Resolución no quirúrgica de pieza dentaria con lesión periapical y ápice abierto en paciente adulto, tratamiento con láser de diodo. Reporte de Caso

Laura Beatriz Pinasco

doi:10.31984/oactiva.v6i2.628

Autores/as

Laura Beatriz Pinasco Facultad de Odontología, Universidad de Buenos Aires

DOI:

https://doi.org/10.31984/oactiva.v6i2.628

Palabras clave:

Trauma, Open apex, Laser diode, Biodentine

Resumen

Los traumatismos dentoalveolares son lesiones que afectan no solo a las piezas dentarias, sino también a los tejidos de sostén. Los mismos pueden traer aparejados diversas secuelas, entre ellas la necrosis pulpar. Si no son detectadas a tiempo puede sumarse una lesión periapical complicando aún más el cuadro clínico. En los casos de dientes permanentes jóvenes, el tratamiento conlleva un desafío en la terapéutica, ya que se produce una interrupción del desarrollo radicular, presentando paredes de poco espesor y ápices abiertos. El siguiente artículo es un reporte de caso clínico de un paciente que concurre a la consulta con antecedente de traumatismo en sector anterior, presentando su incisivo central superior con su anatomía radicular incompleta y con lesión periapical extensa. Su tratamiento incluyó una terapia endodóntica con un cierre apical con Biodentine y aplicación de terapia laser. El seguimiento luego de 24 meses de finalizado el tratamiento, nos muestra al control tomográfico y clínico una evolución favorable. A pesar de presentar una lesión periapical extensa, el tratamiento endodóntico convencional, fue la primera elección.

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