Accidentes en Endodoncia 12

 

BIIEMJH]JY JHJHMGMGHIEB.

 

·Ruj js uh biiemjhtj jhmgmghteig7

@gs biiemjhtjs jhmgmghteigs sj mjdehjh suijsgs ehdgrtuhbmgs quj giurrjh murbhtj j` trbtbnejhtg, b`kuhgs mj j``gs pgr db`tb mj uhb btjhieùh mjaemb b `gs mjtb``js y gtrgs pgr sjr tgtb`njhtj enprjvesea`js.

Bpjrturb g biijsg. Ehstrunjhtbieùh. Errekbieùh. Gaturbieùh.

 

·Ibusbs mj `gs biiemjh biiemjhtjs tjs jhmgmghteigs7 G_JQBMGQ (EB]QGKJHEBY)

MEJH]J •

JY]BMG MJ @B _Z@_B. BIIEMJH]JY MJ _QGIJMENEJH]G6

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JY]BMG _JQEGMGH]B@ G _QGIJYG _B]G@GKEIG.

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_JQDGQBIEGHJY.

KQBMG MJ IB@IEDEIBIEGH MJ @GY IGHMZI]GY.

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IGNZHEIBIEGHJY BIIJYGQEBY. •

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QZ_]ZQB MJ EHY]QZNJH]GY. E HY]QZNJH]GY.

_QJYJHIEB MJ QJBAYGQIEGH QBMEIZ@BQ.

]QB]BNEJH]G JH MEJH]JY HG EHMEIBMGY U G]QGY.

 

]E_GY MJ _JQIBHIJY JHMGMGH]EIGY. QJ@BIEGHBMGY IGH J@ BIIJYG. _jrdgrbieghjs _jrdgr bieghjs pgr jhienb mj `b irjstb. _jrdgrbieùh _jrdgr bieùh mj `b pgrieùh ijrveib` mj` ighmuitg. _jrdgrbieùh mj `b aeduribieùh. Drbiturbs mj igrghb g rbez.

@B EHY]QZNJH]BIEGH EHY]QZNJH]BIEGH.. QJ@BIEGHBMGY IGH h. Ygarj ehstrunjhtbieù e hstrunjhtbieùh. Dgrnbieùh mj jsib`ghjs. _jrdgrbieùh bpeib`. ehstrunjhtgs rgtgs.

QJ@BIEGHBMGY IGH @B EQQEKBIEGH. Jxtruseùh mj errekbhtj. Jhdesjnb mj tjfemgs .

QJ@BIEGHBMGY IGH @B GA]ZQBIEGH. Yua gaturbieùh. Ygarj gaturbieùh. Drbiturb Drbitur b vjrteib` mj `b rbîz.

 

QJ@BIEGHBMBY IGH J@ BIIJYG G B_JQ]ZQB.

Yj prjsjhtb murbhtj j` ehtjhtg mj `gib`ezbr `gs ighmuitgs g igng rjsu`tbmg merjitg mj `b db``b pbrb gatjhjr uh biijsg jh `îhjb rjitb cbieb `gs ighmuitgs.

 

_jrdgrbieghjs pgr jhienb mj `b irjstb.

 

_jrdgrbieùh _jrd grbieùh mj `b pgrieùh ijrveib` mj` ighmuitg.

 

_jrdgrbieùh _jrd grbieùh mj `b Aeduribieùh Aeduribieùh _gr `g kjhjrb` js mj mgs tepgs6 Merjitg y pgr mjskbstj.

_jrdgrbieùh

merjitb6 pgr `g kjhjrb` sj prjsjhtb murbhtj `bigh ehvjstekbieùh jh tepg uh gredeieg mj ighmuitg. Js nâs uh mjdjitg mj puhieùh jh `b aeduribieùh `b drjsb. Jstj mj pjrdgrbieùh sj mjaj rjpbrbr mj ehnjmebtg ehnjmebtg igh bnb`kbnb bnb`kbnb,, EQN, ibvet g B]N. B]N. J` prghùsteig prghùsteig js aujhg.

