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Características Clínicas y Hallazgos Diagnósticos de Dientes Molares Fisurados - Un Estudio Evaluativo
V Ashokkumar1, Periasamy Ravishankar
1Department of Conservative Dentistry and Endodontics, Thai Moogambigai Dental College and Hospital, Chennai, Tamil Nadu, India.
Resumen
El diagnóstico de dientes fisurados implica una combinación de historial clínico, síntomas y pruebas como la prueba de mordida, la transiluminación y el colorante de azul de metileno. Muchos dientes fisurados requieren tratamiento de conducto radicular debido a pulpitis irreversible o necrosis.
Área de la Ciencia:
- Odontología
- Diagnóstico Dental
- Endodoncia
Sus antecedentes:
- Los dientes fisurados son un problema dental común.
- El diagnóstico preciso es crucial para una planificación de tratamiento eficaz.
Objetivo del estudio:
- Analizar las características diagnósticas de los dientes fisurados.
- Comprender las características clínicas de los dientes molares fisurados.
Principales métodos:
- Análisis retrospectivo de 33 pacientes diagnosticados con dientes molares fisurados.
- La recopilación de datos incluyó signos clínicos, síntomas, datos demográficos del paciente y resultados de pruebas diagnósticas (vitalidad, transiluminación, tinción con colorante, prueba de mordida, percusión, palpación).
Principales resultados:
- Los dientes fisurados fueron más prevalentes en pacientes de 30 a 40 años.
- La prueba de mordida (98%), la transiluminación y el colorante de azul de metileno (99%) fueron ayudas diagnósticas muy eficaces.
- Los primeros molares mandibulares fueron los más afectados.
- La mayoría de las fisuras ocurrieron en dientes intactos (67%).
- Los diagnósticos pulpares incluyeron pulpitis reversible (15%), pulpitis irreversible (45%) y necrosis pulpar (39%).
Conclusiones:
- Se recomienda un enfoque diagnóstico multimodal que combine el historial del paciente, el examen clínico y pruebas específicas (mordida, transiluminación, colorante).
- La pulpitis irreversible y la necrosis pulpar son comunes en los dientes fisurados, lo que requiere terapia de conducto radicular.
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