Calabró Diego G, Portigliatti Ricardo P, Stolbizer Federico
Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Cirugía y Traumatología Bucomáxilofacial II, Ciudad Autónoma de Buenos Aires, Argentina,
Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Endodoncia, Ciudad Autónoma de Buenos Aires, Argentina.
Acta Odontol Latinoam. 2024 Dec;37(3):210-216. doi: 10.54589/aol.37/3/210.
An inflammatory radicular cyst (IRC) is an odontogenic cyst associated to a non-vital tooth, which may affect sound teeth. There is lack of consensus on whether to perform endodontic treatment on teeth involved in the extension of the lesion prior to surgical treatment.
To identify and quantify the therapies most often used on teeth with positive response to pulp tests that are involved in the extension of an IRC, and analyze the criteria upon which different authors based their decisions. Identify and evaluate the reliability of the dental pulp tests used for evaluation and deciding on treatment.
A review was performed of articles indexed in four databases from 2011 to 2023. The review included studies describing diagnosis and treatment of teeth involved in the extension of an inflammatory cyst.
Fifteen articles were included in the review: nine case reports, five literature reviews and one comment to the editor. The case reports address 10 cystic lesions, directly associated with a total 21 sound teeth. Three of them report loss of tooth sensitivity, three report preemptive endodontic treatment of teeth with preserved sensitivity, two report recovery of previously lost sensitivity, and one reports preservation of sensitivity after surgical treatment. One of the literature reviews addresses the issue of treating teeth adjacent to a cystic lesion, while the other four, and the comment to the editor, discuss the methods for detecting sensitivity and vitality.
Clinical studies with long-term follow-up are needed in order to reach a consensus regarding treatment. Better understanding of pulp status is essential in order to select the treatment best suited to each clinical case.
炎性根囊肿（IRC）是一种与无活力牙齿相关的牙源性囊肿，也可能影响健康牙齿。对于在手术治疗前是否对病变累及的牙齿进行牙髓治疗，目前尚无共识。
确定并量化对牙髓测试有阳性反应且病变累及的牙齿最常采用的治疗方法，并分析不同作者做出决策所依据的标准。确定并评估用于评估和决定治疗方案的牙髓测试的可靠性。
对2011年至2023年在四个数据库中索引的文章进行综述。该综述纳入了描述炎性囊肿累及牙齿的诊断和治疗的研究。
该综述纳入了15篇文章：9篇病例报告、5篇文献综述和1篇给编辑的评论。病例报告涉及10个囊性病变，直接与总共21颗健康牙齿相关。其中3篇报告牙齿敏感性丧失，3篇报告对仍有敏感性的牙齿进行预防性牙髓治疗，2篇报告先前丧失的敏感性恢复，1篇报告手术治疗后敏感性得以保留。其中一篇文献综述讨论了治疗与囊性病变相邻牙齿的问题，而其他四篇文献综述以及给编辑的评论则讨论了检测敏感性和活力的方法。
需要进行长期随访的临床研究，以便就治疗达成共识。更好地了解牙髓状况对于选择最适合每个临床病例的治疗方法至关重要。
