Especialización Endodoncia

URI permanente para esta colecciónhttp://hdl.handle.net/11634/217

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Implementación de una guía como material para el manejo inmediato de trauma dentoalveolar dirigido a miembros que integran ligas deportivas de alto impacto
(Universidad Santo Tomás, 2024-12-19) Bustos Jaimes, Luis Alexander; González Galvis, Deisy Viviana; Peñaranda Albarracín, Juliana Andrea; Gay Ortiz, Monique Marie
Background: Worldwide, more than 3 billion patients have experienced some type of dental impact, it is estimated that 60 million new cases occur each year, evidencing the high prevalence of these injuries. The practice of any sport at a competitive or recreational level, in children and adults, exposes them to possible accidents that can lead to dentoalveolar trauma, taking into account that between 25-30% of injuries occur during training, especially in high-impact sports such as rugby, basketball or soccer. Aim: To determine the knowledge of high-impact coaches and athletes in the city of Bucaramanga before and after the implementation of educational material on the immediate management of dentoalveolar trauma. Methodology: A quasi-experimental study was designed, applying a previous survey of knowledge about Alveolar Trauma (TDA) to a group of 38 high-impact coaches and athletes (basketball, rugby, soccer). Following this, the educational manual was implemented, using didactic strategies in order to instruct and make known the adequate management when a trauma event occurs at the time of sports practice. At the end, a new survey was applied to determine the knowledge acquired after the implementation of the material. Results: Most of the respondents recognize the importance of having knowledge about AD and show a medium level of general knowledge before the educational intervention (84.21%). Conclusions: The study participants, which included athletes and coaches, mostly had a medium level of knowledge regarding the immediate management of dentoalveolar trauma. The application of the educational intervention achieved that the total population reached high levels of knowledge regarding the immediate management of dentoalveolar trauma.
Seguimiento a cirugías endodónticas realizadas en la Universidad Santo Tomás durante el año 2023: Serie de casos clínicos
(Universidad Santo Tomás, 2025-01-16) Cháves Porras, Emilson Fernando; Numa Ropero, Ana Milena; Parra Viviescas, Maryuri María; Sánchez Hernández, Juliana Margarita; Buitrago Rojas, Sandra Milena
Background: Endodontic surgery can help in different situations, mainly in the presence of periradicular pathologies or persistent infections, damage to surrounding tissue or damage to the dental root; when the tissue around the root is affected by cysts or bacterial colonization. Aim: To describe the clinical evolution of endodontic surgeries performed in the Endodontics Specialization of the USTA Bucaramanga section during the year 2023. Materials and methods: descriptive observational case series type study. 12 teeth were taken from patients undergoing endodontic surgery at the Santo Tomás University during the year 2023. Patients who had received endodontic surgery were contacted by telephone and people who agreed to participate in the study attended the dental clinics where their CBCT PAI index was analyzed again. Conclusions: Apicoectomy was the most common technique of endodontic surgery and the evaluated cases presented satisfactory results in most of the variables evaluated
Biomateriales utilizados en apexificación: una revisión de alcance
(Universidad Santo Tomás, 2025-01-15) Robayo Alba, Catherine Andrea; Rodríguez Cogollo, Dayana Cristina; Manosalva Estrada, María Alejandra
Introduction. Dental caries and dentoalveolar trauma have been considered a public health problem due to their high incidence, factors that can trigger the process of pulp necrosis affecting root development in young permanent teeth. Therefore, it is vital to carry out treatment that allows for the stimulation of a calcified apical barrier using biomaterials employed in apexification. Objective. To determine which biomaterial presents the best properties for performing apexification procedures as reported in the literature from 2015 to 2023.Methodology. A scoping review was conducted using databases such as PubMed, Scopus, and Google Scholar, compiling articles from 2015 to 2023 regarding the biomaterials used for apexification by applying inclusion and exclusion criteria for selection. Results.Fifty-three articles were included, of which 40.5% referred to apexification with MTA plugs and 31.6% with Biodentine. The studies demonstrated significant properties for all biomaterials, defining Biodentine as the most suitable biomaterial for the apexification procedure. Conclusion. MTA and Biodentine were the most studied biomaterials in the literature, highlighting their advantages and disadvantages in apexification treatment, although Biodentine shows better physical properties, resistance, and sealing ability.
