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Qual o impacto das guias cirúrgicas impressas nos tratamentos endodônticos cirúrgicos? Uma revisão integrativa
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A endodontia é área da medicina dentária que estuda as causas, a prevenção, o diagnóstico e o tratamento das doenças da polpa dentária e as suas consequências nos tecidos periapicais. Apesar do alto índice de sucesso dos tratamentos convencionais, casos complexos, como canais calcificados, retratamentos endodônticos e anatomias radiculares atípicas, muitas vezes exigem a intervenção cirúrgica para alcançar resultados satisfatórios.O avanço das tecnologias aplicadas à Medicina Dentária tem transformado a abordagem de procedimentos complexos, como os tratamentos endodônticos cirúrgicos. Neste contexto, o uso de guias cirúrgicas, desenvolvidas com base em tomografias computadorizadas de feixe cónico (CBCT) tem sido amplamente estudado. Estas ferramentas permitem o planeamento e a execução precisos, minimizando erros durante a cirurgia e promovendo resultados mais previsíveis. Este estudo tem como objetivo analisar o impacto das guias cirúrgicas na segurança e eficácia dos tratamentos endodônticos cirúrgicos, considerando as suas vantagens, limitações e aplicabilidades clínicas. As bases de dados para este estudo serão: Pubmed; Cochrane Library; Socopus; Web of Sience; B- On, num intervalo temporal 2014-2024, com recurso a critérios de inclusão e exclusão e também palavas chave. Com esta revisão integrativa é possível concluir que as limitações atuais, incluindo a dependência da qualidade da imagem, curva de aprendizagem e considerações econômicas, devem ser equilibradas contra os potenciais benefícios. A seleção criteriosa de casos, focando em situações de maior complexidade, otimiza a utilização desta tecnologia. As perspetivas futuras são promissoras, com desenvolvimentos em materiais biodegradáveis, softwares específicos para endodontia e integração com outras tecnologias emergentes. A evolução contínua desta área promete tornar os procedimentos endodônticos cirúrgicos mais precisos, previsíveis e eficientes, beneficiando tanto os profissionais quanto os pacientes.
Endodontics is the field of dentistry that studies the causes, prevention, diagnosis, and treatment of dental pulp diseases and their consequences on periapical tissues. Despite the high success rate of conventional treatments, complex cases, such as calcified canals, endodontic retreatment, and atypical root anatomies, often require surgical intervention to achieve satisfactory results. Advances in dental technology have transformed the approach to complex procedures, such as surgical endodontic treatments. In this context, the use of surgical guides developed based on cone beam computed tomography (CBCT) has been widely studied. These tools allow for precise planning and execution, minimizing errors during surgery and promoting more predictable results. This study aims to analyze the impact of surgical guides on the safety and effectiveness of surgical endodontic treatments, considering their advantages, limitations, and clinical applicability. The databases for this study will be: Pubmed; Cochrane Library; Socopus; Web of Science; B-On, in the time interval 2014-2024, using inclusion and exclusion criteria and keywords. With this integrative review, it is possible to conclude that current limitations, including dependence on image quality, learning curve, and economic considerations, must be balanced against the potential benefits. Careful case selection, focusing on more complex situations, optimizes the use of this technology. The future prospects are promising, with developments in biodegradable materials, specific software for endodontics, and integration with other emerging technologies. The continuous evolution of this area promises to make endodontic surgical procedures more accurate, predictable, and efficient, benefiting both professionals and patients.
Endodontics is the field of dentistry that studies the causes, prevention, diagnosis, and treatment of dental pulp diseases and their consequences on periapical tissues. Despite the high success rate of conventional treatments, complex cases, such as calcified canals, endodontic retreatment, and atypical root anatomies, often require surgical intervention to achieve satisfactory results. Advances in dental technology have transformed the approach to complex procedures, such as surgical endodontic treatments. In this context, the use of surgical guides developed based on cone beam computed tomography (CBCT) has been widely studied. These tools allow for precise planning and execution, minimizing errors during surgery and promoting more predictable results. This study aims to analyze the impact of surgical guides on the safety and effectiveness of surgical endodontic treatments, considering their advantages, limitations, and clinical applicability. The databases for this study will be: Pubmed; Cochrane Library; Socopus; Web of Science; B-On, in the time interval 2014-2024, using inclusion and exclusion criteria and keywords. With this integrative review, it is possible to conclude that current limitations, including dependence on image quality, learning curve, and economic considerations, must be balanced against the potential benefits. Careful case selection, focusing on more complex situations, optimizes the use of this technology. The future prospects are promising, with developments in biodegradable materials, specific software for endodontics, and integration with other emerging technologies. The continuous evolution of this area promises to make endodontic surgical procedures more accurate, predictable, and efficient, benefiting both professionals and patients.
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Tratamento endodôntico cirúrgico Guias cirúrgicas CBCT Guias cirúrgicas impressas Surgical endodontic treatment Surgical guides Printed surgical guides