Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado
Los objetivos de esta investigación fueron: Analizar si factores como la edad, el tipo de diente y el género están asociados con la extrusión de material obturador radiográficamente visible como desenlace imprevisto en dientes sometidos a tratamiento endodóntico con una técnica de obturación termopl...
- Autores:
-
Hernández Mejía, Daniela Patricia
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2018
- Institución:
- Universidad El Bosque
- Repositorio:
- Repositorio U. El Bosque
- Idioma:
- spa
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- oai:repositorio.unbosque.edu.co:20.500.12495/1896
- Acceso en línea:
- http://hdl.handle.net/20.500.12495/1896
- Palabra clave:
- WU 230
- Rights
- openAccess
- License
- Attribution-NonCommercial-ShareAlike 4.0 International
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Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado |
| dc.title.translated.spa.fl_str_mv |
Factors associating a Calamus® or Guttacore ®thermoplastic obturation with the presence of extended posterior apical obturation. Randomized clinical trial |
| title |
Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado |
| spellingShingle |
Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado WU 230 |
| title_short |
Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado |
| title_full |
Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado |
| title_fullStr |
Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado |
| title_full_unstemmed |
Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado |
| title_sort |
Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizado |
| dc.creator.fl_str_mv |
Hernández Mejía, Daniela Patricia |
| dc.contributor.advisor.none.fl_str_mv |
Niño Barrera, Javier Laureano Gamboa Martínez, Luis Fernando |
| dc.contributor.author.none.fl_str_mv |
Hernández Mejía, Daniela Patricia |
| dc.subject.nlm.spa.fl_str_mv |
WU 230 |
| topic |
WU 230 |
| description |
Los objetivos de esta investigación fueron: Analizar si factores como la edad, el tipo de diente y el género están asociados con la extrusión de material obturador radiográficamente visible como desenlace imprevisto en dientes sometidos a tratamiento endodóntico con una técnica de obturación termoplástica (Calamus® o GuttaCore®) y determinar si la presencia de esta sobreobturación está asociada con dolor postoperatorio. Se seleccionaron 120 dientes con diagnósticos que implicaban pulpa vital y con indicación de tratamiento de endodoncia. La preparación biomecánica se llevó a cabo con el sistema Protaper Next® con lima apical principal X2 o X3. Los dientes se dividieron aleatoriamente de la siguiente forma (n=60): El grupo 1 se obturó con el sistema Guttacore® y el grupo 2 se obturó con una técnica de obturación de cono único y el sistema de obturación Calamus®. Se observó que las técnicas de obturación termoplástica generaron sobreobturación en 53.33% del total (64 dientes), 56.66% se presentaron en el grupo de obturación con Guttacore® y 50% en el grupo de la técnica con el sistema Calamus®. Se encontró que los dientes anteriores presentaron asociación con la presencia de sobreobturación (p=0.024) (OR=4.35). De los 120 dientes tratados, 10 (8.33 %) presentaron dolor posoperatorio y sobreobturación radiográficamente visible. La asociación entre la presencia de extrusión de material de obturación y dolor leve-moderado fue estadísticamente significativa con un valor p=0.002. Como conclusión las técnicas de obturación termoplástica en endodoncia Guttacore® y el sistema Calamus® están asociadas significativamente con la probabilidad de extrusión de material obturador y dicha sobreobturación está asociada con dolor postoperatorio, los dientes anteriores presentan 4 veces más riesgo de sobreobturación con las técnicas de obturación utilizadas. |
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2018 |
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2018 |
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2020-01-21T21:16:06Z |
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2020-01-21T21:16:06Z |