Uso del láser para desinfección en endodoncia, análisis bibliométrico
(Universidad Santo Tomás, 2024-12-19) Angarita Peña, Danilo Alberto; Mantilla Mantilla, Horacio; Vargas Parra, Edgar Orlando; Duarte Monsalve, Martha Lucely
Lásers have been introduced in endodontics to improve the results obtained with traditional techniques, mainly in apical surgeries and root canal disinfection. Lásers in endodontics began to be used in the late 90s, however, scientific evidence on their use has been increasing in recent years, which creates a need for endodontic specialists to constantly update their knowledge in this area. Aim: To analyze the trends in scientific publications on láser disinfection in endodontic treatment during the years 2019 to 2023. Methodology: Bibliometric analysis of the literature where 61 scientific articles on láser disinfection in endodontics were included, found in the databases of Pudmed, Dentistry and oral science source, Science direct, and Google scholar published between the years 2019 to 2023. The following variables were measured: author, number of authors, institutional affiliation, number of citations, number of references, country of publication, year of publication, database, scientific journal, type of study, population, sample sizes, type of láser and endodontic pathology treated. Results: Of the 61 articles, the average number of authors was 5.2. Regarding the characteristics of the studies, it was found that 49.18% of the articles correspond to in vitro studies, the most common publication journal is Photodiagnosis and photodynamic therapy with 18.03%, the most frequent country was Iran with 24.59%, followed by Brazil with 22.95%. The most common affiliation institution was Shahid Beheshti University of Medical Science of Iran with 14.75%.Conclusions: It was found that the trend is in vitro studies, mainly those that evaluate the elimination of Enterococcus faecalis biofilm with any of the láser therapies.
Comprensión, autonomía y gestión del consentimiento informado en endodoncia
(Universidad Santo Tomás, 2024-12-11) Idrobo Valencia, Carol Johana; Jiménez Rodríguez, Sandra Milena; Bedoya Rodríguez, Luis Fernando
Communicating comprehensively so that the patient can make an autonomous and informed decision regarding the advisability of the various treatment options should be an unequivocal goal during the informed consent process in endodontics. However, this is not always the case, which is why the objective is to ascertain the level of understanding achieved by the patients treated in the clinics of FOC during the informed consent process when deciding between treatment alternatives. For this purpose, a qualitative, phenomenological, and descriptive method was used through semi-structured interviews, supported by Atlas-ti processing. Findings aim to relate the professional suitability of the endodontist to the clarity in explaining the risks, benefits, and recommendations of the treatment alternatives during the clinical conversation in the informed consent process: Conclusions: The results show that the questions asked in the interviews were mostly clear and relevant, suggesting that patients were able to express their understanding of informed consent and behavioral treatment. However, areas for improvement were identified, especially in communicating the risks and benefits of treatment.
