AVALIAÇÃO DA MICROINFILTRAÇÃO APÓS OBTURAÇÃO ENDODÔNTICA EM DENTES COM ALARGAMENTO APICAL: UMA REVISÃO SISTEMÁTICA
DOI:
https://doi.org/10.56238/arev7n10-122Palavras-chave:
Alargamento Apical, Tratamento Endodôntico, MicroinfiltraçãoResumo
Avaliação da microinfiltração após obturação endodôntica em dentes com alargamento apical: uma revisão sistemática A terapia endodôntica visa reduzir o número de bactérias e seus subprodutos no sistema de canais radiculares, além de promover a cicatrização do tecido periapical por meio de preparo químico-mecânico, seguido de obturação hermética e selamento coronário. O grau apropriado de alargamento apical e sua influência na qualidade da obturação endodôntica permanecem controversos. O objetivo deste estudo foi realizar uma revisão sistemática para investigar os efeitos do alargamento apical na microinfiltração apical após obturação do canal radicular. O delineamento do estudo elegível foi o de modelos ex vivo. Buscas eletrônicas foram conduzidas no PubMed/MEDLINE, Scopus, Web of Science, SciELO e Cochrane Library até abril de 2022. Seis estudos que atenderam aos critérios de inclusão foram selecionados para análise qualitativa. A relação entre alargamento apical e infiltração apical avaliada nos estudos revelou que quatro estudos apresentaram p > 0,05, não demonstrando diferença estatística entre o tamanho apical e o aumento da infiltração, enquanto dois estudos apresentaram p < 0,05, demonstrando diferença entre os grupos. De acordo com os resultados dos estudos avaliados nesta revisão sistemática, o alargamento apical isoladamente não influencia no aumento da infiltração apical após a obturação. No entanto, mais estudos clínicos randomizados são necessários para corroborar esse achado.
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