| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 597.82 KB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Introdução: Manter os dentes decíduos em boas condições anatômicas e funcionais até a
esfoliação fisiológica é de grande importância para um saudável desenvolvimento da dentição
permanente e de todo o sistema estomatognático. Traumatismos e lesões extensas de cáries
podem causar alterações pulpares que necessitam de tratamento. Entre as opções de tratamento,
temos o tratamento endodôntico e as diversas técnicas para a instrumentação dos canais
radiculares dos dentes decíduos, com instrumentos manuais ou automatizados. Objetivo: Avaliar,
através de uma umbrella review, se a instrumentação automatizada dos canais radiculares em
dentes decíduos já pode ser utilizada com segurança na prática clínica. Metodologia: A literatura
considerada foi baseada nas diretrizes PRISMA e visa responder à seguinte questão específica
construída no formato PICO: “Em dentes decíduos com necessidade de tratamento endodôntico e
com a realização de preparo automatizados nos canais radiculares e comparado ao método
convencional (manual) de preparo, quais os benefícios clínicos, para o paciente e para o
operador?”. Os motores de busca foram a Medline/PubMed, Web of Science, o Scopus e
complementado com uma busca manual. Após os critérios de elegibilidade, de inclusão e exclusão,
foi feita uma análise descritiva com os dados extraídos. A qualidade metodológica foi avaliada
através da ferramenta AMSTAR-2, enquanto o risco de viés foi avaliado através do ROBIS. Dois
revisores (ACVMM e MPD) independentemente, realizaram as análises de qualidade e risco de
viés. Resultados: A pesquisa sistemática da literatura identificou algumas referências
potencialmente relevantes e numa primeira análise dos critérios de inclusão foram encontradas 40
publicações. Após aplicar os critérios de elegibilidade apenas 4 artigos foram incluídos e analisados
em todo seu teor. Em relação aos principais resultados, nenhuma revisão sistemática obteve
conclusão definitiva sobre o melhor método de instrumentação dos canais radiculares em dentes
decíduos. Conclusão: O preparo automatizado do canal radicular em dentes decíduos diminui o
tempo clínico, o que é um benefício para o tratamento. A modelagem realizada pelas diferentes
cinemáticas e desenhos dos instrumentos facilitam a técnica obturadora e o preenchimento,
entretanto não há conclusão o quanto essa característica traz um benefício ou não para o
tratamento. A longevidade clínica e radiográfica do tratamento é similar entre a técnica manual ou
automatizada. Esse tipo de passo técnico é seguro para ser utilizado durante o tratamento
endodôntico em dentes decíduos.
Background: Keeping the primary teeth in good anatomic and functional conditions, until the physiological exfoliation, it’s very important for a healthy development of the permanent dentition and the entire stomatognathic system. Injuries and extensive caries lesions may cause pulp involvement that will require treatment. Endodontic treatment and the different techniques for the instrumentation of the root canals of primary teeth, with manual or rotary instruments, are some of the possible treatments options. Aim: To assess, through an umbrella review, whether rotary instrumentation of root canals in primary teeth can already be safely used in clinical practice. Design: The literature considered was based on the PRISMA guidelines and aims to answer the following specific question constructed in the PICO format: ”In primary teeth in need of endodontic treatment and with rotary preparation in the root canals and compared to the conventional (manual) preparation method, what are the clinical benefits, for the patient and for the operator?”. The data sources were Medline/PubMed, Web of Science and Scopus, supplemented with a manual search. After the eligibility, inclusion and exclusion criteria, a descriptive analysis was performed with the extracted data. Methodological quality was assessed using the AMSTAR-2 tool, while risk of bias was assessed using ROBIS. Two reviewers (ACVMM and MPD) independently performed quality and risk of bias analyses. Results: A systematic search of the literature identified some potentially relevant references and, in a first analysis of the inclusion criteria, 40 publications were found. After applying the eligibility criteria, only 4 articles were included and analysed in their entirety. Regarding the main results, no systematic review reached a definitive conclusion about the best method of instrumentation of root canals in primary teeth. Conclusion: Rotary root canal preparation in primary teeth decreases clinical time, which is a benefit for treatment. The modelling carried out by the different kinematics and instrument designs facilitate the obturator technique and the filling, however there is no conclusion as to how much this characteristic brings a benefit or not to the treatment. The clinical and radiographic longevity of the treatment is similar between the manual and automated technique. This type of technical step is safe to use during endodontic treatment in primary teeth.
Background: Keeping the primary teeth in good anatomic and functional conditions, until the physiological exfoliation, it’s very important for a healthy development of the permanent dentition and the entire stomatognathic system. Injuries and extensive caries lesions may cause pulp involvement that will require treatment. Endodontic treatment and the different techniques for the instrumentation of the root canals of primary teeth, with manual or rotary instruments, are some of the possible treatments options. Aim: To assess, through an umbrella review, whether rotary instrumentation of root canals in primary teeth can already be safely used in clinical practice. Design: The literature considered was based on the PRISMA guidelines and aims to answer the following specific question constructed in the PICO format: ”In primary teeth in need of endodontic treatment and with rotary preparation in the root canals and compared to the conventional (manual) preparation method, what are the clinical benefits, for the patient and for the operator?”. The data sources were Medline/PubMed, Web of Science and Scopus, supplemented with a manual search. After the eligibility, inclusion and exclusion criteria, a descriptive analysis was performed with the extracted data. Methodological quality was assessed using the AMSTAR-2 tool, while risk of bias was assessed using ROBIS. Two reviewers (ACVMM and MPD) independently performed quality and risk of bias analyses. Results: A systematic search of the literature identified some potentially relevant references and, in a first analysis of the inclusion criteria, 40 publications were found. After applying the eligibility criteria, only 4 articles were included and analysed in their entirety. Regarding the main results, no systematic review reached a definitive conclusion about the best method of instrumentation of root canals in primary teeth. Conclusion: Rotary root canal preparation in primary teeth decreases clinical time, which is a benefit for treatment. The modelling carried out by the different kinematics and instrument designs facilitate the obturator technique and the filling, however there is no conclusion as to how much this characteristic brings a benefit or not to the treatment. The clinical and radiographic longevity of the treatment is similar between the manual and automated technique. This type of technical step is safe to use during endodontic treatment in primary teeth.
Descrição
Palavras-chave
Tratamento endodôntico Dentes decíduos Revisão sistemática Endodontic treatment Primary teeth Systematic review