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Soluções irrigantes em endodontia
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_23490 | 499.31 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
A evolução constante da Endodontia tem proporcionado novas formas e melhores resultados no tratamento de canais radiculares infectados.
Sabemos que o sucesso endodôntico está dependente da limpeza e remoção dos microorganismos, devolvendo ao sistema de canais radiculares (SCR) condições ideais de assepsia, restabelecendo a função do dente. Assim, o sucesso endodôntico está dependente de uma correta conformação, desinfeção e selamento do SCR.
A desinfeção do SCR inclui procedimentos de limpeza mecânica e química, existindo atualmente várias técnicas de instrumentação, esquemas de irrigação e medicação intracanalar. Apesar da complexidade do SCR, os irrigantes desempenham um papel fundamental no sucesso da TENC.
De entre todas as soluções irrigantes conhecidas, a que mais se aproxima da solução irrigante ideal é o NaOCl devido às suas propriedades demonstradas por vários estudos.
A eficácia do NaOCl pode ser influenciada por diversos factores como a sua concentração e pH, a temperatura, o tempo de exposição e pelo seu modo de agitação. Além de ser utilizado isoladamente, o NaOCl pode ser associado a outras soluções irrigantes como o gluconato de clorexidina ou com o EDTA, trazendo inúmeras vantagens para um desbridamento mais eficaz do SCR.
Para tal a pesquisa bibliográfica foi realizada nos motores de busca: PubMed e Science Direct, utilizando as palavras-chave “endodontic irrigation”, “endodontic irrigants” e “sodium hypochlorite”. Foram incluídos artigos em português e inglês, publicados entre 1988 e 2015. A pesquisa foi realizada entre Fevereiro de 2015 e Junho de 2015.
Em suma, a utilização das diversas soluções irrigantes e a sua associação traz efeitos vantajosos para o sucesso da TENC.
The constant evolution of Edodontic has given us new ways of treatment and with those, better results in the processing of infected root canals. It is known that edodontic success is related with the removal and cleaning of microorganisms, providing perfect asepsis conditions to the system root canals (SCR) and in accordance with that re-establish tooth functions. Therefore, endodontic success depends on a correct conformation, disinfection and sealing of the SCR. SCR disinfection has different mechanical and chemical cleaning procedures, currently we have several such as irrigation schemes, instrumentation techniques or intracanalar medication. Despite of all SCR complexity, irrigators have a key role in TENC's success. Among all known irrigating solutions, several studies have proved that NaOC1 can give the best irrigating solution due to its properties. NaOC1 efficiency may be affected by many factors, for example pH concentration, temperature, exposure time and agitation mode. Besides NaOC1 could be used alone, it can also be associated to other solutions: chlorhexidine gluconate or EDTA. These associations permit us to have a considerable number of advantages for a more effective SCR debridement. A bibliographic research was made on: PubMed and Science Direct, searching for “endodontic irrigation”, “endodontic irrigants” and “sodium hypochlorite” as key words. It has been included Portuguese and English articles, published between 1988 and 2015. The research was conducted between February 2015 and June 2015. Resuming, the use of different irrigating solutions and its associations lead to a beneficial effect on the success of TENC.
The constant evolution of Edodontic has given us new ways of treatment and with those, better results in the processing of infected root canals. It is known that edodontic success is related with the removal and cleaning of microorganisms, providing perfect asepsis conditions to the system root canals (SCR) and in accordance with that re-establish tooth functions. Therefore, endodontic success depends on a correct conformation, disinfection and sealing of the SCR. SCR disinfection has different mechanical and chemical cleaning procedures, currently we have several such as irrigation schemes, instrumentation techniques or intracanalar medication. Despite of all SCR complexity, irrigators have a key role in TENC's success. Among all known irrigating solutions, several studies have proved that NaOC1 can give the best irrigating solution due to its properties. NaOC1 efficiency may be affected by many factors, for example pH concentration, temperature, exposure time and agitation mode. Besides NaOC1 could be used alone, it can also be associated to other solutions: chlorhexidine gluconate or EDTA. These associations permit us to have a considerable number of advantages for a more effective SCR debridement. A bibliographic research was made on: PubMed and Science Direct, searching for “endodontic irrigation”, “endodontic irrigants” and “sodium hypochlorite” as key words. It has been included Portuguese and English articles, published between 1988 and 2015. The research was conducted between February 2015 and June 2015. Resuming, the use of different irrigating solutions and its associations lead to a beneficial effect on the success of TENC.
Description
Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária
Keywords
Endodontic irrigation Endodontic irrigants Sodium hypochlorite