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[非手术根管治疗中根尖周组织的修复。综述]

[Repair of perirradicular tissues in non-surgical endodontic treatment. A review].

作者信息

Castillo Páez José Alberto, Álvarez Marietta

机构信息

Departamento de Estomatoquirúrgica, Facultad de Odontología, Universidad de Carabobo. Valencia, Venezuela.

出版信息

Rev Cient Odontol (Lima). 2024 Sep 17;12(3):e210. doi: 10.21142/2523-2754-1203-2024-210. eCollection 2024 Jul-Sep.

Abstract

INTRODUCTION

Non-surgical endodontic treatment aims to prevent apical periodontitis, achieved with the disinfection of the root canal system. Additionally, there are pathologies where the toxic content of the canal goes to the periradicular tissues, causing osteolysis or lesions of the bone tissue that are radiographically observed as radiolucent images. When the endodontic treatment is successful, the repair of these lesions occurs over time.

AIM

To analyze the periradicular repair process of non-surgical endodontic treatment and the factors that affect it.

MATERIALS AND METHODS

An electronic search was carried out using the search engines PUBMED, Scopus, Google Academic, and Scielo with the words "Non-Surgical Endodontic Treatment," "Periapical Tissues," "Biological Repair," "Apical Repair." Factors such as incomplete texts, PDF texts, and publication date of the article were considered, including data from the last five (05) years.

RESULTS

The information reviewed comprised 236 articles analyzed with the inclusion and exclusion criteria, and only 42 articles met these criteria.

CONCLUSION

The success of endodontic treatment lies in the absence of clinical and radiographic signs and symptoms of infection; this is achieved with a good application of clinical protocols and procedures focused on the disinfection of the root canal system, from diagnosis, biomechanical preparation, and disinfection of the root canal system with irrigating substances and filling, including coronal rehabilitation from an aesthetic and/or prosthetic point of view.

摘要

引言

非手术牙髓治疗旨在通过根管系统消毒预防根尖周炎。此外,存在一些病理情况,根管内的毒性物质进入根尖周组织,导致骨质溶解或骨组织病变,在影像学上表现为透射影像。当牙髓治疗成功时,这些病变会随着时间推移而修复。

目的

分析非手术牙髓治疗的根尖周修复过程及其影响因素。

材料与方法

使用搜索引擎PUBMED、Scopus、谷歌学术和Scielo,以“非手术牙髓治疗”“根尖周组织”“生物修复”“根尖修复”为关键词进行电子检索。考虑了文章文本不完整、PDF文本以及文章发表日期等因素,纳入过去五(05)年的数据。

结果

经纳入和排除标准筛选,共审查了236篇文章,仅有42篇文章符合标准。

结论

牙髓治疗的成功在于无感染的临床和影像学体征及症状;这通过良好应用临床方案和程序来实现,这些方案和程序侧重于根管系统消毒,包括从诊断、生物力学预备、用冲洗物质对根管系统进行消毒和充填,以及从美学和/或修复角度进行冠部修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b1/11495172/77d69631908c/odontologica-12-03-e210-gf1.jpg

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