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Tratamentos para injúrias dos tecidos periodontais em dentes permanentes: revisão de literatura
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Abstract(s)
Lesões traumáticas nos dentes permanentes são muito comuns e muitos deles lesionados não são tratados ou recebem tratamento inadequado, Foi objetivo do estudo realizar uma revisão de literatura e abordar injúrias dos tecidos periodontais (concussão, subluxação e luxações), a conduta ideal perante cada uma, abrangendo a necessidade ou não de realizar algum tratamento endodôntico prevenindo reabsorções externas.
Realizou-se uma pesquisa bibliográfica narrativa, assente em livros, artigos científicos e teses, publicados em revistas científicas internacionais ou disponíveis em websites, 1988-2019. Motores de busca utilizados foram a PubMed e Google Scholar.
Conclui-se que os traumas dentários envolvendo tecidos periodontais são considerados de gravidade moderada a severa, necessitando atendimento imediato, caso contrário a possibilidade de apresentar complicações como necrose pulpar e reabsorção inflamatória radicular aumentam significativamente. Em casos de processo inflamatório já instalado há diversos procedimentos a serem realizados, como por exemplo o uso do MTA na região da reabsorção radicular.
Traumatic injuries to permanent teeth are very common and many of them injured are not treated or receive inadequate treatment. The objective of the study was to carry out a literature review and address injuries to periodontal tissues (concussion, subluxation and dislocations), the ideal conduct before each one, covering the need or not to perform any endodontic treatment preventing external resorption. A narrative bibliographic research was carried out, based on books, scientific articles and theses, published in international scientific journals or available on websites, 1988-2019. Search engines used were PubMed and Google Scholar. It is concluded that dental trauma involving periodontal tissues are considered to be of moderate to severe severity, requiring immediate care, otherwise the possibility of complications such as pulp necrosis and radicular inflammatory resorption increase significantly. In cases of inflammatory process already installed, there are several procedures to be performed, such as the use of MTA in the region of root resorption.
Traumatic injuries to permanent teeth are very common and many of them injured are not treated or receive inadequate treatment. The objective of the study was to carry out a literature review and address injuries to periodontal tissues (concussion, subluxation and dislocations), the ideal conduct before each one, covering the need or not to perform any endodontic treatment preventing external resorption. A narrative bibliographic research was carried out, based on books, scientific articles and theses, published in international scientific journals or available on websites, 1988-2019. Search engines used were PubMed and Google Scholar. It is concluded that dental trauma involving periodontal tissues are considered to be of moderate to severe severity, requiring immediate care, otherwise the possibility of complications such as pulp necrosis and radicular inflammatory resorption increase significantly. In cases of inflammatory process already installed, there are several procedures to be performed, such as the use of MTA in the region of root resorption.
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Keywords
Trauma dentário Reabsorção radicular Tecidos periodontais Concussão Subluxação e luxação Dental trauma Root resorption Endodontics