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Endodontia regenerativa em pacientes adultos: uma revisão narrativa
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Abstract(s)
A medicina regenerativa tem por objetivo a restauração de tecidos e órgãos danificados por doenças, traumas, tumores, ou deformidades congénitas.
Até agora, a endodontia é o tratamento indicado em caso de doença pulpar, baseado na substituição de tecido pulpar inflamado ou necrótico por guta-percha e cimento endodôntico; contudo, esta terapia convencional não restaura a vitalidade da polpa danificada nem reconstitui o sistema neuro vascular do dente. A terapia endodôntica regenerativa tem chamado cada vez mais a atenção da engenharia de tecidos para conseguir a revascularização e a inervação do dente. Muitos estudos sobre endodontia regenerativa estão limitados ao tratamento de dentes necróticos imaturos, mas tem havido um avanço nas técnicas regenerativas, demonstrando que a endodontia regenerativa também pode ser aplicada em dentes maduros.
O objetivo do trabalho é, avaliar o protocolo e prognóstico e dificuldades da terapia regenerativa endodôntica em dentes maduros em comparação com o tratamento endodôntico não cirúrgico.
The purpose of regenerative medicine is the restoration of damaged tissues and organs by diseases, tumors, traumas, or congenital deformations. All the time endodontics is the indicated treatment in case of pulpal pathology that is based on the replacement of inflamed or necrotic pulpal tissue with gutta-percha and edontontic cement. That conventional therapy does not restore the vitality of the damaged pulp without restoring the neuro-vascular system of the tooth. Many studies on regenerative endodontics are limited to the treatment of immature necrotic teeth. In recent decades, studies of regenerative techniques have shown that regenerative endodontics can also cure mature teeth. The aim of the work is to study the diagnostic protocol and the difficulties of endodontic regenerative therapy in mature teeth, comparing it with traditional non-surgical endodontic treatment.
The purpose of regenerative medicine is the restoration of damaged tissues and organs by diseases, tumors, traumas, or congenital deformations. All the time endodontics is the indicated treatment in case of pulpal pathology that is based on the replacement of inflamed or necrotic pulpal tissue with gutta-percha and edontontic cement. That conventional therapy does not restore the vitality of the damaged pulp without restoring the neuro-vascular system of the tooth. Many studies on regenerative endodontics are limited to the treatment of immature necrotic teeth. In recent decades, studies of regenerative techniques have shown that regenerative endodontics can also cure mature teeth. The aim of the work is to study the diagnostic protocol and the difficulties of endodontic regenerative therapy in mature teeth, comparing it with traditional non-surgical endodontic treatment.
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Keywords
Endodontia regenerativa Revascularização pulpar em dentes maduros Procedimentos regenerativos Coágulo sanguíneo Regeneração pulpar Regenerative endodontics Pulp revascularization in mature teeth Regenerative processes Blood clot Pulp regeneration