13.-Examen de La Oclusion

May 4, 2018 | Author: Oscar Cabrera Carbajal | Category: Dentistry, Human Tooth, Human Anatomy, Mouth, Animal Anatomy
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EXAMEN DE LA OCLUSION

FILIACIÓN

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EDAD: 48 años



SEXO: Masculino



RAZA: Mestiza



ESTADO CIVIL: Casado



OCUPACIÓN: Militar retirado



GRADO DE INSTRUCCIÓN:

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Superior TIPO DE PACIENTE : Receptivo

RIESGOS -No refiere

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FILIACIÓN

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EDAD: 48 años



SEXO: Masculino



RAZA: Mestiza



ESTADO CIVIL: Casado



OCUPACIÓN: Militar retirado



GRADO DE INSTRUCCIÓN:

Cancel

Superior TIPO DE PACIENTE : Receptivo

RIESGOS -No refiere

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MOTIVO DE SU CONSULTA : Cancel Download And Print realizarse tratamiento integral de prótesis fija

ÚLTIMA VISITA AL DENTISTA: Junio de 2009

RESUMEN Y EVALUACIÓN DEL CUESTIONARIO:: CUESTIONARIO Print document



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Paciente de sexo femenino de 48 años de edad refiere : Cepillarse todos los días sus dientes 2 veces al día Haber tenido una operación grande en los últimos años.

EXAMEN Print document CLÍNICO GENERAL



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1)

Cancel Download And Print ECTOSCOPÍA: ABEG, ABEN, ABEH, LOTEP

2)

PIEL Y ANEXOS: Piel y anexos conservados (A.N.)

3)

TEJIDO CELULAR SUBCUTÁNEO: A.N

EXAMEN Print document CLÍNICO ESTOMATOLÓGICO 

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1.-CRÁNEO: Forma : Normocéfalo Simétrico Cuello cabelludo bien implantados

2.-CARA: Fascie no caracteristica

EXAMEN CLÍNICO ESTOMATOLÓGICO Print document

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3.-CUELLO: A.N 4.-SIMETRÍA FORMA Y PERFIL DE LA CARA: - Simétrico - Perfil Recto - Normodivergente

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1. EXAMEN EXTRAORAL Cancel

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EXAMEN DE LA MUSCULATURA Y ATMs a- Palpación b- Auscultación c- Amplitud de Movimientos d- Sintomas •







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MEATO ACÚSTICO EXTERNO FOSA ARTICULAR PROCESO MASTÓIDES

CÔNDILO DE LA MANDÍBULA



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Zona bilaminar

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 A

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M

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ORIGEN

P

INSERCIÓN

MÚSCULO TEMPORAL

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MÚSCULO TEMPORAL Vientre Anterior

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MÚSCULO TEMPORAL Vientre Médio

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MÚSCULO TEMPORAL Vientre Posterior

MÚSCULO Print document TEMPORAL 

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PALPACIÓN INTRABUCAL DE SU TENDÓN SOBRE O PROCESSO CORONOIDE



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Músculo Masetero profundo superficial

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Músculo pterigoideo medial o interno



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Músculo pterigoideo lateral o externo



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M. P. INTERNO: BORDE INTERNA DEL ÁNGULO DE LA MANDÍBULA

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M. P. MEDIAL: PALPACIÓN INTRABUCAL DE MASA MUSCULAR

SUPRAHIOIDEOS 

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Músculo milohioideo Músculo digástrico vientre anterior

Músculo digá digástrico strico vientre posterior Músculo estiloihioideo

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POSICIONADORES DE LA CABEZA

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INFRAHIOIDEOS

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Vientre anterior In order to print this document from Scribd, you'll Cuerpo del hueso Estiloiodeo do first need to download it. milohióideo digástrico hioides Cancel

