Download - Caso clinico unfv-2 - tratamiento - nestor tafur chavez - odontologia - protesis parcial fija
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PRESENTACIÓN DE CASO CLÍNICO
DE PROTESIS PARCIAL FIJA
Facultad de Odontología
Dr. Carlos Lopez G.
PRE-GRADO
ODONTOLOGIA - UNFV - NEARTACH 1
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ANAMNESIS Facultad de Odontología
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 2
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Facultad de Odontología
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 3
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Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 4
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Facultad de Odontología
“Quiero arreglarme los dientes y este bien mi boca”
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 5
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Facultad de Odontología
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 6
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CAUSA DE LA PÉRDIDA DE LOS DIENTES:
Caries X Enfermedad Periodontal Accidente
Otras causas
Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 7
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EXAMEN CLINICO GENERAL
- ABEG
- ABEN
- ABEH
- LOTEP
- Escala de estado físico: ASA II
Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 8
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Tipo Psicológico Paciente Filosófico Paciente Exigente x Paciente Indiferente Paciente escéptico Paciente histérico
Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 9
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Paciente clasificado para:
• Tratamiento integral. x
• Tto. único especializado.
• Tto. De emergencia. ODONTOLOGIA - UNFV - NEARTACH 10
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Facultad de Odontología
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 11
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Proporciones Vista frontal (horizontales y verticales) Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 12
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SIMETRIA (Centro Facial) Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 13
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LINEA BIPUPILAR Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 14
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Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 15
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Facultad de Odontología
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 16
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Color de la tez
Blanca
Trigueña
otros …..
x
Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 17
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Apertura Bucal
Grande
Mediano
Pequeño
x
Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 18
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Facultad de Odontología
NEARTACH
Apertura Bucal
ODONTOLOGIA - UNFV - NEARTACH 19
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Contorno Perioral Hipertónico Normal Hipotónico x
Tono muscular facial y peribucal
x
ODONTOLOGIA - UNFV - NEARTACH 20
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Palpación de la ATM
Caracteres Normales Caracteres Anormales x
- PALPACIÓN - AUSCULTACIÓN - PERCUSIÓN
ODONTOLOGIA - UNFV - NEARTACH 21
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PALPACIÓN DE LOS GANGLIOS
ODONTOLOGIA - UNFV - NEARTACH 22
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Largos Gruesos Tónicos x
Medianos x Delgados Flácidos
Cortos Medianos x
Movilidad muy contractil normal alguna mov.
Labios : Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 23
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Facultad de Odontología
ODONTOLOGIA - UNFV - NEARTACH 24
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R DES DES
DES DES
R
ODONTOLOGIA - UNFV - NEARTACH 25
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Análisis funcional de la oclusión
Condición y alineación tridimencional de los dientes
Facultad de Odontología
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 26
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Análisis funcional de la oclusión
Condición y alineación tridimencional de los dientes
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 27
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Análisis funcional de la oclusión
Condición y alineación tridimencional de los
dientes
dientes que requieran una
evaluación más detallada por
Alguna particularidad
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 28
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Análisis funcional de la oclusión
Esquema oclusal en estática
Relac. Molar NO
REGITRABLE
Relac. Canina clase I
Over jet anterior:
1 mm 30%
Relac. Molar: NO
REGISTRABLE.
Relac. Canina clase I.
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 29
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Análisis funcional de la oclusión Esquema oclusal en estática
Acople de caninos Acople de caninos
Acople de incisivos
SI ( x ) NO ( ) SI ( x ) NO ( )
SI ( x ) NO ( )
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 30
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Análisis funcional de la oclusión
Esquema oclusal en dinámica
Foto frontal
de los dientes en protrusiva
Foto lateral izq.
En protrusiva
Foto lateral derecha En protrusiva
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 31
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Análisis funcional de la oclusión
Esquema oclusal en dinámica
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 32
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Análisis funcional de la oclusión
Esquema oclusal en dinámica
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 33
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Análisis funcional de la oclusión
Esquema oclusal en dinámica
Fotos de algunos aspectos de la oclusión que requiera
mayor atención y discusión por su relevancia
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 34
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Análisis funcional de la oclusión
Análisis de modelos articulados en ASA
Foto frontal de los
Modelos en
máxima
intercuspidación
Foto lateral
De los modelos
En máxima
Intercuspidación
Lado derecho
Foto lateral
De los modelos
en máxima
Intercuspidación
Lado izquierdo
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 35
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Análisis funcional de la oclusión
Análisis de modelos articulados en ASA
Esto permitirá describir la
forma o el patrón morfólógico
del arco
dentario, las líneas
parabólicas, la alineación de
los Dientes con
respecto a estas líneas, la
simetría del arco, las brechas
edéntulas
En extensión, calidad y
forma, la integridad de los
dientes, las
facetas de desgaste,etc etc
etc
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 36
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Análisis funcional de la oclusión
Análisis de modelos articulados en ASA Esto permitirá
describir la forma o el
patrón morfólógico del
arco
dentario, las líneas
parabólicas, la
alineación de los
Dientes con
respecto a estas
líneas, la simetría del
arco, las brechas
edéntulas
En extensión, calidad
y forma, la integridad
de los dientes, las
facetas de
desgaste,etc etc etc
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 37
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7. Exámenes de Laboratorio
• Hemograma completo.
