Odontología
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Browsing Odontología by Author "Abad Coronel, Cristian Gustavo"
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Item Análisis Comparativo de las mallas digitales entre dos tipos de sistemas de escaneado y sus sistemas operativos(Universidad de Cuenca, 2021-04-29) Moreno Gálvez, Marcela Doménica; Abad Coronel, Cristian GustavoItem Análisis de peso estructural de resina de impresión Onx SprintRay para prótesis fija plural(Universidad de Cuenca, 2023-10-03) Lupú Flores, Billy Darlin; Pacurucu Mendieta, Miguel David; Abad Coronel, Cristian GustavoEl objetivo del presente estudio es proveer evidencia científica sobre el análisis del peso estructural de una prótesis fija plural de un material polimérico obtenida por técnica aditiva (3DPP), con la finalidad de ofrecer una alternativa viable para el tratamiento de prótesis fija plural e implantes dentales. Métodos. Se trabajó a partir de una estructura de resina impresa 3D de 4 piezas dentales que van desde las piezas 2.3 a 2.6, dicha estructura se sometió a fuerzas compresivas que simularon el sistema masticatorio del ser humano por medio de un equipo de ensayo universal, se realizó un análisis de elementos finitos 3D, para determinar la deformidad del material. Resultados. La masa de la estructura fue de 1,98 gr, en los ensayos de fuerzas compresivas soportó una carga de 1000,88 N, su distribución de tensión fue de 16,726 MPa; mientras que su fuerza tensional fue 143,916 MPa. En el análisis de elementos finitos de la estructura 3DPP realizado en el software Ansys, se observó una deformación con un valor de 0,001mm, y distribución de tensión del material de 15,36 MPa. En valores de estrés se registró un valor mínimo de 2533,4 MPa y un de máximo 12667 MPa. Conclusiones. Se determinó el peso estructural del material 3DPP, aportando información importante para tomar en consideración en la utilización de PPF, comprobando así la funcionalidad y desempeño de la misma.Item Análisis descriptivo de la resistencia a la fractura de un material CAD/CAM polimérico para prótesis fija plural temporal(Universidad de Cuenca, 2023-10-05) Bravo Lozano, Ariana Lucía; Bernal Merchán, Bryam Andrés; Abad Coronel, Cristian GustavoIntroduction: A provisional prosthesis is used in prosthodontics to improve esthetics, determination and/or function for a limited period. SprintRay OnX is a polymeric material, it is a 3D printing resin composed of class II hybrid nanoceramic particles, designed for the manufacture of provisional dental prostheses. Objective: Describe the fracture toughness property of a SprintRay ONX polymeric material. Materials and methods: The sample consisted of 5 provisional restorations made with 3D printing polymeric material (SprintRayOnX) for three-unit fixed dental prostheses. A metallic die was used and a digital impression of the prefabricated model was made using an intraoral scanner. For the fracture resistance test, the master typodont was fixed on the platform of the universal testing machine. Fracture testing was performed using the occlusally applied load compression mode on the pontic surface. Data from the study group were collected for statistical analysis, which was performed using a statistical program (SPSS v.25, IBM). Results: The arithmetic mean was 86.1194 N and the median was 82.2162 N. The maximum and minimum values were 114.6760 N and 73.1341 N respectively, with a range of variation of 41.5419 N. The variance was 223.674 N and the standard deviation of 14.9557317 N. Conclusion: For the polymeric CAD/CAM material (SprintRay ONX), an average value of 86.1 Newtons was reported in terms of its fracture resistance, an average of 82.2162 Newtons.Item Análisis digital de preparaciones para prótesis fija unitaria(2018) Castro Espinoza, Michelle Alexandra; Torres Jaramillo, María Camila; Abad Coronel, Cristian GustavoThe skills acquired by a student to perform dental preparation are very important for a good prognosis of prosthodontic treatment. Nowadays, with the advancement of technology, methods of digital analysis have emerged to evaluate dental preparations objectively. OBJECTIVE: Objectively analyze dental preparations for single dental crowns by using a digital software called Prepcheck®. MATERIALS AND METHODS: 30 dental preparations for single dental crowns were evaluated. Ivorina models were used and the preparations were made by students of the sixth semester of the Faculty of Dentistry of Universidad de Cuenca. The