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Cariologie Iliescu Gafar 567936eba0d2f PDF
Cariologie Iliescu Gafar 567936eba0d2f PDF
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IDOTORIVD aur180, CARIOLOGIE
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‘Sp SIDOTORIV 3208 CARIOLOGIE
PREPARAREA CAVITATILOR IN’ VEDEREA RESTAURARILOR CU AMALGAM _ 209
cost pe termen
lie. O obturaie
12.1.2 Prepararea conservativa a cavit
Prepararea conservativi a cavi
pupa, de a pistra dintele puternie
lor profunde unde se prevede sau se induce ©
inca « camerei pulp, se recomands aplicarea dig
sesemenea necesari in timpul condensirii amalgamulul gia aceluia care
ind paralelf cu acesta si se irsertfreza direct fn fisura sau
‘incepe cu fosa distalé ~ reducdindt-se la
‘Aceastésincime poate sau-nu
total de penetrre a unei freze se va misura gi fnsemna Inainte de a fi luatd drept
lungime de rete
de diametru mai mic, cum ar fi freaa
‘conservi structutile dentare gi rezstr
Continuded si si adancimea cu presiuni intermitente,
ne extindem dea lungul sangului central spre fosa mezial8, urmérind ridieaturile 3i
sprafefei ocluzale. Cand fisura central are o carie mie’, o migcare de-t
orali se extind, ack este necesar, pentru a Tndeparta
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. ‘SIDOTORIVD ore212 cARIOLOGIE PREPARAREA CAVITATILOR IN VEDEREA SESTAURARILOR CU AMALGAM 213,
le resunte spre vestibular de punctul de intrare.
‘ . : zul fisurii spre fata palatinali.
prin zonele ce subsminare
Jesutuli carat care nu a fost acopert de baza de Ca(OH).
fn dentin’ dup IndepArtarea Tot la aceeasi adiacime
——_ | se atc pers
si rian puternice,
peretele pulpar (eliméndad i
pentru cl szeasta ar duce la cresterea unghi
e acceptabil
| pe poriunea
inteli,
suprafaiapalatinall pentru a accentua unghiurils mezio:
‘sor convergenticomform formei frezei.
Pistdind freza perpediculard pe suprafaja
Iasi aceasth muchie bine exprimati, se 5
din cauza addacimii neadecvate cit si a unghiurilor
Prepararea primar este acum gata, fa mod obignupuna
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SIZ HIVOTVAY 19 HOMAPUNVISHY VILIGIA NI HOULYLIAYO VaUVEVE TLE
rE ‘HIDO701aWD Ge vie216
CARIOLOGIE
diedru pulper, care tebuil si fe la
tim e& anceloplastia poate uneor
molarilor mandibulari (cavitate clasa | A)
‘desea pe molarii man
se extind sf se
i ist sanquri ada
PREPARAREA CAVITATILOR IN VEDEREA SESTAURARILOR CU AMALGAM _217
dlicteszX extinderea preparirii ocluzale pe suprafaja vestibular pentru include toste
perpendicular pe suprafi
perefii mezio-axl gi dst i conferitea weet convergente ve
{in cazul in care accesuldinspre vestibular este limita, se poate folosi freza 169 L
irectionats part cu suprafata vestibular
Un perete gingival plat al extensiei este de dorit pentru a realiza forma de
rezistenj8. Dac pere(ii meziali i distali surt parleli sau usor convergenti, nu este
necesarl retenfa suplimentar3, Dack sunt necesare ganfuri suplimentare de reten
vor efectua in manevra cavitiii ocluzo-palatiaele a molarului prim maxilar si fm cazul
foosicifrezei 1¢9L la prepararea cavitii
12.2 PREPARAREA CAVITATILOR DE CLASA a
RESTAURATE CU AMALGAM
[Nerespectarea acestor prncipi va reaizao restaurajie de proasti calle.
proximal, unntori
ji restaurator pentru clasaa TL
alul de elecyie pentru refacerealeziu
este sufci
nu va diuna rezistenjeistucturilor dentare rl
Varsta pacient
lecje pentru resaurare,
ca material de
pare si fle cel maind s-npugzunxa
jun speeonisaja 95 DEP PROP sjpICOWRLAsN
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SIDOTOLIVD a Bie220 : CARIOLOGIE
emeargt ugor spre supra la niv
‘Aceastt fazi slibeste s
idiacent numa la 0,2-0,3 mm.
‘de-a lungul peretelui gin
inte acest perete cor
cu 9 sond’ fink sau
Uwebuie a teacd prin
Cn sunt gata pe
Ii, a cirei grosime ese de 0,5 mm si care
proximale, vor converge oclizal. Pe HingX faptul
imale, acest convergent conserva
A se nota cl aceasts curburl ese sufcientl pentru
igual (oral) curba
PREPARAREA CAVITATILOR IN VEDEREA RESTAURARILOR CU AMALGAM _221
excavaliaclind se constatd ct locu este dur la ralpare side culoare normal.