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Trabajo de grado Tesis/Trabajo de grado - Monografía - Doctorado |
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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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http://purl.org/coar/resource_type/c_7a1f |
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http://hdl.handle.net/20.500.12495/1896 |
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instname:Universidad El Bosque |
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reponame:Repositorio Institucional Universidad El Bosque |
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Tomson RM, Polycarpou N, Tomson PL. Contemporary obturation of the root canal system. Br Dent J 2014;216:315-322. Swartz DB, Skidmore AE, Griffin JA, Jr. Twenty years of endodontic success and failure. J Endod 1983;9:198-202. Farias AB, Pereira KF, Beraldo DZ, Yoshinari FM, Arashiro FN, Zafalon EJ. Efficacy of three thermoplastic obturation techniques in filling oval-shaped root canals. Acta Odontol Latinoam 2016;29:76-81. Tennert C, Jungback IL, Wrbas KT. Comparison between two thermoplastic root canal obturation techniques regarding extrusion of root canal filling--a retrospective in vivo study. Clin Oral Investig 2013;17:449-454. Gupta R, Dhingra A, Panwar NR. Comparative Evaluation of Three Different Obturating Techniques Lateral Compaction, Thermafil and Calamus for Filling Area and Voids Using Cone Beam Computed Tomography: An Invitro study. J Clin Diagn Res 2015;9:ZC15-17. Schilder H. Filling root canals in three dimensions. Dent Clin North Am 1967:723-744. Brothman P. A comparative study of the vertical and the lateral condensation of gutta-percha. J Endod 1981;7:27-30. Ruddle CJ. Filling root canal systems: the Calamus 3-D obturation technique. Dent Today 2010;29:76, 78-81. Jindal D, Sharma M, Raisingani D, Swarnkar A, Pant M, Mathur R. Volumetric analysis of root filling with cold lateral compaction, Obtura II, Thermafil, and Calamus using spiral computerized tomography: An In vitro Study. Indian J Dent Res 2017;28:175-180. Zogheib C, Hanna M, Pasqualini D, Naaman A. Quantitative volumetric analysis of cross-linked gutta-percha obturators. Ann Stomatol (Roma) 2016;7:46-51. Schafer E, Schrenker C, Zupanc J, Burklein S. Percentage of Gutta-percha Filled Areas in Canals Obturated with Cross-linked Gutta-percha Core-carrier Systems, Single-Cone and Lateral Compaction Technique. J Endod 2016;42:294-298. Marques-Ferreira M, Abrantes M, Ferreira HD, Caramelo F, Botelho MF, Carrilho EV. Sealing efficacy of system B versus Thermafil and Guttacore obturation techniques evidenced by scintigraphic analysis. J Clin Exp Dent 2017;9:e56-e60. Kandemir Demirci G, Caliskan MK. A Prospective Randomized Comparative Study of Cold Lateral Condensation Versus Core/Gutta-percha in Teeth with Periapical Lesions. J Endod 2016;42:206-210. Mozayeni MA, Asnaashari M, Modaresi SJ. Clinical and Radiographic Evaluation of Procedural Accidents and Errors during Root Canal Therapy. Iran Endod J 2006;1:97-100. Koch K, Brave D. A new endodontic obturation technique. Dent Today 2006;25:102, 104-107. Morse DR. Infection-related mental and inferior alveolar nerve paresthesia: literature review and presentation of two cases. J Endod 1997;23:457-460. AlRahabi MK. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J Med 2017;12:1345582. Iqbal A. The Factors Responsible for Endodontic Treatment Failure in the Permanent Dentitions of the Patients Reported to the College of Dentistry, the University of Aljouf, Kingdom of Saudi Arabia. J Clin Diagn Res 2016;10:ZC146-148. Ricucci D, Rocas IN, Alves FR, Loghin S, Siqueira JF, Jr. Apically Extruded Sealers: Fate and Influence on Treatment Outcome. J Endod 2016;42:243-249. Sadaf D, Ahmad MZ. Factors associated with postoperative pain in endodontic therapy. Int J Biomed Sci 2014;10:243-247. Marquis VL, Dao T, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto Study. Phase III: initial treatment. J Endod 2006;32:299-306. Schaeffer MA, White RR, Walton RE. Determining the optimal obturation length: a meta-analysis of literature. J Endod 2005;31:271-274. Sarin A, Gupta P, Sachdeva J, Gupta A, Sachdeva S, Nagpal R. Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis. J Contemp Dent Pract 2016;17:582-586. Rosen E, Goldberger T, Taschieri S, Del Fabbro M, Corbella S, Tsesis I. The Prognosis of Altered Sensation after Extrusion of Root Canal Filling Materials: A Systematic Review of the Literature. J Endod 2016;42:873-879. Nitzan DW, Stabholz A, Azaz B. Concepts of accidental overfilling and overinstrumentation in the mandibular canal during root canal treatment. J Endod 1983;9:81-85. Blanas N, Kienle F, Sandor GK. Injury to the inferior alveolar nerve due to thermoplastic gutta percha. J Oral Maxillofac Surg 2002;60:574-576. Blanas N, Kienle F, Sandor GK. Inferior alveolar nerve injury caused by thermoplastic gutta-percha overextension. J Can Dent Assoc 2004;70:384-387. Alonso-Ezpeleta LO, Gasco-Garcia C, Castellanos-Cosano L, Martin-Gonzalez J, Lopez-Frias FJ, Segura-Egea JJ. Postoperative pain after one-visit root-canal treatment on teeth with vital pulps: comparison of three different obturation techniques. Med Oral Patol Oral Cir Bucal 2012;17:e721-727. http://www.dentsplymaillefer.com/wp-content/uploads/2015/Dentsply/Obturation/Ciments/TOPSEAL/produit49_EN.pdf. Top Seal Instructions for use Maillefer Instruments SA CH -1338 Ballaigues Switzerland [Internet]2014. Aminoshariae A, Kulild JC, Donaldson M, Hersh EV. Evidence-based recommendations for analgesic efficacy to treat pain of endodontic origin: A systematic review of randomized controlled trials. J Am Dent Assoc 2016;147:826-839. Mehrvarzfar P, Esnashari E, Salmanzadeh R, Fazlyab M, Fazlyab M. Effect of Dexamethasone Intraligamentary Injection on Post-Endodontic Pain in Patients with Symptomatic Irreversible Pulpitis: A Randomized Controlled Clinical Trial. Iran Endod J 2016;11:261-266. Hale R, Gatti R, Glickman GN, Opperman LA. Comparative analysis of carrier-based obturation and lateral compaction: a retrospective clinical outcomes study. Int J Dent 2012;2012:954675. . Fang Y, Wang X, Zhu J, Su C, Yang Y, Meng L. Influence of Apical Diameter on the Outcome of Regenerative Endodontic Treatment in Teeth with Pulp Necrosis: A Review. J Endod 2018;44:414-431. Vertucci FJ. Root canal morphology and its relationship to endodontic procedures. Endod Topics 2005;10:3-29. de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study--phase 4: initial treatment. J Endod 2008;34:258-263. Scotti R, Tiozzo R, Parisi C, Croce MA, Baldissara P. Biocompatibility of various root canal filling materials ex vivo. Int Endod J 2008;41:651-657. Tavares T, Soares IJ, Silveira NL. Reaction of rat subcutaneous tissue to implants of gutta-percha for endodontic use. Endod Dent Traumatol 1994;10:174-178. Yamaguchi K, Matsunaga T, Hayashi Y. Gross extrusion of endodontic obturation materials into the maxillary sinus: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:131-134. Wong AW, Zhang S, Li SK, Zhang C, Chu CH. Clinical studies on core-carrier obturation: a systematic review and meta-analysis. BMC Oral Health 2017;17:167. |
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Niño Barrera, Javier LaureanoGamboa Martínez, Luis FernandoHernández Mejía, Daniela Patricia2020-01-21T21:16:06Z2020-01-21T21:16:06Z2018http://hdl.handle.net/20.500.12495/1896instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coLos objetivos de esta investigación fueron: Analizar si factores como la edad, el tipo de diente y el género están asociados con la extrusión de material obturador radiográficamente visible como desenlace imprevisto en dientes sometidos a tratamiento endodóntico con una técnica de obturación termoplástica (Calamus® o GuttaCore®) y determinar si la presencia de esta sobreobturación está asociada con dolor postoperatorio. Se seleccionaron 120 dientes con diagnósticos que implicaban pulpa vital y con indicación de tratamiento de endodoncia. La preparación biomecánica se llevó a cabo con el sistema Protaper Next® con lima apical principal X2 o X3. Los dientes