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Materiais para proteção/regeneração do complexo dentino-pulpar: revisão narrativa
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Resumo(s)
A cárie dentária é uma doença multifatorial, que afeta grande parte da população. Dependendo de vários fatores, a lesão de cárie pode estender-se para o complexo dentino-pulpar, permitindo assim a infiltração bacteriana e gerando uma resposta inflamatória do mesmo.
Hoje em dia, a preservação da vitalidade pulpar é a principal preocupação do médico dentista. Assim, deve optar-se por uma abordagem mais conservadora através de técnicas de recobrimento pulpar, que protegem e promovem a regeneração do complexo dentino pulpar.
O objetivo desta revisão trabalho foi averiguar as soluções e técnicas disponíveis para a proteção e regeneração do complexo dentino-pulpar de modo a evitar o tratamento endodôntico e preservar a vitalidade pulpar. Foi realizada uma pesquisa bibliográfica nas bases de dados PubMed, B-on, Elsevier, Science Direct, e estabelecidos critérios de inclusão e exclusão para a seleção dos artigos.
Dental caries is a multifactorial disease that affects a large part of the population. Depending on several factors, the carious lesion in the enamel may extend to the pulp-dentin complex, allowing bacterial infiltration and generating an inflammatory response. Nowadays, the preservation of pulp vitality is the main concern of the dentist. Thus, a more conservative approach should be chosen through pulp covering techniques, which protect and promote the regeneration of the pulp-dentin complex. The objective of this narrative review was to find out what solutions and techniques are available for the protection and regeneration of the pulp-dentin complex in order to avoid root canal treatment and preserve pulp vitality. For its realization, a bibliographic search was carried out in the databases PubMed, B-on, Elsevier, Science Direct. Inclusion and exclusion criteria were established for the selection of articles.
Dental caries is a multifactorial disease that affects a large part of the population. Depending on several factors, the carious lesion in the enamel may extend to the pulp-dentin complex, allowing bacterial infiltration and generating an inflammatory response. Nowadays, the preservation of pulp vitality is the main concern of the dentist. Thus, a more conservative approach should be chosen through pulp covering techniques, which protect and promote the regeneration of the pulp-dentin complex. The objective of this narrative review was to find out what solutions and techniques are available for the protection and regeneration of the pulp-dentin complex in order to avoid root canal treatment and preserve pulp vitality. For its realization, a bibliographic search was carried out in the databases PubMed, B-on, Elsevier, Science Direct. Inclusion and exclusion criteria were established for the selection of articles.
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Palavras-chave
Recobrimento pulpar indireto Recobrimento pulpar direto MTA Biodentine Hidróxido de cálcio Indirect pulp capping Direct pulp capping Calcium hydroxide