_jrdgrbieùh

pgr mjskbstj6 bdjitb j` `bmg mj `b aeduribieùh jh `b supjrdeiej rbmeiu`br igrghb` y js j` rjsu`tbmg mj uh trbabfg jxijsevg igh `bs `enbs g igh `bs drjsbs. @bs pjrdgrbieghjs pgr mjskbstj sgh ehbiijsea`js y rjquejrjh nåtgmgs nâs j`bagrbmgs quj `gs hg querörkeigs. @b sjiuj`b usub` js ehd`bnbieùh sjkuemb pgr irjbieùh mj uhb ag`sb pjregmghtb`.

 

Drbiturbs mj igrghb y rbîz.

 

Qjighgienejhtg y trbtbnejhtg. @gs prenjrg sekhgs mj pjrdgrbieùh6

Mg`gr

söaetg murbhtj `b mjtjrnehbieùh mj `b `ghketum mj` trbabfg iubhmg `b bhjstjseb `gib` duj bmjiubmb pbrb `b prjpbrbieùh mj` biijsg.

Bpbreieùh Mg`gr @b

söaetb mj cjngrrbkeb.

qujnbhtj g uh nb` sbagr murbhtj `b errekbieùh igh cepgi`gretg mj sgmeg.

pjrdgrbieùh b trbvås mj `b igrghb, rbîz g aeduribieùh HG sejnprj prgmuij sbhkrbmg prgdusg ehstbhtâhjg.

 

]rbtbnejhtgs HG querörkeigs. nbtjreb`js igng `b bnb`kb sj ute`ezbh nbtjreb`js bnb`kbnb, nb, kutbpjricb, gxemg gxemg mj zehi y jukjhg`, Ibvem y gxemg mj ib`ieg, cujsg ighkj`bmg sjig y cgfbs mj ehmeg b hevj` i`îheig y jxpjrenjhtb` pbrb sj``br jstgs mjdjitgs. Jh `bs rjpbrbieghjs biijsea`js sj jnpbib nbtjreb` aegignpbtea`j, igng `b cemrgxebpbtetb, b trbvås trbv ås mj `b pjrdgrbieùh pjrdgrbieùh y sj gpturb gpturb pgr ignp`jtg ignp`jtg iub`quejr iub`quejr mjdjitg mjdjitg gsjg ibsusbmg pgr `b `jseùh. `jseùh. @b cjngrrbkeb sj ightrg`b igh `b ehsjrieùh mj` nbtjreb` nbtrez. Jh kjhjrb` `bs pjrdgrbieghjs sj mjajh sj``br mj nbhjrb ehnjmebtb pjrg tbnaeåh prgtjkjr `b bajrturb mj `gs ighmuitgs. @bs pjrdgrbieghjs pjqujòbs (njhgs mj 2nn) sj sj``bh seh nbtrez.

 

]rbtbnejhtg Ruerörkeig.

@bs b`tjrhbtevbs querörkeibs sgh `b6

cjnesjiiegh (rbîijs sjpbrbmbs mj` mejhtj) , prjng`brezbiegh, bnputbieùh rbmeiu`br, rjenp`bhtj ehtjhieghb`.

 

Qj`bieghbmgs igh ehstrunjhtbieùh.

 

Ygarj ehstrunjhtbieùh. dgrbnjh bpeib`.)

(ehstrunjhtbieùh nbs b``â mj`

 

Dgrnbieùh Dgrnbi eùh mj uh jsib`ùh.

(Yj irjb uh jsib`ùh iubhmg `b

`ghketum mj trbabfg hg pujmj pjhjtrbrsj nâs y sj pejrmj `b pgtjhieb grekehb` mj` ighmuitg. )

 

pjrdgrbieùh bpeib`.

(b njhumg ``jvb b `b jxtrbiieùh mj` mejhtj. Ehk`j y

ig`bagrbmgrjs jhightrbr jhightrbrgh gh quj `b sjkuhmb rbzùh nâs ignöh pbrb j` drbibsg bsgiebmg igh j` trbtbnejhtg jhmgmùhteig js `b pjrdgrbieùh rbmeiu`br.)

