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1.
Endodoncia (Madr.) ; 37(1): 38-43, jun. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-186294

RESUMO

Se denomina Periodontitis Apical Crónica Persistente (PACP) al proceso inflamatorio periapical que se desarrolla o persiste tras el tratamiento de conductos. Las opciones terapéuticas en el tratamiento de la PACP, cuando el diente puede conservarse, son el retratamiento de conductos por vía ortógrada o la cirugía periapical, e incluso puede ser necesaria una combinación de ambos tratamientos. El objetivo de este trabajo ha sido buscar respuesta a la siguiente pregunta: ¿En un paciente con un diente al que se le ha realizado tratamiento endodóncico que ha fracasado y sufre periodontitis apical crónica persistente (PACP), se obtiene mayor tasa de curación del proceso inflamatorio periapical mediante el retratamiento por vía ortógrada o con la cirugía periapical? La búsqueda realizada proporcionó 7 artículos: 3 ensayos clínicos aleatorios, 3 revisiones sistemáticas y 1 revisión no sistemática. La evidencia científica disponible sugiere que no existen diferencias significativas en las tasas de éxito a largo plazo del retratamiento endodóncico por vía ortógrada y la cirugía periapical, en casos de periodontitis apical crónica persistente tras el tratamiento endodóncico. El retratamiento endodóncico por vía ortógrada obtiene mejores resultados a largo plazo, mientras que la cirugía periapical tiene una tasa de curación más rápida. El retratamiento ortógrado conlleva un mejor postoperatorio para el paciente, mientras que la cirugía periapical implica una mayor necesidad de trata-miento analgésico y antiinflamatorio en los primeros 7 días


No disponible


Assuntos
Humanos , Periodontite Periapical/terapia , Endodontia/instrumentação , Doenças Periapicais/cirurgia , Retratamento , Dor Pós-Operatória , Analgesia
2.
Av. odontoestomatol ; 35(1): 33-43, ene.-feb. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-182636

RESUMO

El tratamiento de conductos está indicado en caso de daño pulpar irreversible; en la actualidad se evidencian considerables avances en cuanto al diagnóstico, tratamiento y mantenimiento de un diente endodónticamente tratado, pese a ello persisten elementos y materiales usados desde sus inicios, como es el caso del hipoclorito de sodio (NaOCl.). El objetivo principal de este artículo será enfatizar en los riesgos y las secuelas ocasionadas por el uso de este irrigante y documentar un caso clínico de una reacción anafiláctica severa por su uso, el manejo dado, además se realizara una revisión de la literatura


Endodontics is a treatment that is required after the irreversible pulpal damage. At present, there has been considerable progress in the diagnosis, treatment, and maintenance of an endodontically treated tooth. Despite this there remain elements and materials used since its inception, as is the case of the sodium hypochlorite (NaOCl.) The main objective of this article is to emphasize the risks and the consequences caused by the use of this irrigante and document a clinical case of a severe anaphylactic reaction by its use, management, in addition there will be a review of the literature


Assuntos
Humanos , Hipoclorito de Sódio/administração & dosagem , Hipoclorito de Sódio/uso terapêutico , Endodontia/instrumentação , Hipersensibilidade a Drogas/complicações , Hipersensibilidade a Drogas/diagnóstico , Edema/induzido quimicamente , Anafilaxia , Doenças Periapicais/diagnóstico por imagem , Doenças Periapicais/terapia , Diagnóstico Diferencial
3.
Endodoncia (Madr.) ; 36(3): 8-21, dic. 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-178382

RESUMO

La Tomografía Computarizada de Haz Cónico (TCHC) (Cone Beam Computed Tomography - CBCT) es un método de imagen que nos ofrece en Endodoncia unas ventajas relevantes sobre la radiografía periapical y otras técnicas radiográficas a la hora de establecer un diagnóstico y plan de tratamiento adecuados. Debemos tener en cuenta, no obstante, que no se debe hacer de manera rutinaria y que no todos los aparatos ni todas las modalidades (campo de adquisición y resolución espacial) están indicadas para su uso en el campo de la endodoncia. Debemos tener un conocimiento técnico mínimo de las cualidades físicas de esta tecnología, para poder realizar una adquisición de datos que sea correcta en cuanto a la radiación del paciente (la menor posible), y en cuanto a la resolución espacial (la mayor posible) para la tarea diagnóstica que vamos a realizar. Repasaremos las indicaciones de uso de el CBCT en endodoncia, el porqué de sus indicaciones y casos clínicos que demuestran la relevancia de la utilización de esta tecnología en Endodoncia


