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Consolaro, Alberto
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Id: biblio-840201
Autor: Consolaro, Alberto; Bittencourt, Graziella.
Título: Why not to treat the tooth canal to solve external root resorptions? Here are the principles!
Fonte: Dental press j. orthod. (Impr.);21(6):20-25, Sept.-Oct. 2016. tab, graf.
Idioma: en.
Resumo: ABSTRACT This paper aims at exposing the foundations or reasons why, in cases of external tooth resorption, including those of orthodontic origin, one should not perform a root canal to treat it. That should be done only to teeth with contamination or pulp necrosis, to remove the periapical inflammation induced by microbial products. When facing cases of external tooth resorption, one's conduct must always respect the following sequence of steps: first of all, identifying the cause accurately; then, planning the therapeutic approach and, finally, adopting the conducts in a very well-founded way. The situations in which endodontic treatment is recommended for tooth resorptions are those when there are: a) pulp necrosis with microbial contamination, b) aseptic pulp necrosis, c) developing calcific metamorphosis of the pulp and d) diagnosis of internal resorption. It is not possible, through the pulp, to control the resorption process that is taking place in the external part, after all, the causes are acting in the periodontal ligament. There is no evidence that justifies applying endodontic treatment, by means of root canal, to control external resorption processes, when the pulp shows vitality.

RESUMO Este artigo tem por objetivo principal expor os fundamentos ou razões pelas quais, em casos de dentes com reabsorção dentária externa, incluindo as de origem ortodôntica, não se deve fazer o canal para tratá-la. Isso se faz apenas nos dentes com contaminação ou necrose pulpar, para remover a inflamação periapical induzida pelos produtos microbianos. Frente a casos de reabsorção dentária externa, as condutas devem premiar sempre a seguinte sequência: primeiro, identificar a causa com precisão; depois, planejar a forma de abordagem terapêutica e, por fim, adotar as condutas de forma muito bem fundamentada. As situações em que o tratamento endodôntico está indicado na terapêutica das reabsorções dentárias são quando houver: a) necrose pulpar por contaminação microbiana, b) necrose pulpar asséptica, c) metamorfose cálcica da polpa inicial e d) diagnóstico de reabsorção interna. Não se consegue, por via pulpar, controlar o processo reabsortivo que está ocorrendo na parte externa; afinal, as causas estão atuando no ligamento periodontal. Não há qualquer evidência que justifique fazer o tratamento endodôntico, via canal, para controlar processos reabsortivos externos, quando a polpa está com vitalidade.
Descritores: Tratamento do Canal Radicular/métodos
Reabsorção da Raiz/cirurgia
-Reabsorção da Raiz/diagnóstico
Reabsorção da Raiz/etiologia
Reabsorção da Raiz/patologia
Necrose da Polpa Dentária/cirurgia
Cemento Dentário/patologia
Limites: Humanos
Responsável: BR1.1 - BIREME


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Consolaro, Alberto
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Id: biblio-953043
Autor: Consolaro, Alberto; Consolaro, Renata Bianco.
Título: There is no pulp necrosis or calcific metamorphosis of pulp induced by orthodontic treatment: biological basis
Fonte: Dental press j. orthod. (Impr.);23(4):36-42, July-Aug. 2018. graf.
Idioma: en.
Resumo: ABSTRACT To biologically explain why the orthodontic treatment does not induce pulp necrosis and calcific metamorphosis of the pulp, this paper presents explanations based on pulp physiology, microscopy and pathology, and especially the cell and tissue phenomena that characterize the induced tooth movement. The final reflections are as follows: 1) the orthodontic movement does not induce pulp necrosis or calcific metamorphosis of the pulp; 2) there is no literature or experimental and clinical models to demonstrate or minimally evidence pulp alterations induced by orthodontic movement; 3) when pulp necrosis or calcific metamorphosis of the pulp is diagnosed during orthodontic treatment or soon after removal of orthodontic appliances, its etiology should be assigned to concussion dental trauma, rather than to orthodontic treatment; 4) the two pulp disorders that cause tooth discoloration in apparently healthy teeth are the aseptic pulp necrosis and calcific metamorphosis of the pulp, both only induced by dental trauma; 5) the concussion dental trauma still requires many clinical and laboratory studies with pertinent experimental models, to increasingly explain its effects on the periodontal and pulp tissues.