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Vientre posterior del digástrico Esternoióideo omoióideo

cricoioideo esternocleidomastoideo



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EXAMEN DE LOS MÚSCULOS Y ARTICULACIONES In order to print this document from Scribd, you'll first need to download it. Cancel

PACIENTE ASINTOMÁTICO

INICAMOS EL TRATAMIENTO PROTÉTICO DIRECTAMENTE

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PACIENTE SINTOMÁTICO

PRECISAMOS TRATAR LA MUSCULATURA Y LAS ATMS PREVIAMENTE

EXAMEN CLÍNICO ESTOMATOLÓGICO Print document

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5.-MAXILARES: A.N. 6.- GLÁNDULAS SALIVALES: A.N. 8.- LABIOS: Medianos y largos 9.-VESTÍBULO: C.E: A.N Frenilllos de inserción media

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EXAMEN Print document CLÍNICO ESTOMATOLÓGICO 

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10.-PALADAR DURO : A.N PALADAR BLANDO: A.N. 11.-OROFARINGE: A.N. 12.- LENGUA: De volumen y tamaño normal 13.-PISO DE BOCA: A.N

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14 e.- Movilidad dentaria: No Cancel presentaDownload And Print 15.- Dientes: 25 pzas en boca: 12 Pzas Sup. 13 Pzas Inf. Coronas en las pzas 37- 45 Abrasión en Pzas 13, 23, 34, 31, 41, 44.

16.-OCLUSIÓN Print document



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OJ Cancel

Download And Print 2mm

RM

RC

N.R.

CLASE I

RC Clase I

OB 50%

RM N.R

OCLUSIÓN

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LINEA MEDIA: Superior 1mm hacia la izquierda. Cancel hacia Download And Print Inferior 1mm la izquierda.



OCLUSIÓN

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Forma de arcos:

Superior: Triangular Ovoidea

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Inferior: ovoide

OCLUSIÓN



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Migraciones dentarias:

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MG

LM

M G E

V

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M

G

G P ME V

I M

D

D

D D DD DD GGGG

Facetas de desgaste: 13, 23, 34, 31, 41. Contacto proximal : alterado en piezas migradas. Estado de las restauraciones: corona pza 45 desadaptada obturaciones dentarias REGULAR

G

OCLUSIÓN

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Espacio Interoclusal : 2 mm Cancel

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Relación Céntrica : Contacto prematuro (Posición de Contacto Retrusivo) 14/45 Deslizamiento en Céntrica: Anterosuperior 0.5 mm

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OCLUSIÓN



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Mov. Lateralidad derecha :

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Mov. Lateralidad izquierda :

Lado de trabajo: Guía Canina

Lado de trabajo: Guía Canina

Lado de no trabajo: Desoclusión

Lado de no trabajo: Desoclusión

Protrusión: 13/44 12/43 11/42,41 21/31,32 22/32,33 23/34 24/35 21/31

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Halitosis : No presenta

Rebordes Edéntulos:

Saliva: fluida y viscosa

Max sup e inf: Rebordes regulares, mucosas firme.

Reflejos : Presentes

Papila retromolar: mediana, retentiva

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ODONTOGRAMA

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ODONTOGRAMA

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PLAN DE TRABAJO PARA EL DIAGNÓSTICO

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Estudio de imágenes: Cancel

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Radiografías: Ortopantomografía y Rx periapicales. Fotografías: Extra orales e intra orales. •



Modelos de estudio montados en ASA: Análisis para evaluar dimensión vertical. Análisis del plano oclusal. Encerado como ayuda para el diagnóstico.

INFORME RADIOGRÁFICO: Rx Panorámica Print document



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Neumatización de los senos maxilares. Reabsorción moderada de los rebordes alveolares superiores e inferiores. Meso inclinación: pzs. 47, 48. Reabsorción moderada en pzas. 16, 15 14, 13, 12, 11, 21, 22, 23, 24, 26, 27, 37, 36, 35, 34, 33, 32, 31, 41, 42, 43, 44, 45, 47, 48. Morfología alterada de cóndilos derecho e izquierdo.

