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Irrigação em endodontia: hipoclorito de sódio versus clorexidina – uma revisão narrativa
| Name: | Description: | Size: | Format: | |
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| 40077 | 257.06 KB | Adobe PDF |
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Abstract(s)
O objetivo da endodontia é preservar os dentes afetados por patologias pulpares e periapicais, eliminando tecido pulpar, detritos, toxinas e produtos inflamatórios do canal radicular. Para tanto, instrumentação e irrigação são indissociáveis.
A irrigação dos canais radiculares tem vários objetivos: a lubrificação dos instrumentos e a erradicação de todas as bactérias presentes na rede de canais radiculares de forma a diminuir o risco de insucesso do tratamento.
A solução de irrigação utilizada deve ter propriedades bacterianas suficientes para eliminar o biofilme intracanal, deve ser eficaz na remoção dos restos pulpares sem ser tóxica para os tecidos apicais. Muitas soluções de irrigação são usadas em endodontia.
Entre eles estão o Hipoclorito de sódio e a Clorexidina.
Este trabalho tem como objetivo a comparação do Hipoclorito de Sódio e da Clorexidina na irrigação endodôntica, em relação ao seu mecanismo de ação, suas vantagens, suas desvantagens e seu interesse como um irrigante endodôntico.
The aim of endodontics is to preserve teeth affected by pulpal and periapical pathologies by eliminating pulp tissue, debris, toxins, and inflammatory products from inside the root canal. To this end, instrumentation and irrigation are inseparable. The irrigation of root canals has several objectives: the lubrication of the instruments and the eradication of all bacteria present in the root canal network to avoid any risk of treatment failure. The irrigation solution used must have sufficient bacterial properties to eliminate the intracanal biofilm, it must be effective in removing the pulpal remains without being toxic to the apical tissues. Many irrigation solutions are used in endodontics. Among them are Sodium hypochlorite and Chlorhexidine. This work of narrative review aims to compare Sodium Hypochlorite and Chlorhexidine in endodontic irrigation, regarding its mechanism of action, its advantages, its disadvantages, and its interest as an endodontic irrigant.
The aim of endodontics is to preserve teeth affected by pulpal and periapical pathologies by eliminating pulp tissue, debris, toxins, and inflammatory products from inside the root canal. To this end, instrumentation and irrigation are inseparable. The irrigation of root canals has several objectives: the lubrication of the instruments and the eradication of all bacteria present in the root canal network to avoid any risk of treatment failure. The irrigation solution used must have sufficient bacterial properties to eliminate the intracanal biofilm, it must be effective in removing the pulpal remains without being toxic to the apical tissues. Many irrigation solutions are used in endodontics. Among them are Sodium hypochlorite and Chlorhexidine. This work of narrative review aims to compare Sodium Hypochlorite and Chlorhexidine in endodontic irrigation, regarding its mechanism of action, its advantages, its disadvantages, and its interest as an endodontic irrigant.
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Keywords
Endodontia Irrigantes do canal radicular Hipoclorito de sódio Clorexidina Endodontics Root canal irrigants Sodium hypochlorite Chlorhexidine