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Hidróxido de cálcio: complicações provenientes do seu extravasamento quando utilizado como medicação intracanalar - revisão integrativa
| Name: | Description: | Size: | Format: | |
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| Projeto de pós-graduação_42683 | 954.96 KB | Adobe PDF |
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Abstract(s)
O objetivo deste do presente trabalho é reunir e analisar de forma sistemática a evidência existente na literatura científica relativamente à questão de investigação: quais são os efeitos adversos de uma extrusão da pasta de hidróxido de cálcio quando utilizada como medicação intracanalar? Foi realizada uma pesquisa bibliográfica nas bases de dados eletrónicos PubMed, Medline e Lilacs. A identificação e seleção dos artigos foram conduzidas utilizando critérios de inclusão e de exclusão previamente elaborados. São incluídos artigos publicados nos últimos dez anos, escritos em Inglês, que relatam estudos em humanos e que respondem à questão PICO. São excluídos os artigos que relatam estudos em animais ou laboratório, artigos escritos em outros idiomas e não pertinentes ao tema principal. Foram analisados 9 artigos que no total, relatam 49 casos de extrusão de hidróxido de cálcio. Os efeitos adversos variam significativamente entre os casos, desde a ausência completa de sintomas até condições severamente incapacitantes. Em conclusão, as manifestações clínicas da extrusão do hidróxido de cálcio são extremamente variadas. Esta revisão integrativa enfatiza a importância da imagem diagnostica e das técnicas adequadas na aplicação do hidróxido de cálcio como medicação intracanalar para evitar à extrusão do material. Dada a gravidade das complicações associadas, é essencial estabelecer um protocolo claro para tratar essas condições e melhorar a segurança e a qualidade dos tratamentos endodônticos.
The objective of the present work is to systematically gather and analyze the existing evidence in the scientific literature regarding the research question: what are the adverse effects of calcium hydroxide extrusion when used as an intracanal medication? A bibliographic search was conducted in the electronic databases PubMed, Medline, and Lilacs. The identification and selection of articles were carried out using previously established inclusion and exclusion criteria. Articles published in the last ten years, written in English, reporting human studies, and addressing the PICO question are included. Articles reporting animal or laboratory studies, articles written in other languages, and those not relevant to the main topic are excluded. Nine articles were analyzed, which in total report 49 cases of calcium hydroxide extrusion. The adverse effects vary significantly among the cases, ranging from the complete absence of symptoms to severely debilitating conditions. In conclusion, the clinical manifestations of calcium hydroxide extrusion are extremely varied. This integrative review emphasizes the importance of diagnostic imaging and appropriate techniques in the application of calcium hydroxide as an intracanal medication to avoid material extrusion. Given the severity of the associated complications, it is essential to establish a clear protocol for treating these conditions and improving the safety and quality of endodontics treatments.
The objective of the present work is to systematically gather and analyze the existing evidence in the scientific literature regarding the research question: what are the adverse effects of calcium hydroxide extrusion when used as an intracanal medication? A bibliographic search was conducted in the electronic databases PubMed, Medline, and Lilacs. The identification and selection of articles were carried out using previously established inclusion and exclusion criteria. Articles published in the last ten years, written in English, reporting human studies, and addressing the PICO question are included. Articles reporting animal or laboratory studies, articles written in other languages, and those not relevant to the main topic are excluded. Nine articles were analyzed, which in total report 49 cases of calcium hydroxide extrusion. The adverse effects vary significantly among the cases, ranging from the complete absence of symptoms to severely debilitating conditions. In conclusion, the clinical manifestations of calcium hydroxide extrusion are extremely varied. This integrative review emphasizes the importance of diagnostic imaging and appropriate techniques in the application of calcium hydroxide as an intracanal medication to avoid material extrusion. Given the severity of the associated complications, it is essential to establish a clear protocol for treating these conditions and improving the safety and quality of endodontics treatments.
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Keywords
Overfilling Extrusion Calcium hydroxide Endodontics treatments