Indepactaea fefect nu va inflenta forma
Ge rezistent, Pent ‘avea cel putin dout
se la periferiaexcavatici.
‘nu se recomand’
e extind elt este
era de prezenja cariei pe peretele axial". Dentina
‘arial de pe acest perete se va Indepara cu fteza globular pocivitd sau cu un excavator
sau eu amfadou,
adapta in
dat se fc o peu mare fn pl cl 3 odsles2h
fn aceasta eval
acestea au f
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‘ ® ‘IDOTORIVS eee24 CARIOLOGIE
ra se extinde pe
Preparatea M-O in general ou este complicats, Atunci cénd ea
smelopl
Se pou inept rd extinde marge Fe
ni ‘ibulard direct fn
nnecesurl pentr a realiza 0 form de rezstenti bun’,
12.2.3 Premolarul unu superior
repararea unei ca ‘Tea pe fafa mezial a premolar
necesito atenje specala,
preparare din
i accesible clind se
clasaa
superior.
12.2.4 Variante in design-ul cavitatii
Prepararea de ci fe. Almguist, Coman gi Lambert recomanda preparare
tunel cavitti proximale firk faza ocluzald, Acest tip de cavitate va fi
PREPARAREA CAVITATILOR IN VEDEREA RESTAURARILOR CU AMALGAM _225
ald cu eontacte interproximale siinse,permifénd o extensie vestibular gi oral
de etenji proximal va
avea 0,5 mm adincime in unghiul diedru, conicizindu'se la o distanyl de 03 mm de
suprafaja ocluzala.
i, cu un perete axial mai
‘mijlocul drumulsi dint jonejunea smaljdeaind si marginea ocluzala.
12.2.5 Prepararea in gant sau tunel
vars care au recesiune i
‘pe suprafala proximald radiculra, ce
conct
id cont de punctul de cont
f-dentind cu 0,2 sum. Dack marginile nu
<1 um la nivel ocluzal
18 pe suprafaa vestibular,
fe care include virful
¢ va face 0 preparare in gan, desi marginile
‘ocluzale pot si fie in zona de contact sau usoroeluzal de ea.lust ap pnluos wsejd 408 a5
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BIDOTORVD 9228 «© CARIOLOGIE
12.210 Proceduri pentru cuspidul distal al molarului 1
mandibular
‘Acost cuspid ridic§ freeveat probleme daci sust poztionai pereti sau mar
ar. Extensia vestibulard a marg ‘estbulare desfiinjeazl conta
Fe cenirul cuspidulu, ev scopul de a real
Desfiinjarea si refacerea exspidului D-V, cfnd ext
ierativ, O reducere minima de 2 mm va realtaint-o reeonstituire
rea se va face ia aga mAsurl ca si rezulte 0 strinsd
ie amalgam 4 structorile dentare.
‘Oricum reducerea si restaurarea cuspiduldi D-V este mai de dorit dectt
refacerea, pentru c& portiunea rimasi ne va asta in apicarea matrcei
refacerea unei ambrazuri corespunziloare.
12.2.11 Reducerea gi refacerea cuspizilor
A
nd catia este extinst pe unul sau mai multi caspizi, ia mod obigauit
acest se vor reduce in vederea refecerit cu amalgam. Cand exensia V sau O es
din saul pi reducerea lui este indicath pentru a
cauza pierderit
tare cum ar fi
ini, De asemenea retenfia poste i
puri TMS,
12.3 PREPARAREA CAVITATILOR DE CLASA alll-a,aV-a
IN VEDEREA RESTAURARII CU AMALGAM
‘ocluzie clinicd corect, rSbdare sf ingeniozitate
|
|
PREPARAREA CAVITATILOR IN VEDEREA RESTAURARILOR CU AMALGAM _ 229
clasa a V-a sunt difcile, din cauza localizii, extinderi
12.3.1 Prepararea caviti{ilor de clasa a Ill-a in vederea
restaurarii cu amalgam
fn cazul in care unghiul
‘gen de nateriale; aria
cea miler ete cel ed. Clnd amalgam este dct se va
folosi indiferent de varst i
eu anulgas ete a ei
arial,
Restart cu amalgamiuoidiout ese “asv0:
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ire “RIVALING OY Td WLNGAVLVEL ‘ 1 HLOOTORIS ol312 CARIOLOGIE
jorant al pig dentinare
ructura dentine! se reduce
‘mai pateriet, ct! vreme coeziunea CIS
valor ale cuplici alezive mai mari dectt
de pH=2-3 ca st cimentul
‘dup prizd dec acesta din unm
tcitea plicujel de
adeziuni presupune
poate face at prin gravare acid edt gi pine
dul de prizd comparativ cu celeconvenjionale:
ta de cuplarechimicd prin chelare;
‘de cuplare Ia dentin& gajieeresteritimplicite a coeziunii pe
une, prin prezenarginii
'¢ mai redus, to prin contributia sini
TRATAMENTUL PLAGII DENTINARE 313
6, Baza din risind comporiti
Este 0 risinf compocitialttuitt dian sistem bicomponent de tip paslpastd 2
riz la care se folosste g sistemul adeziv implicit.
arbor fi
ine de tip IV armat cu polimeri (2,1 GPa) si imental fosfat de
cupei
zine (22 GPa),
7, Cimentul fosfat de eupru
‘Malt mai putin intebuinjat astizi, are propriti similar cimentului fosfit de zi
de care se deosebeye prin culoarea neagra gi pulemicul efect bactricl
conginutal in cup
8. Compozitele uide
Texroduse
Practica stomatologie fn 1996, cu pujin timp inainten comporiteloe
(103-189 GPa).