RESUMO Para fundamentar biologicamente por que o tratamento ortodôntico não induz necrose pulpar e metamorfose cálcica da polpa, apresentou-se explicações com base na fisiologia, microscopia e patologia pulpar, bem como, e principalmente, nos fenômenos celulares e teciduais que caracterizam a movimentação dentária induzida. As reflexões finais foram: 1) o movimento ortodôntico não induz necrose pulpar ou metamorfose cálcica da polpa; 2) não há literatura e modelos experimentais e clínicos que comprovem ou minimamente evidenciem alterações pulpares induzidas pelo movimento ortodôntico; 3) quando a necrose pulpar ou metamorfose cálcica da polpa for diagnosticada durante o tratamento ortodôntico ou logo após a remoção dos aparelhos ortodônticos, a sua etiologia deve ser atribuída ao traumatismo dentário do tipo concussão, e não ao tratamento ortodôntico; 4) as duas doenças pulpares que levam ao escurecimento coronário em dentes aparentemente hígidos são a necrose pulpar asséptica e a metamorfose cálcica da polpa, ambas induzidas exclusivamente pelo traumatismo dentário; 5) o traumatismo dentário do tipo concussão requer, ainda, muitos estudos clínicos e laboratoriais, com modelos experimentais pertinentes, para fundamentar cada vez mais os seus efeitos sobre os tecidos periodontais e pulpares.
Descritores: Ortodontia
Técnicas de Movimentação Dentária/efeitos adversos
Polpa Dentária/fisiologia
-Necrose da Polpa Dentária
Polpa Dentária/patologia
Metamorfose Biológica/fisiologia
Necrose
Limites: Humanos
Animais
Responsável: BR1.1 - BIREME


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Id: biblio-1281104
Autor: Sierra, Liliana; Castrillo, Ángeles; Ritacco, Elizabeth; Cornell, Haydeé Miño; Canzobre, Mariela C.
Título: Regenerative endodontics model in immature infected rat molars using two step protocol
Fonte: Braz. j. oral sci;20:e213690, jan.-dez. 2021. ilus.
Idioma: en.
Resumo: Aim: to develop a model for regenerative endodontics using newly-weaned Wistar rats immature molars with pulp necrosis to histologically describe the evolution of apical tissues following treatment with a bi-antibiotic paste, induced bloodclot formation and MTA. Methods: Ten 25-day-old female Wistar rats were divided into an initial control group (Ci) and two experimental groups in which pulp necrosis was experimentally induced on the left mandibular first molar by exposing the pulp chamber and leaving it open to the oral environment. One of the experimental groups was left untreated (E1) while the other was submitted to a protocol of regenerative endodontics 10 days thereafter (E2). Fifteen days after placement of a bi-antibiotic paste, bleeding was induced into the root canal space and MTA was placed upon. Animals were euthanized 30 days later. Right mandibular first molars served as an 80-day-old final control group (Cf). Each hemimandible was histologically processed to analyse parameters associated with root development. Statistical analysis was carried by means of ANOVA; p values below 0.05 were considered statistically significant. Results: baseline (i.e. 25-days old) mean root length and apical diameter of the distal root canal were 1.84±0.25 and 0.38±0.02mm respectively. Following the regenerative endodontic protocol, cells lining the walls of the root canal and significant increase to both length (2.37±0.22mm) and diameter (0.32±0.03 mm) were observed. Conclusions: newly-weaned Wistar rats serve as a suitable model to evaluate regenerative endodontic protocols. However, further research is needed in order to disclose the nature of the cells and/or cell mediators involved
Descritores: Tratamento do Canal Radicular
Necrose da Polpa Dentária
Endodontia Regenerativa
Antibacterianos
Limites: Animais
Ratos
Responsável: BR218.1 - Biblioteca Carlos Henrique Robertson Liberalli