Jstj tepg mj pjrdgrbieùh sj prjsjhtb b trbvås mj` dgrbnjh bpeib` (sgarj ehstrunjhtbieùh) g b trbvås mj` iujrpg mj `b rbîz (hujvg ighmuitg pjrdgrbmg).

 

Ehstrunjhtgs Ehstrunjh tgs rgtgs

(@b d`jxeae`embm `enetbmb y `b rjsestjhieb mj `gs

ehstrunjhtgs ehtrbighmuitg ignaehbmgs igh j` usg ehbmjiubmg, prgmuijh uhb rgturb mj` ehstrunjhtg ehstrunjh tg mjhtrg mj` ighmuitg. J` usg dgrzbmg g rjpjtemg rjpjtemg mj `enbs dbtekbmbs dbtekbmbs js `b ibusb prehiepb` mj `b rgturb.) Qjighgienejhtg6 j` rjterbr uhb `enb bigrtbmb igh uhb puhtb rgnb y pjrmemb suasjiujhtj mj `b pgtjhieb mj `b `ghketum grekehb`, sgh `gs ehmeiegs prehiepb`js pbrb rjighgijr quj j` ehstrunjhtg sj rgnpeù. uhb rbmegkrbdîb js `b njfgr ighdernbieùh

]rbtbnejhtg6 cby 9 nåtgmgs aâseigs Yj ehtjhtb j`enehbr j` ehstrunjhtg. Yj ehtjhtb pbsbr`g. Yj prjpbrb y sj gaturb j` sjknjhtg .

_rjvjhieùh6 j` rjighgienejhtg mj `bs prgpejmbmjs dîseibs y `gs `enetjs mj tjhseùh mj `bs `enbs ` enbs js irîteig, sj rjquejrj `uareibieùh ightehub yb sjb sg`uieùh s g`uieùh errekbhtj g igh `uareibhtjs.

 

Qj`bieghbmgs Qj`biegh bmgs igh `b errekbieùh.

 

Jxtruseùh mj errekbhtj J` biuòbnejhtg mj `b bkufb jh j` ighmuitg (g dujrb mj

`b pjrdgrbieùh) igh uhb sb`emb dgrzbmb mj` errekbhtj (jh pbrteiu`br cepgi`gretg mj sgmeg) ibusb mbòg tesu`br y ng`jsteb jh `gs pbiejhtjs.

Zh mg`gr söaetg prg`ghkbmg prg`ghkbmg y bkumg murbhtj `b errekbieùh, sjkuemg pgr uhb ehd`bnbieùh medusb râpemb, pgr `g rjku`br ehmeib pjhjtrbieùh mj `b sg`uieùh jh `gs tjfemgs pjrerrbmeiu`brjs. J` trbtbnejhtg js pb`ebtevg.

 

Jhdesjnb mj tjfemgs.

Bpbreieùh mj uhb tunjdbiieùh prgmuiemb pgr `b

pjhjtrbieùh mj berj g kbs jh `gs tjfemgs suaiutâhjgs g suanuigsgs. s uanuigsgs.

 

rj`bieghbmgs igh `b gaturbieùh.

@b `enpejzb y prjpbrbieùh bmjiubmbs sgh `b i`bvj pbrb jvetbr `gs prga`jnbs mj gaturbieùh, mjaemg b quj jstgs biiemjhtjs pgr `g rjku`br sgh rjsu`tbmg mj uhb prjpbrbieùh ehbmjiubmb mj ighmuitgs.

 

Yua gaturbieùh.

@bs ibusbs ehi`uyjh uhb abrrjrb hbturb` jh j` ighmuitg,

uh jsib`ùh irjbmg murbhtj `b prjpbrbieùh, dgrnb iùheib ehsudeiejhtj, puhtb nbjstrb nb`

bmbptbmb y prjseùh ehbmjiubmb mj ighmjhsbieùh. ( hg sj b`ibhzb `enetj ijnjhtg mjhtehbreg).

 

Ygarj gaturbieùh. hgs rjdjrengs b uhb gaturbieùh ehigrrjitb mj` ighmuitg

mghmj pbrtj mj` nbtjreb` mj gaturbieùh cb sb`emg mj` ighmuitg. Jstg pujmj suijmjr pgrquj6 Jxestb uh usg jxijsevg mj ehstrunjhtbieùh nâs b``â mj `b ighstreiieùh bpeib`.

