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Abstract(s)
Introdução: O propósito da endodontia regenerativa é o restabelecimento da função pulpar normal, em dentes que se encontram infetados e necróticos. Nesse sentido, o foco é a restauração das funções protetoras, como a imunidade pulpar inata, a sensibilidade pulpar e a reparação pulpar através da mineralização. O Biodentine® (Septodont Inc., Saint Maur des Fossés, Île-de-France, França) é um cimento hidráulico, à base de silicato de cálcio (Ca₃SiO₅), que surge posteriormente ao MTA. É um material potencialmente útil em procedimentos de revascularização pulpar, devido à sua consistência, baixa citotoxicidade e facilidade de manipulação. O objetivo principal da presente revisão sistemática foi perceber o impacto do uso do Biodentine® nas regenerações e revascularizações pulpares, de acordo com a evidência científica. Materiais e métodos: A presente revisão sistemática fundamentou-se nas guidelines PRISMA. Deste modo, a pesquisa bibliográfica foi efetuada nas plataformas PubMed® e ScienceDirect®, com o objetivo de responder à pergunta de investigação, tendo em consideração o objetivo e os critérios estabelecidos. Resultados: Após desconsiderar os estudos duplicados e analisar os títulos e resumos, 42 artigos foram selecionados. Posteriormente à análise do texto completo, 5 artigos foram selecionados para análise detalhada. Verificou-se a biocompatilibidade do Biodentine®, que demonstrou um bom resultado clínico aquando do seu uso em casos de regeneração e revascularização pulpares. O Biodentine® foi utilizado num caso de auto-transplante da polpa e conjuntamente com um coágulo sanguíneo. Os resultados de ambas as técnicas foram positivos, verificando-se ausência de sintomatologia e regeneração da polpa. Conclusão: O Biodentine® revelou ser um cimento biocerâmico de uso bastante interessante em casos de regeneração e revascularização pulpares. Apresentou características bastante idênticas ao MTA, destacando-se por superar certas desvantagens presentes neste biomaterial. Deste modo, o Biodentine® não provocou descoloração na coroa dentária aquando do seu uso e apresentou uma melhor consistência.
Introduction: The purpose of regenerative endodontics is the restoration of normal pulpal function in infected and necrotic teeth. In this regard, the focus is on the restoration of protective functions such as innate pulpal immunity, pulpal sensitivity, and pulpal repair through mineralization. Biodentine® (Septodont Inc., Saint Maur des Fossés, Île-de-France, France) is a hydraulic cement based on calcium silicate (Ca₃SiO₅), which emerged after MTA. It is a potentially useful material in pulpal revascularization procedures due to its consistency, low cytotoxicity, and ease of manipulation. The main objective of the present systematic review was to understand the impact of the use of Biodentine® on pulpal regeneration and revascularization, according to scientific evidence. Materials and Methods: The present systematic review was based on the PRISMA guidelines. Thus, the bibliographic search was conducted on the PubMed® and ScienceDirect® platforms, with the aim of answering the research question, taking into account the defined objective and criteria. Results: After excluding duplicate studies and analyzing the titles and abstracts, 42 articles were selected. Following a full-text review, 5 articles were chosen for detailed analysis. The biocompatibility of Biodentine® was evaluated, showing good clinical outcomes when used in cases of pulp regeneration and revascularization. Biodentine® was used in a case of pulp auto-transplantation and in combination with a blood clot. The results of both techniques were positive, with no symptoms reported and pulp regeneration observed. Conclusion: Biodentine® has proven to be a bioceramic cement of quite interesting use in cases of pulp regeneration and revascularization. It presented characteristics very similar to MTA, standing out for overcoming certain disadvantages present in this biomaterial. Thus, Biodentine® did not cause discoloration in the dental crown when used and showed better consistency.
Introduction: The purpose of regenerative endodontics is the restoration of normal pulpal function in infected and necrotic teeth. In this regard, the focus is on the restoration of protective functions such as innate pulpal immunity, pulpal sensitivity, and pulpal repair through mineralization. Biodentine® (Septodont Inc., Saint Maur des Fossés, Île-de-France, France) is a hydraulic cement based on calcium silicate (Ca₃SiO₅), which emerged after MTA. It is a potentially useful material in pulpal revascularization procedures due to its consistency, low cytotoxicity, and ease of manipulation. The main objective of the present systematic review was to understand the impact of the use of Biodentine® on pulpal regeneration and revascularization, according to scientific evidence. Materials and Methods: The present systematic review was based on the PRISMA guidelines. Thus, the bibliographic search was conducted on the PubMed® and ScienceDirect® platforms, with the aim of answering the research question, taking into account the defined objective and criteria. Results: After excluding duplicate studies and analyzing the titles and abstracts, 42 articles were selected. Following a full-text review, 5 articles were chosen for detailed analysis. The biocompatibility of Biodentine® was evaluated, showing good clinical outcomes when used in cases of pulp regeneration and revascularization. Biodentine® was used in a case of pulp auto-transplantation and in combination with a blood clot. The results of both techniques were positive, with no symptoms reported and pulp regeneration observed. Conclusion: Biodentine® has proven to be a bioceramic cement of quite interesting use in cases of pulp regeneration and revascularization. It presented characteristics very similar to MTA, standing out for overcoming certain disadvantages present in this biomaterial. Thus, Biodentine® did not cause discoloration in the dental crown when used and showed better consistency.
Description
Keywords
Biodentine Regeneração Revascularização Polpa dentária Revascularization Regeneration Dental pulp