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Tratamento pulpar de dentes permanentes imaturos necrosados: uma revisão narrativa
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O objetivo do presente estudo foi apresentar os diferentes tratamentos endodônticos adaptados a dentes permanentes imaturos necrosados. Tomando em conta as particularidades anatómicas desse tipo de dentes, vão ser estudados e comparados as técnicas de apexificação e revascularização.
Foi realizada uma pesquisa bibliográfica sistematizada nas bases de dados Pubmed e Scielo. Foram encontrados 1395 artigos e, após aplicação dos critérios de elegibilidade foram considerados 13 estudos para a revisão com pacientes de vários idades e tipos de dentes tratados com apexificação ou revascularização. Incluindo 6 que combinaram características comuns para poder compará-los e as respetivas listas de referência usados para complementar o estudo.
A apexificação promove uma barreira de tecido duro apical permitindo um tratamento mais célere com obturação imediata. A revascularização visa promover o desenvolvimento contínuo da raiz com o crescimento de tecido reparador mediado por célulastronco. Com finalidade comum a resolução da lesão e manter o dente funcional.
The aim of the present study was to present the different endodontic treatments adapted to necrotic immature permanent teeth. Considering anatomical particularities of this type of teeth, apexification and revascularization techniques will be studied and compared. A systematic literature search was carried out in Pubmed and Scielo databases. A total of 1395 articles were found and, after applying the eligibility criteria, 13 studies were considered for the review with patients of various ages and types of teeth treated with apexification or revascularization were evaluated. Including 6 that combined common characteristics to be able to compare them and the respective reference lists were used to deepen and complement the study. Apexification promotes apical hard tissue barrier allowing faster treatment with immediate filling. Revascularization aims to promote the continuous development of the root with the growth of repair tissue mediated by stem cells. With the common purpose of resolving the lesion and keeping the tooth functional.
The aim of the present study was to present the different endodontic treatments adapted to necrotic immature permanent teeth. Considering anatomical particularities of this type of teeth, apexification and revascularization techniques will be studied and compared. A systematic literature search was carried out in Pubmed and Scielo databases. A total of 1395 articles were found and, after applying the eligibility criteria, 13 studies were considered for the review with patients of various ages and types of teeth treated with apexification or revascularization were evaluated. Including 6 that combined common characteristics to be able to compare them and the respective reference lists were used to deepen and complement the study. Apexification promotes apical hard tissue barrier allowing faster treatment with immediate filling. Revascularization aims to promote the continuous development of the root with the growth of repair tissue mediated by stem cells. With the common purpose of resolving the lesion and keeping the tooth functional.
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Immature teeth Dental roots development Apexification Dental revascularization Endodontic treatment