Análisis microgeo-métrico con digitalización de la superficie de los sistemas rotatorios Protaper Ultimate® De Maillefer y Rotate® De VDW
(Universidad Santo Tomás, 2024-12-11) Rodríguez Lozano, Judy Jasbleidy; Naranjo Lerma, Everaldo Teofilo; Caicedo Rojas, María Teresa; Serpa Vélez, María Fernanda; Gutiérrez Barreto, Javier Fernando
Objective: The aim of this study was to identify the taper, roughness, and cutting, rake, and incidence angles, before and after six uses, of the ProTaper Ultimate® Maillefer and Rotate® VDW files, through microgeometric surface analysis. Materials and Methods: A quasi-experimental in vitro study was conducted, analyzing 3 ProTaper Ultimate® files (Slider, Shaper, and F1) and 3 Rotate® files (15/.04, 20/.05, and 25/.06). After cleaning the new instruments, the first microgeometric analysis was performed. Six double-curvature resin blocks were used for the second analysis. Results: An increase in taper was observed in the Rotate® 15/.04 and 20/.05 files, as well as in the PTU® Shaper file. Roughness increased in the Rotate® 25/.06 and PTU® Shaper files. The cutting and rake angles of the Rotate® files showed an increase at D2 and D4 in the 20/.05 and 25/.06 files, while the incidence angles decreased in the PTU® files. Cutting angles did not yield conclusive values. Conclusions: The Rotate® files by VDW and ProTaper Ultimate® files by Maillefer exhibited changes in taper, roughness, and angles after six uses in double-curved resin blocks. For Rotate® files, taper increased in file 20/.05 and decreased in 25/.06, indicating distinct wear patterns. The reduction in surface roughness at D2 and D4 suggests controlled wear, while the increase in cutting angles enhanced cutting efficiency but reduced instrument strength. ProTaper Ultimate® files showed taper increases in Shaper and F1 files, with a slight decrease in Slider. The increase in roughness in the Shaper file suggests higher friction and fracture risk. Cutting and rake angles remained stable, indicating consistent performance.
Validación de un instrumento que identifique los conocimientos, actitudes y prácticas de especialistas en endodoncia en el manejo de pacientes en condición de discapacidad
(Universidad Santo Tomás, 2024-11-16) Barrios Velasco, Ingrid Lorena; Castro Collazos, Diana Paola; Becerra Buitrago, Patricia; Quiceno Olaya, Johanna Angélica
The International Convention on the Rights of Persons with Disabilities (ICRPD), is a key human rights treaty that seeks to guarantee equal opportunities and access to comprehensive health services for persons with disabilities. In Colombia, the CIDPDD was ratified with commitments to eliminate discrimination and promote inclusion, which is reflected in the update of Resolution 544 of 2023. This measure seeks to ensure more equitable care in the health system, including dentistry. This study focuses on the design and validation of a survey-type instrument to identify the knowledge, attitudes and practices of endodontists at the Universidad Santo Tomás regarding the management of Patients With Disabilities (PCD). The methodology included a literature review, the structuring of the instrument in three sections (sociodemographic, professional training and management of PCD) and validation with a panel of experts using the Likert and Delphi methods. The results of the validation showed that the instrument is reliable for use in future research, although its implementation together with other strategies that allow a complete evaluation of professional practices in the management of PCD is recommended. This development represents a significant advance in the identification of competencies necessary for inclusive and quality oral health care for people with disabilities.
Comparación de la penetración en los túbulos dentínales en el tercio apical de dos cementos endodónticos, BioC Sealer® y AH-Plus® mediante microscopio electrónico de barrido. (SEM): un estudio in vitro
(Universidad Santo Tomás, 2024-12-10) Rojas Quintero, Catalina; Camargo Robayo, Laura Viviana; Avendaño Rueda, Julio César
Tight three-dimensional obturation of root canals is essential for the success of endodontic treatment, since it prevents reinfection by microorganisms. Sealing cements play a fundamental role in this process. This in vitro study compares the penetration capacity of two endodontic cements, BioC Sealer® and AH-Plus®, into the dentinal tubules of the apical third by means of scanning electron microscopy (SEM). Objective: to evaluate and compare the penetration distance in the dentinal tubules of BioC Sealer® and AH-Plus® in the apical third, determining which of the two cements offers a better seal. Methods: thirty human uniradicular teeth were selected and randomly divided into two groups of 15 teeth, one filled with BioC Sealer® and the other with AH-Plus®. The samples were processed, and the penetration of the cements into the dentinal tubules was measured in microns using SEM. Statistical analysis included the t-test for independent samples. Results: both cements showed penetration into the dentinal tubules, the average penetration being 285.87 μm for AH-Plus® and 265.97 μm for BioC Sealer®. However, no statistically significant difference was found between the two cements (p-value = 0.185). Conclusions: both BioC Sealer® and AH-Plus® offer adequate penetration into the dentinal tubules of the apical third. Although AH-Plus® showed slightly better penetration, this difference was not significant, suggesting that both cements are viable options for endodontic treatment.
