Prevalencia de fractura del diente endodonciado en relación a la restauración final.

Abstract

Introduction: The rehabilitation of the endodontically treated teeth gets special attention, since they generally must be subjected to certain clinical procedures that guarantee them stability, although the endodontic treatment itself does not weaken the tooth, it is necessary to restore it in order to avoid future fractures. The aim of this study was to observe if the endodontically treated teeth in UCSG clinic dental career during the semester AB 2014-1015 presented fractures, and whether these fractures were related to the final restoration they received after endodontic treatment. Materials and methods: Clinical, radiographic and observational study, currently reviewing patients who underwent root canal treatment during 2014 and 2015. We reviewed 102 teeth that were endodontically treated from 87 patients who attended the consultation, the state was observed of those teeth to analyze if there was a fracture or not and whether these fractures were restored or not. Results: In the evaluation of 102 endodontically treated teeth. The 57.84% of the teeth were present without any fracture, 19.61% prevalence of coronary fracture (20 teeth) was found, while 22.55% of the teeth were absent. As for restoration, 61.76% presented were restored (63 teeth). Of these restorations, 3.92% presented veneers, 9.80% presented porcelain metal crowns, 8.82% were restored with pure ceramic crown , 4.90% were restored with inlays/onlays, and 34.31% were restored with conventional composite. It was reported that in relation to the restoration that received most of the endodontically treated pieces, only 9 restored teeth were affected by coronal fracture: 7 teeth restored with conventional composite 6.86% and 2 teeth restored with inlays 1.96% . The remaining 11 teeth (10.78%) that presented fractures had not had any type of restoration. Conclusion: The percentage of endodontically treated restored teeth in the UCSG clinic was 62%, taconsidering that not all patients are referred for subsequent restoration. This study confirms that teeth that are not restored after treatment are more likely to fracture, so it is established that it is necessary to include in the treatment plan a final restoration to preserve the dental structure