurgery Using Cone-beam Computed Tomographic Volumetric Analysis. J Endod [Internet]. 2018;44(8):1251–6. Available from: https://doi.org/10.1016/j.joen.2018.03.016 Schloss T, Sonntag D, Kohli MR, Setzer FC. A Comparison of 2- and 3-dimensional Healing Assessment after Endodontic Surgery Using Cone-beam Computed Tomographic Volumes or Periapical Radiographs. J Endod [Internet]. 2017;43(7):1072–9. Available from: http://dx.doi.org/10.1016/j.joen.2017.02.007 Kim D, Ku H, Nam T, Yoon T, Lee C. Influence of Size and Volume of Periapical Lesions on the Outcome of Endodontic Microsurgery : 3-Dimensional Analysis Using Cone-beam Computed Tomography. J Endod [Internet]. 2016;42(8):1196–201. Available from: http://dx.doi.org/10.1016/j.joen.2016.05.006 Zanini M, SautierJM, Berda Al SS. Biodentine Induces Immortalized Murine Pulp Cell Differentiation into Odontoblast-like Cells and Stimulates Biomineralization. J Endod. 2012;38(9):1220–6. Arias C, Herrero M, Echeverry L, Oleaga G LJ. Bone remodeling : A tissue-level process emerging from cell-level molecular algorithms. PLoS One. 2018;13(9):1–19. von Arx, Jensen SS, Janner SFM, Hanni S BM. A 10-year Follow-up Study of 119 Teeth Treated with Apical Surgery and Root-end Filling with Mineral Trioxide Aggregate. J Endod. 2019;45(4):394–401. von Arx, Hanni S JS. Correlation of Bone Defect Dimensions with Healing Outcome One Year after Apical Surgery. 2007;33(9):1044–8. Arx V, Gerber C, Hardt N. Periradicular surgery of molars : a prospective clinical study with a one-year follow-up. J Endod. 2001;34:520–5. Daltoe M, Silva P F. Expression of Mineralization Markers during Pulp Response to Biodentine and Mineral Trioxide Aggregate. J Endod. 2016;42(4):496–603. Caron G, Azerad J FM. Use of a new retrograde filling material ( Biodentine ) for endodontic surgery : two case reports. Int J Oral Sci. 2014;6(4):250–3. Corral C, Negrete P Es. Radiopacity and Chemical Assessment of New Commercial Calcium Silicate-Based Cements. Int J Odontostomatol. 2018;12(3):262–8. |
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Serpa, María FernandaChaves Cabrera, Angela MaríaJiménez, OscarAguiar Arcos, Angie AlexandraCoronado Guerrero, Liz KatherinMorales Castellanos, CatalinaUniversidad Santo Tomás2022-06-09T16:28:40Z2022-06-09T16:28:40Z2019-06-12Aguiar Arcos, A. A., Coronado Guerrero, L.K. y Morales Castellanos, C. (2018). Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso). [Tesis de Especialización]. Universidad Santo Tomás. Bucaramanga, Colombiahttp://hdl.handle.net/11634/44847reponame:Repositorio Institucional Universidad Santo Tomásinstname:Universidad Santo Tomásrepourl:https://repository.usta.edu.coLa microcirugía endodóntica se realiza con el objetivo de inducir una reparación del tejido periapical alterado por procesos infecciosos que se encuentran asociados con fracasos endodónticos previos, traumatismos, anatomía radicular compleja y eventos indeseables durante el proceso de instrumentación. El presente artículo muestra la evolución de 12 casos que fueron sometidos a microcirugía endodóntica, utilizando como material de obturación Biocerámicos Endosequence® y Biodentine®. El análisis se realizó mediante tomografía de rayo de cono CBCT, el cual permitió evaluar los cambios óseos posterior a cirugía perirradicular. Se realizó un estudio observacional descriptivo de 12 casos en 7 pacientes controlados a los 3, 5, 12, 18 y 24 meses midiendo el ancho, alto, profundidad y perímetro de la lesión para determinar el proceso de cicatrización ósea. Tres casos (2-3-4) presentaron cicatrización completa a los 18 meses y 5 meses respectivamente, los casos evidenciaron cambios volumétricos a los 3 meses posterior al procedimiento quirúrgico que, con el paso del tiempo de evaluación, se vieron reflejados en reducción del tamaño de la lesión. Un caso fracasó a los 3 