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7/23/2019 TERAPIA PERIODONTAL NO QUIRRGICA.pptx
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TERAPIA PERIODONTAL NOQUIRRGICA
UNIVERSIDAD PRIVADA ANTONIO GUILLERMOURRELO
FACULTA DE CIENCIAS DE LA SALUDCARRERA PROFESIONAL DE ESTOMATOLOGA
PERIODONCIA II
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En la dcada de 1950 se crea qe la !r"#res$%n de la en&er'edad!er$"d"n(al es(a)a as"c$ada a la can($dad de !laca * de c+lcl",qe eran c"ns$derad"s &ac("res $rr$(an(es de l"s (e-$d"s #$n#$.ales/
Ac(al'en(e se s#$ere qe la 'a*"ra de las en&er'edades!er$"d"n(ales es(+n casadas !"r n n'er" l$'$(ad" de a#en(es!a(%#en"s !er$"d"n(ales, qe se ac'lan en la s!erc$e de l"sd$en(es * en el src" #$n#$.al, $n$c$and" !r"ces"s $n(errelac$"nad"sde res!es(a del an(r$%n, qe !r"dcen la des(rcc$%n de lases(rc(ras qe s"!"r(an a l"s d$en(es
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El ")-e($." de la(era!$a !er$"d"n(al es!reser.ar la den($c$%nna(ral, el !er$"d"n("* el (e-$d"
!er$'!lan(ar$"/
2an(ener * 'e-"rar lasald !er$"d"n(al *!er$'!lan(ar$a, c"n&"r(,es(($ca * &nc$%n/
P"s$($"n !a!er/ A'er$can Acade'* "& Per$"d"n("l"#* 3APP4/ G$del$nes &"r !er$"d"n(al (era!*/ 6/ Per$"d"n("l"#* 70018 7:
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El (ra(a'$en(" !er$"d"n(al n" q$rr#$c" ($ene c"'" ")-e($." lael$'$nac$%n de la )$"!elcla )ac(er$ana de la s!erc$e rad$clar
de l"s d$en(es !er$"d"n(al'en(e a&ec(ad"s/
Desde n !n(" de .$s(a !r+c($c", elresl(ad" de es(e (ra(a'$en(" es:1/=La el$'$nac$%n de las aderenc$as
calc$cadas qe c)ren lass!erc$es rad$clares/7/=La redcc$%n del n'er" de'$cr""r#an$s'"s de la )$"!elcla/?/=La des"r#an$@ac$%n de la ec"l"#ade la )$"!elcla/
Adr$aens P * c"l/ E&ec(" del (ra(a'$en(" !er$"d"n(al n" q$rr#$c" s")re (e-$d"s dr"s * )land"s/Periodontology 2000 (Ed Esp),
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En 1>>;, lacB ar'% qe las d"s acc$"nes '+s $'!"r(an(es!ara el (ra(a'$en(" de la $na'ac$%n de la 'e')rana
!er$"d"n(al * de las encas eran:
1/= El$'$nar las c"ncrec$"nes de l"s d$en(es/7/= I')$r en la 'en(e del !ac$en(e na ac($.a de(er'$nac$%n a'an(ener ss d$en(es l$'!$"s en el &(r"/
La (era!$a n" q$rr#$ca c"ns$s(e:re'"c$%n de !laca,el c"n(r"l de !laca,el des(ar(ra-e s!ra * s)#$n#$.al,
el al$sad" rad$clar *la (era!$a c"ad*.an(e c"n a#en(esq'$c"s
Adr$aens P * c"l/ E&ec(" del (ra(a'$en(" !er$"d"n(al n" q$rr#$c" s")re (e-$d"s dr"s * )land"s/Periodontology 2000 (Ed Esp),
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Una ")ser.ac$%n #eneralc"'n a ("d"s l"ses(d$"s es la e.$denc$ade qe el ras!ad" *
al$sad" s)#$n#$.al es n'("d" eca@ !ara laredcc$%n de la can($dadde !laca )ac(er$ana *c+lcl" ader$d"s a las!erc$e s)#$n#$.al del
