Machado Ricardo, Vigarani Gislayne, Macoppi Tainara, Pawar Ajinkya, Glaci Reinke Stella Maria, Kovalik Gonçalves Ana Cristina
Department of Endodontics, School of Dentistry, Regional University of Blumenau, Blumenau, Santa Catarina, Brazil.
Student of Dentistry, Regional University of Blumenau, Blumenau, Santa Catarina, Brazil.
Aust Endod J. 2021 Dec;47(3):741-748. doi: 10.1111/aej.12539. Epub 2021 Jun 19.
This systematic review and meta-analysis was sought to assess whether intentional foraminal enlargement (IFE) is responsible for extrusion of a larger quantity of debris from extracted human teeth with fully formed apexes. Following the recommendations of Preferred Reporting Items for Systematic Review and Meta-Analysis - PRISMA, electronic and manual searches were performed to identify studies that evaluated the extrusion of debris, comparing different apical limits of instrumentation (with/without IFE). The quality of the studies selected was evaluated, and statistical analysis was conducted. To perform the meta-analysis, just 3 papers could be used. The heterogeneity was high, however; there was no statistically significant difference in relation to the extrusion of debris in teeth either submitted or not submitted to IFE. The general risk of bias was moderate. In conclusion, IFE is not responsible for extrusion of a larger quantity of debris from extracted human teeth with fully formed apexes.
本系统评价和荟萃分析旨在评估有意扩大根管口（IFE）是否会导致从根尖完全形成的拔除人类牙齿中挤出更多的碎屑。按照系统评价和荟萃分析的首选报告项目（PRISMA）的建议，进行了电子和手工检索，以识别评估碎屑挤出情况、比较不同器械根尖界限（有/无IFE）的研究。对所选研究的质量进行了评估，并进行了统计分析。进行荟萃分析时，仅能使用3篇论文。然而，异质性较高；在接受或未接受IFE的牙齿中，碎屑挤出情况没有统计学上的显著差异。总体偏倚风险为中度。总之，IFE并非导致从根尖完全形成的拔除人类牙齿中挤出更多碎屑的原因。
