resúmenes de comunicaciones de estudiantes - Infomed Dental

más actualizada de los requerimientos
tanto por parte del paciente como por
parte del operador. En el campo científico
se contraponen la metodología tradicional
con las técnicas clínicas más innovadoras y
dirigidas, sobre todo, a la satisfacción de la
demanda estéticas de los pacientes junto a
la rehabilitación funcional. Se debaten las
diferentes vías de aplicabilidad clínica de
los distintos procedimientos, valorándose
las ventajas y los inconvenientes con la
intenciónd etrazar las líneas de
comportamiento aptas para proporcionar a
la odontología de perspectiva
contemporánea del panorama clínico de
las técnicas restauradoras más actuales
desde la óptica de un control de la calidad.
18
TRATAMIENTO RESTAURADOR
DEL DIENTE TRATADO
ENDODÓNCICAMENTE
Sábado 17 de mayo de 2008
RECONSTRUCCIÓN DEL DIENTE
ENDODONCIADO
William Philip Saunders
• Professor of Endodontology at the
University of Dundee, Scotland 2000 –
present
• Previously Professor of Endodontology,
University of Glasgow, Scotland 1995‐2000
• Professor of Clinical Dental Practice,
University of Glasgow, Scotland 1993‐1995
• Consultant in Restorative Dentistry and
Specialist in Endodontics and Restorative
Dentistry
• Dean of Dentistry and Head of
Department of the Dental School,
University of Dundee 2000‐present
• Chairman, Association of Consultants and
Specialists in Restorative Dentistry, 1999‐
present
• Chairman, Education Committee of
European Society of Endodontology
• Dental Council, Royal College of Surgeons
of Edinburgh
• Author of 85 papers in refereed journals.
• Undertakes numerous postgraduate
courses in endodontics in the UK and
overseas
RESUMEN
The long term prognosis for a root
filled tooth depends on the way the tooth
is restored after the endodontic treatment.
A permanent restoration should be placed
as soon after the treatment as possible. It
has been shown that failure of the root
filling may be linked to the leakage of
micro‐organisms coronally and nutrients
for those micro‐organisms. Prevention of
coronal leakage is important and how best
to achieve it will be elucidated. The coronal
tooth structure of root filled teeth is more
susceptible to fracture but this is linked
mainly to the physical damage caused to
the enamel and dentin from previous
restorative procedures and removal of the
roof of the pulp chamber when root canal
treatment is commenced. Root filled teeth
do not become more brittle as a result of
dehydration. However, there may be a lot
of destruction of the tooth coronally and it
is important that restoration of the root
filled tooth conforms to specific aims.
These include retaining tooth structure,
protecting the remaining tooth and
preventing subsequent weakening of the
tooth. A detailed exposition of how this can
be done with modern techniques will be
presented, including the restoration of the
molar tooth and the post‐retained
restorations in single rooted teeth.