d$en(e/
La 'a*"ra de l"s es(d$"s$nd$can (a')$n qe
n$n#na de las (cn$cas de$ns(r'en(ac$%n es("(al'en(e eca@ !arael$'$nar l"s de!%s$("ss)#$n#$.ales/
"lsas de as(a ? '', el
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Cambios en la profn!i!a!!e son!a"e # los ni$eles !einser%i&n
%l'ni%a
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El !r$'er es(d$" en e&ec(ar n ensa*" cln$c" rand"'$@ad" * c"n(r"lad" c"nse#$'$en(" a lar#" !la@" de l"s resl(ad"s de las (era!$as !er$"d"n(ales &e real$@ad"!"r Ra'&-"rd 31904/
Es(e es(d$" !)l$cad" en 19;> $n&"r'% de l"s da("s rec"#$d"s dran(e n se#$'$en("de ; aF"s desde 19;1 a 19;;/
En el cal se e.alar"n !r"&nd$dad de s"nda-e, N$.el de $nserc$%n cln$ca * d$&erenc$asen(re las (cn$cas q$rr#$cas * n" q$rr#$cas/
L"s resl(ad"s '"s(rar"n qe c"n el RAR se ")(.$er"n 'e-"res resl(ad"s qe c"nc$r#a en can(" a l"s ca')$"s en el n$.el de $nserc$%n/
Desde el car(" aF" ("d"s !erd$er"n $nserc$%n, s$end" 'en"res en el cre(a-e/
En can(" a l"s ca')$"s en la !r"&nd$dad de )"lsa, se ")(.$er"n #randes 'e-"rasc"n a')as (cn$cas/
TERAPIA NO Q HQ
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Fa%(ores )e mo!i*%an los resl(a!os !e la(erapia perio!on(al/
L"s ")-e($."s de la (era!$a !er$"d"n(al !eden .ersec"'!r"'e($d"s !"r:
Pac$en(e n" s$#e el (ra(a'$en(" rec"'endad"C"n(r"l $nadecad" de !laca )ac(er$ana/En&er'edades s$s('$cas n" c"n(r"ladasPr")le'as end"!er$"d"n(alesJac("res de sald ad.ers"s: es(rs, &'ar,d$s&nc$%n "clsalJracas" en la (era!$a de 'an(en$'$en(" !er$"d"n(al
L$nde 6/ Per$"d"n("l"#a cln$ca e I'!lan("l"#a Od"n("l%#$ca/ Ed$("r$al Pana'er$cana/
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Cara%(er's(i%as !e la sper*%iera!i%lar (ra(a!a
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Dran(e 'c"($e'!", l"s cln$c"san (en$d"c"'" 'e(adesea)le/
s!erc$e l$sa
era (a')$n nas!erc$e l$'!$a
era 'en"s !r"!ensa ala c"l"n$@ac$%n !"r)ac(er$as
Es("s c"nce!("s se )asa)an en l"s eK!er$'en("s real$@ad"s!"r aera# en !err"s, en l"s qe de'"s(r% qe creand"na s!erc$e r#"sa en el es'al(e s)#$n#$.al &a."recala &"r'ac$%n de !laca * c+lcl" s)#$n#$.al
L"s d$en(es c"n s!erc$es r#"sas se as"c$an c"n 'a*"r&recenc$a c"n la !resenc$a de #$n#$.$($s * !er$"d"n($($s/
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cla#e(er 199; real$@% n es(d$" in vitro en el cual de(er'$n% lar+osi!a! me!ia !e la sper*%ie ,Ra-!ara d$&eren(es$ns(r'en("s/
Hal"r '+s al(" de Ra (ras el (ra(a'$en(" c"n ras!ad"res s%n$c"s 3RaM 7,1 ' 1,174Hal"r '+s )a-" de Ra 'ed$an(e n $ns(r'en(" r"(a("r$" rec)$er("de !ar(clas de d$a'an(e de 15 ' 3Ra M 1,;< ' 0,>14/
Ra M 1,90 ' 0,>
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Elimina%i&n !el %emen(o
ra!i%larinfe%(a!o
