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Avaliação comparativa da eficácia do Biodentine™, MTA™ e do hidróxido de cálcio nos recobrimentos pulpares de dentes permanentes com cáries profundas: revisão sistemática
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39531 | 1.47 MB | Adobe PDF |
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Abstract(s)
Objetivo: Realizar uma revisão sistemática da literatura para avaliação comparativa da eficácia clínica e radiológica de materiais de silicato de cálcio, em comparação com o hidróxido de cálcio.
Metodologia: Os critérios de elegibilidade para a elaboração da revisão sistemática seguiram a estratégia PICO. A pesquisa bibliográfica foi realizada em várias bases de dados: PubMed (MEDLINE), ScienceDirect e Cochrane Central Register of Controlled Trials (CENTRAL). Utilizou-se a combinação de palavras-chave (“Biodentine™” OR “MTA™” OR “Calcium hydroxide”) AND (“Direct pulp capping” OR “Indirect pulp capping”) AND “Permanent teeth” AND “dental caries”. Os artigos foram identificados e selecionados por dois revisores independentes, seguindo as guidelines da PRISMA. A avaliação qualitativa da qualidade dos estudos foi realizada através da checklist SIGN (Scottish Intercollegiate Guidelines Network) para ensaios clínicos randomizados, tendo sido analisado o risco de viés de cada estudo.
Resultados: Dos 186 artigos identificados, foram selecionados 9 estudos para esta revisão sistemática. Os resultados indicam que o MTA™ e o Biodentine™ demonstram uma eficácia clínica e radiográfica significativa na promoção da reparação pulpar e na formação de pontes dentinárias, enquanto o hidróxido de cálcio pode apresentar resultados mais variáveis, sobretudo a longo prazo.
Conclusão: Os materiais Biodentine™, MTA™ e hidróxido de cálcio apresentam-se como opções viáveis para o recobrimento pulpar direto e indireto, cada um com suas respectivas vantagens e desvantagens. A escolha entre eles deve ser feita pelo médico dentista levando em consideração a condição clínica específica do paciente. Contudo, para uma validação mais robusta das características desta revisão sistemática, são necessárias investigações adicionais.
Objective: To conduct a systematic review of literature for comparative evaluation of clinical and radiological efficacy of calcium silicate materials, compared to calcium hydroxide. Methodology: The eligibility criteria for the preparation of the systematic review followed the PICO strategy. The bibliographic research was performed in several databases: PubMed (MEDLINE), ScienceDirect and Cochrane Central Register of Controlled Trials (CENTRAL). The combination of keywords used was (“Biodentine™” OR “MTA™” OR “Calcium hydroxide”) AND (“Direct pulp capping” OR “Indirect pulp capping”) AND “Permanent teeth” AND “dental caries”. The articles were identified and selected by two independent reviewers, following the PRISMA guidelines. The qualitative evaluation of the quality of the studies was performed through the Scottish Intercollegiate Guidelines Network (SIGN) checklist for randomized clinical trials, and the risk of bias of each study was analyzed. Results: Out of 186 identified articles, 9 studies were selected for this systematic review. The results indicate that MTA™ and Biodentine™ demonstrate significant clinical and radiographic efficacy in promoting pulp repair and dentinal bridge formation, while calcium hydroxide may present more variable results, especially in the long term. Conclusion: The materials Biodentine™, MTA™, and calcium hydroxide are viable options for direct and indirect pulp capping, each with its respective advantages and disadvantages. The choice between them should be made by the dentist, taking into account the specific clinical condition of the patient. However, for a more robust validation of the characteristics of this systematic review, further investigations are needed.
Objective: To conduct a systematic review of literature for comparative evaluation of clinical and radiological efficacy of calcium silicate materials, compared to calcium hydroxide. Methodology: The eligibility criteria for the preparation of the systematic review followed the PICO strategy. The bibliographic research was performed in several databases: PubMed (MEDLINE), ScienceDirect and Cochrane Central Register of Controlled Trials (CENTRAL). The combination of keywords used was (“Biodentine™” OR “MTA™” OR “Calcium hydroxide”) AND (“Direct pulp capping” OR “Indirect pulp capping”) AND “Permanent teeth” AND “dental caries”. The articles were identified and selected by two independent reviewers, following the PRISMA guidelines. The qualitative evaluation of the quality of the studies was performed through the Scottish Intercollegiate Guidelines Network (SIGN) checklist for randomized clinical trials, and the risk of bias of each study was analyzed. Results: Out of 186 identified articles, 9 studies were selected for this systematic review. The results indicate that MTA™ and Biodentine™ demonstrate significant clinical and radiographic efficacy in promoting pulp repair and dentinal bridge formation, while calcium hydroxide may present more variable results, especially in the long term. Conclusion: The materials Biodentine™, MTA™, and calcium hydroxide are viable options for direct and indirect pulp capping, each with its respective advantages and disadvantages. The choice between them should be made by the dentist, taking into account the specific clinical condition of the patient. However, for a more robust validation of the characteristics of this systematic review, further investigations are needed.
Description
Keywords
Biodentine MTA Hidróxido de cálcio Recobrimento pulpar direto Recobrimento pulpar indireto Vitalidade pulpar Dentes permanentes Cárie dentária Biodentine Calcium hydroxide Direct pulp capping Indirect pulp capping Pulpal dental vitality Permanent teeth Dental caries