sample size was obtained based on the central limit theorem. The principles of total occlusal convergence, axial reduction, occlusal reduction, continuity of preparation margin, surface texture and insertion axis were evaluated by using Prepcheck® software. RESULTS: Total occlusal convergence and axial reduction predominated within the tolerance range (10 ° - 20 °, 1-1.5 mm respectively). An insufficient occlusal reduction was found in most preparations. There was a continuous margin at the level of the vestibular and lingual faces. All the preparations presented a smooth surface texture. Twenty-two preparations presented an adequate insertion axis. CONCLUSION: Total occlusal convergence, axial reduction and surface texture prevailed within the range established as acceptable. There was a low occlusal reduction. The continuity of the margin remained in the vestibular and lingual faces. The insertion axis of most preparations was adequate.Item Anthropometry of the Upper Central Incisor: A Review of the Literature(Universidad de Cuenca, 2025-09-19) Molleturo Bermeo, Guisela Katalina; Viñan Romero, Tommy German; Abad Coronel, Cristian GustavoThe esthetic dimensions and proportions of the upper central incisors (UCI) are fundamental in dental and facial esthetics due to their prominence in the smile. This literature review aimed to establish the ideal width/length ratios of the UCIs. Nineteen relevant studies were identified after a search of 3 databases: PubMed, Scopus, and Springer. Results: Mean width/length ratios ranged from 80-85% in various populations. It has been corroborated that UCI dimensions present a significant difference between genders, with men showing larger dimensions in both width and height than women. The overall mean for males was 8.63 mm in width and 10.17 mm in length, while for females it was 8.32 mm and 9.36 mm, respectively. Conclusions: It is crucial to adapt dental treatments to individual patient characteristics to achieve functional and esthetic results. Factors such as gender, ethnicity and dental wear influence the dimensions and proportions, underlining the importance of individualizing dental treatments to optimize esthetic and functional results.Item Flujos digitales en beneficio de una atención integral y complementaria del paciente con necesidades estéticas y funcionales(Universidad de Cuenca, 2022-04-01) Palacio Sarmiento, Stefany Carolina; Villacis Manosalvas, Jeniffer Adriana; Abad Coronel, Cristian GustavoIntroduction: The digital workflow is defined as a sequence of processes composed of computerized aids that involve: the acquisition of images, computer-aided design (CAD), computer-aided machining (CAM) and post-production of the achieved result. Digital technology in Dentistry, although it is largely associated with CAD/CAM systems, Digital technology in Dentistry, although it is largely associated with CAD/CAM systems, it also involves various devices that today are of daily use in the dental office and that facilitate the virtualization of the patient. Objective: to conceptualize the treatment sequence based on diagnosis, planning, execution and maintenance and its complementation with other procedures, all digitally guided, with positive effects on a patient's oral rehabilitation. Clinical case: 59-year-old male patient, with incisal edge wear, chromatic, aesthetic and functional alterations (absence of anterior guidance) of the upper anterior tooth group from canine to canine, with upper right lateral crown fracture, insufficient crown-root ratio and filling endodontic defect. Guided extraction of piece 1.2 and implant placement were performed, then dental preparations were made from canine to upper canine with chamfer. Esthetic partial restorations in polychromatic feldspathic ceramics were digitally designed. The dental implant was restored with a lithium disilicate feldspathic ceramic milled abutment and a feldspathic ceramic crown was placed. Finally, a precision splint was made and a control was performed at 14 months.Item Protocolo de tratamiento con técnica de preparación biológicamente orientada (BOPT) en prótesis fija: un reporte de caso(Universidad de Cuenca, 2024-09-12) Piedra Arpi, Tania Beatriz; Capelo Jiménez, Jamileth Alejandra; Abad Coronel, Cristian GustavoIn the medium and long term, teeth rehabilitated with full overlay fixed prostheses could present complications in the transition zone between the restoration, the preparation and the periodontal tissues, such as the