Loading...
Publication
Obturação com cimentos hidráulicos com a técnica de cone único: revisão integrativa
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39736 | 1.01 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O prognóstico do tratamento endodôntico está fortemente relacionado à obturação e selamento eficaz do sistema de canais radiculares após a preparação químico-mecânica. Esta etapa é um desafio na prática clínica, pois visa evitar a criação de áreas propícias para infiltrações e o desenvolvimento de microrganismos. A qualidade da obturação é influenciada pela complexidade anatómica do sistema de canais radiculares, caracterizado pela presença de curvaturas e irregularidades, ramificações, istmos e canais laterais.
A técnica de cone único, inicialmente considerada inadequada para evitar infiltrações na região apical, foi melhorada com o uso de cimentos dimensionalmente estáveis e homogéneos como os cimentos biocerâmicos à base de silicato de cálcio, também conhecidos como “cimentos hidráulicos”. Estes cimentos são hidrofílicos, possuem fortes propriedades antibacterianas, biocompatíveis, alta fluidez e adesão, tornando-os uma opção promissora para o preenchimento do sistema de canais radiculares.
O objetivo desta dissertação é validar a eficácia da técnica de obturação com cimentos biocerâmicos utilizando a técnica de cone único e comparar com outras técnicas de obturação. Para isso, foi efetuada uma pesquisa bibliográfica nas bases de dados MEDLINE/PubMed, ScienceDirect e B-On, que teve início em janeiro de 2024 e término em abril de 2024, seguindo a estratégia de pesquisa PICO. No final deste processo de seleção, foram encontrados 14 artigos que foram incluídos nesta revisão integrativa.
Após análise dos mesmos, verifica-se que os cimentos biocerâmicos utilizando a técnica de obturação de cone único são uma opção viável no tratamento dos canais radiculares, pois apresentam resultados semelhantes às outras técnicas disponíveis. É ainda de salientar que nenhuma das técnicas existentes consegue alcançar a obturação perfeita, livre de espaços e com o preenchimento total do sistema de canais radiculares.
The prognosis of endodontic treatment is strongly related to the effective obturation and sealing of the root canal system after chemical-mechanical preparation. This stage is a challenge in clinical practice, as it aims to prevent the creation of areas conducive to infiltration and the development of microorganisms. The quality of the filling is influenced by the anatomical complexity of the root canal system, characterized by the presence of curvatures and irregularities, ramifications, isthmuses, and lateral canals. The single cone technique, initially considered inadequate to avoid infiltration in the apical region, has been improved with the use of dimensionally stable and homogeneous cements such as calcium silicate-based bioceramic cements, also known as “hydraulic cements.” These cements are hydrophilic, have strong antibacterial properties, biocompatibility, high fluidity, and adhesion, making them a promising option for filling the root canal system. The aim of this dissertation is to validate the effectiveness of the filling technique with bioceramic cements using the single cone technique and to compare it with other filling techniques. To this end, a bibliographic search was carried out in the MEDLINE/PubMed, ScienceDirect, and B-On databases, starting in January 2024 and ending in April 2024, following the PICO search strategy. At the end of this selection process, 14 articles were found and included in this integrative review. After analyzing them, it was found that bioceramic cements using the single cone obturation technique is a viable option for root canal treatment, as it presents results that are somewhat similar to other available techniques. It should also be noted that none of the existing techniques can achieve perfect obturation, free of spaces and with total filling of the root canal system.
The prognosis of endodontic treatment is strongly related to the effective obturation and sealing of the root canal system after chemical-mechanical preparation. This stage is a challenge in clinical practice, as it aims to prevent the creation of areas conducive to infiltration and the development of microorganisms. The quality of the filling is influenced by the anatomical complexity of the root canal system, characterized by the presence of curvatures and irregularities, ramifications, isthmuses, and lateral canals. The single cone technique, initially considered inadequate to avoid infiltration in the apical region, has been improved with the use of dimensionally stable and homogeneous cements such as calcium silicate-based bioceramic cements, also known as “hydraulic cements.” These cements are hydrophilic, have strong antibacterial properties, biocompatibility, high fluidity, and adhesion, making them a promising option for filling the root canal system. The aim of this dissertation is to validate the effectiveness of the filling technique with bioceramic cements using the single cone technique and to compare it with other filling techniques. To this end, a bibliographic search was carried out in the MEDLINE/PubMed, ScienceDirect, and B-On databases, starting in January 2024 and ending in April 2024, following the PICO search strategy. At the end of this selection process, 14 articles were found and included in this integrative review. After analyzing them, it was found that bioceramic cements using the single cone obturation technique is a viable option for root canal treatment, as it presents results that are somewhat similar to other available techniques. It should also be noted that none of the existing techniques can achieve perfect obturation, free of spaces and with total filling of the root canal system.
Description
Keywords
Cimento biocerâmico Cimento à base de silicato de cálcio Cimento biossilicato Cimentos hidráulicos Obturação do canal radicular Técnica de cone único Bioceramic sealer Calcium silicate-based sealer Biosilicate cement Hydraulic cements Root canal obturation Single cone