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Id: biblio-1101289
Autor: Lopes-Fatturi, Aluhê; Souza, Juliana Feltrin de; Menezes, José Vitor Nogara Borges; Fraiz, Fabian Calixto; Assunção, Luciana Reichert da Silva.
Título: A Survival Analysis of Different Pulp Therapies in Decayed Primary Teeth
Fonte: Pesqui. bras. odontopediatria clín. integr;20:e4822, 2020. tab, graf.
Idioma: en.
Resumo: Abstract Objective: To identify the clinical and radiographic conditions associated with failure of pulp therapy in primary teeth through a survival analysis. Material and Methods: A total of 1000 records of children assisted at the pediatric dentistry clinic of the Federal University of Parana, Brazil, from the years 2000 to 2010, were analyzed. The mean evaluation time was 10.61 months (minimum/maximum: 1/28) from the report of pulp therapy. The different types of treatments analyzed included indirect pulp treatment (IPT), direct pulp treatment (DPT), pulpotomy and pulpectomy. The Kaplan-Meyer method and log-rank test were used for the survival analysis. Exodontia was considered as the outcome variable and censors included: traumatic tooth loss, presence of the tooth in the oral cavity and physiologic tooth exfoliation. Results: A total of 122 records reporting pulp therapy in the primary teeth were selected. From this, 16 teeth (13.12%) were extracted. Survival analysis showed that pulpectomy presented lower survival rates when compared to conservative therapies (p=0.0297). Teeth with furcal lesions and pathological root resorption before pulp therapy had lower survival rates when compared to those that did not present these conditions (P=0.006). Presence of fistula and abscess after pulp therapy were also associated with lower survival rates (P=0.0062 and 0.0143, respectively). Conclusion: Signals of pulp necrosis were associated to lower survival rates in primary teeth submitted to pulp therapy.
Descritores: Pulpectomia
Pulpotomia
Dente Decíduo
Análise de Sobrevida
Necrose da Polpa Dentária
Polpa Dentária
-Brasil/epidemiologia
Análise Multivariada
Taxa de Sobrevida
Análise de Regressão
Limites: Humanos
Masculino
Feminino
Pré-Escolar
Criança
Responsável: BR1264.1 - Biblioteca Setorial Prof Alberto M Campos


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Maia, Lucianne Cople
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Id: biblio-1135480
Autor: Magno, Marcela Baraúna; Jural, Lucas Alves; Pithon, Matheus Melo; Maia, Lucianne Cople.
Título: Influence of Vestibular Bevel on the Success of Traumatized Teeth Restorations: Single-Blind Randomized Controlled Trial - Preliminary Results with 6-Months Follow-Up
Fonte: Pesqui. bras. odontopediatria clín. integr;20:e0011, 2020. tab, graf.
Idioma: en.
Projeto: Foundation for Research Support of the State of Rio de Janeiro.
Resumo: Abstract Objective: To evaluate the influence of cavosurface vestibular bevel (CSVB) application on the clinical success (CS) of class IV restorations of traumatized permanent teeth, the influence of the number of fracture angles and dental trauma recurrence (DTR) on the restorations retention rate (RRR) and incidence of pulp necrosis (PN). Material and Methods: Fifty-seven children and adolescents with enamel and dentin fractures requiring C-IV restorations were randomly allocated in groups with CSVB and without CSVB. The primary outcomes were the CS of restorations, evaluated using modified USPHS criteria, and the incidence of PN after a 6-months follow-up. As secondary outcomes, the influence of the number of fractured angles and the DTR on the RRR and on the incidence of PN were evaluated (p>0.05). Results: Of 57 children and adolescents, 74 teeth were restored, and 71 completed the six-month follow-up analysis. Teeth restored with and without CSVB displayed similar CS as well as the same incidence of PN (p>0.05). The number of fractured angles did not influence the RRR and DTR was not associated with PN (p>0.05). DTR was associated with a lower RRR (p<0.001). Conclusion: Cavosurface vestibular bevel did not influence the clinical success of Class IV restorations or incidence of PN after 6-months follow-up. DTR did not influence the incidence of pulp necrosis, but did negatively influence the restorations retention rate. The number of fracture angles did not influenced in the restorations retention rate.
Descritores: Fraturas dos Dentes/diagnóstico por imagem
Ensaio Clínico Controlado Aleatório
Resinas Compostas/química
Falha de Restauração Dentária
Restauração Dentária Permanente
-Brasil/epidemiologia
Distribuição de Qui-Quadrado
Necrose da Polpa Dentária
Esmalte Dentário
Limites: Humanos
Masculino
Feminino
Criança
Adolescente
Tipo de Publ: Ensaio Clínico Controlado
Responsável: BR1264.1 - Biblioteca Setorial Prof Alberto M Campos


