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Regeneracao óssea em microcirurgia apical: quando e como fazer? Revisão integrativa
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O objetivo deste trabalho consiste em responder à seguinte questão: Em que casos clínicos e segundo que critérios é que devemos proceder à regeneração óssea em microcirurgia apical? Foi realizada uma pesquisa bibliográfica nas bases de dados eletrónicas PubMed, Web of Science e B-On. A identificação e seleção dos artigos foram conduzidas utilizando critérios de inclusão e de exclusão previamente elaborados. São incluídos artigos publicados nos últimos quinze anos escritos em inglês, italiano, português e espanhol que relatam estudos em humanos e que respondem à questão PIO. Serão excluídos pacientes com doenças sistémicas que afetam a cicatrização óssea, dentes com mobilidade severa, fraturas verticais ou comprometimento periodontal avançado e estudos realizados em crianças e adolescentes. Foram analisados 12 artigos que abordam pacientes adultos com lesões apicais tratados com microcirurgia apical e técnicas de regeneração óssea diferentes, mostrando protocolos alternativos e tipos de cicatrização diferenciadas, confirmando assim a variedade da escolha na microcirurgia apical com a utilização da regeneração óssea. Esta revisão integrativa enfatiza a importância da escolha da microcirurgia apical quando os tratamentos convencionais falham. Demonstrando que a conservação de um elemento dentário representa certamente uma grande vantagem para o paciente do ponto de vista biológico.
The aim of this study is to answer the following question: In which clinical cases and according to which criteria should we proceed with bone regeneration in apical microsurgery? A bibliographic search was conducted in the electronic databases PubMed, Web of Science and B-On. The identification and selection of articles were conducted using previously established inclusion and exclusion criteria. Articles published in the last fifteen years, written in English, Italian, Portuguese and Spanish, reporting studies in humans and answering the PIO question are included. Patients with systemic diseases affecting bone healing, teeth with severe mobility, vertical fractures or advanced periodontal compromise, and studies conducted in children and adolescents will be excluded. Twelve articles were analysed that address adult patients with apical lesions treated with apical microsurgery and different bone regeneration techniques, showing alternative protocols and different types of healing, thus confirming the variety of choices in apical microsurgery with the use of bone regeneration. This integrative review emphasises the importance of choosing apical microsurgery when conventional treatments fail. It demonstrates that the preservation of a tooth certainly represents a great advantage for the patient from a biological point of view.
The aim of this study is to answer the following question: In which clinical cases and according to which criteria should we proceed with bone regeneration in apical microsurgery? A bibliographic search was conducted in the electronic databases PubMed, Web of Science and B-On. The identification and selection of articles were conducted using previously established inclusion and exclusion criteria. Articles published in the last fifteen years, written in English, Italian, Portuguese and Spanish, reporting studies in humans and answering the PIO question are included. Patients with systemic diseases affecting bone healing, teeth with severe mobility, vertical fractures or advanced periodontal compromise, and studies conducted in children and adolescents will be excluded. Twelve articles were analysed that address adult patients with apical lesions treated with apical microsurgery and different bone regeneration techniques, showing alternative protocols and different types of healing, thus confirming the variety of choices in apical microsurgery with the use of bone regeneration. This integrative review emphasises the importance of choosing apical microsurgery when conventional treatments fail. It demonstrates that the preservation of a tooth certainly represents a great advantage for the patient from a biological point of view.
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Membranes Bone graft Guided boned regeneration Endodontic surgery Apicoectomy Autologous platelet concentrates