Relación entre la altura del tejido blando periimplantario y la infiltración bacteriana subgingival hacia la plataforma del implante, en pacientes rehabilitados con implantes oseointegrados
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Archivos
Fecha
2022
Profesor/a Guía
Facultad/escuela
Idioma
es
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Título del volumen
Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Cuando conectamos un implante dental empezamos la relación con el
medio oral desde el pilar de cicatrización hasta la instalación de la corona definitiva, eso
generará una posible colonización bacteriana en la zona de los aditamentos que están
protegidas por esta mucosa transgingival que puede desencadenar la activación de
mecanismos inmunes de defensa que nos llevará a la posible pérdida de tejido óseo
alrededor de la plataforma de nuestro implante, que nos puede traer consecuencias a la
salud y estabilidad del implante en el tiempo.
Este trabajo surge con la finalidad de evaluar qué tan profunda es la
colonización bacteriana, en relación a la corona provisoria, según la cantidad de la
mucosa transgingival presente en el sitio.
La investigación consiste en analizar 22 coronas provisorias previa a la
instalación de la corona definitiva, en pacientes atendidos en la Universidad Andrés
Bello durante septiembre y octubre 2022, luego de que se encontraran 8 semanas
expuestos al medio bucal, sistemáticamente sanos y sin enfermedad periodontal activa.
Antes de instalar la corona definitiva se remueve la corona provisoria y se sumergieron
en solución de revelador de cristal violeta marca Bioquímica, para observar la cantidad
de placa bacteriana infiltrada subgingivalmente con el fin de relacionarla con la altura
(mm) de mucosa transgingival presente en el sitio. Los resultados obtenidos muestran
una correlación muy alta entre las variables estudiadas, el resultado de las pruebas
realizadas nos dice que a mayor altura de mucosa transgingival menor es el porcentaje
de infiltración bacteriana. (p=0,0005).
When we connect a dental implant, we begin the relationship with the oral environment from the healing abutment to the installation of the final crown, this will generate a possible bacterial colonization in the area of the attachments that are protected by this transgingival mucosa that can trigger the activation of immune defense mechanisms that will lead to the possible loss of bone tissue around the platform of our implant, which can have consequences for the health and stability of the implant over time. This work arises with the purpose of evaluating how deep the bacterial colonization is, in relation to the provisional crown, according to the amount of transgingival mucosa present in the site. The research consists of analyzing 22 provisional crowns prior to the installation of the definitive crown, in patients treated at the Andrés Bello University during September and October 2022, after they were exposed to the oral environment for 8 weeks, systematically healthy and without an active periodontal disease. Before installing the definitive crown, the provisional crown is removed and submerged in Biochemical brand violet crystal developer solution, to observe the amount of subgingivally infiltrated bacterial plaque, relating it to the height (mm) of transgingival mucosa present in the crown. place. The results obtained show a very high coincidence between the variables studied, the results of the tests carried out tell us that the higher the transgingival mucosa, the lower the percentage of bacterial infiltration. (p=0.0005).
When we connect a dental implant, we begin the relationship with the oral environment from the healing abutment to the installation of the final crown, this will generate a possible bacterial colonization in the area of the attachments that are protected by this transgingival mucosa that can trigger the activation of immune defense mechanisms that will lead to the possible loss of bone tissue around the platform of our implant, which can have consequences for the health and stability of the implant over time. This work arises with the purpose of evaluating how deep the bacterial colonization is, in relation to the provisional crown, according to the amount of transgingival mucosa present in the site. The research consists of analyzing 22 provisional crowns prior to the installation of the definitive crown, in patients treated at the Andrés Bello University during September and October 2022, after they were exposed to the oral environment for 8 weeks, systematically healthy and without an active periodontal disease. Before installing the definitive crown, the provisional crown is removed and submerged in Biochemical brand violet crystal developer solution, to observe the amount of subgingivally infiltrated bacterial plaque, relating it to the height (mm) of transgingival mucosa present in the crown. place. The results obtained show a very high coincidence between the variables studied, the results of the tests carried out tell us that the higher the transgingival mucosa, the lower the percentage of bacterial infiltration. (p=0.0005).
Notas
Tesis (Cirujano Dentista)
Palabras clave
Implantes Dentales, Investigaciones