Materiais obturadores na odontopediatria: pastas a base de antibióticos possuem desfechos clínicos superiores que as pastas Vitapex®?
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Data
2022-12-17
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Silva, Guilherme Alan Vasques da
Orientador
Alves, Nilton de Moura
Coorientador
Resumo
INTRODUÇÃO: a cárie dentária e os traumatismos estão normalmente ligados aos principais fatores que levam um dente decíduo a necessitar de algum tratamento endodôntico. Tendo em vista determinadas peculiaridades na forma anatômica e padrões de oclusão sendo modificados, o tecido pulpar fica passível de sofrer injúrias que ocasionam reações inflamatórias. Devido a estas situações, a intervenção endodôntica é necessária para preservar a vitalidade ou apenas sua posição em boca, visando sua queda natural ao final de sua esfoliação. A técnica comumente utilizada pelo cirurgião-dentista é a pulpectomia, que consiste na sanificação do conduto, sendo associada com pastas obturadoras que irão vedar os condutos impedindo sua reinfecção. A pasta obturadora deve acompanhar a reabsorção radicular do dente decíduo, sem causar traumas aos tecidos, sendo de fácil manipulação e boa visualização radiográfica. A pasta Vitapex® possui grande destaque na odontopediatria. Outra técnica que está ganhando base científica é a técnica de não instrumentação e esterilização de lesões e reparo tecidual (LSTR) dispensa a instrumentação do conduto e consiste na aplicação tópica de uma pasta antibiótica. OBJETIVO: o objetivo deste estudo foi realizar uma revisão de literatura sobre a possibilidade das pastas obturadoras a base de antibióticos possuírem desfechos clínicos superiores as tradicionais pastas Vitapex®. METODOLOGIA: realizamos uma pesquisa nas seguintes bases de dados: PUBMED, SCIELO, COCHRANE, AAPD e ABOPED. Após critérios de inclusão e exclusão, selecionamos 29 artigos para o desenvolvimento da revisão de literatura. CONCLUSÃO: os artigos analisados nesse presente estudo indicam a pouca ou quase nenhuma diferença estatística significante em relação aos resultados comparando a pasta Vitapex® e as pastas com combinações antibióticas. Sendo recomendada a utilização da técnica LSTR com pastas antibióticas em casos de prognóstico ruins ou reabsorção externa avançada, quando há o objetivo de manter o dente em boca até sua esfoliação natural. Se há a possibilidade realizar a pulpectomia, o Vitapex® é recomendado
INTRODUCTION: dental caries and trauma are usually linked to the main factors that lead an endodontic treatment to require some endodontic treatment. In view of certain peculiarities in the anatomical shape and patterns of occlusion being modified, the pulp tissue is liable to suffer injuries that cause inflammatory reactions. Due to these situations, an endodontic intervention is necessary to preserve its vitality or just its position in the mouth, aiming at its natural fall at the end of its exfoliation. The one commonly used by the dentist, which consists of pulping the conduit, with obturator masses that will seal the technical conduits in their reinfection. The filling paste must accompany the root resorption of the primary tooth, without causing trauma to the tissues, being easy to handle and with good radiographic visualization. Vitapex® putty has great prominence in pediatric dentistry. Another technique that is based on scientific sterilization is the non-instrumentation and tissue repair technique (LSTR), which dispenses with instrumentation with sterilization and consistency in the application of an antibiotic paste. OBJECTIVE: The objective of the study was to carry out a review of the literature on the possibility of the masses obtained as a basis of original Vitapex® historical certificates as traditional. METHODOLOGY: we carried out a search in the following databases: PUBMED, SCIELO, COCHRANE, AAPD and ABOPED. After choosing inclusion and exclusion, we selected 29 articles for the development of the literature review. CONCLUSION: The studies compare the studies almost that present studies indicate a significant amount or no significant statistics in relation to the comparison with Vipex® masses and as masses with difference to antibiotics. The use of the LSTR technique with antibiotic masses is recommended in cases of poor prognosis or advanced external resorption, when the objective is to keep the tooth in the mouth until its natural exfoliation. If there is a possibility of performing a pulpectomy, Vitapex® is recommended.
INTRODUCTION: dental caries and trauma are usually linked to the main factors that lead an endodontic treatment to require some endodontic treatment. In view of certain peculiarities in the anatomical shape and patterns of occlusion being modified, the pulp tissue is liable to suffer injuries that cause inflammatory reactions. Due to these situations, an endodontic intervention is necessary to preserve its vitality or just its position in the mouth, aiming at its natural fall at the end of its exfoliation. The one commonly used by the dentist, which consists of pulping the conduit, with obturator masses that will seal the technical conduits in their reinfection. The filling paste must accompany the root resorption of the primary tooth, without causing trauma to the tissues, being easy to handle and with good radiographic visualization. Vitapex® putty has great prominence in pediatric dentistry. Another technique that is based on scientific sterilization is the non-instrumentation and tissue repair technique (LSTR), which dispenses with instrumentation with sterilization and consistency in the application of an antibiotic paste. OBJECTIVE: The objective of the study was to carry out a review of the literature on the possibility of the masses obtained as a basis of original Vitapex® historical certificates as traditional. METHODOLOGY: we carried out a search in the following databases: PUBMED, SCIELO, COCHRANE, AAPD and ABOPED. After choosing inclusion and exclusion, we selected 29 articles for the development of the literature review. CONCLUSION: The studies compare the studies almost that present studies indicate a significant amount or no significant statistics in relation to the comparison with Vipex® masses and as masses with difference to antibiotics. The use of the LSTR technique with antibiotic masses is recommended in cases of poor prognosis or advanced external resorption, when the objective is to keep the tooth in the mouth until its natural exfoliation. If there is a possibility of performing a pulpectomy, Vitapex® is recommended.
Palavras-chave
Dentes decíduos, Tratamento de canal, Primeiros molares, Pulpectomia, Materiais obturadores, Cariologia, Vitapex®, LSTR