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Técnica de abordagem terapêutica em lesões profundas de cárie: revisão narrativa
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Abstract(s)
A Medicina Dentária atual caracteriza-se por priorizar práticas micro-invasivas. A cárie – patologia crónica mais prevalente no mundo – requer uma gestão adequada das lesões profundas. O tratamento de cárie profunda requer meticulosidade e reflexão, visando assegurar a durabilidade da restauração e proteção do complexo dentino-pulpar. Para este fim, várias terapias podem ser implementadas.
Com esta revisão narrativa pretende-se elucidar sobre o conceito atual de doença cárie, bem como avaliar criticamente as opções de tratamento para dentes permanentes com lesões de cárie profunda. Foi executada uma pesquisa bibliográfica nas bases de dados PubMed/Medline, Google Scholar e Elsevier.
A remoção total da cárie e o método Step Wise não são recomendados. A evicção parcial num só passo permite reduzir o risco de exposição pulpar. Mostram-se necessários mais estudos que visem a promoção de técnicas conservadoras, assim como o desenvolvimento de dispositivos auxiliares de diagnóstico de lesões de cárie profunda.
Today's dentistry is characterized by prioritizing micro-invasive practices. Caries – the most prevalent chronic pathology worldwide – requires proper management of deep lesions. Treatment of deep caries requires meticulousness and thoughtfulness in order to ensure the restoration’s durability and protection of the dentin-pulpal complex. To this end, various therapies can be implemented. This narrative review aims to elucidate the current concept of caries disease, as well as to critically evaluate treatment options for permanent teeth with deep caries lesions. A literature search was performed in PubMed/Medline, Google Scholar and Elsevier databases. Total caries curettage and the Step Wise method are not recommended. One-step partial curettage reduces the risk of pulpal exposure. Further studies are needed to promote conservative techniques and to develop diagnostic aids for deep caries lesions.
Today's dentistry is characterized by prioritizing micro-invasive practices. Caries – the most prevalent chronic pathology worldwide – requires proper management of deep lesions. Treatment of deep caries requires meticulousness and thoughtfulness in order to ensure the restoration’s durability and protection of the dentin-pulpal complex. To this end, various therapies can be implemented. This narrative review aims to elucidate the current concept of caries disease, as well as to critically evaluate treatment options for permanent teeth with deep caries lesions. A literature search was performed in PubMed/Medline, Google Scholar and Elsevier databases. Total caries curettage and the Step Wise method are not recommended. One-step partial curettage reduces the risk of pulpal exposure. Further studies are needed to promote conservative techniques and to develop diagnostic aids for deep caries lesions.
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Keywords
Reabilitação oral Lesões de cárie Cárie profunda Abordagem terapêutica Dentística Materiais dentários Oral rehabilitation Caries lesions Deep caries Therapeutic approach Dentistry Dental materials