Avaliação comparativa entre terapia endodôntica convencional e técnica não instrumental
um relato de caso
DOI:
https://doi.org/10.35699/2178-1990.2022.36659Palavras-chave:
Traumatismos dentários, Pulpectomia, Dente decíduo, Odontopediatria, Relatos de casosResumo
Objetivo: A necrose da polpa dentária é uma complicação causada principalmente por cáries e lesões traumáticas. Não há consenso sobre a melhor técnica e materiais para o tratamento endodôntico na dentição decídua. O objetivo foi apresentar um relato de caso clínico em que foram realizadas diferentes abordagens endodônticas em dentes homólogos traumatizados e necróticos.
Métodos: Um menino de um ano e oito meses sofreu traumatismo dento-alveolar após queda e procurou o projeto de extensão de traumatismos na dentição decídua da Faculdade de Odontologia da UFMG em outubro de 2018 para avaliação clínica e radiográfica. O incisivo central superior esquerdo apresentou fratura de esmalte e dentina sem exposição pulpar, enquanto o incisivo central superior direito apresentou luxação intrusiva leve. Ambos apresentaram o desenvolvimento de lesões periapicais.
Resultados: Os dentes foram tratados respectivamente com a técnica não instrumental com pasta CTZ e com terapia endodôntica convencional com pasta Guedes-Pinto. Os acompanhamentos clínico e radiográfico após os tratamentos revelaram dentes assintomáticos e evidência de cicatrização periapical.
Conclusão: O uso da pasta CTZ apresentou resultados satisfatórios e semelhantes à terapia tradicional em curto prazo no relato de caso apresentado.
Downloads
Referências
Costa VPP, Goettems ML, Baldissera EZ, Bertoldi AD, Torriani DD. Clinical and radiographic sequelae to primary teeth affected by dental trauma: a 9-year retrospective study. Braz Oral Res. 2016;30(1).
Kamran R, Farooq W, Faisal MR, Jahangir F. Clinical consequences of untreated dental caries assessed using PUFA index and its covariates in children residing in orphanages of Pakistan. BMC Oral Health. 2017;17(1):1-7.
Borges TS, Vargas-Ferreira F, Kramer PF, Feldens CA. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: a systematic review and metaanalysis. PLoS ONE. 2017;12(2):1-13.
Milani AJ, Alves NF, Espiroto-Santo TM, Ribeiro LG, Ammari MM, Antunes LS, et al. Impact of traumatic dental injuries on oral health-related quality of life of preschool children and their families attending a dental trauma care program. Port J Public Health. 2019;37(1):19-25.
Smaïl-Faugeron V, Courson F, Durieux P, Muller-Bolla M, Glenny AM, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2014;(8):CD003220.
Barja-Fidalgo F, Moutinho-Ribeiro M, Oliveira MA, Oliveira BH. A systematic review of root canal filling materials for deciduous teeth: is there an alternative for zinc oxide-eugenol? ISRN Dent. 2011;2011:367318.
Pozos-Guillen A, Garcia-Flores A, Esparza-Villalpando V, Garrocho-Rangel A. intracanal irrigants for pulpectomy in primary teeth: a systematic review and meta-analysis. Int J Paediatr Dent. 2016;26(6):412-25.
Pawar BA, Pawar AM, Bhardwaj A, Wahjuningrum DA, Rahardjo AK, Luke AM, et al. Effect of adaptive, rotary, and manual root canal instrumentation in primary molars: a triple-armed, randomized controlled clinical trial. Biology. 2021;10(1):42.
Pinto DN, Sousa DL, Araújo RB, Moreira-Neto JJ. Eighteen-month clinical and radiographic evaluation of two root canal-filling materials in primary teeth with pulp necrosis secondary to trauma. Dent Traumatol. 2011;27(3):221-4.
Ahmed HM. Anatomical challenges, electronic working length determination and current developments in root canal preparation of primary molar teeth. Int Endod J. 2013;46(11):1011-22.
Pinky C, Shashibhushan KK, Subbareddy VV. Endodontic treatment of necrosed primary teeth using two different combinations of antibacterial drugs: an in vivo study. J Indian Soc Pedod Prev Dent. 2011;29(2):121-7.
