Agudizaciones endodónticas al concluir diferentes variantes técnicas de tratamiento pulporadicular / Incidence of endodontic acuteness when concluding the different technical variants in the pulp-radicular treatment

Authors

  • José Antonio Guerra Pando Profesor Titular. Especialista de Primer Grado en EGI. Filial de Estomatología. Pinar del Río. Cuba.
  • Elienna González Crespo Instructor. Especialista de Primer Grado en EGI. Filial de Estomatología. Pinar del Río. Cuba.
  • José Adrián Guerra Chico Profesor Auxiliar. Especialista de EGI. Filial de Estomatología. Pinar del Río. Cuba.
  • Analina Afre Socorro Especialista de I Grado en Estomatología General Integral. Asistente. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del Río. Filial Provincial de Estomatología.
  • Juan Francisco Madiedo Camargo Especialista de I Grado en E.G.I. Asistente. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del Río. Filial de Estomatología.

Abstract

Las agudizaciones endodónticas constituyen eventos inflamatorios periapicales que se producen durante y después de concluida la terapéutica endodóntica, complicando y tornando más costosos dichos procederes. Para determinar su aparición e intensidad se realizó la presente investigación en la Clínica Estomatológica Docente Provincial "Antonio Briones Montoto" entre septiembre de 2007 y julio de 2008. El muestreo realizado fue de tipo opinático, constituido por 80 casos. Fueron divididos en 4 grupos de 20 casos, aplicándoseles diferentes esquemas de tratamiento. Los datos, recogidos en una planilla, se representaron en las tablas y gráficos en medidas resúmenes para variables cualitativas. Se empleó la estadística descriptiva: pruebas de 2 y K proporciones y la prueba no paramétrica Ji cuadrado. Se pudo constatar que el 17,5% de los casos tratados presentaron algún grado de agudización. El total de casos con agudizaciones resultó significativamente superior con la técnica estandarizada, no hubo diferencias en la aparición de las mismas en tratamientos en una o dos visitas, el mejor esquema de tratamiento empleado fue la técnica cérvico-apical en una sesión y los conductos abiertos al medio bucal el principal factor de riesgo asociado.

Palabras clave: endodoncia, enfermedades periapicales, diagnóstico, tratamiento del conducto radicular / métodos.


ABSTRACT

Endodontic acuteness constitutes periapical inflammatory events that are produced during and after concluding the endodontic therapeutic, complicating and increasing the cost of the dental procedures. This research was aimed at determining their onset and intensity at "Antonio Briones Montoto" Dentist's Teaching Clinic from September 2007 to July 2008. The sampling was based on opinions and with 80 cases that were divided into 4 groups of 20 cases applying different treatment schedules. Data were collected in tables and graphics and in measures summed up to qualitative variables. A descriptive statistics was used: the two tests, K-proportions and the non-parametric chi-square test to compare the categories as well as the relation and homogeneity of the variables respectively. The total of the cases with acuteness resulted significantly higher with the standardized techniques, no differences in number or the intensity of the acuteness in the treatments in one and two sessions were observed, the best schedule of the treatment was the cervical-apical technique in a session.

Key words: endodontics, periapical diseases, diagnosis, radicular duct treatment/methods.

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How to Cite

1.
Guerra Pando JA, González Crespo E, Guerra Chico JA, Afre Socorro A, Madiedo Camargo JF. Agudizaciones endodónticas al concluir diferentes variantes técnicas de tratamiento pulporadicular / Incidence of endodontic acuteness when concluding the different technical variants in the pulp-radicular treatment. Rev Ciencias Médicas [Internet]. 2012 Oct. 31 [cited 2025 Aug. 29];13(4):79-91. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/550

Issue

Vol. 13 No. 4 (2009)

Section

ORIGINAL ARTICLES

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