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Cimentos endodônticos – dos cimentos resinosos aos biocerâmicos: revisão narrativa
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Abstract(s)
O tratamento endodôntico não cirúrgico, constituído por diferentes etapas, sofreu várias evoluções de técnicas e materiais que conduziram a uma maior previsibilidade dos resultados obtidos. O seu objetivo principal é a remoção químico-mecânica de bactérias, tecido necrótico, toxinas e uma obturação hermética e tridimensional que impeça a sua a recolonização. Como resultado dessa constante evolução, aumentou a taxa de sucesso, melhorou o prognóstico e diminuiu o tempo de tratamento.
O objetivo deste trabalho foi comparar duas tipologias de cimentos de obturação de diferentes épocas. Serão comparadas as vantagens e desvantagens e analisada a sua evolução sua repercussão na prática clínica.
Com base na literatura encontrada, podemos concluir que a nova geração de cimentos endodônticos, cimentos biocerâmicos, acrescentam um incremento na biocompatibilidade, actividade antibacteriana, poder de expansão, libertação de iões de cálcio e uma obturação tridimensional mais hermética. Até à data, nenhum cimento reúne a totalidade dos requisitos de um material ideal obturador. Sendo que estes materiais estão em constante evolução devido à sua utilização em várias áreas, podemos hipotetizar que no futuro exista um cimento que reúna a totalidade das características ideais.
The non-surgical endodontic treatment, which consists of different stages, has undergone several evolutions of techniques and materials that has always led to improving the results obtained. Its main objective is the chemical-mechanical removal of bacteria, necrotic tissue, toxins and a hermetic, three-dimensional obturation that prevents its recolonization. The result of this constant evolution, increased the success rate, improved the prognosis and decreased the treatment time. The objective of this work was to compare two types of filling cements from different periods. Will be compared the advantages and disadvantages and analysed the evolution and the impact on clinical practice. Based on the literature found, we can conclude that the new generation of endodontic cements, bioceramic cements, add an increase in biocompatibility, antibacterial activity, expansion power, release of calcium ions and a more hermetic three-dimensional filling. To date, no cement meets all the requirements of an ideal filling material. Since these materials are in constant evolution due to their use in various areas, we can hypothesize that in the future there will be a cement that has all the ideal characteristics.
The non-surgical endodontic treatment, which consists of different stages, has undergone several evolutions of techniques and materials that has always led to improving the results obtained. Its main objective is the chemical-mechanical removal of bacteria, necrotic tissue, toxins and a hermetic, three-dimensional obturation that prevents its recolonization. The result of this constant evolution, increased the success rate, improved the prognosis and decreased the treatment time. The objective of this work was to compare two types of filling cements from different periods. Will be compared the advantages and disadvantages and analysed the evolution and the impact on clinical practice. Based on the literature found, we can conclude that the new generation of endodontic cements, bioceramic cements, add an increase in biocompatibility, antibacterial activity, expansion power, release of calcium ions and a more hermetic three-dimensional filling. To date, no cement meets all the requirements of an ideal filling material. Since these materials are in constant evolution due to their use in various areas, we can hypothesize that in the future there will be a cement that has all the ideal characteristics.
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Keywords
Obturation Sealer Root canal treatment Bioceramics Resin cement