Najjar RS, Alamoudi NM, El-Housseiny AA, Al Tuwirqi AA, Sabbagh HJ. A comparison of calcium hydroxide/iodoform paste and zinc oxide eugenol as root filling materials for pulpectomy in primary teeth: a systematic review and meta-analysis. Clin Exp Dent Res. 2019;5(3):294-310.
Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? ASDC J Dent Child. 1962;29:150-63.
Dias GF, Tramontin J, Santos PP, Rossi F, Rigoni M. Evaluation of pulping therapy in deciduous teeth using chlorhephenicol tetracycline and Zinc oxide. Rev Gaúch Odontol. 2021;69:e20210049.
Lesaffre E, Philstrom B, Needleman I, Worthington H. The design and analysis of split-mouth studies: what statisticians and clinicians should know? Statist Med. 2009;28(28):3470-82.
Moura LDFAD, Lima MDDM, Lima CCB, Machado JIAG, Moura MS, Carvalho PV. Endodontic treatment of primary molars with antibiotic paste: a report of 38 cases. J Clin Pediatr Dent. 2016;40(3):175-7.
Luengo-Fereira J, Ayala-Jiménez S, Carlos-Medrano LE, Toscano-García I, Anaya-Álvarez M. Clinical and radiographic evaluation of formocresol and chloramphenicol, tetracycline and zinc oxide-eugenol antibiotic paste in primary teeth pulpotomies: 24 month follow up. J Clin Pediatr Dent. 2019;43(1):16-21.
Nanda R, Koul M, Srivastava S, Upadhyay V, Dwivedi R. Clinical evaluation of 3 Mix and Other Mix in non-instrumental endodontic treatment of necrosed primary teeth. J Oral Biol Craniofac Res. 2014;4(2):114-9.
Rivera-Albarrán CA, Morales-Dorantes V, Ayala-Herrera JL, Castillo-Aguillón M, Soto-Barreras U, Cabeza-Cabrera CV, et al. Antibiotic resistance decreases the efficacy of endodontic filling pastes for root canal treatment in children’s teeth. Children. 2021;8(8):692.
Trairatvorakul C, Detsomboonrat P. Success rates of a mixture of ciprofloxacin, metronidazole, and minocycline antibiotics used in the non-instrumentation endodontic treatment of mandibular primary molars with carious pulpal involvement. Int J Paediatr Dent. 2012;22(3):217-27.
Veronica PSR. Tooth discolouration due to endodontic materials and procedures. J Med Dent Sci. 2013;9:32-6.
Cassol DV, Duarte ML, Pintor AVB, Barcelos R, Primo LG. Iodoform vs calcium hydroxide/zinc oxide based pastes: 12-month findings of a randomized controlled trial. Braz Oral Res. 2019;33:e002.
Cerqueira DF, Mello-Moura AC, Santos EM, Guedes-Pinto AC. Cytotoxicity, histopathological, microbiological and clinical aspects of an endodontic iodoform-based paste used in pediatric dentistry: a review. J Clin Pediatr Dent. 2008;32(2):105-10.
Marques RPS, Moura-Netto C, Oliveira NM, Bresolin CR, Mello-Moura ACV, Mendes FM, et al. Physicochemical properties and filling capacity of an experimental iodoform-based paste in primary teeth. Braz Oral Res. 2020;34:e089.
Zarzar PMPA, Ferreira FM, Freire-Maia FB, Jorge JR, Martins-Júnior PA, Vieira-Andrade RG, et al. Guia de cuidados imediatos para traumatismos em dente de leite [E-book]. Belo Horizonte: Ed. FOUFMG; 2017. Disponível em: https://www.odonto.ufmg.br/opo/wp-content/uploads/sites/6/2017/11/guia-de-CUIDADOS-IMEDIATOS-para-traumatismos-em-dente-de-leite-EBOOK.pdf
Zarzar PMPA, Ferreira FM, Freire-Maia FB, Jorge JR, Martins-Júnior PA, Vieira-Andrade RG, et al. Guia de prevenção para traumatismos em dente de leite [E-book]. Belo Horizonte: Ed. FOUFMG; 2017. Disponível em: https://www.odonto.ufmg.br/opo/wp-content/uploads/sites/6/2017/11/guia-de-PREVEN%C3%87%C3%83O-para-traumatismo-em-dentes-de-leite-EBOOK.pdf