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e an descr$(" na ser$e de ca')$"s en el ce'en(" eK!es(":
J"r'ac$%n de +reas l"cal$@adas de $!er'$neral$@ac$%n *
des'$neral$@ac$%n/Prd$da !r"#res$.a de !r"(enas del ce'en(" rad$clar * de la'a(r$@ de c"l+#en"/A)s"rc$%n de end"("K$nas * "(r"s 'ed$ad"res de la $na'ac$%n/J"r'ac$%n de la#nas de res"rc$%n l"cal$@adas/In.as$%n !"r )ac(er$as del ce'en(" * la den($na rad$clares/
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La !resenc$a de es("s &ac("res der$.ad"s de la en&er'edad * del"s ca')$"s '"r&"l%#$c"s a s$d" el &nda'en(" del (ra(a'$en("'ec+n$c" de las s!erc$es rad$clares/
Es(e (ra(a'$en(" de)e n" s%l"el$'$nar las )ac(er$as * el c+lcl"de la s!erc$e rad$clars)#$n#$.al, s$n" qe (a')$nde)e $n(en(ar el$'$nar el
ce'en(" rad$clar c"n(a'$nad"/
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e a rec"'endad" n (ra(a'$en(" '+s sa.e de la s!erc$erad$clar, )asad" en el ec" de qe las end"("K$nas n" !ene(ranen el ce'en(" rad$clar eK!es(", s$n" qe &"r'an na ca!a
s!erc$al a la s!erc$e del ce'en(", ade'+s, se rec"'$enda lades$n("K$cac$%n q'$ca de la s!erc$e rad$clar c"n +c$d" " c"na!l$cac$"nes de +c$d" e($lend$a'$d"(e(raac($c" 3EDTA4 s")re lass!erc$es $ns(r'en(adas, !ara el$'$nar las end"("K$nas * el)arr$ll" den($nar$"/
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Can(i!a! !e es(r%(rara!i%lar elimina!a !ran(e
el (ra(amien(o perio!on(alno )ir.r+i%o
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a* .ar$"s &ac("res qe !eden $n$r en la can($dad de(e-$d" dr" el$'$nad":
La &er@a ($l$@ada !"r el "!erad"rEl n'er" de a!l$cac$"nes del $ns(r'en("El #rad" de '$neral$@ac$%n de las ca!as s!erc$ales delce'en(" rad$clarEl alad" de la cre(a " ras!ad"r al $n$c$" del(ra(a'$en("
La d$s'$nc$%n #radal del l" de es("s $ns(r'en("sde)$d" a s s" c"n($nad"/
En n es(d$" in vitro, qe e.ala)a la can($dad de es(rc(ras dela s!erc$e rad$clar el$'$nadas dran(e el (ra(a'$en(" 'ec+n$c"c"n cre(as, se de'"s(r% qe n 'a*"r n'er" de a!l$cac$"nesdel $ns(r'en(" !r"dca '+s el$'$nac$%n de es(rc(rasrad$clares '$neral$@adas/
Jer@a de 00=1/700 #ra'"s, el$'$na)an, n !r"'ed$", ;0 '/
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a!!a * c"ls/ De'"s(rar"n en s es(d$" in vitro qe n" s%l"n 'a*"r n'er" de a!l$cac$"nes de la cre(a lle.a a !erder'+s 'a(er$al rad$clar,
s$n" qe (a')$n la &er@a a!l$cada $n*e en la el$'$nac$%nde 'a(er$al '$neral$@ad"/
Fer/a !e 0123 N5 a!l$cac$"nes: ?< '10 a!l$cac$"nes: ;5 '
70 a!l$cac$"nes: 110'
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La &er@a a!l$cada al $ns(r'en(" se c"nr'% en n es(d$" invitro c"n d$&eren(es ($!"s de $ns(r'en("s/
Can(i!a! !e ma(erial elimina!o !e lasper*%ie ra!i%lar
100 !: 11,;'700 !: 1>,7'5,9
'
Cre(a'anal
750 !: ;0 '500 !: 109 '1/000 !: 7;