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Reabsorção interna
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Abstract(s)
A reabsorção interna representa uma pulpopatia de natureza inflamatória. Para que ocorra, há necessidade da presença de um processo crônico, com estímulos de longa duração e baixa intensidade, insuficiente para promover a necrose pulpar.
Suas manifestações clínicas dependem do seu grau de evolução. Embora na maioria sejam assintomáticos, sinais de pulpite e periodontite podem ser encontrados.
Dentre as opções, o tratamento endodôntico convencional é a escolha para casos em fase inicial. Tratamento cirúrgico e a extração dentária podem ser necessários em casos mais avançados.
Devido a sua patologia insidiosa, a reabsorção interna pode progredir para grandes extensões antes de ser detectada. Diagnóstico precoce, remoção da causa e tratamento adequado são imprescindíveis para o sucesso e prognóstico favorável, sendo de total responsabilidade do profissional encarregado.
O objetivo deste trabalho é apresentar uma revisão bibliográfica, considerando aspectos gerais como etiologia, sinais e sintomas, aspectos radiográficos e microscópicos, tratamento, prognóstico e diagnóstico diferencial.
Internal resorption represents a pulpopathy of an inflammatory nature. For this to occur, there is a need for a chronic process, with long duration and low intensity stimulus, insufficient to promote pulp necrosis. Its clinical manifestations depend on its degree of evolution. Although most are asymptomatic, signs of pulpitis and periodontitis can be found. Among the options, conventional endodontic treatment is the choice for early stage cases. Surgical treatment and tooth extraction may be needed in more advanced cases. Due to its insidious pathology, internal resorption may progress to large extents before being detected. Early diagnosis, removal of the cause and adequate treatment are essential for success and favorable prognosis, being the sole responsibility of the professional in charge. The objective of this work is to present a bibliographical review, considering general aspects such as etiology, signs and symptoms, radiographic and microscopic aspects, treatment, prognosis and differential diagnosis.
Internal resorption represents a pulpopathy of an inflammatory nature. For this to occur, there is a need for a chronic process, with long duration and low intensity stimulus, insufficient to promote pulp necrosis. Its clinical manifestations depend on its degree of evolution. Although most are asymptomatic, signs of pulpitis and periodontitis can be found. Among the options, conventional endodontic treatment is the choice for early stage cases. Surgical treatment and tooth extraction may be needed in more advanced cases. Due to its insidious pathology, internal resorption may progress to large extents before being detected. Early diagnosis, removal of the cause and adequate treatment are essential for success and favorable prognosis, being the sole responsibility of the professional in charge. The objective of this work is to present a bibliographical review, considering general aspects such as etiology, signs and symptoms, radiographic and microscopic aspects, treatment, prognosis and differential diagnosis.
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Keywords
Endodontia Reabsorção interna Trauma dentário Infecção pulpar Inflamação pulpar Endodontics Internal resorption Dental trauma Pulp infection Pulpal inflamation