]rbtbnejhtg y prghùsteig6 iubhmg bpbrjijh sekhgs g sîhtgnbs mj db``b jhmgmùhteib, sj rjquejrj ierukîb bpeib` pbrb j`enehbr j` nbtjreb` mj `gs tjfemgs bpeib`js y ig`gibr uh nbtjreb` rjtrgkrbmb. rjtrgkrbmb.

 

Drbiturb rbmeiu`br vjrteib`

Jstj biiemjhtj js nuy mbòehg y sj mjaj

jvetbr. @gs dbitgrjs ibusbhtj ehi`uyjh trbtbnejhtg mj ighmuitgs y dbitgrjs bsgiebmgs, igng

ig`gibieùh mj uh pgstj. @b ibusb prehiepb`mj` mjpgstj. `b drbiturb rbmeiu`br vjrteib` js `b ijnjhtbieùh _rjvjhieùh6 `gs njfgrjs njmegs pbrb jvetbr `bs drbiturbs vjrteib`js rbmeiu`brjs sgh uhb prjpbrbieùh bmjiubmb mj ighmuitgs y j` usg mj uhb prjseùh jque`earbmb murbhtj `b gaturbieùh. Ehmeibmgrjs6 jstâh bsgiebmgs igh uhb ag`sb pjregmghtb` jstrjicb g uhb dîstu`b, bsî igng uhb zghb rbmeg`öiemb `btjrb` quj sj jxtejhmj cbieb `b pgrieùh bpeib` mj `b drbiturb vjrteib`. _brb ighdernbr mebkhgsteig mebkhgste ig js hjijsbreg gasjrvbr `b drbiturb. trbtbnejhtg6 `b jxtrbiieùh mj `b rbîz bdjitbmb jh uh mejhtj nu`terrbmeiu`br, g `b jxtrbiieùh mj` mejhtj uherbmeiu`br.

 

Ibsg i`îheig.

 

QJNGIEÙH MJ ZH EHY]QZNJH] EHY]QZNJH]G G DQBI]ZQBMG MZQBH]J @B ]JQB_EB JHMGMÙH]EIB. _biejhtj nbsiu`ehgmjmjIujhib 2: bògs mjngtevg jmbm, biumj b `b mj Gmghtg`gkîb mj `b Zhevjrsembm Ibtù`eib pgr jståteig mjI`îheib sus mejhtjs bhtjrgsupjregrjs.

@gs bhtjijmjhtjs nåmeigs mj` pbiejhtj hg rjvj`brgh ehdgrnbieùh pjrtehjhtj b` ibsg.

 

Jxbnjh i`îheig ehtrbgrb`. sj mebkhgsteiù ibrejs jh medjrjhtjs pejzbs mjhtbrebs, jhtrj j``bs6 ibrejs prgxenb` jh j` ehiesevg `btjrb` supjregr ezquejrmg (1.1). Yj prgijmeù b rjb`ezbr `bs prujabs mj vetb`embm pu`pbr jh `b pejzb 1.1 quj rjsu`tbrgh hjkbtevbs. B `b pjriuseùh vjrteib` y pb`pbieùh cuag rjspujstb pgsetevb, bsî igng sj gasjrvù uhb dîstu`b bitevb jh rj`bieùh b` âpeij mj `b pejzb mjhtbreb.

 

Jxbnjh rbmegkrâdeig. B` jxbnjh rbmegkrâdeig sj ighsemjrù `b iânbrb y ighmuitg rbmeiu`br igng bnp`egs, sj gasjrvù jhsbhicbnejhtg mj` `ekbnjhtg pjregmghtb` y `jseùh rbmeg`öiemb ieriuhsiretb b`rjmjmgr mj` âpeij. Yj ``jkù b` mebkhgsteiù pu`pbr y pjregmghtb` ignpbtea`j igh hjirgses pu`pbr y basijsg pjrebpeib` irùheig rjspjitevbnjhtj. Bsî nesng, sj `j sukereù b` pbiejhtj uh trbtbnejhtg jhmgmùhteig.

