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Revascularização pulpar: uma nova perspetiva do tratamento endodôntico
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Abstract(s)
Neste estudo, foi realizada uma revisão bibliográfica sobre o protocolo clínico da revascularização pulpar de dentes com rizogênese incompleta e diagnóstico pulpar de necrose. Atualmente é considerado um tratamento alternativo à apexificação. Neste estudo, vamos abordar a sua aplicabilidade clínica, as suas vantagens e desvantagens.
A recente demonstração de bons resultados radiográficos nos tratamentos de revascularização em dentes permanentes imaturos, com aumento significativamente maior na largura e comprimento da raiz quando comparado com a apexificação com MTA ou tratamento tradicional de canal radicular não cirúrgico, tem despertado o interesse neste método.
A terapia endodôntica de revascularização em dentes permanentes imaturos necróticos apresenta algumas limitações e questões. Por isso, ainda são necessários mais estudos. Contudo, trata-se de um tratamento promissor por restabelecer a vitalidade pulpar com consequente desenvolvimento radicular.
In this study, a literature review was made on the clinical protocol of pulpal revascularization of teeth with incomplete rhizogenesis and pulpal necrosis diagnosis. Nowadays, it is considered an alternative treatment to apexification. In this study, we will address its clinical applicability, its advantages and disadvantages. The recent demonstration of good radiographic results in revascularization treatments in immature permanent teeth, with a significantly greater increase in root width and length when compared to apexification with MTA or traditional non-surgical root canal treatment, has aroused interest in this method. Endodontic revascularization therapy in immature permanent necrotic teeth presents some limitations and issues. Therefore, further studies are needed. However, it is a promising treatment for restoring pulp vitality with consequent root development.
In this study, a literature review was made on the clinical protocol of pulpal revascularization of teeth with incomplete rhizogenesis and pulpal necrosis diagnosis. Nowadays, it is considered an alternative treatment to apexification. In this study, we will address its clinical applicability, its advantages and disadvantages. The recent demonstration of good radiographic results in revascularization treatments in immature permanent teeth, with a significantly greater increase in root width and length when compared to apexification with MTA or traditional non-surgical root canal treatment, has aroused interest in this method. Endodontic revascularization therapy in immature permanent necrotic teeth presents some limitations and issues. Therefore, further studies are needed. However, it is a promising treatment for restoring pulp vitality with consequent root development.
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Keywords
Revascularização pulpar Revitalização pulpar Apexificação Pulp revascularization Pulp revitalization Apexification