Cuando el paciente posee lesiones pulpares reversibles nos referimos a la pulpitis reversible y sólo vamos a remover la pulpa cameral, cuando se tiene una pulpitis irreversible se remueve la pulpa cameral en conjunto con la radicular, al momento de realizar tratamientos en dientes temporales, mejor conocidos como de leche debemos tener en cuenta que al momento de realizar pulpotomias y pulpectomias, debemos realizar adecuadas aperturas camerales tomando en cuenta como debemos seguir esa forma determinada para no fracturar la furca o lesionar de más el tejido pulpar.
When the patient has reversible pulp lesions we refer to reversible pulpitis and we are only going to remove the chamber pulp, when there is irreversible pulpitis the chamber pulp is removed together with the root pulp. When treating primary teeth, better known as milk teeth, we must take into account that when performing pulpotomies and pulpectomies, we must perform adequate chamber openings taking into account how we must follow this determined form in order not to fracture the furcation or injure more pulp tissue.
Los dientes temporales tienen sus varaciones con respecto a los dientes de hueso, puesto que este son de un diametro menor, entonces al momento de realizar la apertura de la camara pulpar debemos hacerlo de una forma pentagonal, trapeizodal, oval, dependiendo del grupo dentario determinado u específico. En esta publicación conoceremos como realizar las aperturas de las camaras pulpares.
Temporary teeth have their variations with respect to bone teeth, since they are smaller in diameter, so at the moment of opening the pulp chamber we must do it in a pentagonal, trapezoidal or oval shape, depending on the determined or specific dental group. In this publication we will know how to perform the opening of the pulp chamber.
Temporary upper first molar:
Primer molar superior temporal:
Este diente es aquel que resguarda el espacio para la erupción del primer premolar, por lo que anatomica mente posee mayor diametro mesiodistal, en cuanto a su cara vestibular presentara convergencia hacia oclusal, desde su vista palatina es lisa y convexa, las caras proximales seran convergentes hacia palatino, por último su cara oclusal tendra forma trapeizodal.
This tooth is the one that protects the space for the eruption of the first premolar, so anatomically it has greater mesiodistal diameter, as for its vestibular face will present convergence towards occlusal, from its palatal view it is smooth and convex, the proximal faces will be convergent towards palatal, finally its occlusal face will have a trapeizodal shape.
En cuanto su cámara pulpar es realiza en forma triangular, la base del triangulo se va dirigir a vestibular, mientras que el vertice del triangulo estara direccionado hacia palatino, posee cinco cuernos pulpares. Este diente posee una características única e interesante en cuanto su apertura cameral los cuernos pulpares se relacionaran con los conductos, posee tres conductos dos vestibulares y uno palatino.
As for its pulp chamber it is triangular in shape, the base of the triangle will be directed to the vestibular, while the apex of the triangle will be directed towards the palatal, it has five pulp horns. This tooth has a unique and interesting characteristic in terms of its chamber opening, the pulp horns will be related to the ducts, it has three ducts, two vestibular and one palatal.
Segundo molar superior:
Second upper molar:
La características de este diente en su cara vestibular es convexa y un surco que separa las cuspides vestibulares, en su vista palatina la cuspide mesiopalatina es mayor y la cuspide disto palatina es de un menos tamaño, en cuanto su cara oclusal tendrá una forma romboidal posee dos cuspides palatinas y dos cuspides vestibulares.
The characteristics of this tooth in its vestibular face is convex and a groove separating the vestibular cuspids, in its palatal view the mesiopalatal cuspid is larger and the distopalatal cuspid is of a smaller size, as for its occlusal face will have a rhomboidal shape has two palatal cuspids and two vestibular cuspids.
La apertura de este diente la vamos a realizar de forma triangular, posee tres conductos dos vestibulares y uno palatino.
We are going to open this tooth in a triangular shape, it has three canals, two vestibular and one palatal.
Primer molar inferior temporal:
Temporary lower first molar:
En su cara vestibular posee tres cuspides, poseen su mismo tamaño tienen dos surcos uno mesial y otro distal, su vista lingual es convexa y posee fos cuspides separadas de un surco, sus caras proximales convergen a lingual. En su cara oclusal posee la misma morfología parecida a un primer molar inferior con la diferencia que sus surcos forman una W.
In its vestibular face it has three cuspids, they have the same size, they have two grooves one mesial and one distal, its lingual view is convex and has two cuspids separated by a groove, its proximal faces converge to lingual. In its occlusal face has the same morphology similar to a lower first molar with the difference that its grooves form a W.
Su apertura se realiza en forma trapezoidal posee cuatro cuernos pulpares y tres conductos dos mesiales y uno distal.
Its opening is trapezoidal and has four pulp horns and three canals, two mesial and one distal.
Segundo molar inferior primario:
Primary lower second molar:
Su cámara pulpar es amplia y au apertura se realiza en forma pentagonal posee 5 cuernos pulpares presenta tres conductos dos mesiales, y uno distal.
Its pulp chamber is wide and its opening is pentagonal, it has 5 pulp horns and three ducts, two mesial and one distal.
Referencia Informativa/Reference Informative:
Manual de Anatomia Dental y Pulpar de Dientes primarios. Autor Juan Oliveira del Río.
Manual of Dental and Pulp Anatomy of Primary Teeth. Author Juan Oliveira del Río.
Imágenes creadas por mi en Adobe express.
Images created by me in Adobe express.
The photographs were taken with a samsung A02s phone.
Las fotos son de mi pertenencia, tomadas por mi.
The photos belong to me, taken by me.
Texto traducido en Deelp