No disponible


Assuntos
Humanos , Dente não Vital/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico/métodos , Endodontia/métodos , Doenças Periapicais/diagnóstico por imagem , Tecido Periapical/diagnóstico por imagem
4.
Endodoncia (Madr.) ; 36(3): 32-42, dic. 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-178384

RESUMO

La evaluación radiográfica y las pruebas diagnósticas son de vital importancia para realizar un adecuado plan de tratamiento en endodoncia. En el campo de la endodoncia, tradicionalmente se han utilizado diferentes pruebas como la palpación, la percusión, las pruebas de sensibilidad pulpar y las radiografías periapicales (RP). Hasta la actualidad las RP (convencionales o digitales) han sido un complemento indispensable para realizar el tratamiento endodóntico, así como para determinar el éxito de dicho tratamiento. Sin embargo, está demostrado que las RP presentan ciertas limitaciones como superposiciones de estructuras anatómicas, la visión en dos dimensiones (2D) y la distorsión geométrica. Las imágenes obtenidas mediante RP ofrecen solamente datos de la dimensión mesio-distal, lo que dificulta la detección de cierta información como: la anatomía radicular, la presencia de alteraciones alrededor de las raíces, la pérdida ósea, los diferentes tipos de reabsorciones radiculares, las fracturas radiculares y otros aspectos importantes en la planificación de una cirugía apical. A través de la imágenes obtenidas a partir de la tomografía computarizada de haz cónico (TCHC), en inglés llamada cone-beam computed tomography (CBCT), se puede obtener una mayor información diagnóstica en comparación a las RP preoperatorias; información que influye directamente en el plan de tratamiento del clínico, especialmente en los casos de dificultad alta. Por todo a ello, en este artículo se presentan diferentes situaciones clínicas en las que la CBCT juega un papel fundamental en relación al plan de tratamiento endodóncico


No disponible


Assuntos
Humanos , Dente não Vital/diagnóstico por imagem , Dente não Vital/terapia , Tomografia Computadorizada de Feixe Cônico/métodos , Abscesso Periapical/diagnóstico por imagem , Reabsorção Óssea/diagnóstico por imagem , Reabsorção de Dente/diagnóstico por imagem , Traumatismos Dentários/diagnóstico por imagem , Doenças Periapicais/diagnóstico por imagem , Tecido Periapical/diagnóstico por imagem
5.
Med. oral patol. oral cir. bucal (Internet) ; 22(6): e737-e749, nov. 2017. graf, tab
Artigo em Inglês | IBECS | ID: ibc-168750

RESUMO

Purpose: The aim of this study was to systematically review the evidence for periapical implant lesion, which makes a patient more susceptible to the periapical lesion, frequency, symptoms, signs (including radiological findings) and possible treatment options. Material and Methods: A systematic literature review and analysis of publications included in PubMed, Embase and Cochrane; articles published until March 2016; with a populations, exposures and outcomes (PEO) search strategy was performed, focused on the issue: 'In patients with periapical lesion to the implant during the osseointegration, what symptoms, signs, and changes in complementary examination manifested, for according to that stage, be intervened with the appropriate approach? '. The set criteria for inclusion were peer-reviewed articles. Results: From a total of 212 papers identified, 36 studies were included in this systematic review, with 15461 implants evaluated and 183 periapical implant lesions. Which 8 papers included more than 5 cases and 28 included equal or less than 5 cases. Analysis of the papers revealed that periapical implant lesion is classified according to evolution stages into acute (non-suppurated and suppurated) and subacute (or suppurated-fistulized). In the acute stage and in the subacute if there is no loss of implant stability, the correct treatment approach is implant periapical surgery. In the subacute stage associated with implant mobility the implant must be removed. Conclusions: Evidence on the subject is very limited, there are few studies with small sample, without homogeneity of criteria for diagnosing the disease and without design of scientific evidence. Currently etiology lacks consensus. The early diagnosis of periapical implant periapical lesions during the osseointegration phase and early treatment, will lead to a higher survival rate of implants treated, hence preventing the need for implant extraction (AU)


No disponible


Assuntos
Humanos , Doenças Periapicais , Tecido Periapical/lesões , Implantes Dentários/efeitos adversos , Osseointegração , Prognóstico , Tecido Periapical/cirurgia , Bibliometria
6.
Med. oral patol. oral cir. bucal (Internet) ; 22(5): e586-e594, sept. 2017. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-166653