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Id: biblio-1135496
Autor: Fernandes, Maria Luiza da Matta Felisberto; Maia, Caroline Andrade; Santos, Alice Machado Carvalho; Vilela, Camila Rocha; Araujo, Felipe Ribeiro; Mohallen, Maria de Lourdes; Silveira, Lívio Barros; Fernandes, Alexandre Moreira.
Título: Antimicrobial Photodynamic Therapy in the Endodontic Treatment of Deciduous Teeth: In Vivo Pilot Study
Fonte: Pesqui. bras. odontopediatria clín. integr;20:e5309, 2020. tab, graf.
Idioma: en.
Resumo: Abstract Objective: To evaluate the Antimicrobial Photodynamic Therapy (aPDT) in infected deciduous teeth by quantifying the viable bacteria in root canal treatment. Material and Methods: Radicular canal cultures were collected (n= 10). Four intra-canal samples were collected at four different times in each of the sampled teeth, as follows: Time 1 (T1), baseline: After opening the pulp-chamber; Time 2 (T2): After application of aPDT; Time 3 (T3): After mechanical, chemical manipulation; Time 4 (T4): After a second application of aPDT. The aPDT was performed with a 4J/cm energy low-intensity diode, together with 0.005% methylene blue as a photosensitizer. The clinical specimens were taken to the laboratory for a bacteria count (colony forming units) and the results were statistically analyzed using the Friedman and Wilcoxon tests, with a significance level of α=0.05. Results: Statistical differences were seen between the numbers of bacteria at times T1-T2, T1-T3 and T1-T4 on the cultivated plates. However, no significant statistical differences were observed between the number of bacteria in samples T2-T3, T2-T4 and T3-T4. Conclusion: Antimicrobial photodynamic therapy can be a good co-adjuvant in root canal decontamination of necrotic primary teeth.
Descritores: Fotoquimioterapia/instrumentação
Dente Decíduo
Necrose da Polpa Dentária/diagnóstico por imagem
Terapia com Luz de Baixa Intensidade/instrumentação
-Brasil/epidemiologia
Projetos Piloto
Estatísticas não Paramétricas
Dente não Vital/diagnóstico
Limites: Humanos
Masculino
Feminino
Pré-Escolar
Responsável: BR1264.1 - Biblioteca Setorial Prof Alberto M Campos


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Id: biblio-1252889
Autor: Antonucci, Brenda dos Santos; Braitt, Antônio Henrique; Albuquerque, Millca Souza de Andrade; Freire, Danielle Cardoso Albuquerque Maia; Abreu, Cristina de Carvalho Guedes.
Título: Nível de conhecimento dos odontopediatras e endodontistas de Ilhéus-BA quanto ao procedimento de revascularização pulpar / Level of knowledge of pediatric dentists and endodontists of Ilheus-BA regarding the pulp revascularization procedure
Fonte: Rev. Odontol. Araçatuba (Impr.);42(2):3-8, maio-ago. 2021. graf.
Idioma: pt.
Resumo: Dentes necrosados com rizogêneze incompleta representam um desafio para os endodontistas e odontopediatras, visto que as paredes radiculares desses dentes são mais finas, o que as tornam mais susceptíveis a fraturas. Durante muitos anos a técnica preconizada foi a apicificação que ainda é bastante utilizada. Nesta técnica são realizadas trocas constantes de medicação intracanal. O dente continua fragilizado e existe o risco do paciente não concluir o tratamento já que tal técnica demanda várias sessões clínicas. Com os avanços da ciência, surge a revascularização pulpar, trazendo vários beneficíos, entre os quais estão a continuidade apical e o ganho de espessura das paredes, além do benefício de conclusão do tratamento em uma ou duas sessões. Entretanto é necessária sua proservação que leva em média dois anos. O objetivo desta pesquisa foi avaliar o nível de conhecimento dos odontopediatras e endodontistas do município de Ilhéus-Bahia, frente a casos de necrose pulpar de dentes com formação radicular incompleta. O método e forma de análise de dados foram de um estudo observacional, transversal, realizado em consultórios do município de Ilhéus-BA que foram selecionados por amostragem aleatória. Os dados foram coletados por meio de um questionário contendo 10 questões de múltipla escolha sobre revascularização pulpar, especialização do profissional e tempo de formação. 20 profissionais aceitaram participar da pesquisa. Desses, 10% não sabiam ou nunca tinham ouvido falar sobre a revascularização pulpar. Conclui-se que ainda existem especialistas no Município de Ilhéus-BA que apresentam conhecimento insuficiente sobre a terapia endodôntica regenerativa, sendo que os mesmos deveriam ter conhecimento desta técnica já que são os profissionais que prestam o atendimento ao paciente jovem com dentes necrosados, reforçando a necessidade de elaboração de estratégia de conscientização e educação de saúde para habilitação e atualização dos mesmos(AU)

