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Vital pulp therapy: an attempt to a minimally invasive endodontics – a review
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Abstract(s)
A Terapia Pupar Vital compreende uma série de procedimentos que pretendem manter o tecido pupar vital e controlar a progressão da doença periapical após o avanço da cárie para a zona da câmara pulpar. O objetivo do presente estudo foi avaliar as evidências científicas da Terapia Pupar Vital em pacientes adultos com pulpite irreversível em dentes molares. A pesquisa estruturada resultou em 538 resumos, dos quais 33 estudos foram selecionados para leitura de texto completo, sendo que 3 estudos forma eleitos para discussão. Após um correto diagnóstico, sob o uso de isolamento absoluto, de desinfeção da superfície dentária e controlo da hemostasia com solução de hipoclorito de sódio, a pulpotomia seguida de aplicação direta de Agregado Trioxido Mineral ou de Biodentine™ são procedimentos alternativos ao tratamento de dentes molares permanentes com pulpite irreversível, com elevada probabilidade de sucesso, para além da enorme vantagem de manutenção da polpa radicular.
Vital Pulp Therapy comprises a range of procedures that aim to maintain the pulp vitality and to control the progression of periapical disease after caries progression to the pulp chamber. The aim of present study was to evaluate the scientific evidence of the Vital Pulp Therapy in adult patients with irreversible pulpitis in molar teeth. The structured search resulted in 538 abstracts, of which 33 studies were selected for full-text reading, and 3 studies were chosen for discussion. After an adequate diagnostic, using absolute isolation, disinfection of tooth surface and hemostasis control with sodium hyploclorite solution, pulpotomy followed by direct application of Mineral Trioxide Aggregate or Biodentine™ are alternative procedures to tooth treatment in permanent molars with irreversible pulpitis, with a high probability of success and an enormous advantage of maintaining the radicular pulp, as well.
Vital Pulp Therapy comprises a range of procedures that aim to maintain the pulp vitality and to control the progression of periapical disease after caries progression to the pulp chamber. The aim of present study was to evaluate the scientific evidence of the Vital Pulp Therapy in adult patients with irreversible pulpitis in molar teeth. The structured search resulted in 538 abstracts, of which 33 studies were selected for full-text reading, and 3 studies were chosen for discussion. After an adequate diagnostic, using absolute isolation, disinfection of tooth surface and hemostasis control with sodium hyploclorite solution, pulpotomy followed by direct application of Mineral Trioxide Aggregate or Biodentine™ are alternative procedures to tooth treatment in permanent molars with irreversible pulpitis, with a high probability of success and an enormous advantage of maintaining the radicular pulp, as well.
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Keywords
Capeamento pulpar Pulpotomia Cárie Terapia vital pulpar Endodontia regenerativa Pulp capping Pulpotomy Caries Vital pulp therapy Regenerative endodontics