{"id":247,"date":"2017-08-08T03:12:19","date_gmt":"2017-08-08T03:12:19","guid":{"rendered":"https:\/\/fabianvillena.tk\/blog\/?p=247"},"modified":"2017-08-08T17:37:16","modified_gmt":"2017-08-08T17:37:16","slug":"introduccion-la-protesis-total-removible","status":"publish","type":"post","link":"https:\/\/villena.cl\/blog\/introduccion-la-protesis-total-removible\/","title":{"rendered":"Introducci\u00f3n a la Pr\u00f3tesis Total Removible"},"content":{"rendered":"

\"Pr\u00f3tesis<\/p>\n

Las pr\u00f3tesis buscan devolver los dientes y tejidos adyacentes<\/a> perdidos, en espec\u00edfico la pr\u00f3tesis total removible devuelve todos los dientes de un desdentado total. Debido al aumento en la esperanza de vida<\/a> del pa\u00eds, la disminuci\u00f3n de los nacimientos y las defunciones cada vez son m\u00e1s los pacientes desdentados totales (adultos mayores).<\/p>\n

Cada paciente le tiene un objetivo distinto a cada pr\u00f3tesis total, puede ser el de est\u00e9tica como tambi\u00e9n el de funci\u00f3n, un paciente puede tener una pr\u00f3tesis est\u00e9ticamente muy mal lograda, sin embargo, el objetivo del paciente es comer, el cual se est\u00e1 logrando. Por lo tanto, el objetivo del paciente debe ser tambi\u00e9n nuestro objetivo, debemos tomar en cuenta al pie de la letra el motivo de consulta del paciente.<\/p>\n

Los adultos mayores son todas las personas mayores de 60 a\u00f1os y es el segmento que est\u00e1 m\u00e1s en aumento en todos los pa\u00edses. La gerontolog\u00eda es la ciencia que se preocupa de todos los aspectos de los adultos mayores. El 29% de la poblaci\u00f3n entre 65 y 74 a\u00f1os es desdentado total.<\/p>\n

Los efectos del desdentamiento son funcionales, est\u00e9ticos, p\u00e9rdida de inserci\u00f3n y soporte de tejido, alimentarios, sociales.<\/p>\n

Una pr\u00f3tesis es un elemento que devuelve los dientes y sus estructuras adyacentes perdidas para poder restituir la funci\u00f3n (fonaci\u00f3n, alimentaci\u00f3n) y est\u00e9tica. En una pr\u00f3tesis total, los elementos mec\u00e1nicos son:<\/p>\n

    \n
  1. Base (cubre todo el paladar).<\/li>\n
  2. Bordes funcionales que crean un sellado cuando se traccionan los tejidos (son los flancos).<\/li>\n
  3. Dientes artificiales.<\/li>\n<\/ol>\n

    \"Elementos<\/p>\n

    Los pasos previos para comenzar el tratamiento con pr\u00f3tesis total son:<\/p>\n

      \n
    1. Ficha cl\u00ednica<\/li>\n
    2. Modelos preliminares.<\/li>\n
    3. Planificaci\u00f3n del tratamiento en los modelos preliminares.<\/li>\n
    4. Modelos de trabajo donde se realiza finalmente la pr\u00f3tesis.<\/li>\n<\/ol>\n

      Si se ve que la boca del paciente presenta patolog\u00eda se deben primero acondicionar los tejidos antes de comenzar el tratamiento, por ejemplo, se deben tratar las candidiasis, regularizar los rebordes para obtener un correcto eje de inserci\u00f3n. Algunos de estos puntos se pueden analizar en los modelos de estudio.<\/p>\n

      Los modelos de estudio tambi\u00e9n son \u00fatiles para el dise\u00f1o de las cubetas individuales para la realizaci\u00f3n de los posteriores modelos de trabajo cuando la boca del paciente ya est\u00e9 sana. Los modelos articulados nos ayudan para analizar los espacios intermaxilares.<\/p>\n

      Despu\u00e9s que el paciente est\u00e1 sano se comienza con la con la confecci\u00f3n de la pr\u00f3tesis:<\/p>\n

