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Abordagem cirúrgica dos cistos periapicais: revisão narrativa
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Abstract(s)
Os cistos periapicais apresentam-se como as lesões císticas odontogénicas mais comuns. Quando a lesão é extensa, o tratamento deste tipo de cistos passa pelo tratamento cirúrgico, nomeadamente, a marsupialização, descompressão e/ou enucleação. Estas intervenções podem ser efetuadas de forma isolada ou complementar.
Para a concretização deste trabalho foi realizada uma pesquisa bibliográfica nas bases de dados eletrónicas: Science Direct, PubMed e Bireme com o intuito de se realizar uma revisão narrativa da abordagem cirúrgica do cisto periapical, expondo-se a etiopatogenese da patologia, as indicações e contraindicações das intervenções cirúrgicas bem como as suas possíveis complicações.
Este trabalho destaca que a descompressão seguida de enucleação, para o tratamento de cisto inflamatório periapical, deve ser considerada uma opção válida na medida em que minimiza os danos nas estruturas anatómicas adjacentes, além de se apresentar como uma técnica conservadora, considerada simples, segura, eficaz e com pouco risco de recidiva.
Periapical cysts are the most common cystic odontogenic lesions. When the lesion is extensive, the treatment of this type of cysts involves surgical treatment, namely marsupialization, decompression and/or enucleation. These interventions can be done in isolation or complementarily. To carry out this study, a bibliographic search was conducted in electronic databases: Science Direct, PubMed and Bireme with the aim of conducting a narrative review of the surgical approach to periapical cysts, describing the etiopathogenesis of the pathology, the indications and contraindications of surgical interventions and their possible complications. This paper highlights that decompression followed by enucleation, for the treatment of periapical inflammatory cyst, should be considered a valid option insofar as it minimizes damage to adjacent anatomical structures, besides presenting itself as a conservative technique, considered simple, safe, effective and with little risk of recurrence.
Periapical cysts are the most common cystic odontogenic lesions. When the lesion is extensive, the treatment of this type of cysts involves surgical treatment, namely marsupialization, decompression and/or enucleation. These interventions can be done in isolation or complementarily. To carry out this study, a bibliographic search was conducted in electronic databases: Science Direct, PubMed and Bireme with the aim of conducting a narrative review of the surgical approach to periapical cysts, describing the etiopathogenesis of the pathology, the indications and contraindications of surgical interventions and their possible complications. This paper highlights that decompression followed by enucleation, for the treatment of periapical inflammatory cyst, should be considered a valid option insofar as it minimizes damage to adjacent anatomical structures, besides presenting itself as a conservative technique, considered simple, safe, effective and with little risk of recurrence.
Description
Keywords
Cirurgia oral Cisto periapical Descompressão Enucleação Marsupialização Oral surgery Periapical cyst Decompression Enucleation Marsupialization