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Implantes dentales
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Implantes dentales

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La Escuela de Odontología de la Universidad de Michigan ha lanzado un nuevo procedimiento que permite realizar implantes dentales en una hora para reemplazar en forma permanente la dentadura. 

El Dr. Michael Razzoog, profesor de Odontología Protésica aseguró que el nuevo método ahorra tiempo y produce menos daños en la boca del paciente.
Antes que existiera este tipo de procedimiento, los pacientes eran sometidos a una cirugía para colocarles un pilar en las encías y huesos maxilares y después debían esperar meses para que cicatrizara la herida para poder conectar la prótesis dental a los pilares.

Uno de los primeros pacientes sometidos a este nuevo procedimiento fue Bill Madalin, un jubilado de Ann Arbor (Michigan). El implante fue instalado por un estudiante de Odontología de tercer año en sólo una visita al consultorio. El paciente pudo comer in problemas un trozo de carne esa misma noche. 

Según Razzoog, la Escuela de Odontología de la UM fue la primera en el país que utilizó este tipo de técnica. Razzoog y el Dr. Richard Scott, un ex alumno de la misma escuela fueron los primeros en todo EEUU que realizaron este procedimiento en el año 2003.

Otros estados en EEUU ya practican esta técnica, pero la Escuela de Odontología de la UM es la única que capacita a sus estudiantes para realizarla y además imparte cursos a dentistas del resto del país.

El nuevo método funciona de la siguiente manera: Los pacientes visitan al dentista una vez antes de la intervención quirúrgica y son sometidos a una tomografía computarizada de la zona maxilar, realizada en una sala amplia mientras están sentados en un sillón.

Utilizando la tomografía computarizada y programas especializados se realiza un modelo de la estructura bucal del paciente. La imagen tridimensional y el modelo ayudan al equipo a determinar el lugar exacto de los implantes para construir los nuevos dientes.

Un modelo quirúrgico, diseñado especialmente para ajustarse a la boca del paciente, guía al dentista para realizar entre 4 a 8 orificios a través de las encías hasta el hueso de la mandíbula. Allí puede instalar los tornillos de titanio que mantendrán a los implantes en su lugar. 

Menos de 1,000 personas en el mundo han tenido este procedimiento, que fue lanzado para el público este verano.

Razzoog y Marianella Sierraalta, profesora asociada de Odontología Protésica Clínica han capacitado a 40 dentistas cada mes para que puedan realizar implantes con esta técnica y aseguran que pueden reducir las complicaciones porque necesitan cortes más pequeños que los realizados en el método antiguo, lo que reduce también las posibilidades de infección e inflamación.

Si se compara esta técnica con las prótesis dentales extraíbles, el contraste es aún mayor, porque permite a los pacientes la posibilidad de comer lo que quieran, les ayuda a tener más confianza cuando hablan y la dentadura no tiene un soporte que cubre el techo superior del paladar, como es el caso en general de las dentaduras postizas superiores. 

Por los costos, el tratamiento no es para todos. Razzoog advierte que los seguros de salud no cubren este tipo de procedimientos, que en el caso de una dentadura completa cuesta alrededor de $12,000 si se realiza en la UM, pero aún más para pacientes que son tratados por un dentista con una práctica privada. 

Según Razzoog los mejores candidatos para esta técnica son las personas que ya han tenido extracciones de dientes problemáticos, quizás los que ya utilizan una prótesis dental que no es fija. Si no es el caso y hay que sacar dientes problemáticos, los pacientes necesitan esperar que las encías cicatricen después de una extracción antes de realizar los implantes. 

Sierraalta dice que espera ver progreso en el procedimiento que permita realizar las extracciones y los implantes en el mismo día. Ciencia y salud
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