Estudio comparativo estético en restauraciones clase IV realizadas con resina compuesta - vidrio ionómero versus resina compuesta multicapa
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Fecha
2012
Autores
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
En la actualidad una de las mayores preocupaciones dentales de los pacientes es la
estética, más aún cuando se trata de las piezas antero superiores que se ven a
menudo afectadas por fracturas o caries. La lesión clase IV se define como aquella
lesión en las piezas anteriores donde hay una pérdida de alguno de los ángulos
incisales.
Nuestro objetivo es comparar estéticamente la técnica de vidrio ionómero - resina
compuesta versus resina compuesta multicapa en lesiones clase IV.
El presente estudio corresponde a un ensayo clínico controlado. La muestra constó de
40 restauraciones clase IV, no hubo distinción por género, la edad de los pacientes
fluctuaba entre 18 a 60 años, no fumadores, la pieza dentaria se encontraba vital, sin
sensibilidad dentaria, sin blanqueamiento, ni defectos en cantidad o calidad del esmalte
y la lesión abarcaba esmalte y dentina. Todos los pacientes fueron atendidos en la
Clínica de la Facultad de Odontología de la Universidad Andrés Bello
La muestra fue dividida al azar en dos grupos iguales para las restauraciones se utilizó
vidrio ionómero modificado con resina Vitremer™ (3M Espe) y la resina compuesta
Filtek Z350 XT™ (3M Espe), según las recomendaciones del fabricante para cada
material, se siguió un protocolo estricto de restauración para cada técnica además de
un protocolo de terminación y pulido igual para ambas técnicas. Luego de realizadas
las restauraciones fueron evaluadas estéticamente en base a 4 variables: superficie,
valor, matiz y croma, posterior a esto los resultados fueron tabulados y comparados, el
análisis estadístico fue realizado con la prueba de Kolmogorov-Smirnov.
No se obtuvieron resultados estadísticamente significativos (p>0.05) por lo cual ambas
técnicas eran iguales en todas sus variables.
En conclusión podemos decir que ambas técnicas nos ofrecen un resultado estético favorable, por lo cual es decisión del clínico determinar qué técnica utilizará, de
acuerdo a su criterio, experticia, recursos y tiempo disponible.
Currently, one of the biggest concerns is patients' dental aesthetics, especially when we refer to the anterior parts that are often affected by fractures or cavities. The lesion class IV is defined as an injury were there is a loss of one of the incisal angles. Our goal is to compare the art aesthetically Glass lonomer - Composite Resin Composite versus Resin Multilayer in class IV lesions. This controlled clinical trial study, considered a sample of 40 Class IV restorations, there was no distinction by gender, while age of the patients ranged from 18 to 60 years, nonsmokers, the tooth was vital, without tooth sensitivity, no bleaching, no defects in quality or quantity of enamel and dentin and enamel covered injury. All patients were treated at the Clinic of the Faculty of Dentistry at the Universidad Andrés Bello. The sample was randomly divided into two equal groups, for restorations resin-modified glass ionomer Vitremer rM (3M ESPE) and the composite resin Filtek Z350 XT rM (3M Espe) was used, as recommended by the manufacturer for each material, followed by a strict protocol of restoration for each technique and a protocol of finishing and polishing equally for both techniques. After the restorations were done, they were aesthetically evaluated based on four variables: surface, value, hue and chroma. The results were tabulated and compared, statistical analysis was performed using the Kolmogorov Smirnov test. No results were statistically significant (p> 0.05) for which both techniques were the same in all its variables. In conclusion we can say that both techniques give us a favorable aesthetic result, so it is up to the clinician to determine which technique should use, according to their opinion, expertise, resources and available time .
Currently, one of the biggest concerns is patients' dental aesthetics, especially when we refer to the anterior parts that are often affected by fractures or cavities. The lesion class IV is defined as an injury were there is a loss of one of the incisal angles. Our goal is to compare the art aesthetically Glass lonomer - Composite Resin Composite versus Resin Multilayer in class IV lesions. This controlled clinical trial study, considered a sample of 40 Class IV restorations, there was no distinction by gender, while age of the patients ranged from 18 to 60 years, nonsmokers, the tooth was vital, without tooth sensitivity, no bleaching, no defects in quality or quantity of enamel and dentin and enamel covered injury. All patients were treated at the Clinic of the Faculty of Dentistry at the Universidad Andrés Bello. The sample was randomly divided into two equal groups, for restorations resin-modified glass ionomer Vitremer rM (3M ESPE) and the composite resin Filtek Z350 XT rM (3M Espe) was used, as recommended by the manufacturer for each material, followed by a strict protocol of restoration for each technique and a protocol of finishing and polishing equally for both techniques. After the restorations were done, they were aesthetically evaluated based on four variables: surface, value, hue and chroma. The results were tabulated and compared, statistical analysis was performed using the Kolmogorov Smirnov test. No results were statistically significant (p> 0.05) for which both techniques were the same in all its variables. In conclusion we can say that both techniques give us a favorable aesthetic result, so it is up to the clinician to determine which technique should use, according to their opinion, expertise, resources and available time .
Notas
Tesis (Cirujano Dentista, Especialización en Internado Clínico)
Palabras clave
Materiales Dentales., Eficacia, Odontología, Estética, Estética- Vidrio lonómero, Estética- Clase IV