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Novas tecnologias remineralizadoras do esmalte: uma revisão integrativa
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Projeto de pós-graduação_39544 | 879.09 KB | Adobe PDF |
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Abstract(s)
Introdução: A cárie dentária é uma patologia contagiosa e um problema de saúde pública global. A desmineralização do esmalte, resultado da progressão da lesão cariosa, pode manifestar-se como lesões de mancha branca (WSL), particularmente comuns após tratamento ortodôntico.
Objetivo: Comparar a eficácia de diferentes tecnologias remineralizadoras do esmalte, com foco nas WSL pós-ortodônticas, respondendo à pergunta: “As novas tecnologias de remineralização do esmalte são realmente eficazes?”
Metodologia: Realizou-se uma revisão integrativa da literatura, com pesquisa nas bases de dados PubMed, EBSCOhost e Science Direct, centrando-se em ensaios clínicos publicados entre 2010 e 2023. Foram selecionados 51 artigos, dos quais 10 foram analisados comparativamente.
Resultados: A eficácia das tecnologias varia consoante o tipo de lesão e produto. Pastas e géis fluoretados são eficazes em lesões superficiais; produtos como MI Paste Plus® (CPP-ACP) e Remin Pro oferecem vantagens associadas à boa higiene oral. A infiltração com resina melhora o aspeto estético das lesões. Os vernizes fluoretados são eficazes, mas o peptídeo P11-4 revelou-se superior na redução das lesões. Vidros bioativos como BioMin® e NovaMin® mostraram potencial promissor de remineralização profunda e duradoura.
Conclusão: As tecnologias emergentes, nomeadamente os vidros bioativos e o SAP P11-4, destacam-se no tratamento das WSL pós-ortodônticas. Estudos futuros devem explorar ensaios clínicos de longa duração com protocolos padronizados.
Introduction: Dental caries is a contagious disease and a significant global public health issue. Enamel demineralization, resulting from lesion progression, can manifest as white spot lesions (WSLs), especially common after orthodontic treatment. Objective: To compare the effectiveness of different enamel remineralization technologies, focusing on post-orthodontic WSLs, and to answer the question: "Are new enamel remineralization technologies truly effective?" Methodology: An integrative literature review was conducted using PubMed, EBSCOhost, and Science Direct databases, focusing on clinical trials published between 2010 and 2023. A total of 51 articles were selected, with 10 clinical trials included in the comparative analysis. Results: The effectiveness of technologies varies by lesion type and product. Fluoridated pastes and gels are effective for superficial lesions; products like MI Paste Plus® (CPP-ACP) and Remin Pro are beneficial when used with proper oral hygiene. Resin infiltration enhances lesion aesthetics. Fluoride varnishes are effective, but P11-4 peptide outperformed in reducing lesion size. Bioactive glasses like BioMin® and NovaMin® showed promising potential for deep and lasting enamel remineralization. Conclusion: Emerging technologies, particularly bioactive glasses and SAP P11-4, stand out for treating post-orthodontic WSLs. Future research should focus on long-term clinical trials with standardized protocols.
Introduction: Dental caries is a contagious disease and a significant global public health issue. Enamel demineralization, resulting from lesion progression, can manifest as white spot lesions (WSLs), especially common after orthodontic treatment. Objective: To compare the effectiveness of different enamel remineralization technologies, focusing on post-orthodontic WSLs, and to answer the question: "Are new enamel remineralization technologies truly effective?" Methodology: An integrative literature review was conducted using PubMed, EBSCOhost, and Science Direct databases, focusing on clinical trials published between 2010 and 2023. A total of 51 articles were selected, with 10 clinical trials included in the comparative analysis. Results: The effectiveness of technologies varies by lesion type and product. Fluoridated pastes and gels are effective for superficial lesions; products like MI Paste Plus® (CPP-ACP) and Remin Pro are beneficial when used with proper oral hygiene. Resin infiltration enhances lesion aesthetics. Fluoride varnishes are effective, but P11-4 peptide outperformed in reducing lesion size. Bioactive glasses like BioMin® and NovaMin® showed promising potential for deep and lasting enamel remineralization. Conclusion: Emerging technologies, particularly bioactive glasses and SAP P11-4, stand out for treating post-orthodontic WSLs. Future research should focus on long-term clinical trials with standardized protocols.
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Keywords
Remineralização dentária Esmalte dentário Cárie dentária Lesões de mancha branca Materiais dentários Dental remineralization Enamel Dental caries White spot lesions Dental materials