Año 6, número 6 (2014)

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    Éxito clínico de prótesis fija implanto-soportada y dento-soportada de arco completo con cantilevers distales, después de 4 años de seguimiento: reporte de un caso clínico
    (Universidad de Cuenca, 2014) Astudillo Ortíz, Jaime Leonardo
    Problem: The clinical success of implant and tooth-supported full- arch prostheses with distal cantilevers is uncertain. Objective: To evalúate, ¡n 4 years of follow up, the clinical success of an implant-tooth-supported hybrid prosthesis and fixed full-arch prosthesis with distal cantilevers in a partial upper and lower edentulous patient. Methodology: female patient aged 57 years presented to prívate consultation with partial edentulism bimaxilar generated occlusal instability and aesthetic alteration. After a clinical, radiographic and tomographic study, an ideal treatment plan and an alternative was determined; The patient agreed ideal forthe maxilla proposal: an implant supported hybrid prosthesis and the alternative proposal for the mandible: a fixed partial denture tooth supported inferior, both were designed full arch and type extensions cantilever lower distal to 7mm in length; after endodontic and implantology respective treatments, we proceeded to the manufacture of the two structures, in addition to restore function of the masticatory system greatly improved the aesthetics of the patient. Clinical and radiographic follow-up was performed at 4 years of installed prostheses, considering the following evaluation criteria: Radiographic: marginal bone leve! of the upper implants and teeth lower pillare, especially those closest to the distal extent and Clinical: survival of higher implants, the lower teeth, upper hybrid prosthesis and lower fixed partial denture, taking into account technical and biológica! complications. Results: Radiographic analysis demonstrated the integrity of peri-implant and peri- alveolar bone without bone resorption and cortical implants higher integrity pillare and lower abutment teeth. The clinical analysis showed absence of mechanical failures or biological both implants and teeth as well as upper and lower dentures after 4 years installed, revealing the clinical and radiographic success of therapeutic designed with distal extensions. Conclusión: Within the limitations of this clinical case we can conclude that the distal extensión type cantilever in full-arch prostheses, could be an option when rebuilding masticatory systems affected by the partial or total edentulism, after proper diagnosis and Proper planning of the case.
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    Multiestratificación en restauraciones directas para dientes anteriores en pacientes pediátricos. Caso clínico
    (Universidad de Cuenca, 2014) Abad Coronel, Cristian Gustavo; Giovane, Vincenzo; Vintimilla N., Silvia
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    Prevalencia de fluorosis en niños y adolescentes de entre 7 a 18 años de la parroquia Salasaca y su asociación con el nivel de flúor presente en el agua de abastecimiento de dicha comunidad
    (Universidad de Cuenca, 2014) Mena Silva, Paola Andrea
    Determine the prevalence in children and teenagers from ages 7 to 18 that have fluorosis in the parish of Salasaca, and the association with the consumption of water supplies. Methods and materials: descriptive epidemiológica! study. There were 313 children and teenagers analyzed forthis study to diagnose dental fluorosis. The concentrations of the four main water sources of the parish were determined using the method of APHA_ AWWA_WPCF in the EM APA chemistry lab. The results demonstrated that 93.9% of the analized cases according to theTF índex showed dental fluorosis, the 30.5% presented a third degree and only 15.9% showed second degree fluorosis. From the four sources analyzed the percentages of fluorine ion obtained were: Jun Jun 2. 10 ppm, Capillauco 2.16 ppm, Chilcapamba-Huasalata 2.10 ppm, LlicacamaCapillapamba 2 ppm, these are valúes that exceed the limit permitted in Ecuador according to the INEN norm which can explain the TF exceeded grades in the community, which weren't as much as different as the results reported in previous studies made on the same community, these pose the necessity of executing actions and policies that help control these levels, considering that dental fluorosis doesn't only provoke esthetic dental problems but also irreversible systemic alterations.
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    Quiste del conducto nasopalatino: a propósito de un caso
    (Universidad de Cuenca, 2014) Cazar Almache, Marcelo Enrique; Miranda Villasaña, José Ernesto; Quintana Guadarrama, Subomy; Torres C., María Fernanda
    Nasopalatine duct cysts (NPDCs) are the most commonin the maxila, and not of an epithelial odontogenic development. Commonly asymptomatic and incidentally for radiological finding. This study, a literatura review is performed and a clinical case is prasented.
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    Síndrome de Papillon Lefévre: revisión bibliográfica y reporte de dos casos clínicos en hermanos con esta patología
    (Universidad de Cuenca, 2014) Iturralde Piedra, Mario Javier
    Papillon-Lefévre syndrome is an uncommon autosomic recessive disease, characterized by palmar-plantar hyperkeratosis and aggressive periodontitis that cause loss of temporary and definitive teeth. It is reported two clinical cases from diagnostic and therapeutic view in brothers, whose parents are consanguineous.
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    Trampa digital como corrector del hábito de succión digital. Caso clínico
    (Universidad de Cuenca, 2014) Sánchez Ramirez, Ricardo José