        \n
      1. Se toma una impresi\u00f3n con alginato, la cual debe quedar tersa y sin grumos ni burbujas reproduciendo todas las zonas de importancia en un desdentado total. Se debe mover el tejido para que el alginato fluya.<\/li>\n
      2. Se realiza el modelo primario, el cual debe tener un z\u00f3calo, el modelo inferior no debe tener exceso de material en lingual.<\/li>\n
      3. Se confecciona la cubeta individual sobre los modelos primarios, la cual debe ser r\u00edgida, con bordes redondeados y un grosor adecuado.<\/li>\n
      4. Se realiza la impresi\u00f3n funcional que se realiza con materiales r\u00edgidos como el compuesto de modelar para los bordes perif\u00e9ricos y la silicona.
        \n\"Impresi\u00f3n<\/li>\n
      5. Se realiza el encofrado de la impresi\u00f3n para proteger el borde funcional de la impresi\u00f3n.
        \n\"Encofrado<\/li>\n
      6. Se construye la placa de relaci\u00f3n en funci\u00f3n de los modelos de trabajo y la anatom\u00eda de mi paciente, para as\u00ed poder llevar los modelos al articulador. La placa de relaci\u00f3n se sit\u00faa en el arco facial para poder llevar al articulador. La placa de relaci\u00f3n tambi\u00e9n nos ayuda a analizar c\u00f3mo ser\u00e1 el contorno de las caras vestibulares de mis dientes prot\u00e9sicos.<\/li>\n
      7. Registro de relaciones craneomandibulares: Aqu\u00ed termino de dise\u00f1ar mi pr\u00f3tesis con la selecci\u00f3n de dientes que usar\u00e9 junto con la dimensi\u00f3n vertical que restituir\u00e9.<\/li>\n
      8. Se env\u00edan los modelos junto con la placa de relaci\u00f3n al laboratorio.<\/li>\n
      9. Prueba de articulaci\u00f3n dentaria: en esta etapa se verifican todos los par\u00e1metros junto con el paciente, aqu\u00ed se pueden realizar modificaciones a la pr\u00f3tesis.<\/li>\n
      10. Instalaci\u00f3n de la pr\u00f3tesis: en esta etapa se debe hidratar y limpiar la pr\u00f3tesis. Tambi\u00e9n se deben eliminar las posibles imperfecciones que pueda tener antes de llevarla a boca. Aqu\u00ed el paciente debe aprender a usar la pr\u00f3tesis por s\u00ed solos.<\/li>\n<\/ol>\n

         <\/p>\n","protected":false},"excerpt":{"rendered":"

        Las pr\u00f3tesis buscan devolver los dientes y tejidos adyacentes perdidos, en espec\u00edfico la pr\u00f3tesis total removible devuelve todos los dientes de un desdentado total. Debido al aumento en la esperanza de vida del pa\u00eds, la disminuci\u00f3n de los nacimientos y las defunciones cada vez son m\u00e1s los pacientes desdentados totales (adultos mayores). Cada paciente le … <\/p>\n

        Continua leyendo “Introducci\u00f3n a la Pr\u00f3tesis Total Removible”<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[104],"tags":[107],"class_list":["post-247","post","type-post","status-publish","format-standard","hentry","category-dentistas","tag-rehabilitacion-oral"],"yoast_head":"\nIntroducci\u00f3n a la Pr\u00f3tesis Total Removible - Dr. Fabi\u00e1n Villena Rodr\u00edguez<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/villena.cl\/blog\/introduccion-la-protesis-total-removible\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Introducci\u00f3n a la Pr\u00f3tesis Total Removible - Dr. Fabi\u00e1n Villena Rodr\u00edguez\" \/>\n<meta property=\"og:description\" content=\"Las pr\u00f3tesis buscan devolver los dientes y tejidos adyacentes perdidos, en espec\u00edfico la pr\u00f3tesis total removible devuelve todos los dientes de un desdentado total. Debido al aumento en la esperanza de vida del pa\u00eds, la disminuci\u00f3n de los nacimientos y las defunciones cada vez son m\u00e1s los pacientes desdentados totales (adultos mayores). 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