;rvstenld mai mict la compresiune (202-257 MPa fall de 263-324 MP2), dar cu
‘mult peste valoril altor materiale de obrurate de baat,
sare fart ujoar,
ie de bazi sau chiar liner tn caviuhi de clasa a Ia gi clasa a V-a de
Aimensioun reduse;
= obturate de bad in cavitle geu accesbile de casa alka unde, gratie Mui
infin toate unghie
+ contracie mai mare de priz, ductnd la favorizarea microin
+ posibilitatea deflectiei premature a obturaje! coronare de du
‘tre module de elastciat,(ngezuoujodorey) mavoduoro
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SIDOIORNS 7% vie316 © CARIOLOGIE
tari de obicei si
radioopacd (sult de
HEMA conferi bazei polimezate 0 relativi hidrofilie care si permit tn final
ac{juneaterapeuticl prin absoria ape si disociereahidroxidulu de elciu.
‘Se recomandi o fotosctivare de 20 secunde pentru un strat deciment cu grosimea de
priza extrem de rapid @ are
{in nomai cdteva secunde, chiar in
or bicomponenie permite exerci
a, dar nui pe cea dezvol
cui ts sine pe aze
propriuise sau direct pe dent
nent fost de zine peste cimen
sped eae dap
‘TRATAMENTUL PLAGII DENTINARE 317
arte, pentru evtarea dizolvii bazeloe de hidroxid de cain se impune
losirestehnicilor de obwuie adezive insoyte de gravare acid ca gi a
feet cimenurle fotopolimeiaile, cu
respect chee bueae,
trebvie ins wat ci cimenturle ezstente la ap sau
de solvent cesta (ete)
+ sejuneaan‘icrobiank depinde de pH-ulpreparst
‘onilor OF care mengin un medi nefavorabil cnet
trite fotopotimerizai
bacteriostatic de foarte south durats.
2, Cimentul de eugenolat de zine
u-sé din spatuarea a
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xii din CIS, spe deosedire de bazele propriu-
ta sclzule, nv pot constitu prin ele insele
indicayie este aceea de asigurare a cupltei adezive ta
Ie coronaze din compozite, der uneori gi a celor din
attr de IS surgi de
vic eu penn evn cl ma een wrap ce stant ta
ate pulpar, expicabi
spre pul
incu reds al fibretor de colagen din dentina perieana
mop ner ape nl Kine et ud a pierderea
tiv a sceziunil pe misura apropieri de pulp, sist fiind cd
ulei de adeziv la foree de forfecare este direct al cu suprafaga
inare acoperte de adeziv din care se seade ala ocupatt de
i apare mai rpid pe o plag dentinal cariath decdt pe una sindtoasi;
foc 7, redcerea poten defensv pulp,
inare pentru Indepitarea
ih care precede aplicarea adez
plogene irduse prin:
TRATAMENTUL PLAGI DENTINARE 321
+ cresterea de 49
neo de contaminarea
aden;
+ amplificareadifuziun
{enomen care ese inhiba chiar fn
dln inflamatia acut
favorizarea exci terminailor nervosse pulpare;
smeabiltgi deninare prin deschiderea canaliculelor
inare prin limfa dentinar& gi reducerea fori de
‘inaonente citotoxice ale adezivilordentinati
le presine itrapulparicrescut, cum este cea
ploga dentin avin rll ner adie deve ciseme eu mediy miei
+ invazia nicrobiand masivl a canaliculdor dentnar, att bacterilec&t si toxinele
Jor putind avansa sore pulp fmpotrva ux it
evansaea prunderiimieroorgan
‘acterilor odontopatogene), de cite toxinele acestora, cu
‘mai micd, dar fr esenjl adevarata cauza generatoare de
lifuziunea substanelor nocive prin canaliculele dentinare nu este fntotdeauna
ict proporonaa cu mast molec, put! depnde ena pref! pl
lentinare.
wridele cu dimensiune molecular gi structurt
‘odontopatogene difwzeazi mai ugor prin
i marginale deoarece adeziunea cedeaz’ ait la
‘cea cu obturaa,favorizind impli
jor la nivelal marginil
ovedt superioara
Jipsei unui watamert
pista inte
care nu se execu un tatament al pligi de
ri este superioari cazurilor in
inare sau se apie un lc;