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Publicação
Revascularização pulpar
| Nome: | Descrição: | Tamanho: | Formato: | |
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| PPG_31024 | 374.9 KB | Adobe PDF |
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Orientador(es)
Resumo(s)
Diversos tratamentos foram propostos para o tratamento de dentes permanentes imaturos com
polpa comprometida, incluindo apexificação com Ca(OH)2 ou de criação de uma barreira apical
com MTA. Contudo, estes não permitem a continuação do desenvolvimento radicular. A
revascularização pulpar permite o espessamento da dentina radicular e o estabelecimento de
uma correta morfologia apical, assim sendo, tornou-se parte dos tratamentos endodônticos em
caso de dentes permanentes imaturos com polpa comprometida. No entanto, as análises
histológicas sugerem que são necessários mais estudos para melhorar a previsibilidade dos
resultados e para entender a fundo as interações biológicas entre células estaminais, scaffolds e
fatores de crescimento.
O objetivo deste trabalho é a avaliar o estado do conhecimento atual, entender as limitações e
avaliar qual o melhor protocolo clínico.
Na realização desta revisão narrativa foi efetuada uma pesquisa bibliográfica utilizando as bases
de dados online Pubmed e Google Scholar incluindo apenas publicações de língua inglesa.
Several treatments have been proposed to treat irreversibly damaged pulp of immature permanent teeth, including apexification with Ca(OH)2 or creation of an apical plug of MTA. However, they don’t promote root development. Pulp revascularization promotes root dentin thickening and the establishment of a correct apical morphology, thus, it becames part of the spectrum of endodontic treatments for irreversibly damaged pulp of immature permanent teeth. However, histological analysis suggest that further studies are needed to improve the predictability of results and to understand better the biological interactions between stem cells, scaffolds and growth factors. The objective of this study is to evaluate the current state of knowledge, to understand the limitations of the technique, and to determine the best clinical protocol. To realize this narrative review, was carried out a bibliographical research using the online databases “Pubmed” and “Google Scholar” including only publications in English language.
Several treatments have been proposed to treat irreversibly damaged pulp of immature permanent teeth, including apexification with Ca(OH)2 or creation of an apical plug of MTA. However, they don’t promote root development. Pulp revascularization promotes root dentin thickening and the establishment of a correct apical morphology, thus, it becames part of the spectrum of endodontic treatments for irreversibly damaged pulp of immature permanent teeth. However, histological analysis suggest that further studies are needed to improve the predictability of results and to understand better the biological interactions between stem cells, scaffolds and growth factors. The objective of this study is to evaluate the current state of knowledge, to understand the limitations of the technique, and to determine the best clinical protocol. To realize this narrative review, was carried out a bibliographical research using the online databases “Pubmed” and “Google Scholar” including only publications in English language.
Descrição
Palavras-chave
Revascularização pulpar Células estaminais Endodontia regeneradora Pulp revascularization Stem cells Regenerative endodontics