Endo Expo Final

QUÉ ES LA ENDODONCIA

DONCIA

DENTRO

DIENTE

CAVIDAD PULPAR

MORFOLOGÍA DE LA CÁMARA PULPAR

Paredes

Conductos

TÉCNICAS DE ESTUDIO

T. de Relleno

T. de segueteado

T. de cortes

T. de rx

T. de diafanización

T. de ionoforesis

Celuloide con acetonaTinta china

CauchoGelatina

ANATOMIA DEL APICE R.

Conducto Dentinario

Conducto Cementario

Foramen apical

Ápice radicular

Vértice radicular

Goldberg , Soares. Endodoncia técnicas y fundamentos. Buenos aires Argentina. 2002

ANATOMIA DE CONDUCTOS

FORMA DE LA RAIZ

Redonda Ovalada OvaladaAlargada

Reloj de arena

E.Walton. Endodoncia – Principios y práctica. 4ta edición.2010

RAMIFICACIONES

VARIACIONES

SEGÚN VERTUCCI

Cohen S, Hargreaves KM. Vías de la pulpa. 9ª ed. Madrid: Elsevier; 2008

SEGÚN WEINE

Lumley P, Adams N, Tomson P. Práctica clínica en endodoncia. 1ª ed. Madrid: Ripano; 2009

Incisivo Central Superior

Clas. Vertucci

Raíces 1

Conductos 1

Ash M. Wheeler. Anatomía, Fisiología y oclusión dental. 8va edición. Barcelona: Elseiver. 2004

Incisivo Lateral Superior

Vertucci

Raíces 1

Conductos 1

Canino Superior

Vertucci

Raíces 1

Conductos 1

Primera Premolar Superior

Clas. Vertucci

Tipo I 8

Tipo II 18

Tipo IV 62

Tipo V 7

Tipo VIII 5

Segunda Premolar Superior

Clas. Vertucci

Tipo I 48

Tipo II 22

Tipo III 5

Tipo IV 11

Tipo V 6

Tipo VI 5

Tipo VII 2

Tipo VIII 1

Primera Molar Superior

1MS Clas. Vertucci

MV Tipo I: 45Tipo II:37Tipo IV:18

DV Tipo I:100

P Tipo I: 100

Segunda Molar Superior

2MS Clas. Vertucci

MV Tipo I: 71Tipo II:17Tipo IV:12

DV Tipo I:100

P Tipo I: 100

Incisivo Central Inferior

Clas. Vertucci

Incisivo central inferior

Tipo I: 70Tipo II:5

Tipo III:22Tipo IV:3

Incisivo Lateral Inferior

Tipo I: 75Tipo II:5

Tipo III:18Tipo IV:2

Canino Inferior

Canino I. Clas. Vertucci

Tipo I 78

Tipo II 14

Tipo III 2

Tipo IV 6

Primera Premolar Inferior

1PmI Clas. Vertucci

Tipo I: 70

Tipo III: 4

Tipo IV: 1.5

Tipo V: 24

Tipo VIII: 0.5

Segunda Premolar Inferior

2PmI Clas. Vertucci

Tipo I: 97.5

Tipo V: 2.5

Primera Molar Inferior

1MI Clas. Vertucci

Raíz Mesial Tipo I:12Tipo II:28Tipo IV:43Tipo V:8

Tipo VI:10Tipo VIII:1

Raíz Distal Tipo I:70Tipo II:15Tipo IV:5Tipo V:8Tipo VI:2

Segunda Molar Inferior

2MI Clas. Vertucci

Raíz Mesial Tipo I:27Tipo II:38Tipo IV:26Tipo V:9

Raíz Distal Tipo I:92Tipo II:3Tipo IV:4Tipo V:1

ANOMALIAS DENTARIAS DEL DESARROLLO

DE TAMAÑO DE FORMA DE ESTRUCTURADE NUMERO

MacrodonciaMicrodoncia

Geminacion FusionDilaceracionConcrescenciaDens in DensDens evaginatusRaices supernumerariasTaurodontismo

