Elevadores Dentales

8/18/2019 Elevadores Dentales

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TECNICA DE EXODONCIA CONELEVADORES

Dra. Natalia Jara W.

Cirujano Maxilofacial

UNIVERSIDAD DEL DESARROLLO


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ALANCA

!arra infl"xi#l" $u"%" a&o'a ' &u"(")irar %o#r" un &unto.

Sir*" &ara tran%+itiruna fu"r,a o ca+#iar%u +a)nitu( '(ir"cci-n.


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ALANCA

O#j"ti*oExtra"r "l (i"nt" fu"ra ("l al*"-lo a lo lar)o ("l&lano (" +"nor r"%i%t"ncia.


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ALANCA

El"+"nto%/. unto (" a&o'o.0. ot"ncia.

1. R"%i%t"ncia.


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ALANCA

unto (" a&o'o2u"%o.Enc3a.

i",a% ("ntaria%*"cina%.


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ALANCA

R"%i%t"ncia4u"r,a $u" %" o&on" ala &ot"ncia.


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ALANCA

ri+"r )5n"roLa &ot"ncia %" coloca"n un "xtr"+o ("l"l"*a(or ' lar"%i%t"ncia "n "l"xtr"+o o&u"%to.El &unto (" a&o'o %"u#ica "ntr" "%to% (o%.


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ALANCA

S")un(o )5n"roLa &ot"ncia ' &unto ("a&o'o "%t6n "n lo%"xtr"+o%.La r"%i%t"ncia %" u#ica"ntr" "llo%.


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CU7A

Acci-n (" &lanoinclina(o.D"%&la,a la &i",a("ntaria "n "l %"nti(oin*"r%o al (" laintro(ucci-n ("lin%tru+"nto.


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CU7A

Acci-n (" "x&an%i-n ("l al*"-lo.ELI8RO D"%&la,a+i"nto ("

fra)+"nto% ("ntario% a "%&acio% *"cino%.


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In(icacion"% (" Exo(oncia con El"*a(or

Extraccion"% ("(i"nt"%+onora(icular"% : con

ra3c"% r"cta%: %in#ifurcacion"% ' %inc"+"nto%i%.R"%to% ra(icular"% "nla% +i%+a%con(icion"%.


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In(icacion"% (" Exo(oncia con El"*a(or

Extraccion"% ("ra3c"% (" (i"nt"%+ultirra(icular"% $u"

&u"("n "%tar 'a%"&ara(a% o cu'ao(onto%"cci-n 9a#r3a$u" r"ali,ar&r"*ia+"nt".


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Forma de tomar el elevador:

El +an)o ("#" u#icar%" %o#r" la&al+a (" la +ano: ' "l ("(o3n(ic" ("#" %"r "xt"n(i(o 'u#ica(o %o#r" "l tallo ("lin%tru+"nto: lo% otro% ("(o%

"+&u;ar6n "l +an)o junto a la&al+a: &"r+iti"n(o al cirujano unco+&l"to control %o#r" "lin%tru+"nto. En "l ca%o (" lo%"l"*a(or"% "n for+a ("


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Ti"+&o% (" "xtracci-n con "l"*a(or

A&licaci-nalanca

!ajo la "nc3a +ar)inal.

A&o'o "n la cr"%ta-%"a.art" acti*a 9acia la

&i",a.4ilo %o#r" "l c"+"nto

ra(icular %ano. >n)ulo (" ?@ conr"%&"cto al "j"lon)itu(inal (" la ra3,.


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A&licaci-nCu;a

!ajo la "nc3a+ar)inal.

art" acti*a +iran(o9acia la &i",a.

aral"lo al "j"lon)itu(inal.

A&o'o "ntr" la cr"%ta-%"a ' la %u&"rfici"ra(icular.


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A&licaci-nU#icaci-n "n %"nti(o %a)ital

R"+an"nt" ("ntario %ano Bcari"% .L3n"a (" "xtracci-n (" la &i",a ("ntaria.


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A&licaci-nRa3, r"cta o c-nica

V"%ti#ular

Cu;aRa3, con ("%*iaci-n

M"%ial o (i%tal

alanca


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Luxaci-nS" r"ali,a utili,an(o lo% &rinci&io% +"c6nico%(" &alanca: cu;a ' ru"(a.El "l"*a(or ("#" rotar%" %o#r" %u &ro&io "j")iran(o no +6% (" un cuarto (" *u"lta.


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Luxaci-nO#j"ti*o%

Ro+&"r la% fi#ra% &"rio(ontal"%.

Ex&an%i-n ("l al*"-lo.


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Exo(onciaEn "l ca%o (" utili,ar%" co+o &alanca: a&lican(o "l+i%+o +o*i+i"nto ("l &a%o ant"rior: %" lo)ra la"x&ul%i-n (" la &i",a ("%(" %u al*5olo: 'a $u" "l filo ("la 9oja ("l "l"*a(or %" "ncaja o aju%ta "n "l c"+"ntora(icular: (" tal +an"ra $u" tracciona a la &i",a 9aciafu"ra (" %u al*5olo: a&o'6n(o%" "n la cr"%ta -%"a+ar)inal.


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Exo(onciaCuan(o %" utili,a co+o cu;a:"l +o*i+i"nto ("l "l"*a(orta+#i5n "% %o#r" %u &ro&io"j" "n %"nti(o 9orario ' "ncontra (" "l "n for+ar"it"ra(a ' (" corta lon)itu(:&"ro "l in%tru+"nto %" *aintro(uci"n(o "n "l al*5olo ("la &i",a a +"(i(a $u" la"x&an%i-n (" la% ta#la% -%"a%a%3 lo &"r+itan: (" tal +an"ra(" &ro*ocar $u" la &i",a *a'a%ali"n(o a +"(i(a $u" "lin%tru+"nto *a "ntran(o.


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O(onto%"cci-n

S"cci-n ("l (i"nt" "n fra)+"nto% &arafacilitar %u "xtracci-n.


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O(onto%"cci-n

In(icacion"%Molar"% %u&"rior"% o inf"rior"% con corona%+u' ("%trui(a%.Di"nt"% +ultira(icular"% con ra3c"%(i*"r)"nt"%: con (ilac"racion"%: cur*atura% ("lt"rcio a&ical.

i",a% con &atolo)3a ra(icular.


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Co+&licacion"%

D"%&la,a+i"nto ("(i"nt"% o ra3c"% a lo%"%&acio% *"cino%.

Acci("nt"% (" &art"%#lan(a%. Acci("nt"% n"r*io%o%.4ractura ("lin%tru+"ntal."rforaci-n ("l %"no+axilar.

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Elevadores Dentales