Siqueira Viviane-da Silva, Mateo-Castillo José-Francisco, Pinto Lidiane-de Castro, Garib Daniela, Pinheiro Claudia-Ramos
Endodontics Sector, Dentistry Department, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/ USP), Bauru, São Paulo, Brazil.
Orthodontics Sector, Dentistry Department, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC/ USP), Bauru, São Paulo, Brazil.
J Clin Exp Dent. 2021 Jun 1;13(6):e580-e585. doi: 10.4317/jced.57980. eCollection 2021 Jun.
Dental treatment is fundamental in the rehabilitation of individuals with orofacial clefts, due to their oral condition; when indicated, endodontic therapy allows elimination of infection of the root canal system. Aim: To analyze, by a retrospective study, the most prevalent type of orofacial cleft, the etiological factors most commonly related to the endodontic treatment need, as well as their success and failure rates.
This study analyzed data from 136 records (76 females and 60 males) with mean age of 19 years and 7 months, who met the inclusion criteria. Data were collected including the type of cleft, etiological factors that led to the need of endodontic treatment, as well as their success and failure rates. The statistical analysis was performed by the chi-square, Kruskal-Wallis, Fisher's Exact and Batista Pike tests.
Among the etiological factors, were pulp involvement due to caries, endodontic treatment for prosthetic rehabilitation, tooth resorptions, for orthodontic movement, dental trauma and indication of internal tooth bleaching; the most prevalent factor was pulp involvement due to caries. Among all data analyzed, cleft lip and palate presented the highest percentage, and there was predominance of treatment success compared to failure.
The well-conducted root canal treatment is necessary for dental rehabilitation, maintaining the masticatory function and esthetic harmony of these individuals. Cleft lip, Cleft palate, Endodontics.
由于口腔状况，牙科治疗在口面部裂隙患者的康复中至关重要；在有指征时，牙髓治疗可消除根管系统的感染。目的：通过一项回顾性研究，分析最常见的口面部裂隙类型、与牙髓治疗需求最常相关的病因，以及它们的成功率和失败率。
本研究分析了136份记录（76名女性和60名男性）的数据，这些记录的平均年龄为19岁7个月，符合纳入标准。收集的数据包括裂隙类型、导致牙髓治疗需求的病因，以及它们的成功率和失败率。采用卡方检验、Kruskal-Wallis检验、Fisher精确检验和Batista Pike检验进行统计分析。
在病因中，有因龋齿导致的牙髓受累、为修复性康复进行的牙髓治疗、牙齿吸收、为正畸移动、牙外伤以及内漂白指征；最常见的因素是因龋齿导致的牙髓受累。在所有分析的数据中，唇腭裂的比例最高，与失败相比，治疗成功占优势。
进行良好的根管治疗对于牙齿康复、维持这些患者的咀嚼功能和美学和谐是必要的。唇裂、腭裂、牙髓病学。