se dividieron aleatoriamente de la siguiente forma (n=60): El grupo 1 se obturó con el sistema Guttacore® y el grupo 2 se obturó con una técnica de obturación de cono único y el sistema de obturación Calamus®. Se observó que las técnicas de obturación termoplástica generaron sobreobturación en 53.33% del total (64 dientes), 56.66% se presentaron en el grupo de obturación con Guttacore® y 50% en el grupo de la técnica con el sistema Calamus®. Se encontró que los dientes anteriores presentaron asociación con la presencia de sobreobturación (p=0.024) (OR=4.35). De los 120 dientes tratados, 10 (8.33 %) presentaron dolor posoperatorio y sobreobturación radiográficamente visible. La asociación entre la presencia de extrusión de material de obturación y dolor leve-moderado fue estadísticamente significativa con un valor p=0.002. Como conclusión las técnicas de obturación termoplástica en endodoncia Guttacore® y el sistema Calamus® están asociadas significativamente con la probabilidad de extrusión de material obturador y dicha sobreobturación está asociada con dolor postoperatorio, los dientes anteriores presentan 4 veces más riesgo de sobreobturación con las técnicas de obturación utilizadas.Especialista en endodonciaPregradoThe objectives of this research were: To analyse if factors such as age, type of tooth and gender are associated with the radiographically visible obturative material as an unforeseen development on teeth which have been endodontically treated with a thermoplastic obturation technique (Calamus® or GuttaCore®) and determine if such presence is associated with post-operative pain. There were 120 teeth selected with diagnosis implicating vital pulp and indicating an endodontic treatment. Biomechanical preparation was carried out with the Protaper Next® with an X2 or X3 apical file. The teeth were randomly divided thus (n=60): group one was obturated with Guttacore® and group two with a single-cone technique and the Calamus® obturation system. It was observed that the thermoplastic techniques generated an extended obturation in 53.33% of teeth (64), 56.66% were with the Guttacore® group and 50% with the Calamus® system. Anterior teeth presented association with extended obturation (p= 0.024) (OR=4.35). Out of the 120 treated teeth, ten (8.33%) presented post-operative pain and visible extended obturation. The association between presence of extruded obturative material and mild-to-moderate pain was statistically significant: p=0.002. It may be stated as a conclusion that the mentioned techniques - Guttacore® and Calamus® - are significantly associated with the probability of extruded obturative material and such extended obturation is also associated with post-operative pain. Anterior teeth present four times more risk of extended obturation with these techniques.application/pdfspaAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/Acceso abiertoinfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf22018Factores asociados con la presencia de sobreobturación apical posterior a una técnica de obturación termoplástica. Calamus® o Guttacore®: experimento clínico aleatorizadoFactors associating a Calamus® or Guttacore ®thermoplastic obturation with the presence of extended posterior apical obturation. Randomized clinical trialEspecialización en endodonciaUniversidad El BosqueFacultad de OdontologíaTrabajo de gradoTesis/Trabajo de grado - Monografía - Doctoradohttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisWU 230Tomson RM, Polycarpou N, Tomson PL. Contemporary obturation of the root canal system. Br Dent J 2014;216:315-322.Swartz DB, Skidmore AE, Griffin JA, Jr. Twenty years of endodontic success and failure. J Endod 1983;9:198-202.Farias AB, Pereira KF, Beraldo DZ, Yoshinari FM, Arashiro FN, Zafalon EJ. Efficacy of three thermoplastic obturation techniques in filling oval-shaped root canals. Acta Odontol Latinoam 2016;29:76-81.Tennert C, Jungback IL, Wrbas KT. Comparison between two thermoplastic root canal obturation techniques regarding extrusion of root canal filling--a retrospective in vivo study. Clin Oral Investig 