INFORME RADIOGRÁFICO Print document 

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Imagen radiopaca en pzs. 15, 14 compatible con

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tratamiento de conducto y espigo muñón metálico. Ausencia de tejido adamantino en pza. 16 compatible con preparación dentaria. Ausencia de cortical en crestas óseas entre pzs. 15, 14, 13. Ensanchamiento del espacio periodontal en pzs. 15 y 14.

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Imagen radiopaca en pzs. 13, 12 compatible con tratamiento de conducto y espigo muñón metálico. Ausencia de cortical en crestas óseas entre pzs. 13, 12..

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Imagen radiopaca en pzs. 11, 23 compatible

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con tratamiento de conducto y espigo muñón metálico. Imagen radiopaca en pz. 21 compatible con tratamiento de conducto Ausencia de cortical en cresta ósea entre pzs. 11, 21. Imagen radiolúcida en ápice de pz, 21.

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Imagen radiopaca en pzs. 23

compatible con tratamiento de conducto y espigo muñón metálico. Imagen radiolúcida en ápice de pz. 21

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Imagen radiopaca en pzs. 25 compatible con tratamiento de conducto y espigo muñón metálico. Ensanchamiento del espacio periodontal en pzs. 15 y 14.

INFORME RADIOGRÁFICO Print document 

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Ensanchamiento del espacio periodontal en pzs. 15 y 14. Ausencia de tejido adamantino en pza. 25 y 26 compatible con preparación dentaria.

INFORME RADIOGRÁFICO Print document 

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Download And Print Imagen radiopaca

en pz. 36 y 37

compatible con tratamiento de conducto. Destrucción coronaria pz. 37. Pz. 36: Material radiopaco compatible con corona metálica. Ausencia de cortical en crestas óseas. Entre pzs. 35, 36 y 37.

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Ausencia tejido adamantino en pza. Download Andde Print 35 y 36 compatible con preparación dentaria. Pz. 33: Imagen radiopaca compatible con material de obturación defectuoso. Crestas óseas disminuidas horizontalmente.

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Download And Ausencia dePrint tejido adamantino en pza. 44

compatible con preparación dentaria. pz. 45: Imagen radiopaca compatible con tratamiento de conducto asociada a imagen radiolúcida en periápice. Ausencia de cortical en cresta ósea entre pzs. 44 y 45.

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Pz. 46: Imagen radiopaca compatible con

obturación metálica e imagen radiolúcida compatible con caries dental. Ausencia de cortical en crestas óseas entre pzs. 46 y 47 Ausencia de tejido adamantino en pza. 46 y 47 compatible con preparación dentaria.

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IMPRESIONES

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MODELOS DE ESTUDIO In order to print this document from Scribd, you'll first need to download it. Cancel

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REGISTRO DE ARCO FACIAL In order to print this document from Scribd, you'll first need to download it. Cancel

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MONTAJE EN ASA

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EVALUACIÓN DEL MONTAJE Print document 

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EN RELACIÓN CÉNTRICA

EN MÁXIMA INTERCUSPIDACIÓN

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Print document EVALUACIÓN DEL MONTAJE 

LADO DERECHO

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LADO IZQUIERDO

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MODELOS DE ESTUDIO In order to print this document from Scribd, you'll first need to download it.

Plano de oclusión: Alterado Cancel

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A

B>A

B

C: 2.1 D: 3.18

C D

REFERENCIAS PARA DETERMINAR LA ALTURA DEL Print document ENCERADO 

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ENCERADO COMO AYUDA AL DIAGNÓSTICO In order to print this document from Scribd, you'll first need to download it.

Download de And Print La disminución en 3 mm.Cancel del tamaño los dientes superiores ( Disminución de la Dimensión Vertical) se determinó a través del análisis vertical fotográfico: Aumento del tercio inferior de la cara. Proporción del labio superior con el inferior. Curva de la sonrisa.

