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À luz dos conhecimentos atuais, faz sentido recorrer à utilização de espigões intrarradiculares na reabilitação de dentes tratados endodonticamente?
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_2022101057 | 544.66 KB | Adobe PDF |
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Abstract(s)
Este trabalho tem como objetivo realizar uma análise crítica sobre o recurso a espigões intrarradiculares e sua viabilidade após o tratamento endodôntico não cirúrgico de dentes com pouca estrutura remanescente. Com este estudo pretendemos sistematizar os conhecimentos mais recentes com base na literatura científica, de forma a que a utilização destes meios auxiliares de retenção seja baseada em critérios objectivos, quando usar, que tipo de material utilizar e formas alternativas de devolver à peça dentária a sua resistência inicial. Para sua realização formulamos a pergunta PICO: "Os espigões intrarradiculares contribuem para a longevidade de dentes tratados endodonticamente com pouca estrutura dentária?" Foi realizada uma pesquisa bibliográfica recorrendo às bases de dados PubMed-MEDLINE e ScienceDirect, na qual após a aplicação de critérios de inclusão e exclusão tais como: metodologia do trabalho científico, o limite temporal, assim como o a lingual no qual os artigos foram escritos, obtivemos um total de 64 artigos em que 14 foram excluídos, sendo usados 35 para a formulação da introdução e fundamentação teórica e 15 para a discussão.
Os resultados sugerem que são necessários mais estudos para determinar, em quais circunstâncias a utilização de espigões intrarradiculares pode ser dispensável na reabilitação de dentes tratados endodonticamente. Notou-se que os estudos que empregaram apenas endocrowns como restauração, sem o suporte de uma férula, apresentaram resultados menos satisfatórios em termos de resistência à fratura.
Conclui-se, portanto, que a presença de uma férula é crucial para o sucesso da restauração, pois proporciona uma maior área de suporte, independentemente do tipo de espigão utilizado. Assim, em casos de pouca estrutura de suporte, recomenda-se o uso de espigões intrarradiculares para garantir a estabilidade e a longevidade da restauração.
This study aims to carry out a critical analysis of the use of intraradicular posts and their viability after non-surgical endodontic treatment of teeth with little remaining structure. With this study we intend to systematize the latest knowledge, based on scientific literature, so that the use of these retention aids is based on objective criteria, when to use them, what type of material to use and alternative ways of restoring the initial strength of the tooth. In order to carry this out, we formulated the PICO question: "Do intraradicular posts contribute to the longevity of endodontically treated teeth with little tooth structure?" A bibliographic search was carried out using the PubMed-MEDLINE and ScienceDirect databases, in which after applying exclusion criteria such as: methodology of scientific work, time limit as well as language, we obtained a total of 64 articles in which 14 were excluded, 35 being used for the formulation of the introduction and theoretical foundation and 15 for the discussion. The results suggest that more studies are needed to determine under what circumstances the use of intraradicular posts may be dispensable in the rehabilitation of endodontically treated teeth. It was noted that the studies which used only endocrowns as a restoration, without the support of an appliance, showed less satisfactory results in terms of fracture resistance. It can therefore be concluded that the presence of a template is crucial to the success of the restoration, as it provides a greater support area, regardless of the type of post used. Therefore, in cases with little support structure, the use of intraradicular posts is recommended to guarantee the stability and longevity of the restoration.
This study aims to carry out a critical analysis of the use of intraradicular posts and their viability after non-surgical endodontic treatment of teeth with little remaining structure. With this study we intend to systematize the latest knowledge, based on scientific literature, so that the use of these retention aids is based on objective criteria, when to use them, what type of material to use and alternative ways of restoring the initial strength of the tooth. In order to carry this out, we formulated the PICO question: "Do intraradicular posts contribute to the longevity of endodontically treated teeth with little tooth structure?" A bibliographic search was carried out using the PubMed-MEDLINE and ScienceDirect databases, in which after applying exclusion criteria such as: methodology of scientific work, time limit as well as language, we obtained a total of 64 articles in which 14 were excluded, 35 being used for the formulation of the introduction and theoretical foundation and 15 for the discussion. The results suggest that more studies are needed to determine under what circumstances the use of intraradicular posts may be dispensable in the rehabilitation of endodontically treated teeth. It was noted that the studies which used only endocrowns as a restoration, without the support of an appliance, showed less satisfactory results in terms of fracture resistance. It can therefore be concluded that the presence of a template is crucial to the success of the restoration, as it provides a greater support area, regardless of the type of post used. Therefore, in cases with little support structure, the use of intraradicular posts is recommended to guarantee the stability and longevity of the restoration.
Description
Keywords
Efeito férula Técnica para espigão intrarradicular Tratamento endodôntico não cirurgico Ferule effect Intraradicular post technique Non-surgical endodontic treatment