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Aplicabilidade e eficácia de materiais restauradores biocerâmicos na remineralização de lesões cariosas incipientes: revisão integrativa
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| Projeto de pós-graduação_39659 | 598.93 KB | Adobe PDF |
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Abstract(s)
Objetivo: Avaliar comparativamente a eficácia dos diversos materiais biocerâmicos atualmente disponíveis no mercado para a remineralização do esmalte em lesões de cárie incipientes.
Materiais e Métodos: Este trabalho de revisão integrativa da literatura foi realizado a partir de uma pesquisa bibliográfica nas bases de dados eletrónicas PubMed/Medline, Cochrane Library e Science Direct com os seguintes termos: “Bioceamic materials AND remineralisation OR dental caries”; “Bioactive glass AND remineralisation OR dental caries”; “Hydroxyapatite AND remineralisation OR dental caries”; “Amorphous calcium phosphate AND remineralisation OR dental caries”. A seleção dos estudos foi realizada respeitando critérios de inclusão e exclusão estabelecidos previamente. A avaliação da qualidade dos estudos foi realizada através o método Quality Assessment Tool for in Vitro Studies (QUIN) (Sheth et al, 2022).
Resultados: Como resultado da pesquisa, foi encontrado um total de 249 artigos, dos quais 107 foram originados na base de dados PubMed/Medline, 112 artigos na Cochrane Library e 30 artigos na Science Direct. Uma vez removidos os estudos duplicados, um total de 222 artigos foram submetidos a uma seleção com base nos critérios de inclusão e exclusão previamente descritos e, após a leitura do título e do resumo, um total de 9 artigos foram selecionados e utilizados para a elaboração desta revisão integrativa da literatura.
Conclusão: Os resultados deste trabalho fornecem uma visão abrangente sobre a eficácia dos materiais biocerâmicos na remineralização do esmalte dentário em lesões cariosas incipientes. A análise dos estudos selecionados revelou três enfoques principais que foram discutidos em profundidade: a comparação de eficácia entre materiais biocerâmicos e tradicionais, através da qual se demonstrou que os materiais biocerâmicos possuem um potencial significativo para substituir o flúor na remineralização do esmalte; a avaliação do potencial adjuvante dos materiais biocerâmicos, demonstrando a sua eficácia quando aplicados conjuntamente com materiais tradicionais, como o flúor; por último, o estudo da durabilidade dos efeitos remineralizantes, destacando-se a importância de realizar estudos com follow-ups mais prolongados.
Objective: To comparatively evaluate the effectiveness of various bioceramic materials currently available on the market for enamel remineralisation in incipient caries lesions. Materials and Methods: This integrative literature review was based on a bibliographic search of the electronic databases PubMed/Medline, Cochrane Library and Science Direct using the following terms: "Bioceamic materials AND remineralisation OR dental caries"; "Bioactive glass AND remineralisation OR dental caries"; "Hydroxyapatite AND remineralisation OR dental caries"; "Amorphous calcium phosphate AND remineralisation OR dental caries". Studies were selected according to previously established inclusion and exclusion criteria. The quality of the studies was assessed using the Quality Assessment Tool for in Vitro Studies (QUIN) method (Sheth et al, 2022). Results: As a result of the search, a total of 249 articles were found, of which 107 originated from the PubMed/Medline database, 112 articles from the Cochrane Library and 30 articles from Science Direct. Once duplicate studies had been removed, a total of 222 articles were screened based on the inclusion and exclusion criteria previously described and, after reading the title and abstract, a total of 9 articles were selected and used to draw up this integrative literature review. Conclusion: The results of this study provide a comprehensive overview of the effectiveness of bioceramic materials in remineralising tooth enamel in incipient carious lesions. The analysis of the selected studies revealed three main subjects that were discussed in depth: the comparison of efficacy between bioceramic and traditional materials, which demonstrated that bioceramic materials have significant potential to replace fluoride in enamel remineralisation; the evaluation of the adjuvant potential of bioceramic materials, demonstrating their efficacy when applied in conjunction with traditional materials such as fluoride; finally, the study of the durability of the remineralising effects, highlighting the importance of carrying out studies with longer follow-ups.
Objective: To comparatively evaluate the effectiveness of various bioceramic materials currently available on the market for enamel remineralisation in incipient caries lesions. Materials and Methods: This integrative literature review was based on a bibliographic search of the electronic databases PubMed/Medline, Cochrane Library and Science Direct using the following terms: "Bioceamic materials AND remineralisation OR dental caries"; "Bioactive glass AND remineralisation OR dental caries"; "Hydroxyapatite AND remineralisation OR dental caries"; "Amorphous calcium phosphate AND remineralisation OR dental caries". Studies were selected according to previously established inclusion and exclusion criteria. The quality of the studies was assessed using the Quality Assessment Tool for in Vitro Studies (QUIN) method (Sheth et al, 2022). Results: As a result of the search, a total of 249 articles were found, of which 107 originated from the PubMed/Medline database, 112 articles from the Cochrane Library and 30 articles from Science Direct. Once duplicate studies had been removed, a total of 222 articles were screened based on the inclusion and exclusion criteria previously described and, after reading the title and abstract, a total of 9 articles were selected and used to draw up this integrative literature review. Conclusion: The results of this study provide a comprehensive overview of the effectiveness of bioceramic materials in remineralising tooth enamel in incipient carious lesions. The analysis of the selected studies revealed three main subjects that were discussed in depth: the comparison of efficacy between bioceramic and traditional materials, which demonstrated that bioceramic materials have significant potential to replace fluoride in enamel remineralisation; the evaluation of the adjuvant potential of bioceramic materials, demonstrating their efficacy when applied in conjunction with traditional materials such as fluoride; finally, the study of the durability of the remineralising effects, highlighting the importance of carrying out studies with longer follow-ups.
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Keywords
Materiais biocerâmicos Remineralização Cárie dentária Vidro bioativo Hidroxiapatite Fosfato de cálcio amorfo Bioceramic materials Remineralisation Dental caries Bioactive glass Hydroxyapatite Amorphous calcium phosphate