EFICÁCIA DA REVASCULARIZAÇÃO NA FORMAÇÃO DO ÁPICE RADICULAR EM PACIENTES COM RIZOGÊNESE INCOMPLETA: UMA REVISÃO INTEGRATIVA

Autores

  • Verônica Caroline Brito REIA Universidade de Marí­lia - UNIMAR https://orcid.org/0000-0003-1352-5474
  • Pedro MOLITOR Universidade de Marília - Unimar https://orcid.org/0000-0003-1971-0136
  • Fernanda Furtado PIRAS Universidade de Marí­lia - UNIMAR
  • Marcelo Ueti de CAMARGO Universidade do Oeste Paulista - UNOESTE
  • Miriam Graziele MAGRO Universidade de Marí­lia - UNIMAR

DOI:

https://doi.org/10.24980/ucsb.v4i7.3530

Palavras-chave:

Ápice dentário, Endodontia, Necrose pulpar

Resumo

Objetivos: Verificar a eficácia da revascularização para induzir a continuidade de formação do ápice radicular em pacientes com rizogênese incompleta. Metodologia: A estratégia de busca foi aplicada nas bases de dados eletrônicas PubMed, Embase, Web of Science e LILACS, sendo selecionados quatro artigos publicados entre 2011 e 2021. Resultados: Um total de 27 pacientes diagnosticados com necrose pulpar foi incluído, de ambos os sexos. Os testes de percussão, térmico e elétrico no exame clínico foram realizados em 4 pacientes. Todos os pacientes fizeram radiografia periapical para análise inicial. O tratamento endodôntico foi realizado com indução do sangramento apical do canal radicular para revascularização em todos os estudos. No acompanhamento de até 4 anos, observou-se, radiograficamente, aumento do comprimento e espessura radicular, diminuição e posterior desaparecimento da radioluscência periapical, estreitamento do ápice radicular, desenvolvimento radicular e redução da lesão periapical. Conclusão: A revascularização permite que, mesmo após o estímulo para indução de sangramento, a região periapical continue a formação radicular por mais tempo quando comparada a outros materiais endodônticos.

 

THE EFFECTIVENESS OF REVASCULARIZATION ON ROOT APEX FORMATION IN PATIENTS WITH IMMATURE PERMANENT TEETH: AN INTEGRATIVE REVIEW

 

ABSTRACT

Objectives: To verify the effectiveness of revascularization to induce further root apex formation in patients with immature permanent teeth. Method: A searching strategy was performed at PubMed, Embase, Web of Science, and LILACS electronic database, four articles issued between 2011 and 2021 were screened. Results:  A total of 27 patients diagnosed with pulp necrosis were included, both genders. Percussion, electric, and thermal pulp testing were performed for clinical examination in those 4 patients. All the patients had a periapical x-ray taken for initial analysis. The endodontic treatment was performed with the apex-induced bleeding into the root canal for the revascularization in all the studies. At a 4-year follow-up it was observed, radiographically, an increase in root length and thickness, and afterward the periapical radiolucency disappearance, the root apex narrowing, root growing, and the periapical lesion reduction. Conclusion: Revascularization enables, even after the stimulus for bleeding induction, the periapical region to further continue the root formation when compared to other endodontic materials.  

 

Descriptors: Endodontics. Pulp Necrosis. Tooth Apex.

Biografia do Autor

Fernanda Furtado PIRAS, Universidade de Marí­lia - UNIMAR

Mestre e Doutora pela Universidade de São Paulo - USP; Professora da Disciplina de Periodontia e Prótese na Universidade de Marília - UNIMAR. Marí­lia-SP.

Miriam Graziele MAGRO, Universidade de Marí­lia - UNIMAR

Mestre e Doutora pela Universidade Estadual Paulista Júlio de Mesquita Filho de Araraquara - FOAr; Professora da Disciplina de Endodontia e Clínica integrada na Universidade de Marí­lia - UNIMAR. Marí­lia-SP. 

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Publicado

2021-04-19

Como Citar

REIA, V. C. B., MOLITOR, P., PIRAS, F. F., CAMARGO, M. U. de ., & MAGRO, M. G. (2021). EFICÁCIA DA REVASCULARIZAÇÃO NA FORMAÇÃO DO ÁPICE RADICULAR EM PACIENTES COM RIZOGÊNESE INCOMPLETA: UMA REVISÃO INTEGRATIVA. UNIFUNEC CIÊNCIAS DA SAÚDE E BIOLÓGICAS, 4(7), 1–10. https://doi.org/10.24980/ucsb.v4i7.3530