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O síndrome do dente fissurado: uma revisão narrativa
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39481 | 1.53 MB | Adobe PDF |
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Abstract(s)
O síndrome do dente fissurado (SDF) é uma condição complexa que é frequentemente diagnosticada de forma incorreta e pode levar a complicações graves se não tratada adequadamente. Caracterizada por uma fissura microscópica na estrutura dos dentes vitais, geralmente nos molares devido às intensas forças durante a mastigação, o SDF provoca dor aguda e desconforto ao mastigar, afetando significativamente a qualidade de vida do paciente. Sem um tratamento precoce e adequado, essa condição pode progredir até uma fratura completa do dente.
O diagnóstico do SDF é desafiador devido à sua variabilidade clínica, exigindo métodos diagnósticos precisos para determinar a localização e extensão da fissura. As técnicas de diagnóstico incluem exames visuais e táteis, testes de mordida, sondagem periodontal, testes de vitalidade, uso de corantes, transiluminação, deteção microscópica, radiografias e a adoção de novas tecnologias.
O tratamento varia conforme o tipo e gravidade da fissura e pode incluir desde ajustes oclusais, o uso de anéis de cobre ou bandas ortodônticas, além de coroas temporárias e restaurações de compósito direto até tratamento endodôntico. As restaurações podem ser diretas, com ou sem cobertura cuspídea, utilizando materiais como amálgama ou resina composta, ou indiretas, como inlays, onlays de metal, cerâmica ou resinas compostas adesivas e coroas completas, adequadas para casos mais sérios.
A pesquisa ressalta a necessidade de uma abordagem conservadora, eficaz, previsível, eficiente e económica para a abordagem do SDF, bem como a importância de intervenções duradouras, como onlays adesivos indiretos ou coroas, para a restauração efetiva da funcionalidade e estética dos dentes afetados. A dissertação também apresenta uma revisão detalhada da literatura sobre o SDF, com base em estudos recentes extraídos de bases de dados reconhecidas como PubMed, Google Scholar e ResearchGate, juntamente com uma pesquisa manual nas referências. O estudo visa estabelecer um protocolo claro tanto para o diagnóstico adequado quanto para o plano de tratamento eficaz para o SDF.
The cracked tooth syndrome (CTS) is a complex condition that is often misdiagnosed and can lead to serious complications if not properly treated. Characterized by a microscopic fissure in the structure of vital teeth, typically in molars due to the intense forces during chewing, CTS causes sharp pain and discomfort when chewing, significantly affecting the patient’s quality of life. Without early and appropriate treatment, this condition can progress to a complete fracture of the tooth. Diagnosing CTS is challenging due to its clinical variability, requiring precise diagnostic methods to determine the location and extent of the fissure. Diagnostic techniques include visual and tactile examinations, bite tests, periodontal probing, vitality tests, use of dyes, transillumination, microscopic detection, radiography, and the adoption of new technologies. Treatment varies depending on the type and severity of the fissure and can range from occlusal adjustments, the use of copper rings or orthodontic bands, as well as temporary crowns and direct composite splints to endodontic treatment. Restorations can be direct, with or without cusp coverage, using materials such as amalgam or composite resin, or indirect, such as inlays, metal onlays, ceramics, or adhesive composite resins, and full crowns, suitable for more severe cases. The research emphasizes the need for a conservative, effective, predictable, efficient, and economical approach to managing CTS, highlighting the importance of lasting interventions, such as indirect adhesive onlays or crowns, for effective restoration of tooth functionality and aesthetics. The dissertation also presents a detailed review of the literature on CTS, based on recent studies from recognized databases such as PubMed, Google Scholar, and ResearchGate, with a manual search of references. The study aims to establish a clear protocol for both accurate diagnosis and an effective treatment plan for CTS.
The cracked tooth syndrome (CTS) is a complex condition that is often misdiagnosed and can lead to serious complications if not properly treated. Characterized by a microscopic fissure in the structure of vital teeth, typically in molars due to the intense forces during chewing, CTS causes sharp pain and discomfort when chewing, significantly affecting the patient’s quality of life. Without early and appropriate treatment, this condition can progress to a complete fracture of the tooth. Diagnosing CTS is challenging due to its clinical variability, requiring precise diagnostic methods to determine the location and extent of the fissure. Diagnostic techniques include visual and tactile examinations, bite tests, periodontal probing, vitality tests, use of dyes, transillumination, microscopic detection, radiography, and the adoption of new technologies. Treatment varies depending on the type and severity of the fissure and can range from occlusal adjustments, the use of copper rings or orthodontic bands, as well as temporary crowns and direct composite splints to endodontic treatment. Restorations can be direct, with or without cusp coverage, using materials such as amalgam or composite resin, or indirect, such as inlays, metal onlays, ceramics, or adhesive composite resins, and full crowns, suitable for more severe cases. The research emphasizes the need for a conservative, effective, predictable, efficient, and economical approach to managing CTS, highlighting the importance of lasting interventions, such as indirect adhesive onlays or crowns, for effective restoration of tooth functionality and aesthetics. The dissertation also presents a detailed review of the literature on CTS, based on recent studies from recognized databases such as PubMed, Google Scholar, and ResearchGate, with a manual search of references. The study aims to establish a clear protocol for both accurate diagnosis and an effective treatment plan for CTS.
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Keywords
Síndrome do dente fissurado Dente fissurado Cracked tooth syndrome Cracked tooth