meses postquirúrgico. Conclusiones: Se observan cambios óseos favorables en los diferentes periodos de tiempo con CBCT independiente del tamaño de la lesión.Endodontic microsurgery is performed with the aim of inducing a repair of periapical tissue altered by infectious processes that are associated with previous endodontic failures, trauma, complex radicular anatomy and undesirable events during the instrumentation process. This article shows the evolution of 12 cases of teeth that were treated with endodontic microsurgery, using Endosequence® bioceramics and Biodentine® as a filling material. The analysis was performed by CBCT cone beam tomography, which allowed to evaluate bone changes after periradicular surgery. A descriptive observational study of 12 cases was performed in 7 controlled patients at 3, 5, 12, 18 and 24 months, measuring the width, height, depth and perimeter of the lesion. This evaluation allowed to determine the bone healing process. Three cases presented complete scarring at 18 months and 3 months respectively, 8 cases showed volumetric changes from 3 months after the surgical procedure that with the passage of the evaluation time were reflected in reduction of the size of the lesion and 1 case considered as a failure 3 months after surgery; These results show favorable changes in bone healing in most cases. Conclusions: It was observed favorable bone changes in the different periods of time to be evaluated, using CBCT independent of the size of the lesion.Especialista en Endodonciahttp://www.ustabuca.edu.co/ustabmanga/presentacionEspecializaciónapplication/pdfspaUniversidad Santo TomásEspecialización EndodonciaFacultad de OdontologíaAtribución-NoComercial-SinDerivadas 2.5 Colombiahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Cambios óseos posterior a cirugía perirradicular utilizando biocerámico mediante tomografía computarizada de rayo de cono (serie de caso)Cone beam computed tomographyBone ChangesBioceramicsMicrocirugíaOdontologíaEndodonciaDiagnóstico por imágenesAtención odontológicaTomografía computarizada de rayo de conoCambios óseosBiocerámicosTrabajo de gradoinfo:eu-repo/semantics/acceptedVersionFormación de Recurso Humano para la Ctel: Trabajo de grado de Especializaciónhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisCRAI-USTA BucaramangaKim S, Kratchman S. 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Int J Odontostomatol. 2018;12(3):262–8.ORIGINAL2018AguiarAngie.pdf2018AguiarAngie.pdfTrabajo de gradoapplication/pdf1601522https://repository.usta.edu.co/bitstream/11634/44847/1/2018AguiarAngie.pdf8808cfbebbc4a2d546d266b37fb5097aMD51open access2018AguiarAngie3 (Artículo).pdf2018AguiarAngie3 (Artículo).pdfApéndicesapplication/pdf1493625https://repository.usta.edu.co/bitstream/11634/44847/2/2018AguiarAngie3%20%28Art%c3%adculo%29.pdf66cc26bf9d99e6d5669c885cf70a71a2MD52open accessCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repository.usta.edu.co/bitstream/11634/44847/3/license_rdf217700a34da79ed616c2feb68d4c5e06MD53open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8807https://repository.usta.edu.co/bitstream/11634/44847/4/license.txtaedeaf396fcd827b537c73d23464fc27MD54open accessTHUMBNAIL2018AguiarAngie.pdf.jpg2018AguiarAngie.pdf.jpgIM Thumbnailimage/jpeg5204https://repository.usta.edu.co/bitstream/11634/44847/5/2018AguiarAngie.pdf.jpgce664685d499b24014fa9f82b74862feMD55open access2018AguiarAngie3 (Artículo).pdf.jpg2018AguiarAngie3 (Artículo).pdf.jpgIM Thumbnailimage/jpeg8200https://repository.usta.edu.co/bitstream/11634/44847/6/2018AguiarAngie3%20%28Art%c3%adculo%29.pdf.jpg788649de0a5f468de02c1dbef42f7c43MD56open access11634/44847oai:repository.usta.edu.co:11634/448472022-12-14 03:13:33.59open accessRepositorio Universidad Santo Tomásrepositorio@usantotomas.edu.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 |