Cambios topográficos y estructurales en la desinfección de los conos de gutapercha, un estudio Cuasiexperimental in vitro
(Universidad Santo Tomás, 2024-12-10) Bustos Villalba, Sindy Paola; Menses Tamayo, Felipe; Martínez Gómez, Juan Esteban; Becerra Buitrago, Hernán
Gutta-percha is the ideal material in endodontics due to its compatibility and sealing ability but its handling presents risks of cross-contamination. Chemical disinfection is crucial as it cannot be sterilized by heat and certain solutions may alter the structure of gutta-percha cones, potentially compromising the success of the treatment. Objective: The objective of the research was to identify the topographical and structural changes in gutta-percha cones after disinfection with sodium hypochlorite at 5.25% and chlorhexidine at 2% for one minute, using FTIR, SEM, and EDS. Method: The study evaluated the effects of disinfection on 18 gutta-percha cones from two brands, using sodium hypochlorite at 5.25% and chlorhexidine at 2%, through SEM, EDS, and FTIR analysis to observe topographical and structural changes. Results: There were no significant changes in the weight of the gutta-percha cones after disinfection with sodium hypochlorite at 5.25% and chlorhexidine at 2%. However, FTIR analysis showed that the organic chemical composition of the cones remained unchanged. SEM revealed significant topographical changes, and EDS indicated changes in the percentages of elements such as barium, zinc, and carbon. Conclusions: Disinfection with sodium hypochlorite and chlorhexidine does not alter the organic composition of gutta-percha cones but does cause damage to the inorganic components. Sodium hypochlorite is a potent oxidizing agent, while chlorhexidine is less corrosive.
Incidencia y factores asociados a la fractura de instrumentos endodónticos en los tratamientos realizados de 2019 a junio de 2023 en las clínicas de la Federación Odontológica.
(Universidad Santo Tomás, 2024-05-31) Ramírez Bohórquez, Ana Lucía; Mora Losada, Eliana Constanza; Bocanegra Prada, Claudia Johana; Gutiérrez Barreto, Javier Fernando
Fracture of endodontic instruments can prevent the correct cleaning and shaping procedure, directly affecting the success of the treatment. Objective: Determine the incidence of fracture of endodontic instruments and associated factors in the treatments carried out from 2019 to June 2023 in the Clinics of the Dental Federation. Method: Descriptive, cross-sectional, retrospective study. Legible medical records and radiographic records of patients with or without instrument fracture were reviewed, as well as follow-up appointments. Results: When following up this adverse event, a rate of 0.99% of instrument fracture was found, which could be classified as a low level. Fractures occurred in 71.4% in the apical third, 48.6% in NiTi instruments, 48.6% in rotary movement and 40% of the operators were in the third of four semesters. Conclusions: Endodontics in training correctly apply treatment protocols, avoiding fracture of endodontic instruments, which is reflected in the low incidence rates found during the research.
