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Publication
Instrumentação de baixa conicidade: revisão narrativa
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Abstract(s)
O tratamento endodôntico é um tratamento invasivo, cujo objetivo é eliminar microrganismos patogénicos, detritos presentes nos canais radiculares e prevenir reinfeções. Recentemente surgiu a ideia de associar a eficácia do tratamento endodôntico a uma técnica minimamente invasiva.
Esta revisão narrativa tem como objetivo analisar a instrumentação de canais radiculares com instrumentos de menor conicidade. A adaptação aos sistemas de canais radiculares, tentando manter e respeitar a anatomia natural do sistema de canais radiculares, são os objetivos dos novos sistemas de limas endodônticas.
A análise da maioria dos estudos permite concluir que as técnicas de tratamento endodôntico minimamente invasivas levam a um melhor prognóstico de resistência e durabilidade das peças dentárias. Concomitantemente, os sistemas de limas Trunatomy e VDW Rotate permitem uma cavidade de acesso minimamente invasiva, uma preservação de dentina pericervical resultante do seu menor diâmetro máximo na parte ativa, alta flexibilidade e resistência relacionadas com a liga utilizada.
Endodontic treatment is an invasive treatment, whose objective is to eliminate pathogenic microorganisms, debris present in root canals and prevent reinfections. Recently, the idea of associating the efficacy of endodontic treatment with a minimally invasive technique emerged. This narrative review aims to analyze the instrumentation of root canals with instruments with low taper. Adaptation to root canal systems, trying to maintain and respect the natural anatomy of the root canal system, are the goals of new endodontic file systems. The analysis of most studies allows us to conclude that minimally invasive endodontic treatment techniques lead to a better prognosis of strength and durability of tooth pieces. Concomitantly, Trunatomy and VDW Rotate file systems allow for a minimally invasive access cavity, a preservation of pericervical dentin resulting from its smaller maximum diameter in the active part, high flexibility and strength related to the alloy used.
Endodontic treatment is an invasive treatment, whose objective is to eliminate pathogenic microorganisms, debris present in root canals and prevent reinfections. Recently, the idea of associating the efficacy of endodontic treatment with a minimally invasive technique emerged. This narrative review aims to analyze the instrumentation of root canals with instruments with low taper. Adaptation to root canal systems, trying to maintain and respect the natural anatomy of the root canal system, are the goals of new endodontic file systems. The analysis of most studies allows us to conclude that minimally invasive endodontic treatment techniques lead to a better prognosis of strength and durability of tooth pieces. Concomitantly, Trunatomy and VDW Rotate file systems allow for a minimally invasive access cavity, a preservation of pericervical dentin resulting from its smaller maximum diameter in the active part, high flexibility and strength related to the alloy used.
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Keywords
Taper Thermal Ni-Ti Acess cavity Trunatomy VDW rotate Average