 

_rgijmenejhtg. Mjspuås mj bmnehestrbr `b bhjstjseb `gib` (`emgibîhb 1% igh jpehjdrehb 263?.???, Hjw Ytjtei, Ig`gnaeb), sj eheieù igh `b tjrbpeb jhmgmùhteib y `b pjrdgrbieùh eheieb` sj rjb`ezù igh uhb drjsb mj mebnbhtj rjmghmb mj iuj``g `brkg njmebhb (Dbvb).

_gstjregrnjhtj pbrb mbr `b dgrnb mj ighvjhejhieb b` biijsg ibnjrb`, sj ute`ezù uhb drjsb mj ibraurg jhmg V (YY [cetj), `b iub` sj drbiturù y qujmù btrbpbmb btrbpbmb jh j` ehtjregr mj` ighmuitg.

Njmebhtj uhb rbmegkrbdîb pjrebpeib`, sj ighstbtù `b `ghketum mj` drbknjhtg y `b `gib`ezbieùh mj` nesng jh j` ehtjregr mj` ighmuitg. Yj gasjrvù quj j` ehstrunjhtg sjpbrbmg tuvg uhb `ghketum bprgxenbmb mj 3 nn y sj `gib`ezù b hevj` mj `gs tjriegs ijrveib` y njmeg mj` ighmuitg rbmeiu`br.

 

Mebkhgsteig Mebkhgs teig y rjngieùh.

Mjaemg b` mebkhùsteig mj `b pejzb mjhtbreb y b` nb` prghùsteig quj rjprjsjhtbrîb j` cjicg mj hg rjterbr j` ehstrunjhtg drbiturbmg, sj mjiemeù rjngvjr`g mj `b sekuejhtj nbhjrb6

Igh

`b byumb byumb mj `b drjsb Kbtjs K`emmjh K`emmjh hönjrg 2 (Mjhtsp`y (Mjhtsp`y Nbe``jd Nbe``jdjr), jr), sj irjù uh jspbieg jspbieg b`rjmjmgr mj` ehstrunjhtg pbrb pgmjr gasjrvbr`g mj njfgr nbhjrb y pgstjregrnjhtj sj `g sgarjpbsù igh `enbs `enbs L hönjrg 2: y 1? (Mjhtsp`y (Mjhtsp`y Nbe``jd Nbe``jdjr). jr).

Yj ig`gibrgh ig`gibrgh

mgs `enbs Cjmstrgn Cjmstrgn hönjrg 2: y 1? (Mjhtsp`y Nbe``jd Nbe``jdjr) jr) b`rjmjmgr mj `b drjsb drjsb

sjpbrbmb jh mestehtgs `bmgs y sj rjb`ezù uh ngvenejhtg mj trbiieùh cbieb igrghb`, quj pjrneteù quj j` ehstrunjhtg sjb rjngvemg mj` ehtjregr mj` ighmuitg rbmeiu`br.

 

Yj

rjb`ezù uhb rbmegkrbdîb pjrebpeib` pbrb ighdernbr quj j` ehstrunjhtg cbyb semg rjngvemg jh su tgtb`embm.

sj

rjkestrù `b `ghketum mj trbabfg y sj rjb`ezù `b prjpbrbieùh aegnjiâheib pjrtehjhtj.

_gstjregrnjhtj,

j` ighmuitg rjieaeù njmeibieùh pgr 9? mîbs (pg`vg mj cemrùxemg mj ib`ieg purg y sg`uieùh sb`ehb)< igh uh rjibnaeg b `gs 2: mîbs. Yj dehb`ezù `b tjrbpeb jhmgmùhteib igh `b gaturbieùh mj` ighmuitg rbmeiu`br.

 

Yj tgnù

_gstgpjrbtgreg.

uhb rbmegkrbdîb pgstgpjrbtgreb pbrb jvb`ubr `b ib`embm mj `b gaturbieùh mj` ighmuitg

(Dek. =.)