El encerado de diagnóstico se realizó con la técnica de aposición.

MODELOS ENCERADOS EN MÁXIMA INTERCUSPIDACÓN  Print document In order to print this document from Scribd, you'll first need to download it.

LADO DERECHO

FRONTAL Cancel

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LADO IZQUIERDO

PrintDINAMICA document EVALUACÍON DE LA DEL ENCERADO 

LAT. DERECHA

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Print document EVALUACÍON DE LA DINAMICA DEL ENCERADO 

LAT. IZQUIERDA

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document EVALUACÍON DE LAPrint DINAMICA DEL ENCERADO 

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LADO IZQUIERDO

PROTUSIVA

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LADO DERECHO

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El encerado de diagnóstico se probará mediante provisionales para evaluar: Download And Print Cancel

• •





La estética del paciente. La dimensión vertical terapeútica y realizar los ajustes necesarios. La adaptación de los componentes fisiológicos del sistema estomatognático. Mejorar la comunicación paciente odontólogo.

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DIAGNÓSTICO



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DEL ESTADO GENERAL:

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Paciente de sexo femenino de 41 años ABEG, ABEN, ABEH, LOTEP. DE LAS CONDICIONES ESTOMATOLÓGICAS: Tejidos periodontales •



Gingivitis asociada a placa dental con otro factor local contribuyente (Desadaptación de provisionales) Periodontitis moderada generalizada.

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DIAGNÓSTICO

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Tejidos dentales: •

Atrición en incisal de pzs. 31, 32, 41, 42.

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DIAGNÓSTICO

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Tejidos dentales: •

Abfracción: pzas: 35, 34, 33, 44.

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DIAGNÓSTICO

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Tejidos dentales:



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Caries dental Incipientes pzas: 31 (d) 41 (d) Cavitadas: 11(c) 37 (modvl), 35 (c), 34 (c), 33(mcd), 47( vo).

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DIAGNÓSTICO

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Tejidos periapicales: Cancel

Periodontitis apical sintomática pzs. 37, 45.

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DIAGNÓSTICO

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Tejidos dentales: •

Restauraciones en mal estado pzas: 16, 15, 14, 13, 12, 11, 21, 22, 23, 24, 25, 26, 27, 36, 35, 34, 33, 43, 44, 45, 46.

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DIAGNÓSTICO

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Oclusión: •

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Desorden funcional oclusal: Edéntulo parcial mandibular.



Alteración de la guía anterior.



Alteración del plano oclusal.



Alteración de la Dimensión Vertical.



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Motivar y concientizar al paciente sobre la importancia de una correcta higiene bucal.



Devolver la salud a los tejidos periodontales.



Eliminar lesiones cariosas y no cariosas existentes.



Restaurar la DVO.



Restaurar el plano oclusal.

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Devolver la función masticatoria, estética y fonética.



Enseñar al paciente el correcto uso y cuidado de sus prótesis.



Proteger las restauraciones definitivas.

PLAN DE TRATAMIENTO Print document

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FASE SISTÉMICA: Norequiere. •

FASE DE HIGIENE : Fisioterapia oral •

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PLAN DE TRATAMIENTO 1 Print document

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FASE CORRECTIVA: Exodoncias pzs: 48. Cancel Download And Print Ionómero de vidrio modificado con resina pzs: 11, 33, 34, 47. Resinas compuestas pzs. 32, 31, 41. Retratamiento de endodoncias pzs. 37, 45. Cambio Espigo muñón metálico pza. 13, 12, 22, 23, 25. Espigo muñón pzs. 21, 37, 45. Coronas metalocerámicas pzs. 16, 15, 14, 13, 12, 11, 21, 22, 23, 24, 25, 26, 27, 37, 36, 35, 34, 33, 43, 44, 45, 46. Placa de covertura total. •















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