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Quintana del Solar, Carmen Inocencia (2014)
Publisher: Universidad Nacional Mayor de San Marcos, Facultad de Odontología
Languages: Spanish; Castilian
Types: Article
Subjects: Traumatismos de los dientes; avulsión dentaria; medios de transporte., Tooth injuries; tooth avulsion; storage medium.
Se realizó una revisión de la literatura con respecto a los medios de almacenamiento para dientes avulsionados. Se utilizó el buscador Medline, incluyendo aquellas publicaciones entre 1980 - 2007 en las que apareciesen como palabra clave: “viability”, “storage medium”, “storage media”, “tooth avulsion” y “avulsion”. Los mejores medios son aquellos que tienen las siguientes características: pH y osmolalidad fisiológica, contengan nutrientes, sean líquidos estériles y estén disponibles en el lugar del accidente. Los resultados de estos estudios muestran que la leche fresca descremada pasteurizada fue mejor que la saliva, el agua, las soluciones para lentes de contacto y el Gatorade®. El HBSS y el Viaspan fueron mejores que la leche, el propóleo y el agua de coco. El Viaspan fue igual a, o mejor que, el HBSS para preservar las células del ligamento periodontal. A pesar de su efectividad en mantener la viabilidad celular, el Viaspan y el HBSS son costosos y no están disponibles rápidamente en el lugar del accidente a diferencia de la leche. A review of the literature was made regarding the way avulsed teeth were stored. An online search in Medline was used, including those publications between 1980 and 2007 in which the key word: “viability”, “storage medium”, “storage media”, “tooth avulsion” and “avulsion” appeared. The best storages are those that have the following characteristics: pH and physiological osmolality, contain nutrients, are liquid sterile and are available at the moment of the accident. The results of those studies showed that low-fat fresh milk pasteurized was better than saliva, water, contact lens solutions and the Gatorade®. HBSS and Viaspan were better than milk, propolis and tender Coconut water. Viaspan was equal to, or better than, HBSS in preserving periodontal ligament cells. Unfortunately, despite of its effectiveness in maintaining periodontal ligament cells viability, Viaspan and HBSS are expensive and are not available like milk.
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