Un Abordaje Estético Mínimamente Invasivo para Dientes con Hipomineralización de Incisivos Molares: Reporte de Caso Clínico
DOI:
https://doi.org/10.21270/archi.v13i1.6111Palabras clave:
Demineralización, Resinas Compuestas, Adhesivos, EstéticaResumen
La hipomineralización incisivo molar (MIH) es un defecto cualitativo del esmalte, clínicamente caracterizado por opacidades demarcadas de color blanco o amarillo/marrón que afectan a los molares permanentes, a menudo asociados con los incisivos permanentes. La etiología es multifactorial, incluyendo factores sistémicos y genéticos/epigenéticos. Los defectos de los dientes anteriores pueden impactar negativamente a los niños ya que pueden presentar problemas de baja autoestima y socialización. Propósito: Describir un tratamiento mínimamente invasivo para dientes anteriores afectados por hipomineralización de incisivos molares, realizado con restauración directa de resina compuesta y un sistema adhesivo universal. Caso Clínico: Paciente de 8 años de edad que acude a atención odontológica con quejas sobre su apariencia dental, refiriendo sufrir acoso escolar. Presentaba una opacidad blanco-amarillenta en el incisivo central superior derecho. Después de un examen clínico, se le diagnosticó hipomineralización de incisivos molares. Para mejorar la estética dental se propuso una restauración directa con resina compuesta. La superficie del esmalte se preparó y grabó con una solución grabadora de ácido fosfórico al 35 % durante 15 segundos antes de aplicar el sistema adhesivo universal. Se usaron dos tonos diferentes del composite para estratificar el material para disimular el defecto sin una remoción extensa de la estructura dental. El resultado fue satisfactorio ya que se logró enmascarar la opacidad, restablecer el espesor del esmalte y mejorar la calidad de vida del paciente. Conclusión: Las restauraciones conservadoras que comprenden un sistema adhesivo universal parecen brindar resultados estéticos deseables para los dientes anteriores con hipomineralización incisivo molar.
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