Dosis de radiación absorbida por endodoncistas con el uso de nuevas tecnologías de rayos X y su efecto en la glándula tiroides, actualización 2024
(Universidad Santo Tomás, 2024-06-01) Castro Cruz, Liz Vanet; Heredia Ceballos, Gilmar Alexis; Moreno Múnera, Marcela del Pilar
During endodontic treatments is common to receive doses of radiation from instruments such as portable X-rays, which can reach radiosensitive organs such as the thyroid if adequate protection protocols are not in place. Objective: determine the absorbed radiation dose and possible changes of the thyroid gland by an evaluation of a functional profile of the gland in endodontists exposed to both the continuous use of portable X-ray equipment together and digital images capture devices over six months of exposure. Method: descriptive observational case series study, wich is a continuation of a previous study. Twenty endodontists participated (10 from the first stage; and 10 new ones for the second stage). Information was obtained on age, gender, type of equipment, time of use of the equipment, number of patients per day, number of X-Rays per patient, absorbed dose, and initial and final THS, T3, FT4. Results: 70% of the group was women; they had an average age of 36.55 years; 55% always wore a lead vest. During the 3 months, 7,848 X-Rays were taken, and 4 professionals who do not have strict protection control are also among those who provide the most X-Rays. Only one participant presented absorbed radiation doses of radiological interest (participant 9: 0.15mSv) and changes outside the reference range for the hormones FT4 (0.88 ng/dL) and T3 (58.6 ng/dL). Conclusions: although the group in general presents normal values for the hormones THS, T3, FT4 and the absorbed radiation dose; there is one patient who shows how the non-use of protection during practice can lead to hormonal changes that could affect the thyroid gland.
Comparación in vitro de la capacidad de disolución de tejido pulpar humano entre la Azadirachta Indica (Neem) y el hipoclorito de sodio al 5,25 %
(Universidad Santo Tomás, 2024-06-05) Vidarte Quintero, Margoli Andrea; Rincón Galindo, Maria Paula; Santos Hoyos, Roman Andrés
Irrigating solutions are an essential component in endodontic therapy for complete disinfection of the root canal. Objective: To evaluate the solubility of human pulp tissue using Azadirachta Indica (Neem) extract compared to a 5.25% solution of sodium hypochlorite in pulps of healthy third molars and premolars extracted by orthodontic indication. Method: 24 extracted human third molars and premolars were selected along with three additional teeth were added for the pilot study. Subsequently, the instrumentation was carried out and they were divided into three groups, each consisting of 8 third molars and premolars. Each group was treated with a different solution: saline solution, 5.25% sodium hypochlorite and Neem extract (Azadirachta Indica). A longitudinal cut of the pulp tissue was then carried out and the three substances in the study were immersed. An initial weighing (in milligrams) was carried out, followed by measuremen every fifteen and thirty minutes to assess the decrease in the weight of the pulp tissue because of the dissolution. The data obtained were subjected to a descriptive statistical variance analysis with a level of significance set at p < 0.05. Results: The Azadirachta Indica extract dissolved pulp tissue, although sodium hypochlorite achieved dissolution of the pulp tissue in a shorter time. Conclusions: Azadirachta Indica extract has been shown to have the ability to dissolve pulp tissue when used as irrigating agent, suggesting its potential as an alternative irrigating agent.
Efectividad de insertos de ultrasonido ULTRA X EIGHTEETH® en eliminar la burbuja apical y barrillo dentinal
(Universidad Santo Tomás, 2024-06-04) Pedraza Reyes, Walter David; Henao Herrera, Andres Felipe; Perea Rivas, Walter De Jesús; Ortiz Castro, Vicky Constanza; Becerra Buitrago, Hernán
The effectiveness of irrigation depends on the working mechanism of the irrigant. Objective: determine the effectiveness of the Ultra X Eighteeth® ultrasonic system inserts in eliminating the apical bubble and removing dentinal debris. Method: A total of 52 human single-rooted teeth with complete apex formation were selected. The working length was determined and they were sealed apically with enamel. The canals were prepared with the sequential wave one gold system, irrigated, and periapical radiographs were taken to confirm the presence of the apical bubble. The teeth were decorated and distributed into three groups (n=7). The blue, silver and gold tip inserts activated for 30 seconds. For the removal of dentinal debris, 31 remaining teeth were selected (10 for the control group and 21 for the experimental group), the control group did not receive activation, the other groups received activation of the irrigant for 30 seconds. Results: The findings were not fully favorable for ultrasound. With blue insert, removal smear layer was in apical third and middle third; with silver insert, it was observed in all teeth in the middle third and with gold insert removal in the apical part was in a tooth, and in middle third it was 6 teeth. Conclusion: Neither insert removed the apical bubble for 30 seconds, nor the silver insert proved to be the most effective in removing the smear layer.