formation of gingival pockets or exacerbation of existing ones, gingival recession, inflammation and biofilm accumulation when the restorations invade the supracrestal tissues. The purpose of this clinical case report with the BOPT concept is to show the evolution of a case rehabilitated with this protocol. This study describes the clinical case female patient with poorly adapted metal-ceramic crowns, gingival inflammation, biofilm accumulation and gingival recession associated with teeth 1.1 and 2.1; with loss of tooth substance in teeth 1.2 and 2.2 that compromised the patient's esthetics. The treatment plan involved performing the BOPT protocol. After 8 weeks, after the periodontal tissues had healed with the generation of new supracrestal tissue when in contact with the new adaptation profile of the provisional prostheses. Afterwards, the laboratory phase was carried out following the established protocol and finally the definitive restorations were cemented. After one year of follow-up, it was observed that the crowns adapted adequately to the periodontal tissues and without complications. In conclusion, the BOPT protocol is feasible to achieve that the transition zone between the prosthesis and the periodontal tissues remain stable, healthy and, as a whole, a predictable esthetic harmony is obtained.Item Recovery of fractured abutment screws within a dental implant: an accessible technique(Universidad de Cuenca, 2024-09-13) Alajo Hinojosa, Paul Antony; Mendez Alvarez, Paul Santiago; Abad Coronel, Cristian GustavoDental implants are commonly used to replace missing teeth, however concerns associated with implant and prosthetic components are well-established. Fractures of the screws supporting the implant abutment can generate complicated clinical situations. The aim of this article is to present an accessible and minimally invasive protocol to recover fractured implant abutment screws. This study presents a non-invasive, easy-to-perform technique that uses a hand-held instrument (ear cleaning cotton swab) without the risk of damage the threads and external characteristics of the implant. The cotton swab adheres micromechanically to the fractured fragment of the screw, facilitating gentle extraction by hand without causing damage to the implant threads.Item Restauraciones con amalgamas adhesivas(1999) Abad Coronel, Cristian Gustavo; Abril Idrovo, Servio Orlando; Vázquez Cordero, OswaldoItem Validación de la distancia entre el cénit del margen gingival del canino superior y el cénit del margen gingival del canino inferior ipsilateral como método para determinar la dimensión vertical oclusal en estudiantes de la Facultad de Odontología de la Universidad de Cuenca durante el periodo septiembre 2024 - agosto 2025(Universidad de Cuenca, 2025-09-18) Portocarrero Miranda, Mariam Gabriela; Malla Bernal, Kelly Tatiana; Abad Coronel, Cristian GustavoBackground: The occlusal vertical dimension (OVD) is a fundamental parameter in the diagnosis and treatment planning for prosthetic restorations. The scientific literature presents several methods for determining this dimension; however, there is no consensus on a universally accepted procedure. Factors such as differences in biotypes and phenotypic characteristics of patients in certain populations may influence variations in the measurements obtained. Objective: Determine the validity of the distance between the zenith of the gingival margin of the upper canine and the zenith of the gingival margin of the ipsilateral lower canine as a method to establish the occlusal vertical dimension in individuals belonging to a particular population. Methods: A total of 210 students with healthy and complete dentition belonging to an Ecuadorian population were evaluated. The DVO was recorded by measuring the distance from the zenith of the gingival margin of the upper canine to the zenith of the gingival margin of the ipsilateral lower canine. Results: The total mean of the biometric measurements yielded a value of 16.8 mm, and the variations between the left and right sides of the same patient were, on average, less than 1 mm, slightly lower than reported, both measurements being clinically non-significant. The mean of the dimension evaluated was slightly higher for men (1.15 mm) in relation to women. Conclusion: The method used in this study could be recommended as a valid reference to determine and evaluate the DVO in patients with normal occlusion to diagnose and plan future comprehensive restorative treatments.
