EVALUACIÓN DE LA MICROFILTRACIÓN TRAS LA OBTURACIÓN ENDODÓNCICA EN DIENTES CON ENSAYO APICAL: UNA REVISIÓN SISTEMÁTICA
DOI:
https://doi.org/10.56238/arev7n10-122Palabras clave:
Agrandamiento Apical, Tratamiento Endodóntico, MicrofiltraciónResumen
Evaluación de la microfiltración después de la obturación endodóncica en dientes con ensanchamiento apical: una revisión sistemática La terapia endodóncica tiene como objetivo reducir la cantidad de bacterias y sus subproductos en el sistema del conducto radicular, además de promover la cicatrización del tejido periapical a través de la preparación químico-mecánica, seguida de la obturación hermética y el sellado coronal. El grado apropiado de ensanchamiento apical y su influencia en la calidad de la obturación endodóncica siguen siendo controvertidos. El propósito de este estudio fue realizar una revisión sistemática para investigar los efectos del ensanchamiento apical en la microfiltración apical después de la obturación del conducto radicular. El diseño del estudio elegible fueron modelos ex vivo. Se realizaron búsquedas electrónicas en PubMed/MEDLINE, Scopus, Web of Science, SciELO y Cochrane Library hasta abril de 2022. Se seleccionaron seis estudios que cumplieron con los criterios de inclusión para el análisis cualitativo. La relación entre el ensanchamiento apical y la infiltración apical evaluada en los estudios reveló que cuatro estudios mostraron un valor de p > 0,05, lo que indica que no existe diferencia estadística entre el tamaño apical y el aumento de la infiltración, mientras que dos estudios mostraron un valor de p < 0,05, lo que indica una diferencia entre los grupos. Según los resultados de los estudios evaluados en esta revisión sistemática, el ensanchamiento apical por sí solo no influye en el aumento de la infiltración apical tras la obturación. Sin embargo, se necesitan más estudios clínicos aleatorizados para corroborar este hallazgo.
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