2013;17:449-454.Gupta R, Dhingra A, Panwar NR. Comparative Evaluation of Three Different Obturating Techniques Lateral Compaction, Thermafil and Calamus for Filling Area and Voids Using Cone Beam Computed Tomography: An Invitro study. J Clin Diagn Res 2015;9:ZC15-17.Schilder H. Filling root canals in three dimensions. Dent Clin North Am 1967:723-744.Brothman P. A comparative study of the vertical and the lateral condensation of gutta-percha. J Endod 1981;7:27-30.Ruddle CJ. Filling root canal systems: the Calamus 3-D obturation technique. Dent Today 2010;29:76, 78-81.Jindal D, Sharma M, Raisingani D, Swarnkar A, Pant M, Mathur R. Volumetric analysis of root filling with cold lateral compaction, Obtura II, Thermafil, and Calamus using spiral computerized tomography: An In vitro Study. Indian J Dent Res 2017;28:175-180.Zogheib C, Hanna M, Pasqualini D, Naaman A. Quantitative volumetric analysis of cross-linked gutta-percha obturators. Ann Stomatol (Roma) 2016;7:46-51.Schafer E, Schrenker C, Zupanc J, Burklein S. Percentage of Gutta-percha Filled Areas in Canals Obturated with Cross-linked Gutta-percha Core-carrier Systems, Single-Cone and Lateral Compaction Technique. J Endod 2016;42:294-298.Marques-Ferreira M, Abrantes M, Ferreira HD, Caramelo F, Botelho MF, Carrilho EV. Sealing efficacy of system B versus Thermafil and Guttacore obturation techniques evidenced by scintigraphic analysis. J Clin Exp Dent 2017;9:e56-e60.Kandemir Demirci G, Caliskan MK. A Prospective Randomized Comparative Study of Cold Lateral Condensation Versus Core/Gutta-percha in Teeth with Periapical Lesions. J Endod 2016;42:206-210.Mozayeni MA, Asnaashari M, Modaresi SJ. Clinical and Radiographic Evaluation of Procedural Accidents and Errors during Root Canal Therapy. Iran Endod J 2006;1:97-100.Koch K, Brave D. A new endodontic obturation technique. Dent Today 2006;25:102, 104-107.Morse DR. Infection-related mental and inferior alveolar nerve paresthesia: literature review and presentation of two cases. J Endod 1997;23:457-460.AlRahabi MK. Evaluation of complications of root canal treatment performed by undergraduate dental students. Libyan J Med 2017;12:1345582.Iqbal A. The Factors Responsible for Endodontic Treatment Failure in the Permanent Dentitions of the Patients Reported to the College of Dentistry, the University of Aljouf, Kingdom of Saudi Arabia. J Clin Diagn Res 2016;10:ZC146-148.Ricucci D, Rocas IN, Alves FR, Loghin S, Siqueira JF, Jr. Apically Extruded Sealers: Fate and Influence on Treatment Outcome. J Endod 2016;42:243-249.Sadaf D, Ahmad MZ. Factors associated with postoperative pain in endodontic therapy. Int J Biomed Sci 2014;10:243-247.Marquis VL, Dao T, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto Study. Phase III: initial treatment. J Endod 2006;32:299-306.Schaeffer MA, White RR, Walton RE. Determining the optimal obturation length: a meta-analysis of literature. J Endod 2005;31:271-274.Sarin A, Gupta P, Sachdeva J, Gupta A, Sachdeva S, Nagpal R. Effect of Different Obturation Techniques on the Prognosis of Endodontic Therapy: A Retrospective Comparative Analysis. J Contemp Dent Pract 2016;17:582-586.Rosen E, Goldberger T, Taschieri S, Del Fabbro M, Corbella S, Tsesis I. The Prognosis of Altered Sensation after Extrusion of Root Canal Filling Materials: A Systematic Review of the Literature. J Endod 2016;42:873-879.Nitzan DW, Stabholz A, Azaz B. Concepts of accidental overfilling and overinstrumentation in the mandibular canal during root canal treatment. J Endod 1983;9:81-85.Blanas N, Kienle F, Sandor GK. Injury to the inferior alveolar nerve due to thermoplastic gutta percha. J Oral Maxillofac Surg 2002;60:574-576.Blanas N, Kienle F, Sandor GK. Inferior alveolar nerve injury caused by thermoplastic gutta-percha overextension. J Can Dent Assoc 2004;70:384-387.Alonso-Ezpeleta LO, Gasco-Garcia C, Castellanos-Cosano L, Martin-Gonzalez J, Lopez-Frias FJ, Segura-Egea JJ. Postoperative pain after one-visit root-canal treatment on teeth with vital pulps: comparison of three different obturation techniques. 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