Necrotic teeth with incomplete rizogenesis representa challenge for endodontists and pediatric dentists, since the root walls of these teeth are thinner, which makes them more susceptible to fractures. For many years the recommended technique was apexification, which is still widely used. In this technique, constant changes of intracanal medication are performed. The tooth remains fragile and there is a risk that the patient will not complete the treatment as this technique requires several clinical sessions. With advances in science, pulp revascularization appears, bringing several benefits, among which are the apical continuity and the gain in thickness of the walls, in addition to the benefit of completing the treatment in one or two sessions. However, its preservation is necessary, which takes on average two years. The objective of this research was to evaluate the level of knowledge of pediatric dentists and endodontists in the municipality of Ilhéus-Bahia, in the face of cases of pulp necrosis of teeth with incomplete root formation. The method and form of data analysis were from an observational, cross-sectional study, carried out in offices in the municipality of Ilheus-BA that were selected by random sampling. Data were collected through a questionnaire containing 10 multiple-choice questions about pulp revascularization, professional specialization and training time. 20 professionals agreed to participate in the research. Of these, 10% did not know or had never heard of pulp revascularization. It is concluded that there are still specialists in the municipality of Ilhéus-BA who have insufficient knowledge about regenerative endodontic therapy, and they should have knowledge of this technique since they are the professionals who provide care to young patients with necrotic teeth, reinforcing the need to develop a health awareness and education strategy to enable and update them(AU)
Descritores: Necrose da Polpa Dentária
-Conhecimentos, Atitudes e Prática em Saúde
Necrose da Polpa Dentária/terapia
Conhecimento
Odontólogos
Endodontistas
Endodontia Regenerativa
Limites: Humanos
Masculino
Feminino
Responsável: BR186.1 - Biblioteca Honório Monteiro


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Id: lil-559960
Autor: Esquenasi, Judith.
Título: Las lesiones endoperiodontales y su tratamiento ¿siguen aún vigentes? / Endoperiodontal lesions and their treatment, do they still remain vigent?
Fonte: Rev. Fundac. Juan Jose Carraro;14(30):25-28, oct.-nov. 2009. ilus.
Idioma: es.
Descritores: Doenças da Polpa Dentária/classificação
Doenças da Polpa Dentária/terapia
Doenças Periodontais/classificação
Doenças Periodontais/terapia
-Anti-Infecciosos/uso terapêutico
Retalhos Cirúrgicos
Metronidazol/uso terapêutico
Necrose da Polpa Dentária/diagnóstico
Necrose da Polpa Dentária/terapia
Profilaxia Dentária/métodos
Raspagem Dentária/métodos
Uruguai
Limites: Humanos
Feminino
Adulto
Tipo de Publ: Relatos de Casos
Responsável: AR29.1 - Biblioteca


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Id: biblio-1134556
Autor: Bucchi, Cristina.
Título: Tratamiento del Diente Permanente Necrótico. Un Cambio de Paradigma en el Campo de la Endodoncia / Treatment of the Necrotic Permanent Tooth. A Paradigm Shift in Endodontics
Fonte: Int. j. odontostomatol. (Print);14(4):670-677, dic. 2020.
Idioma: es.
Resumo: RESUMEN: El tratamiento de dientes inmaduros necróticos es hoy un gran desafío clínico. La ausencia de cierre del ápice y el reducido grosor de las paredes de la dentina hacen que el tratamiento endodóntico del diente sea difícil e impredecible. Tradicionalmente, estos dientes han sido tratados con apexificación y obturación del canal radicular, sin embargo, con este tratamiento el diente permanece desvitalizado y con paredes de dentina frágiles y cortas, lo que compromete su pronóstico. La endodoncia regenerativa, por el contrario, busca revitalizar el diente e inducir una maduración de la raíz, y se basa en la utilización de las células madre mesenquimales presentes en la región periapical, los factores de crecimiento presentes en la dentina y un andamio que permite el crecimiento de tejido nuevo al interior del canal. Los resultados clínicos son alentadores, ya que en general existe maduración de la raíz y revascularización del diente, sin embargo, el tejido neoformado es tejido de tipo reparativo y, a excepción de estudios ocasionales, no se ha observado regeneración de dentina y pulpa. La endodoncia regenerativa se originó para tratar dientes inmaduros necróticos. Sin embargo, recientemente, estudios preliminares han expandido la aplicación de la endodoncia regenerativa a dientes maduros necróticos, es decir, en pacientes adultos. Los resultados clínicos son positivos y similares a los del diente inmaduro, si n embargo, la investigación referente a la revitalización de dientes maduros se encuentra en etapas tempranas y requiere de un mayor nivel de evidencia antes de ser ofrecida sistemáticamente como terapia a pacientes adultos. Los beneficios potenciales justifican mayor investigación al respecto. Este artículo resume la evidencia científica disponible con respecto a la revitalización de dientes inmaduros y maduros necróticos, sus fundamentos biológicos, los resultados esperados y limitaciones, así como el protocolo clínico.