Características clínicas, imagenológicas y precisión del uso de la técnica estática guiada para el retiro de postes de fibra de vidrio en pacientes atendidos en la clínica de la federación odontológica en el año 2023 – reporte de casos
(Universidad Santo Tomás, 2024-05-31) Fonseca Rodriguez, Diana Fernanda; Garcia Pinilla, Yuldan Dahian; Jimenez Cante, Erika Viviana; Torres Celeita, Julian
Abstract: there are alternatives for the removal of fiberglass posts such as the guided static technique where a template designed from a tomography and a scanner is used to guide an instrument to remove the material; this technology seeks to offer a quick, safe extraction with less loss of tooth structure. Objective: to establish the clinical and imaging behavior regarding the precision of the fiberglass post removal procedure through the guided static technique in patients treated at the Colombian Dental Federation Clinic, during the year 2023 through a case report. Method: case report, including 3 patients who required removal of fiberglass posts; after the oral examination, extraction strategies were planned using the predesigned drills and guide. The variables time to post removal, post persistence, occupied space, empty space after removal, tooth wear and complications were considered; a simple comparison analysis was made between final and initial values. Results: complete removal of the post in all three cases, maximum removal time of 4 hours, dentin wear between 1.96 mm3 - 4.95 mm3, there was bur fracture and deviation of the piece. Conclusions: the guided preparation used allowed the greatest amount of tooth substance to be preserved; on this way, results classified as favorable were obtained.
Calidad de vida en salud de los docentes del programa de la especialización de endodoncia de la Universidad Santo Tomás seccional Bucaramanga en el segundo periodo del 2023
(Universidad Santo Tomás, 2024-01-30) Osorio Pérez, Erika Yulieth; Quintero Ramírez, María Juliana; Sierra Maldonado, María Camila; Almario Barrera, Andrea Johanna
Introduction: quality of life is defined according to the OMS as the individual's perception of their position in life within the cultural context and the value system in which they live with respect to their goals, expectations, norms and concerns. Objective: Determine the health quality of life of the teachers of the endodontics specialization program at the Santo Tomás University in the first semester of 2023. Methodology: a descriptive cross-sectional study was carried out with 27 teachers linked to the endodontics program. from the Universidad Santo Tomás Bucaramanga in which sociodemographic variables and variables related to job performance are evaluated according to the Colombian version of the WHOQOL-BREF questionnaire. In addition, 4 domains of CVRS were evaluated (physical health, psychological health, social relationships and environment). Results: the average age was 49 years, 59.26% of the teachers were women; more than half of them were married. When evaluating the labor variables, it was found that 85.19% worked only at the Santo Tomas University, with respect to the level of education, 74.07% have completed clinical specialization, and according to the type of hiring, 59.26% are linked as lecture hour, 37.04% work hour and 40.74%) curricular activity. When evaluating teachers' perception of their CVRS the majority of participants classify it as very good (40.7%), as in the question of how satisfied they are with their health, the majority are quite satisfied and very satisfied with their health. When evaluating the psychological health domain, a statistically significant difference was evident in the teachers who did routine physical activity (p=0.0130), this being more favorable than in those who did not. Conclusions: according to the relationship of the domains of HRQOL with the type of contract and teaching category, no statistically significant differences were evident.