J`

pbiejhtj hg jxpjrenjhtù mg`gr u gtrbs ignp`eibieghjs pgstgpjrbtgrebs, pgr `g quj jh uhb ietb mjspuås mj mgs njsjs sj ``jvù b ibag uhb rjstburbieùh igrghbreb bprgpebmb pbrb bsjkurbr j` sj``bmg bmjiubmg (Dek. :,).

@b

rbmegkrbdîb mj ightrg` tgnbmb b `gs = njsjs ngstrù njfgrîb jh `gs tjfemgs pjrerbmeiu`brjs, bmjnâs< j` pbiejhtj sj prjsjhtù bsehtgnâteig. J` pbiejhtj sjrâ gafjtg mj nghetgrjg b `gs 4, 5 y 21 njsjs pbrb jvb`ubr `bs rjspujstbs pjrerbmeiu`brjs.

 

QJDJQJHIEBY AEA@EGKQÂDEIBY.

2. Cu` Cu`sn snbhh bhh N, Yic Yicehl ehlj` j` E. Ehd Ehd`uj `ujhij hij gd sjv sjvjr jrb` b` db dbit itgr grss gh tcj sui suiijs ijsss gr db dbe`u e`urj rj gd rjn rjngv gvb` b` gd drbitur drb iturjm jm ehst ehstrunj runjhts hts drg drgn n tcj rgg rggtt ibhb ibhb`. `. Jhmgm Mjht ]rbu rbunbt nbtg`. g`. 2555 Mji< 2:(4) 2:(4)61:1-3 61:1-3.. 1. Quaeg M. Yestjnbs pbrb `b jxtrbiieùh mj ehstrunjhtgs sjpbrbmgs jh j` ehtjregr mj ighmuitgs rbmeiu`br rbmeiu`brjs. js. Mjhtb` _rbite _rbiteij Nbrz Nbrzg g 1??36 =1-=:. 9. Qumm`j Qjtrb tbnejhtg tg jhmgmùhieig hg querörkeig. Jh6 Tîbs mjij `b Qjpgrt. _u`pb. 3vb jm. Nbmrem6 Igcjh Y, AurhsI.Q.Qjtrbtbnejh jmetgrjs. Jmetgre Jmetgreb` b` Ngsay< 1??1. =. @bsb`b @bsb`b B. Jhmgmghieb.=tb Jhmgmghieb.=tb jm. Nåxeig Nåxeig,, Yb`vbt, Yb`vbt, 2559. :. _bhetvesbe _bhetvesbe _, _bruhhet _bruhhet _, Ybtcgrh I, Njssjr Njs sjr CC. Enpbit Enpbit gd b rjtbehj rjtbehjm m ehs ehstru trunjh njhtt gh tr trjb jbtnj tnjht ht gut gutign ignj6 j6 b systj systjnb nbtei tei rj rjvej vejw w bhm njtb-bhb`yses. njtb-bh b`yses. F Jhmgm. 1?2?< 94 (:)6 (:)6 ;;:-;3?. 4. Ygutjr HF, Njssjr CC. Ignp`eibteghs Ignp`eibteghs bssgiebt bssg iebtjm jm wetc drb drbitur iturjm jm de`j rjn rjngvb gvb`` useh usehk k bh u`tr u`trbsgh bsghei ei tjic tjichequ hequj. j. F Jhmgm. Jhmgm. 1??:< 92 (4)6 =:?=:1.. ;. [brm FQ, _br =:?=:1 _brbscg bscgss _, Njssjr Njssjr CC. Jvb` Jvb`ubt ubtegh egh gd bh u`tr u`trbsgh bsghei ei tjic tjichequ hequj j tg rjn rjngvj gvj drbitur drb iturjm jm rgt rgtbry bry heil heilj`tet j`tetbheu bheun n jhmg jhmgmght mghtei ei ehs ehstrun trunjhts jhts drg drgn n rgg rggtt ibhb ibhb`s6 `s6 i`ehe i`eheib` ib` ibsj ibsjs. s. F Jhmgm Jhmgm.. 1??9< 15 (22)6 ;4=-;4;. 3. Quez _, Ybh Nbrtîh Y. Drbiturb mj `enb6 pgseae`embmjs tjrbpåuteibs. Jhmgmghieb 2553< 24(9)62;1-5.