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Abordagem terapêutica de lesões profundas de cárie dentária: revisão narrativa
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Abstract(s)
A doença de cárie, é uma patologia multifatorial causada por bactérias presentes na cavidade oral e favorecida pelo consumo de açúcares e má higiene oral.
Uma cárie no esmalte, só pode ser parada na sua progressão pela intervenção de um médico dentista. Sem tratamento, a lesão progride e o dano pulpar torna-se irreversível.
A abordagem da cárie profunda é importante e deve permitir a preservação da vitalidade pulpar sempre que possível, e deve respeitar certas regras: preservar os tecidos sãos e remineralizáveis, manter a saúde pulpar, e maximizar o sucesso da restauração.
Durante o tratamento, evitar atingir a polpa na cárie profunda é um dos nossos objetivos. Assim, várias abordagens terapêuticas têm sido estudadas: a remoção total que elimina todo o tecido cariado, no entanto, este método é mais invasivo e a remoção parcial que comprova o seu valor ao deixar um fundo justapulpar de dentina afetada, melhorando o prognóstico pulpar vital.
Para elaboração deste trabalho, foi realizada uma pesquisa bibliográfica nas bases de dados on-line: Pubmed/Medline e B-On. Foram estabelecidos critérios de inclusão e de exclusão para a seleção dos artigos.
Caries disease, is a multifactorial pathology that is caused by bacteria present in the oral cavity and favored by the consumption of sugars and poor oral hygiene. A cavity in the enamel can only be stopped in its progression by the intervention of a dentist. Without treatment, the injury progresses and the pulp damage becomes irreversible. The approach to deep caries is important and should allow the preservation of pulp vitality as soon as possible, and should respect certain rules: preserve healthy and remineralizável tissues, maintain pulp health, and maximize the success of restoration. During treatment, avoiding reaching pulp in deep caries is one of our goals. Thus, several therapeutic approaches to deep caries have been studied. The total removal that eliminates all decayed tissue, but this method is more invasive and partial removal that proves its value by leaving an affected dentin juxtaposing background, improving the vital pulp prognosis. For this work, a bibliographic search was performed in the online databases: Pubmed/Medline and B-On. Inclusion and exclusion criteria were established for the selection of articles.
Caries disease, is a multifactorial pathology that is caused by bacteria present in the oral cavity and favored by the consumption of sugars and poor oral hygiene. A cavity in the enamel can only be stopped in its progression by the intervention of a dentist. Without treatment, the injury progresses and the pulp damage becomes irreversible. The approach to deep caries is important and should allow the preservation of pulp vitality as soon as possible, and should respect certain rules: preserve healthy and remineralizável tissues, maintain pulp health, and maximize the success of restoration. During treatment, avoiding reaching pulp in deep caries is one of our goals. Thus, several therapeutic approaches to deep caries have been studied. The total removal that eliminates all decayed tissue, but this method is more invasive and partial removal that proves its value by leaving an affected dentin juxtaposing background, improving the vital pulp prognosis. For this work, a bibliographic search was performed in the online databases: Pubmed/Medline and B-On. Inclusion and exclusion criteria were established for the selection of articles.
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Keywords
Cárie profunda Tratamento de cáries profundas Proteção pulpar Remoção total de cárie Remoção parcial de cárie Tratamento expectante Deep caries Treatment of deep caries Pulp protection Total removal of caries Partial removal of caries Expectant treatment