Evaluación ex vivo de la eficacia antibacterial de naringina como irrigante de conductos radiculares contra Enteroccocus faecalis
(Universidad Santo Tomás, 2024-01-24) Cristancho Cristiano, Adriana Lucia; Morales Ordoñez, David Alejandro; Manosalva Estrada, María Alejandra
Aim: To evaluate the effectiveness of naringin as an irrigating solution for the elimination of Enterococcus faecalis in root canals of extracted human premolar teeth. Materials and methods: An ex vivo experimental study was carried out on upper and lower first and second premolars extracted for orthodontic purposes. The teeth were chosen randomly, numbered and distributed equally in four groups: Group 1 Naringin (7 teeth), Group 2 Sodium hypochlorite (7 teeth), Group 3 Chlorhexidine (7 teeth), Group 4 negative control with saline solution (6 cloves). Each of the ducts was contaminated with Enterococcus faecalis, irrigated with the corresponding substance and an initial and final count of the colony-forming units (CFU/ml) was performed. Results: the irrigating solution with the lowest mean in the final result of colony forming units was hypochlorite with a mean of 1057.143, followed by chlorexhidin (15180). Naringin came in third place with a mean of 610,000. Conclusion: Although naringin has the ability to inhibit the growth of Enterococcus faecalis, this ability is lower compared to 2% chlorhexidine and 2% sodium hypochlorite. 5.25%.
Impacto del clima organizacional en la percepción de la calidad de los pacientes atendidos en las clínicas de las especializaciones de odontología USTA durante el primer período del año 2023
(Universidad Santo Tomás, 2024-01-23) Del Castillo Chadid, David Alejandro; Galvis Parada, Gloria Lizeth; Vesga Garzón, Wilmer Ferney; Buitrago Rojas, Sandra Milena
The main objective of this work was “to determine the impact of the organizational climate on the perception of the quality of patients treated in the dental specialization clinics of the Santo Tomás University, Bucaramanga section during the first period of the year 2023.” For this purpose, a cross-sectional analytical methodology was used, with a total population of 299 patients of legal age, who were treated by the different specialties of the University clinic in the first half of 2023. The sampling was non-probabilistic type. Among the main results obtained, it is highlighted that, when characterizing the study population according to sociodemographic variables, the majority of users are women who live in socioeconomic strata 1 and 2, so it is not so easy to access appointments, likewise, a large part of the users mainly uses orthodontic and periodontal services. Subsequently, when describing the organizational climate of the staff linked to the USTA Floridablanca campus clinics, it was highlighted that it is pleasant for the general public, taking into account the teamwork, performance and training of the professionals who work there; Likewise, through the opinions of users, it was possible to determine the factors that affect the perception of patients regarding the provision of services in dental specialization clinics, where the results reveal positive elements, since they valued the order in facilities, the attention and ideal response to your needs. Jointly, it is concluded that the users expressed their perception of the organizational climate, who showed that they received good care and the organization is appreciated in the dental specialization clinics.
Diseño y validación de un material educativo sobre el manejo inmediato del trauma dentoalveolar, dirigido a personas que practican deportes de contacto de alto impacto.
(Universidad Santo Tomás, 2024-01-23) Ardila Niño, Diana Carolina; Guzmán Bonilla, Jorge Andrés; Arias Gómez, Luz Adriana; Gay Ortiz, Monique Marie
Introduction: Dentoalveolar trauma is characterized by an aggressive impact on dental structures, such as enamel, dentin and pulp, as well as permanent surrounding tissues, such as the periodontium and bone. Objective: The present study aims to design an educational material validated by experts, which provides the necessary tools for the immediate care of dentoalveolar trauma, specifically aimed at individuals who practice high-impact contact sports. Materials and methods: A literature review study was carried out for facial and content validation of the material by a group of 11 expert evaluators in endodontics, pediatric dentistry, graphic design and the sports community. Validation was determined using the content validity index proposed by Lawshe, considering an index greater than or equal to 0.6 as satisfactory. A pilot test was conducted to identify face validity, followed by content validation by the judges. Results: Two evaluations of the educational material were carried out. In the first evaluation, a general content validity index (CVR) of 0.65 was obtained. After the corrections made, a second evaluation was carried out that yielded a general CVR of 0.87, thus consolidating the validity of the content. Conclusion: Educational material has been developed for people who practice high-impact contact sports, with solid content validity. This resource can be used by dental professionals to carry out immediate actions in the management of dentoalveolar trauma.
