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Publication
Endodontia guiada, o caminho para um tratamento endodôntico não-cirúrgico mais conservador: uma revisão narrativa
| Name: | Description: | Size: | Format: | |
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| Projeto de pós-graduação_40430 | 337.25 KB | Adobe PDF |
Advisor(s)
Abstract(s)
A endodontia guiada emerge na medicina dentária contemporânea como uma abordagem inovadora, integrando tecnologias de imagem avançadas e sistemas de navegação que contribuem para a otimização do tratamento. Esta revisão narrativa aborda profundamente o potencial transformador dessas tecnologias no campo da endodontia, explorando a sua aplicabilidade clínica, benefícios e desafios associados. São vários os obstáculos que podem dificultar a realização de um tratamento endodôntico conservador, entre eles destacam-se a calcificação dos canais radiculares, as atresias e as variações anatómicas dentárias.
Tendo como base as técnicas de navegação guiadas cirúrgicas, a endodontia guiada tem vindo nos últimos anos a ocupar um lugar de destaque no seio da medicina dentária conservadora, quer seja através da técnica de navegação estática, quer seja através da técnica de navegação dinâmica. A precisão desta técnica oferece imensas vantagens quando comparada com a técnica de endodontia convencional.
Através de uma revisão bibliográfica, este trabalho procura demonstrar a eficácia e segurança da endodontia guiada, evidenciando os resultados positivos e destacando a capacidade desta técnica de melhorar a previsibilidade dos tratamentos, preservando ao mesmo tempo a estrutura dentária, como relatado por diversos autores.
Quanto às tecnologias fundamentais para a sua execução, é de salientar o papel da tomografia computadorizada de feixe cónico, do scanner intraoral e das impressoras 3D, para além de todo o software de planeamento digital, que tem sido cada vez mais uma ferramenta presente no dia a dia do médico dentista.
Apesar de existirem já alguns casos clínicos documentados que envolvem a utilização desta técnica, considera-se que follow-ups a longo prazo são necessários para que se possa confirmar efetivamente o seu sucesso e eficácia.
Apesar de ser relativamente recente, a endodontia guiada tem evoluído a um bom ritmo. Contudo, espera-se que a técnica seja mais simples nos próximos anos (especialmente através da navegação guiada dinâmica), assim como se torne num tratamento mais acessível à população em geral, promovendo assim a preservação da dentição natural e evitando tratamentos mais invasivos.
Guided endodontics is emerging in contemporary dentistry as an innovative approach, integrating advanced imaging technologies and navigation systems that contribute to treatment optimization. This narrative review takes an in-depth look at the transformative potential of these technologies in the field of endodontics, exploring their clinical applicability, benefits, and associated challenges. Several obstacles can hinder conservative endodontic treatment, including root canal calcification, atresia, and dental anatomical variations. Based on surgical guided navigation techniques, guided endodontics has come to occupy a prominent place in conservative dentistry in recent years, whether through the static navigation technique or the dynamic navigation technique. The precision of this technique offers immense advantages when compared to conventional endodontics. Through a literature review, this paper seeks to demonstrate the efficacy and safety of guided endodontics, highlighting the positive results and emphasizing the ability of this technique to improve the predictability of treatments while preserving tooth structure, as reported by several authors. Regarding the fundamental technologies for its execution, the role of cone beam computed tomography, intraoral scanners, and 3D printers is noteworthy, in addition to all digital planning software, which has increasingly become a tool in the daily routine of the dentist. Although some documented clinical cases already involve the use of this technique, long-term follow-ups are necessary to effectively confirm its success and effectiveness. Despite being relatively new, guided endodontics has evolved at a good pace. However, it is expected that the technique will become simpler in the coming years (especially through dynamic guided navigation) and more accessible to the general population, thus promoting the preservation of natural dentition and avoiding more invasive treatments.
Guided endodontics is emerging in contemporary dentistry as an innovative approach, integrating advanced imaging technologies and navigation systems that contribute to treatment optimization. This narrative review takes an in-depth look at the transformative potential of these technologies in the field of endodontics, exploring their clinical applicability, benefits, and associated challenges. Several obstacles can hinder conservative endodontic treatment, including root canal calcification, atresia, and dental anatomical variations. Based on surgical guided navigation techniques, guided endodontics has come to occupy a prominent place in conservative dentistry in recent years, whether through the static navigation technique or the dynamic navigation technique. The precision of this technique offers immense advantages when compared to conventional endodontics. Through a literature review, this paper seeks to demonstrate the efficacy and safety of guided endodontics, highlighting the positive results and emphasizing the ability of this technique to improve the predictability of treatments while preserving tooth structure, as reported by several authors. Regarding the fundamental technologies for its execution, the role of cone beam computed tomography, intraoral scanners, and 3D printers is noteworthy, in addition to all digital planning software, which has increasingly become a tool in the daily routine of the dentist. Although some documented clinical cases already involve the use of this technique, long-term follow-ups are necessary to effectively confirm its success and effectiveness. Despite being relatively new, guided endodontics has evolved at a good pace. However, it is expected that the technique will become simpler in the coming years (especially through dynamic guided navigation) and more accessible to the general population, thus promoting the preservation of natural dentition and avoiding more invasive treatments.
Description
Keywords
Endodontia guiada Guia endodôntica Canais radiculares calcificados Impressão 3D Tomografia computadorizada de feixe cónico Guided endodontics Endodontic guide Calcified root canals 3D printing Cone beam computed tomography