• Tiempo de sangría y coagulación.
• Hematocrito.
• Glucosa.
• Perfil lipídico.
• Examen BK.
• HIV
• Otros. ODONTOLOGIA - UNFV - NEARTACH 38
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Exámenes especiales • Biopsia
• Cultivo
• Antibiograma
• Otros/ninguno x
ODONTOLOGIA - UNFV - NEARTACH 39
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Examen Radiográfico • PANORÁMICA
• LATERAL
• OCLUSAL
• Adjuntar informe radiográfico
ODONTOLOGIA - UNFV - NEARTACH 40
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Radiografía Panorámica
ODONTOLOGIA - UNFV - NEARTACH 41
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DIAGNÓSTICO INTEGRAL
ABEG – ABEH- ABEN
LOTEP
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 42
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DIAGNÓSTICO INTEGRAL
De las condiciones estomatológicas
ATM
aparentemente normal
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 43
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DIAGNÓSTICO INTEGRAL
De las condiciones estomatológicas
COMPONENTE
NEUROMUSCULAR No presencia de parafunción
No afección muscular dolorosa o funcional ligada a limitación de
movimientos.
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 44
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DIAGNÓSTICO INTEGRAL
De las condiciones estomatológicas
TEJIDOS BLANDOS
Aparente normalida
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 45
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ENCERADO DE PLANIFICACIÓN
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 46
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ENCERADO DE PLANIFICACIÓN
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 47
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ENCERADO DE PLANIFICACIÓN
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 48
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ODONTOLOGIA - UNFV - NEARTACH 49
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ENCERADO DE PLANIFICACIÓN
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 50
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ODONTOLOGIA - UNFV - NEARTACH 51
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ENCERADO DE PLANIFICACIÓN
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 52
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ODONTOLOGIA - UNFV - NEARTACH 53
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• Ensayo de tratamientos
complejos en modelos
• Ensayo de artificios oclusales
y estéticos
Mostrar con fotos tales artificios, el antes y después. Esto permitirá
Que En la exposiciòn puedan explicar razonadamente el las
opciones de tratamientp
ENCERADO DE PLANIFICACIÓN
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 54
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Plan de tratamiento
ENCERADO DE PLANIFICACIÓN
NEARTACH ODONTOLOGIA - UNFV - NEARTACH 55
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ODONTOLOGIA - UNFV - NEARTACH 56
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ODONTOLOGIA - UNFV - NEARTACH 57
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ODONTOLOGIA - UNFV - NEARTACH 58 ODONTOLOGIA - UNFV - NEARTACH 58
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SECUENCIA DE TRATAMIENTO
ODONTOLOGIA - UNFV - NEARTACH 59
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SACAR PROVICIONAL ANTIGUO.
ODONTOLOGIA - UNFV - NEARTACH 60
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ODONTOLOGIA - UNFV - NEARTACH 61
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ODONTOLOGIA - UNFV - NEARTACH 62
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ODONTOLOGIA - UNFV - NEARTACH 63
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ODONTOLOGIA - UNFV - NEARTACH 64
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EXODONCIAS DE REMANENTES RADICULARES
ODONTOLOGIA - UNFV - NEARTACH 65
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ODONTOLOGIA - UNFV - NEARTACH 66
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ODONTOLOGIA - UNFV - NEARTACH 67
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ODONTOLOGIA - UNFV - NEARTACH 68
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ENDODONCIAS
ODONTOLOGIA - UNFV - NEARTACH 69
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ODONTOLOGIA - UNFV - NEARTACH 70
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ODONTOLOGIA - UNFV - NEARTACH 71
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ODONTOLOGIA - UNFV - NEARTACH 72
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DESOBTURACION DEL CONDUCTO
ODONTOLOGIA - UNFV - NEARTACH 73
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ODONTOLOGIA - UNFV - NEARTACH 74
DESOBTURACION DEL CONDUCTO
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ODONTOLOGIA - UNFV - NEARTACH 75
DESOBTURACION DEL CONDUCTO
![Page 76: Caso clinico unfv-2 - tratamiento - nestor tafur chavez - odontologia - protesis parcial fija](https://reader034.vdocuments.pub/reader034/viewer/2022052200/55782731d8b42a9b438b4a54/html5/thumbnails/76.jpg)
ODONTOLOGIA - UNFV - NEARTACH 76
DESOBTURACION DEL CONDUCTO
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FIBRA DE VIDRIO
ODONTOLOGIA - UNFV - NEARTACH 77
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ODONTOLOGIA - UNFV - NEARTACH 78
FIBRA DE VIDRIO
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ODONTOLOGIA - UNFV - NEARTACH 79
FIBRA DE VIDRIO
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CEMETACION DE LA FIBRA DE VIDRIO
ODONTOLOGIA - UNFV - NEARTACH 80
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ODONTOLOGIA - UNFV - NEARTACH 81
FOTOCURADO
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RECONSTRUCCION Y TALLADO DEL MUÑON
ODONTOLOGIA - UNFV - NEARTACH 82
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ODONTOLOGIA - UNFV - NEARTACH 83
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ODONTOLOGIA - UNFV - NEARTACH 84
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ODONTOLOGIA - UNFV - NEARTACH 85
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ODONTOLOGIA - UNFV - NEARTACH 86
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PREPARACION DEL PROVICIONAL.
ODONTOLOGIA - UNFV - NEARTACH 87
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ODONTOLOGIA - UNFV - NEARTACH 88
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CEMENTADO PROVICIONAL
ODONTOLOGIA - UNFV - NEARTACH 89
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TROQUELADO
ODONTOLOGIA - UNFV - NEARTACH 90
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ODONTOLOGIA - UNFV - NEARTACH 91
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ODONTOLOGIA - UNFV - NEARTACH 92
ESTRUCTURA METALICA
![Page 93: Caso clinico unfv-2 - tratamiento - nestor tafur chavez - odontologia - protesis parcial fija](https://reader034.vdocuments.pub/reader034/viewer/2022052200/55782731d8b42a9b438b4a54/html5/thumbnails/93.jpg)
ODONTOLOGIA - UNFV - NEARTACH 93
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ODONTOLOGIA - UNFV - NEARTACH 94
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ODONTOLOGIA - UNFV - NEARTACH 95
ESTRUCTURA METALICA
![Page 96: Caso clinico unfv-2 - tratamiento - nestor tafur chavez - odontologia - protesis parcial fija](https://reader034.vdocuments.pub/reader034/viewer/2022052200/55782731d8b42a9b438b4a54/html5/thumbnails/96.jpg)
ESTRUCTURA METALICA
ODONTOLOGIA - UNFV - NEARTACH 96
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IMPRESIÓN POR ARRASTRE
ODONTOLOGIA - UNFV - NEARTACH 97
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ODONTOLOGIA - UNFV - NEARTACH 98
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PRUEBA DE BIZCOCHO.
ODONTOLOGIA - UNFV - NEARTACH 99
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ODONTOLOGIA - UNFV - NEARTACH 100
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ODONTOLOGIA - UNFV - NEARTACH 101
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ODONTOLOGIA - UNFV - NEARTACH 102
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ODONTOLOGIA - UNFV - NEARTACH 103
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ODONTOLOGIA - UNFV - NEARTACH 104
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CEMENTADO
ODONTOLOGIA - UNFV - NEARTACH 105
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ODONTOLOGIA - UNFV - NEARTACH 106
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ODONTOLOGIA - UNFV - NEARTACH 107
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ODONTOLOGIA - UNFV - NEARTACH 108
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ODONTOLOGIA - UNFV - NEARTACH 109
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ODONTOLOGIA - UNFV - NEARTACH 110
INCRUSTACION
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ODONTOLOGIA - UNFV - NEARTACH 111
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ODONTOLOGIA - UNFV - NEARTACH 112
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ODONTOLOGIA - UNFV - NEARTACH 113
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ODONTOLOGIA - UNFV - NEARTACH 114
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ODONTOLOGIA - UNFV - NEARTACH 115
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ODONTOLOGIA - UNFV - NEARTACH 116
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ODONTOLOGIA - UNFV - NEARTACH 117
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INCRUSTACION
ODONTOLOGIA - UNFV - NEARTACH 118
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ODONTOLOGIA - UNFV - NEARTACH 119
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ZENQUIU!
ODONTOLOGIA - UNFV - NEARTACH 120