| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.25 MB | Adobe PDF |
Authors
Abstract(s)
Introdução: Os microrganismos têm sido destacados como a principal causa de doenças pulpares e periapicais. A complexidade dos canais radiculares requerem instrumentação mecânica e irrigação eficaz de maneira a reduzir a quantidade de microrganismos presentes nos canais. O objetivo desta revisão é analisar a literatura científica e procurar evidências que suportem (ou não) uma relação entre o tipo de cavidade de acesso endodôntico realizada e a desinfeção canalar. Materiais e Métodos: O protocolo da presente revisão sistemática encontra-se registado na plataforma PROSPERO com o código de ID CRD42024519265. A pesquisa foi feita nas bases de dados: Pubmed/MEDLINE, Cochrane, Web of Science e Scopus. A seleção de estudos foi feita de acordo com a questão de investigação PICO, e seguindo as normas PRISMA. A avaliação da qualidade de estudos foi realizada recorrendo à QUIN tool. Foram recolhidos vários dados sobre os estudos nomeadamente: autor; ano; título; tipo de estudo; objetivos; dimensão da amostra; características da amostra; tipos de cavidade de acesso; cultura bacteriana; desinfeção; resultados. Os dados mais importantes de cada estudo foram analisados e comparados. Resultados: A pesquisa nas bases de dados mencionadas resultou num total de 1411 artigos. Após a análise dos artigos foram selecionados 7 estudos a incluir na revisão sistemática. Destes artigos verificamos que a cavidade de acesso endodôntico minimamente invasiva mais vezes utilizada foi a cavidade conservadora, e o meio de desinfeção mais utilizado foi o hipoclorito de sódio. Conclusão: As utilizações de cavidades de acesso endodôntico tradicionais resultam numa maior diminuição bacteriana intracanalar, e a melhor forma de desinfeção canalar é a associação do irrigante NaOCl com laser. Faltam mais estudos que comprovem a eficácia do laser e da irrigação passiva ultrassónica, bem como estudos em que sejam avaliadas as cavidades truss access e as cavidades ninja/ultraconservadoras.
Introduction: Microorganisms have been highlighted as the main cause of pulpar and periapical diseases. The complexity of root canals requires mechanical instrumentation and effective irrigation to reduce the number of microorganisms present in the canals. Therefore, the aim of this review is to analyze the scientific literature and seek evidence that supports (or not) a relationship between the type of endodontic access cavity performed and canal disinfection. Materials and Methods: The protocol for this systematic review is registered on the PROSPERO platform with the ID code CRD42024519265. The research was conducted in the following databases: PubMed/MEDLINE, Cochrane, Web of Science, and Scopus. Study selection was performed according to the PICO research question and following PRISMA guidelines. The quality assessment of the studies was carried out using the QUIN tool. Various data were collected from the studies, including: author; year; title; study type; objectives; sample size; sample characteristics; types of access cavities; bacterial culture; disinfection; and results. The most important data from each study were analyzed and compared. Results: The search in the mentioned databases resulted in a total of 1411 articles. After analyzing the articles, 7 articles were selected to be included in the systematic review. From these articles, we found that the most frequently used minimally invasive endodontic access cavity was the conservative cavity, and the most commonly used disinfecting agent was sodium hypochlorite. Conclusion: The use of traditional endodontic access cavities results in a greater reduction of intracanal bacteria, and the best method for canal disinfection is the combination of NaOCl irrigant with laser. More studies are needed to confirm the effectiveness of laser and passive ultrasonic irrigation, as well as studies evaluating truss access cavities and ninja/ultraconservative cavities.
Introduction: Microorganisms have been highlighted as the main cause of pulpar and periapical diseases. The complexity of root canals requires mechanical instrumentation and effective irrigation to reduce the number of microorganisms present in the canals. Therefore, the aim of this review is to analyze the scientific literature and seek evidence that supports (or not) a relationship between the type of endodontic access cavity performed and canal disinfection. Materials and Methods: The protocol for this systematic review is registered on the PROSPERO platform with the ID code CRD42024519265. The research was conducted in the following databases: PubMed/MEDLINE, Cochrane, Web of Science, and Scopus. Study selection was performed according to the PICO research question and following PRISMA guidelines. The quality assessment of the studies was carried out using the QUIN tool. Various data were collected from the studies, including: author; year; title; study type; objectives; sample size; sample characteristics; types of access cavities; bacterial culture; disinfection; and results. The most important data from each study were analyzed and compared. Results: The search in the mentioned databases resulted in a total of 1411 articles. After analyzing the articles, 7 articles were selected to be included in the systematic review. From these articles, we found that the most frequently used minimally invasive endodontic access cavity was the conservative cavity, and the most commonly used disinfecting agent was sodium hypochlorite. Conclusion: The use of traditional endodontic access cavities results in a greater reduction of intracanal bacteria, and the best method for canal disinfection is the combination of NaOCl irrigant with laser. More studies are needed to confirm the effectiveness of laser and passive ultrasonic irrigation, as well as studies evaluating truss access cavities and ninja/ultraconservative cavities.
Description
Keywords
Acessos endodônticos minimamente invasivos Acessos conservadores Acessos ninja Truss access Desinfeção Laser Irrigação passiva ultrassónica Redução bacteriana Enterococcus faecalis Minimally invasive endodontic access Conservative access Ninja access Disinfection Passive ultrasonic irrigation Bacterial reduction