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White spots - discussão sobre etiologia e fenómenos histológicos associados: uma revisão narrativa
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Abstract(s)
Os conceitos de desmineralização/ remineralização dentária, cárie dentária e lesões de mancha branca ou White Spots são discutidos na literatura atual com particular interesse, dado o seu determinante papel no prognóstico funcional e estético das peças dentárias envolvidas.
O objetivo desta revisão da literatura é: discutir conceitos de desmineralização/ remineralização numa perspetiva histológica e clínica, com foco principal na envolvência clínica das lesões de mancha branca ou White Spots.
Propõe-se uma revisão narrativa sobre a temática em análise, considerando principalmente os últimos 10 anos de publicação (2010 a 2020). Os termos de indexação utilizados foram “Desmineralização”; “Epidemiologia”; “Etiologia”; “Histologia”; “Remineralização”; “White Spot Lesions” e os termos equivalentes em língua inglesa. Foram utilizados de forma isolada ou em combinação.
O esmalte é o tecido dentário mais visível na cavidade oral e continua a constituir um enorme desafio relativamente à sua reparação, dada a singularidade da sua formação e organização histológica. As estratégias de remineralização e a prevenção da desmineralização são cruciais em Medicina Dentária.
The concepts of dental demineralization / remineralization, dental caries and white spot lesions or White Spots are discussed in the current literature with particular interest, given their determinant role in the functional and aesthetic prognosis of the dental parts involved. The purpose of this literature review is: to discuss demineralization / remineralization concepts from a histological and clinical perspective, with a primary focus on the clinical involvement of white spot lesions or White Spots. A narrative review on the subject under analysis is proposed, considering mainly the last 10 years of publication (2010 to 2020). The indexing terms used were “Demineralization”; "Epidemiology"; "Etiology"; "Histology"; "Remineralization"; "White Spot Lesions". and equivalent terms in English. They were used alone or in combination. Enamel is the most visible dental tissue in the oral cavity and remains an enormous challenge in terms of its repair, given the uniqueness of its formation and histological organization. Remineralization strategies and the prevention of demineralization are crucial in dentistry.
The concepts of dental demineralization / remineralization, dental caries and white spot lesions or White Spots are discussed in the current literature with particular interest, given their determinant role in the functional and aesthetic prognosis of the dental parts involved. The purpose of this literature review is: to discuss demineralization / remineralization concepts from a histological and clinical perspective, with a primary focus on the clinical involvement of white spot lesions or White Spots. A narrative review on the subject under analysis is proposed, considering mainly the last 10 years of publication (2010 to 2020). The indexing terms used were “Demineralization”; "Epidemiology"; "Etiology"; "Histology"; "Remineralization"; "White Spot Lesions". and equivalent terms in English. They were used alone or in combination. Enamel is the most visible dental tissue in the oral cavity and remains an enormous challenge in terms of its repair, given the uniqueness of its formation and histological organization. Remineralization strategies and the prevention of demineralization are crucial in dentistry.
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Keywords
Desmineralização Epidemiologia Etiologia Histologia Lesões de mancha branca Remineralização White spot lesions Demineralization Epidemiology Etilogy Histology Remineralization White spot lesions