ABSTRACT: Nowadays, the treatment of immature necrotic teeth is an important clinical challenge. The absence of apex closure and low thickness of the dentin walls, make endodontic treatment unpredictable and difficult. Traditionally, these teeth have been treated with apexification and obturation of the root canal. As a result of this treatment, the tooth remains devitalized and with fragile and short dentin walls, which compromises its prognosis. Regenerative endodontics, on the other hand, seeks to revitalize the tooth and induce root maturation, and is based on the use of mesenchymal stem cells present in the periapical tissues, growth factors present in the dentin and a scaffold that allows growth of new tissue in the root ca- nal. The clinical results are encouraging, since generally, there is root maturation and revascularization of the tooth. However, the newly formed tissue is reparative tissue and with the exception of some studies, no regeneration of dentin and pulp has been reported. Regenerative endodontics emerged to treat necrotic immature teeth. However, recently, preliminary studies have applied regenerative endodontics in mature necrotic teeth, in adult patients. Preliminary results are positive and are similar to those of immature teeth. Nevertheless, research regarding the revitalization of mature teeth is in the early stages and requires further evidence before being systematically administered as therapy in adult patients. However, the potential benefits justify further research in this regard. This article summarizes the available scientific evidence regarding the revitalization of immature and mature necrotic teeth, their biological basis, the expected results and limitations, as well as the clinical protocols for each case.
Descritores: Necrose da Polpa Dentária/terapia
Dentição Permanente
Endodontia Regenerativa/métodos
-Protocolos Clínicos/normas
Resultado do Tratamento
Neovascularização Fisiológica
Necrose da Polpa Dentária/tratamento farmacológico
Transplante de Células-Tronco Mesenquimais
Tecidos Suporte
Limites: Humanos
Adulto
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1147970
Autor: Zmener, Osvaldo; Della Porta, Roberto.
Título: Endodoncia y ortodoncia: parte 1 / Endodontics and orthodontics: part 1
Fonte: Rev. Asoc. Odontol. Argent;108(3):143-152, dic. 2020. ilus.
Idioma: es.
Resumo: Las fuerzas ejercidas durante el tratamiento ortodóncico son consideradas un tipo particular de traumatismo dental. El movimiento ortodóncico de una pieza dentaria puede producir inflamación o necrosis pulpar y reabsorción radicular. Estos efectos colaterales indeseables son difíciles de tratar, especialmente cuando las fuerzas aplicadas son excesivas y no controladas. Diferentes estudios han evaluado el impacto de las fuerzas excesivas durante el movimiento dentario. Sin embargo, los resultados son confusos y contradictorios. La predisposición genética y la variabilidad biológica individual de los pacientes son factores importantes que deben ser tenidos en cuenta. Por eso es necesario contar con una historia clínica completa, utilizar imágenes 3D y realizar diferentes pruebas clínicoradiográficas con el fin de obtener información precisa acerca del diagnóstico, la indicación de tratamiento y el posible pronóstico a distancia. El objetivo de este artículo es realizar una revisión de la patología pulpar y la reabsorción radicular en relación con el tratamiento ortodóncico (AU)

Orthodontic forces are recognised as a particular type of dental trauma. During orthodontic tooth movement, the occurrence of pulp inflammation or necrosis and subsequent root resorption are undesirable side effects that are difficult to treat, especially when uncontrolled excessive forces are applied. Several studies have evaluated the impact of excessive forces during teeth movement. However their results are confused and contradictory. Genetic disposition and individual biological variability are important factors that must be always considered. Therefore, a complete clinical history, the use of 3D images along with different clinical and radiographic diagnostic methods are necessary to provide accurate diagnosis and prognosis of the treatment. The objective of this article is to review the possibility of pulp pathology and root resorption related to orthodontic treatment (AU)
Descritores: Reabsorção da Raiz
Técnicas de Movimentação Dentária
Doenças da Polpa Dentária
-Prognóstico
Traumatismos Dentários
Necrose da Polpa Dentária
Tipo de Publ: Revisão
Responsável: AR29.1 - Biblioteca



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde