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Authors
Abstract(s)
Introdução: As perfurações de furca correspondem à segunda causa mais
comum de insucessos endodônticos. Um material reparador deve garantir um
correto selamento da perfuração de furca, ser biocompatível com os tecidos
circundantes periodontais e resistir às forças de deslocamento, aquando da sua
aplicação. O Biodentine® (Septodont Inc., Saint Maur des Fossés, Île-de-France,
França) é um material à base de silicato de cálcio que foi aprovado para uso
dentário nos EUA, pela FDA, em 2009 e tem uma vasta gama de aplicações na
área da Endodontia. O objetivo principal desta revisão sistemática foi analisar a
evidência de forma sistemática acerca da eficácia do Biodentine na reparação
de perfurações de furca.
Materiais e Métodos: Foi feita a pesquisa nas plataformas Pubmed/MEDLINE,
Cochrane Library, Web of Science e Scopus, com os termos Mesh definidos na
estratégia, sendo a seleção dos artigos conduzida por critérios de inclusão e
exclusão.
Resultados: Foram incluídos 25 artigos nesta revisão sistemática, em que 76%
correspondiam a estudos in vitro, em dentes humanos, e os restantes estudos in
vivo, em dentes de animais. Dos 19 estudos in vitro, 11 faziam referência à
capacidade de selamento do Biodentine, e os restantes avaliavam a força
necessária ao deslocamento do Biodentine. Todos os estudos in vivo avaliaram
a resposta dos tecidos periodontais, aquando da aplicação de Biodentine na área
perfurada. Dos 25 estudos, 24 comprovaram a eficácia do Biodentine com
resultados semelhantes ou superiores a outros materiais de reparação.
Conclusão: O Biodentine mostrou ser uma boa alternativa na reparação de
perfurações de furca demonstrando boa capacidade de selamento, boa
resistência às forças de deslocamento e biocompatibilidade. É necessária uma
confirmação destes resultados em ambiente clínico.
Introduction: Furcal perforations are the second most common cause of endodontic failure. The repair material must guarantee a correct furcation perforation seal, be biocompatible with the surrounding periodontal tissues and resist to displacement forces, when applied. Biodentine® (Septodont Inc., Saint Maur des Fossés, Ilhale-de-France, France) is a calcium silicate-based material that was approved for dental use in the USA by the FDA in 2009 and has a wide range of applications in the field of Endodontics. The main objective of this systematic review was to systematically analyze the evidence about the effectiveness of Biodentine in the repair of furcal perforations. Materials and methods: The search was guided on Pubmed/MEDLINE, Cochrane Library, Web of Science and Scopus, with the Mesh terms defined in the strategy, and the selection of the articles was managed by inclusion and exclusion criteria. Results: 25 articles were included in this systematic review, of which 76% corresponded to in vitro studies, in human teeth, and the remaining to in vivo studies, in animal teeth. Of the 19 in vitro studies, 11 referred to the sealing ability of Biodentine, and the remaining evaluated its push-out bond strength. All in vivo studies evaluated the response of periodontal tissues when applying Biodentine in the perforated area. Of the 25 studies, 24 proved the effectiveness of Biodentine with similar or superior results to other soma materials. Conclusion: Biodentine proved to be a good alternative for furcation perforation repair, demonstrating good sealing ability, good resistance to displacement forces and biocompatibility. The confirmation of these results by clinical studies is necessary.
Introduction: Furcal perforations are the second most common cause of endodontic failure. The repair material must guarantee a correct furcation perforation seal, be biocompatible with the surrounding periodontal tissues and resist to displacement forces, when applied. Biodentine® (Septodont Inc., Saint Maur des Fossés, Ilhale-de-France, France) is a calcium silicate-based material that was approved for dental use in the USA by the FDA in 2009 and has a wide range of applications in the field of Endodontics. The main objective of this systematic review was to systematically analyze the evidence about the effectiveness of Biodentine in the repair of furcal perforations. Materials and methods: The search was guided on Pubmed/MEDLINE, Cochrane Library, Web of Science and Scopus, with the Mesh terms defined in the strategy, and the selection of the articles was managed by inclusion and exclusion criteria. Results: 25 articles were included in this systematic review, of which 76% corresponded to in vitro studies, in human teeth, and the remaining to in vivo studies, in animal teeth. Of the 19 in vitro studies, 11 referred to the sealing ability of Biodentine, and the remaining evaluated its push-out bond strength. All in vivo studies evaluated the response of periodontal tissues when applying Biodentine in the perforated area. Of the 25 studies, 24 proved the effectiveness of Biodentine with similar or superior results to other soma materials. Conclusion: Biodentine proved to be a good alternative for furcation perforation repair, demonstrating good sealing ability, good resistance to displacement forces and biocompatibility. The confirmation of these results by clinical studies is necessary.
Description
Keywords
Biodentine Perfurações de furca Furcation perforation