TÉCNICA ALTERNATIVA PARA LA RESTAURACIÓN DE MÚLTIPLES LESIONES CERVICALES NO CARIOSAS CON UN COMPOSITE DENTAL AUTOPOLIMERIZABLE
DOI:
https://doi.org/10.56238/arev7n11-081Palabras clave:
Cemento de Ionómero de Vidrio, Abrasión Dental, Restauración Guiada, Restauración Guiada. Lesiones Cervicales no CariosasResumen
Recientemente, se desarrolló un composite dental autopolimerizable (Stela, SDI, Australia) con ventajas como baja tensión y contracción de polimerización, profundidad de activación ilimitada, homogeneidad en la conversión del polímero, polimerización rápida, buena adhesión al tejido dental, menor número de pasos clínicos y efecto camaleónico. Sus indicaciones incluyen la restauración de cavidades de Clase V. Sin embargo, esto requiere maniobras adicionales de contención y determinación de la forma. Las lesiones cervicales no cariosas (LCNC) que afectan a los dientes posteriores son frecuentes, y su restauración presenta dificultades en cuanto a aislamiento, instrumentación, acabado y pulido. Este estudio presenta una técnica alternativa que utiliza Stela con un índice de silicona transparente para inyección directa. Tras tomar una impresión de la zona con NCCL, realizar modelos y encerados de las restauraciones, se confeccionó un índice de inyección personalizado. En una cita posterior, con el índice listo y tras comprobar su adaptación y estabilidad, se llevaron a cabo los siguientes pasos restaurativos: profilaxis, inserción de un hilo de retracción no impregnado, aplicación de adhesivo, posicionamiento del índice e inyección de resina. Tras 4 minutos, se retiró el índice y se terminaron y pulieron las restauraciones. Esta técnica simplificó el proceso con alta predictibilidad y eficiencia.
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