Comparación de la Penetración en los Túbulos Dentinales en el tercio apical de dos Cementos Resinosos, Vioseal® y AH-Plus® mediante Microscopio Electrónico de barrido(SEM): Un Estudio In Vitro
(Universidad Santo Tomás, 2023-12-19) Castellanos Herrera, Diana Rocio; Mesa Sanabria, Jhon Albersson; Avendaño Rueda, Julio César
Summary: Root canal sealants used to fill the space between the gutta-percha and the dentinal walls in endodontic therapy have been multiple and different, such as the highly studied AH-Plus® and other recent ones such as Vioseal®, the latter of which has little scientific evidence related to penetration into the dentinal tubules Objective: To compare the penetration into the dentinal tubules of two endodontic sealing cements, Vioseal® vs. AH-Plus® in the apical third mm4, through an in vitro study with electron microscopy sweeping. Method: Invitro experimental study in 30 human single-rooted teeth, they were randomly divided into 2 groups (n = 15) Vioseal® (n = 15) AH-Plus®, the teeth were prepared with Wave One Gold rotary files, they were filled with both cements according to the group, were stored at a temperature of 37° C, 100% humidity for 72 h, dried for 7 days, cut at millimeter 4, then observed in scanning electron microscopy (SEM 500x). Electronic photographs were taken of each root, then the most representative area was analyzed by measuring the depth of penetration in the dentin-cement sealant interface using the ImageJ software Analysis program. Statistical analysis plan: The observed penetration distance was analyzed analytically by measurements of central tendency, position and shape as graphically using a boxplot and to compare the penetration distance between the 2 cements, the Mann-Whitney u test or the T test for independent tests was used, in cases where the assumption of normality was met. is satisfied or not and the normality test is calculated using the shapiro wilk test. Results: the penetration distance (measured in um) is slightly greater in Vioseal® cement (viewed through the average or median (249.6) and for Ah-plus® (247.1). At the same time, less variability is observed in the distance for this cement (observed through the interquartile range or standard deviation for Vioseal® 67.67 and Ah plus® 93.69 and the same result is reached after analyzing the result of the graph (boxplot). Conclusion: Vioseal® and Ah plus®, presented penetration in 100% of the teeth evaluated, there is no statistically significant difference in the penetration distance between the 2 cements.
Caracterización y medición de impacto laboral de los egresados del posgrado de endodoncia de la Universidad Santo Tomás Bucaramanga desde el 2017 al 2022
(Universidad Santo Tomás, 2023-12-20) Castellanos Joya, Helver Fabián; Pinto Fernández, Christian Felipe; Rincón Rodríguez, Martha Liliana
Introduction: Tracking graduates is a fundamental tool in analyzing the quality of higher education programs. It can be a diagnostic method of the work reality that serves to improve the study plan or implement new educational models Objective: to characterize and measure the work impact of graduates of the endodontics postgraduate program at the Universidad Santo Tomás, Bucaramanga, from 2017 to 2022. Materials and methods: An observational, descriptive and cross-sectional study was carried out where the sample was collected by convenience and was made up of 43 graduates of the endodontics postgraduate program at the Santo Tomás University, Bucaramanga headquarters, between the years 2017 to 2022. For A virtual survey was used to collect the data through Google Forms. Results: the findings show that the majority 83.72% (36) stated that they received job promotions for having completed the postgraduate degree in endodontics. In addition to this, 97.67% (42) mentioned having increased their income, 90.70% (39). The majority (48.84%) felt very satisfied overall with the specialization. Conclusions: The graduates of the endodontics postgraduate course from 2017 to 2022 from the Santo Tomás University, Bucaramanga headquarters, present a high level of satisfaction with respect to the academic training and the work and economic impact that the specialization provided them

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