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Irrigantes em endodontia: o estado da arte
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Advisor(s)
Abstract(s)
A endodontia requer um tratamento eficaz dos canais radiculares aquando da invasão destes por bactérias patogénicas.
Para que tal seja bem sucedido, associam-se à instrumentação mecânica, irrigantes capazes de ajudar a eliminar essas bactérias. Não existe nenhum irrigante ideal. O Hipoclorito é, por excelência, considerado o mais vantajoso na irrigação e desbridamento canalar, sendo considerado o Gold Standard dos irrigantes intracanalares. Para uma correta desinfeção canalar é fundamental o uso de um protocolo de irrigação com diferentes tipos de soluções.
Pretendeu-se com esta revisão narrativa a identificação e caracterização dos principais irrigantes canalares utilizados em endodontia, e conhecer os procedimentos e as suas metodologias de forma a permitir o sucesso do tratamento endodôntico.
Métodos: Foram pesquisados artigos científicos acerca da irrigação no tratamento endodôntico, na base de dados online da PubMed, Scielo, B-on e Google Académico, sendo ainda utilizados 4 livros.
Introduction: Endodontics demands for an effective treatment of the root canals when these are invaded by pathogenic bacteria. In order to be successful in the bacterial elimination, it is necessary to associate irrigants to the mechanical instrumentation. Although there’s no ideal irrigation solution, sodium hypochlorite has long been considered the one with the best characteristics for the root canal irrigation and debridement, being currently the Gold Standard. To achieve a proper canal disinfection it is fundamental to establish an irrigation protocol with different types of solutions. The aim of this revision work is the identification and characterization of the main root canal irrigants used in endodontics and explore the procedures and methodologies applied to achieve a successful endodontic treatment. Methodology: We performed a PubMed, Scielo, B-on and Academic Google search for papers on the irrigation in endodontic treatment.
Introduction: Endodontics demands for an effective treatment of the root canals when these are invaded by pathogenic bacteria. In order to be successful in the bacterial elimination, it is necessary to associate irrigants to the mechanical instrumentation. Although there’s no ideal irrigation solution, sodium hypochlorite has long been considered the one with the best characteristics for the root canal irrigation and debridement, being currently the Gold Standard. To achieve a proper canal disinfection it is fundamental to establish an irrigation protocol with different types of solutions. The aim of this revision work is the identification and characterization of the main root canal irrigants used in endodontics and explore the procedures and methodologies applied to achieve a successful endodontic treatment. Methodology: We performed a PubMed, Scielo, B-on and Academic Google search for papers on the irrigation in endodontic treatment.
Description
Keywords
Hipoclorito de sódio Clorhexidina EDTA Ácido cítrico Irrigação endodôntica Sodium hypochlorite Chlorhexidine EDTA Citric acid Endodontics irrigation