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Publication
Panorama atual da endodontia regeneradora
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_23576 | 898.77 KB | Adobe PDF |
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Advisor(s)
Abstract(s)
Introdução: O endodontista é responsável pelo diagnóstico e tratamento de patologias da polpa e deve, sempre que possível, manter a sua vitalidade. O conhecimento pulpar é essencial para o desenvolvimento de um plano de tratamento adequado. O sucesso do tratamento depende não só dos materiais e instrumentos disponíveis, como da aptidão do clínico e colaboração do paciente.
Objetivo: Recolha bibliográfica sobre o estado atual da endodontia regeneradora para dentes permanentes imaturos necrosados, abordando as principais vantagens e limitações dos procedimentos clínicos disponíveis, com ênfase nos princípios biológicos da técnica de apexificação.
Materiais e métodos: Para tal, realizou-se uma pesquisa bibliográfica nos principais motores de busca (PubMed, B-On e Science Direct), como também em vários livros científicos, utilizando palavras-chave como: “Regenerative Endodontics”, “Treatment Outcome” e “Stem Cells”, que foram associadas de várias formas. Desta pesquisa, efetuada entre Março e Junho de 2015, foram escolhidos 57 artigos em inglês, dos quais foram utilizados 38. Além dos artigos, foram analisados cerca de 10 livros, dos quais foram utilizados 5.
Resultados: Vários fatores, como o tipo de caso, prática do clínico e disponibilidade de instrumentos e materiais, fazem variar as taxas de sucesso das terapias endodônticas. Normalmente, os tratamentos são eficientes no que concerne à eliminação da dor e controlo de infeção.
Conclusões: Esta nova técnica aparenta vir a ser uma boa ferramenta clínica e antevê-se uma potencial opção com perspetivas promissoras. No entanto, conclui-se que mais estudos clínicos deverão ser efetuados, com vista a proporcionar um melhor entendimento sobre este tipo de terapia, para assim se desenvolverem métodos que consigam ultrapassar as presentes dificuldades, que tornam a Endodontia Regeneradora tão controversa e imprevisível.
Introduction: The endodontist is responsible for the diagnosis and treatment of the dental pulp related pathologies and he must, whenever possible, keep its vitality. The learning of the pulp is essential for the development of an adequate treatment. Its success relies upon both the treatment and available tools, and the practitioner’s aptitude combined with the patient collaboration. Objective: Bibliographic research and collection about the present state of regenerative endodontics for permanent necrotic immature teeth, addressing its main advantages and the available clinical procedures limitations, emphasizing the biological principles of the apexification technics. Materials and methods: In order to do so, a bibliographic research was made with the help of the main web search engines (PubMed, B-on and Science Direct), and in various scientific books as well, using key-words such as: “Regenerative Endodontics”, “Treatment Outcome” and “Stem Cells” which were assembled in several ways. From this research, conducted between March and June of 2015, 57 articles in English were chosen of which 38 were used. In addition to that, about 10 books were analyzed of which 5 were used. Results: Various factors such as the type of case, the practitioner’s experience and the availability of tools and materials, result in the variation of the success rates of the endodontic therapies. Ordinarily the treatments are effective concerning pain elimination and infection control. Conclusions: This new technique could become a valuable clinical tool, as it is an option which has bright future prespectives. However, in conclusion more clinical studies should be accomplished in order to clearer understand this kind of therapy and so that the methods which can surpass the current difficulties can be developed, since these problems make Regenerative Endodontics quite controversial and unpredictable.
Introduction: The endodontist is responsible for the diagnosis and treatment of the dental pulp related pathologies and he must, whenever possible, keep its vitality. The learning of the pulp is essential for the development of an adequate treatment. Its success relies upon both the treatment and available tools, and the practitioner’s aptitude combined with the patient collaboration. Objective: Bibliographic research and collection about the present state of regenerative endodontics for permanent necrotic immature teeth, addressing its main advantages and the available clinical procedures limitations, emphasizing the biological principles of the apexification technics. Materials and methods: In order to do so, a bibliographic research was made with the help of the main web search engines (PubMed, B-on and Science Direct), and in various scientific books as well, using key-words such as: “Regenerative Endodontics”, “Treatment Outcome” and “Stem Cells” which were assembled in several ways. From this research, conducted between March and June of 2015, 57 articles in English were chosen of which 38 were used. In addition to that, about 10 books were analyzed of which 5 were used. Results: Various factors such as the type of case, the practitioner’s experience and the availability of tools and materials, result in the variation of the success rates of the endodontic therapies. Ordinarily the treatments are effective concerning pain elimination and infection control. Conclusions: This new technique could become a valuable clinical tool, as it is an option which has bright future prespectives. However, in conclusion more clinical studies should be accomplished in order to clearer understand this kind of therapy and so that the methods which can surpass the current difficulties can be developed, since these problems make Regenerative Endodontics quite controversial and unpredictable.
Description
Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina Dentária
Keywords
Regenerative endodontics Treatment outcome Stem cells