Cirugía perirradicular guiada con láser erbio. Reporte de Caso

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dc.contributor.advisorHernández La Rotta, Johanna Eugenia
dc.contributor.advisorTorres Celeita, Julián
dc.contributor.authorCarvajal Rodríguez, Daniel Felipe
dc.contributor.authorVillegas González, Isabella
dc.contributor.corporatenameUniversidad Santo Tomás
dc.date.accessioned2025-12-03T13:46:52Z
dc.date.available2025-12-03T13:46:52Z
dc.date.issued2025-12-03
dc.descriptionLa incorporación del láser de erbio en los procedimientos endodónticos y quirúrgicos ofrece ventajas durante la ablación ósea, ya que este tipo de láser no solo elimina tejido de manera eficiente, sino que también desinfecta las superficies tratadas, reduciendo el sobrecalentamiento y minimizando el daño térmico en el hueso. Objetivo: Describir la evaluación y manejo de un paciente sometido a cirugía perirradicular guiada con láser Er,Cr:YSGG, empleándolo para la incisión, osteotomía y apicectomía en un caso diagnosticado con periodontitis apical asintomática. Método: Se realizó un reporte de caso clínico en el que se evaluaron las condiciones clínicas y radiográficas del paciente antes y después del procedimiento. Durante el periodo prequirúrgico, los tejidos blandos se presentaron en condiciones normales y la lesión apical fue evidenciada mediante tomografía computarizada de haz cónico (CBCT). Resultados: A las 24 horas postquirúrgicas se observó inflamación moderada de los tejidos blandos, con suturas presentes y bordes parcialmente adheridos, sin signos de sangrado ni supuración. La evaluación radiográfica evidenció un defecto óseo hipodenso correspondiente al área quirúrgica. Las lecturas de densidad ósea obtenidas a las 24 horas, 6 meses y 10 meses mostraron una disminución significativa en la fase inicial de reparación, con evidencia de regeneración ósea progresiva. Conclusiones: El láser Er,Cr:YSGG constituye una herramienta mínimamente invasiva y eficaz para procedimientos perirradiculares, al permitir una manipulación precisa de tejidos duros y blandos, reducir la carga bacteriana y favorecer condiciones óptimas para la cicatrización ósea
dc.description.abstractThe incorporation of the erbium laser in endodontic and surgical procedures offers advantages during bone ablation, as this type of laser not only removes tissue efficiently but also disinfects treated surfaces, reducing overheating and minimizing thermal damage to bone. Objective: To describe the evaluation and management of a patient who underwent periradicular surgery guided by an Er,Cr:YSGG laser, used for incision, osteotomy, and apicoectomy in a case diagnosed with asymptomatic apical periodontitis. Method: A clinical case report was carried out in which the patient’s clinical and radiographic conditions were evaluated before and after the procedure. During the pre-surgical period, the soft tissues were in normal condition, and the apical lesion was evidenced through cone-beam computed tomography (CBCT). Results: At 24 hours post-surgery, moderate inflammation of the soft tissues was observed, with sutures in place and partially adhered wound edges, without signs of bleeding or suppuration. The radiographic evaluation showed a hypodense bone defect corresponding to the surgical area. Bone density readings obtained at 24 hours, 6 months, and 10 months showed a significant decrease during the initial repair phase, with evidence of progressive bone regeneration. Conclusions: The Er,Cr:YSGG laser represents a minimally invasive and effective tool for periradicular procedures, allowing precise manipulation of hard and soft tissues, reducing bacterial load, and promoting optimal conditions for bone healing.
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Endodonciaspa
dc.description.domainhttps://www.ustabuca.edu.co/
dc.format.mimetypeapplication/pdf
dc.identifier.citationCarvajal Rodríguez D.F y Villegas González I. (2025). Cirugía perirradicular guiada con láser erbio. Reporte de Caso [Tesis de posgrado]. Universidad Santo Tomás, Bucaramanga, Colombia
dc.identifier.instnameinstname:Universidad Santo Tomásspa
dc.identifier.reponamereponame:Repositorio Institucional Universidad Santo Tomásspa
dc.identifier.repourlrepourl:https://repository.usta.edu.cospa
dc.identifier.urihttp://hdl.handle.net/11634/70538
dc.language.isospa
dc.publisherUniversidad Santo Tomásspa
dc.publisher.branchCRAI-USTA Bucaramanga
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.programEspecialización Endodonciaspa
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dc.rightsAttribution 2.5 Colombiaen
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by/2.5/co/
dc.subject.keywordGuided periradicular surgery
dc.subject.keywordEr
dc.subject.keywordCr: ysgg laser
dc.subject.keywordApical lesion
dc.subject.keywordCbct
dc.subject.keywordBone density
dc.subject.lembEnfermedades de los dientes
dc.subject.lembOdontología especializada
dc.subject.lembProcedimientos endodónticos
dc.subject.proposalCirugía perirradicular guiada
dc.subject.proposalLáser erbio er
dc.subject.proposalC: ysgg
dc.subject.proposalLesión apical
dc.subject.proposalCbct
dc.subject.proposalDensidad ósea
dc.titleCirugía perirradicular guiada con láser erbio. Reporte de Caso
dc.typebachelor thesis
dc.type.categoryFormación de Recurso Humano para la Ctel: Trabajo de grado de Especialización
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driveinfo:eu-repo/semantics/bachelorThesis
dc.type.localTrabajo de gradospa
dc.type.versioninfo:eu-repo/semantics/acceptedVersion

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Especialización Endodoncia