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Inicio Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral Reparación intraoral de una prótesis parcial fija metal-cerámica de seis unid...
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Vol. 6. Núm. 2.
Páginas 87-89 (Agosto 2013)
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Vol. 6. Núm. 2.
Páginas 87-89 (Agosto 2013)
Open Access
Reparación intraoral de una prótesis parcial fija metal-cerámica de seis unidades con resina compuesta. Relato del caso
Repair of a six-unit fixed partial denture metal-ceramics with composite resin. Case report
Visitas
3634
A. Cruz González1,
Autor para correspondencia
alcruzgo@gmail.com
adiazc1@unicartagena.edu.co

Correspondencia autor: Facultad de Odontología, Universidad de Cartagena. Campus de la Salud Zaragocilla. Cartagena, Colombia.
, A. Díaz Caballero2, J. Méndez Silva3
1 Odontólogo. Universidad de Cartagena. Miembro del Grupo de Investigación MADEFOUC. Universidad de Cartagena. Colombia
2 Odontólogo. Universidad de Cartagena. Periodoncista, Universidad Javeriana. Maestría en Educación Universidad del Norte. Estudiante de Doctorado en Ciencias Biomédicas, Universidad de Cartagena. Profesor Titular Universidad de Cartagena. Director Grupo de Investigaciones GITOUC. Colombia
3 Odontólogo. Universidad de Cartagena. Rehabilitador Oral, Universidad de Buenos Aires. Implantólogo Oral, Universidad Católica Argentina. Especialista en Pedagogía para el Desarrollo del Aprendizaje Autónomo, Universidad Nacional a Distancias. Profesor Asistente, Universidad de Cartagena. Director del Grupo de Investigación MADEFOUC. Colombia
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Información del artículo
Resumen

Múltiples son los factores que pueden desencadenar fracturas de porcelana en una prótesis parcial fija metal-cerámica, aunque esta situación no siempre determina un reemplazo. La reparación de porcelana mediante el uso de resina compuesta es una alternativa con ventajas de una fácil manipulación y bajo costo. El objetivo del presente artículo es presentar a la resina compuesta como una opción con resultados considerables en la reparación de prótesis metal-cerámicas fracturadas, con alto compromiso estético. Se presenta un caso clínico de reparación intraoral de una prótesis fija metal-cerámica de seis unidades en el sector anterior superior. El tratamiento realizado incluyó fresado de la superficie de porcelana, aislamiento absoluto, grabado ácido con fluoruro de fosfato acidulado, microarenado con óxido de aluminio, silanización, aplicación del adhesivo convencional y tres tipos de resinas compuestas, resina opaca, microhíbrida y resina de nanorelleno. A los 8 meses se evaluó la adaptación de la reparación mediante un explorador e inspección visual, secando con una jeringa triple donde no se observó signos de percolación alguna. Basado en los resultados se puede considerar a esta combinación de resinas compuestas como una alternativa útil en la reparación de porcelana fracturada.

Palabras clave:
Resinas compuestas
reparación de prótesis dental
porcelana dental
aleaciones de cerámica y metal
silanos (Decs Bireme)
Abstract

There are multiple factors that can trigger a fracture of porcelain in a metal-ceramic fixed partial denture, although a replacement is not always required. The porcelain repair using composite resin is an alternative with advantages such as easy handling and low cost. The aim of this paper is to present the composite as an option with significant results in the repair of fractured metal-ceramic prostheses, with a high aesthetic commitment. We report a case of intraoral repair of a six-unit metal-ceramic fixed prosthesis in the anterior superior sector. The treatment provided included milling of the surface of porcelain, absolute isolation, acid etching with acidulated phosphate fluoride, aluminium oxide sandblasting, silanization, conventional adhesive application and three types of composite resins: opaque resin, micro-hybrid resin and nanofilled resin. After 8 months we assessed the adaptation of the repair using a surface explorer and visual inspection, drying with a triple syringe. No signs of seepage were observed. Based on the results, this combination of composite resins can be considered as a useful alternative in the repair of broken porcelain.

Key words:
Composite resins
dental prosthesis repair
dental porcelain
metal ceramic alloys
silanes (MeSH DATABASE)
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Copyright © 2013. Sociedad de Periodoncia de Chile, Sociedad de Implantología Oral de Chile y Sociedad de Prótesis y Rehabilitación Oral de Chile
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