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Abstract(s)
Introdução: A eliminação de microrganismos e o selamento hermético do sistema de canais radiculares (SCR) são essenciais para o sucesso do tratamento endodôntico (TE). O Enterococcus faecalis está frequentemente associado a falhas no TE. Cimentos endodônticos biocerâmicos têm se destacado devido à biocompatibilidade, capacidade de estimular a regeneração de tecidos e estabilidade dimensional. Além disso, devido às suas propriedades antimicrobianas, podem atuar como um adjuvante eficaz na prevenção de falhas no TE e na melhoria do prognóstico clínico. Objetivo: O objetivo desta revisão sistemática foi avaliar a eficácia antibacteriana dos cimentos endodônticos biocerâmicos sobre o Enterococcus faecalis, sintetizando dados de diversas pesquisas para determinar a sua capacidade de eliminar ou inibir o crescimento deste microrganismo. Materiais e Métodos: A pesquisa foi realizada nas bases de dados Medline/PubMed e Web of Science, utilizando termos específicos relacionados à atividade antimicrobiana dos cimentos endodônticos biocerâmicos sobre o Enterococcus faecalis. Os estudos relevantes, que atendiam aos critérios de inclusão e exclusão estabelecidos, foram selecionados por dois investigadores independentes. Resultados: Foram identificados diversos estudos que demonstraram a eficácia dos cimentos endodônticos biocerâmicos na eliminação do Enterococcus faecalis. No entanto, a falta de padronização na seleção dos cimentos e nos métodos de avaliação e cultura dificultou a comparação direta entre os estudos. Não obstante, foi evidenciado que esses cimentos apresentam uma significativa atividade antimicrobiana, contribuindo para a redução de falhas no TE. Conclusão: Os cimentos endodônticos biocerâmicos mostraram-se eficazes contra o Enterococcus faecalis, apesar das variações nos métodos de estudo. Futuras investigações devem focar na padronização dos métodos de pesquisa para melhor comparabilidade e aplicabilidade clínica dos resultados.
Introduction: The elimination of microorganisms and the hermetic sealing of the root canal system (RCS) are essential for the success of endodontic treatment (ET). Enterococcus faecalis is frequently associated with ET failures. Bioceramic endodontic sealers have stood out due to their biocompatibility, ability to stimulate tissue regeneration, and dimensional stability. Additionally, with their antimicrobial properties, they can act as an effective adjunct in preventing ET failures and improving clinical prognosis. Objective: The aim of this systematic review was to evaluate the antibacterial efficacy of bioceramic root canal sealers against Enterococcus faecalis, synthesizing data from several studies to determine their ability to eliminate or inhibit the growth of this bacterium. Materials and Methods: The search was conducted in the Medline/PubMed and Web of Science databases, using specific terms related to the antimicrobial activity of bioceramic root canal sealers against Enterococcus faecalis. The relevant studies, which met the established inclusion and exclusion criteria, were selected by two independent investigators. Results: Several studies demonstrated the efficacy of bioceramic endodontic sealers in eliminating Enterococcus faecalis. However, the lack of standardization in the selection of sealers and in the methods of application and culture hindered direct comparison between studies. Nonetheless, it was evidenced that these sealers exhibit significant antimicrobial activity, contributing to the reduction of ET failures. Conclusion: Bioceramic root canal sealers have proven effective against Enterococcus faecalis, despite variations in study methods. Future investigations should focus on standardizing research methods to improve comparability and clinical applicability of the results.
Introduction: The elimination of microorganisms and the hermetic sealing of the root canal system (RCS) are essential for the success of endodontic treatment (ET). Enterococcus faecalis is frequently associated with ET failures. Bioceramic endodontic sealers have stood out due to their biocompatibility, ability to stimulate tissue regeneration, and dimensional stability. Additionally, with their antimicrobial properties, they can act as an effective adjunct in preventing ET failures and improving clinical prognosis. Objective: The aim of this systematic review was to evaluate the antibacterial efficacy of bioceramic root canal sealers against Enterococcus faecalis, synthesizing data from several studies to determine their ability to eliminate or inhibit the growth of this bacterium. Materials and Methods: The search was conducted in the Medline/PubMed and Web of Science databases, using specific terms related to the antimicrobial activity of bioceramic root canal sealers against Enterococcus faecalis. The relevant studies, which met the established inclusion and exclusion criteria, were selected by two independent investigators. Results: Several studies demonstrated the efficacy of bioceramic endodontic sealers in eliminating Enterococcus faecalis. However, the lack of standardization in the selection of sealers and in the methods of application and culture hindered direct comparison between studies. Nonetheless, it was evidenced that these sealers exhibit significant antimicrobial activity, contributing to the reduction of ET failures. Conclusion: Bioceramic root canal sealers have proven effective against Enterococcus faecalis, despite variations in study methods. Future investigations should focus on standardizing research methods to improve comparability and clinical applicability of the results.
Description
Keywords
Cimentos endodônticos biocerâmicos Eficácia antibacteriana Enterococcus faecalis Bioceramic root canal sealers Antibacterial efficacy