Andoncia HipodonciaOligodoncia

SupernumerariosMesiodentsDistomolar

Amelogenesis imperfectaHipoplasicaHipomaduracionDiente de TurnerOdontodisplasia regional

ANOMALIAS DENTARIAS

ADQUIRIDASHipercementosisAbrasionErosionEsclerosis pulpar

CASOS CLÍNICOS

Conductos laterales dobles en un incisivo

central superior

Conducto accesorio curvo con

intersección de uno recto en un incisivo

central superior

Canino superior con conducto lateral que

se divide en 2 adicionales

Primer premolar superior con 3

conductos

Canal único que se divide en 3 en un

segundo premolar superior

Segundos conductos en ambas raíces bucales, con un foramen apical

común en cada raíz en una primera molar

superior

Incisivos central y lateral, ambos con

dos conductos

Primer premolar inferior con 3 raíces

Primera molar inferior con 4 raíces

AbstractDens invaginatus is a rare developmental morphoanatomical variation resulting from the infolding of the dental papilla before biological mineralization that allows the invagination of inner dental epithelium. Permanent maxillary lateral incisors are most commonly affected, and the condition is frequently bilateral, but it may also prevail in permanent maxillary central incisors. The purpose of this paper was to provide an overview of the etiopathogenesis, frequency of occurrence, and clinical and radiographic features and to discuss 3 dens invaginatus cases.

Khan S. Et. Dens invaginatus: review, relevance, and report of 3 cases.J Dent child.2012

AbstractGemination and fusion are anomalies in size, shape and structure of teeth. Gemination more frequently affects the primary teeth, but it may occur in permanent dentitions, usually in the incisor region. Geminated teeth are typically disfigured in appearance due to irregularities of the enamel. Fused teeth can have separated pulpal space, one pulp chamber and two canals or take the form of a large bifid crown with one pulpal space. It is hard to differentiate between fusion and gemination, especially if the supernumerary tooth bud is fused with the adjacent one.

Chipashvili N. et. Gemination or fusion? - challenge for dental practitioners (case study). Georgian Med news.2011

AbstractConcrescence is a rare developmental anomaly with an overall incidence of 0.8% in the permanent dentition. While many case reports describe the treatment of concrescence with extraction, there are few reports of non-surgical root canal treatment (NSRCT), due to the atypical root form, canal morphology, and technical difficulties involved in concrescence. This unique case report describes a technical modification of NSRCT that can retain joined posterior maxillary teeth to maintain natural posterior occlusion without surgical intervention or dental implants, thereby avoiding the risk of damage to a large portion of the alveolar bone near the maxillary sinus

Foran D.Concrescence of permanent maxillary second and third molars: case report of non-surgical root canal treatment. J Oral sci. 2012

AbstractRoot canal anatomy diversity and aberrations are common especially in permanent dentition. A thorough understanding of the basic root canal anatomy and its diversities are necessary for successful endodontic treatment. Mandibular second premolars are usually single-rooted and have one root canal. Incidence of three separate root canals in this tooth is quite rare and taurodontism with three separate canals has never been reported in literature so far. The use of cone-beam computed tomography scan in this rare case greatly contributed to making a confirmatory diagnosis and successful nonsurgical endodontic management thereafter.

Hadi M. Managing a Mandibular Second Premolar with Three-Canal and Taurodontism: A Case Report. Iran Endod j. 2013

AbstractThe impacted maxillary incisor is detrimental for problems related to esthetics and occlusion in permanent dentition stage. A case with an unerupted maxillary central incisor was diagnosed radiographically with impacted dilacerated maxillary central incisor. The management of the case was carried out surgically and orthodontically. By combining two stages of surgical exposure, orthodontic traction and alignment, the impacted dilacerated incisor was successfully moved into desired position. A two-year follow-up of the stability and periodontal health showed that the tooth placed in the occlusion maintained both esthetics and function.

Anshula D. Management of impacted dilacerated maxillary central incisor: A clinical case report. Contemp clin dent. 2012

E.Walton. Endodoncia – Principios y práctica. 4ta edición.2010

BIBLIOGRAFÍA

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