RESUMO

Background: Diabetes Mellitus has become a global epidemic and presents many complications, usually proportional to the degree and duration of hyperglycemia. The aim of this systematic review was to investigate the different oral manifestations associated with Diabetes Mellitus. Material and Methods: A MEDLINE search for "Diabetes Mellitus and oral manifestations" was performed. A further search was conducted for "diabetes" and its individual oral manifestation. Inclusion criteria were as follows: human clinical studies with a minimum of 30 patients; studies published in relevant scientific journals between January 1998 and January 2016. Nineteen studies fulfilled the inclusion criteria and were analyzed, assessing the strength of scientific evidence according to recommendations made by the Centre for Evidence-Based Medicine, Oxford (OCEBM), which permits adequate assessment of prevalence studies. Results: A total 3,712 patients (2,084 diabetics) were included in the studies reviewed. Of the 19 studies analyzed, 4 were longitudinal studies and 15 cross-sectional studies. Periodontal disease, periapical lesions, xerostomia and taste disturbance were more prevalent among diabetic patients. An association between diabetes and caries and mucosal lesions proved positive in 5 out of 10 studies. Conclusions: Despite multiple oral manifestations associated with DM, awareness of the associations between diabetes, oral health, and general health is inadequate. It is necessary for doctors and dentists to be aware of the various oral manifestations of diabetes in order to make an early diagnosis (AU)


No disponible


Assuntos
Humanos , Complicações do Diabetes/epidemiologia , Diabetes Mellitus/fisiopatologia , Doenças da Boca/complicações , Cárie Dentária/epidemiologia , Doenças Periodontais/epidemiologia , Doenças Periapicais/epidemiologia , Xerostomia/epidemiologia , Distúrbios do Paladar/epidemiologia
7.
Endodoncia (Madr.) ; 33(4): 185-196, oct.-dic. 2015. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-152015

RESUMO

Introducción: El objetivo de este estudio es presentar los resultados del seguimiento durante 8 años de 54 casos de instrumentos rotos intraconducto, que no pudieron ser removidos y/o sobrepasados, y que fueron obturados con óxido de zinc-eugenol (ZOE) y formocresol. Material y métodos: Se incluyeron 54 pacientes con fractura de instrumentos en conductos radiculares de dientes posteriores, 23 no presentaban lesión periapical y 31 tenían lesión. Los instrumentos fracturados tenían longitudes de 2-4 mm en tercio apical y no pudieron ser removidos y/o sobrepasados con ninguna técnica. Los conductos fueron preparados al borde del instrumento fracturado, hasta un calibre 45 en dirección apical con técnica telescópica, irrigando con hipoclorito de sodio al 3% y desmineralizando con 0,25 ml de EDTA al 16%, lavados con 3 ml de solución fisiológica y secados con puntas de papel, se obturaron utilizando 0,01 ml de formocresol, 0,05 ml de eugenol mezclados con óxido de zinc y cono de gutapercha calibre 45 mediante condensación lateral. Los conductos restantes fueron instrumentados telescópicamente y obturados con gutapercha y ZOE mediante condensación lateral. Resultados: Se realizaron controles clínicos y radiográficos a uno, tres, cinco y ocho años. Al año, los casos oscilaron entre 83,9-95,7% asintomáticos y negativos a la percusión, fístula ausente entre 93,5-100% y sin lesión periapical de 32,3-91,3%. A tres años, 96,8-100% asintomáticos y negativos a la percusión, ausencia de fístula y sin lesión de 80,6-95,7%. A cinco años, 96,8-100% asintomáticos y negativos a la percusión, ausencia de fístula y 93,5- 100% sin lesión. A ocho años, 100% asintomáticos, negativos a percusión, ausencia de fistula y 93,5-95,7% sin lesión. Conclusiones: La utilización de ZOE-formocresol es una alternativa terapéutica exitosa en casos de instrumentos fracturados que no pudieron ser removidos y/o sobrepasados


Introduction: The aim of this study is to present the results of monitoring over 8 years of 54 cases of intracanal broken instruments, which could not be removed and/or bypassed, and were sealed with zinc oxide-eugenol (ZOE) and formocresol. Material and methods: Fifty-four patients with broken instruments in root canals of posterior teeth, 23 had no periapical lesion and 31 had periapical lesion. Fractured instruments were had lengths of 2-4 mm in apical third and were not removed and/or exceeded with any technique. Root canals were prepared at the edge of the fractured instrument using the telescope technique up to 45 file. Irrigation was performed with sodium hypochlorite 3% and 0.25 ml of 16% EDTA. Then, the root canals were washed with saline solution 3 ml and dried with paper points. Obturation was carried out using 0.01 ml formocresol plus 0.05 ml of eugenol mixed with zinc oxide and a guttapercha master cone number 45 using lateral condensation. Remaining canals were telescopically instrumented and filled with guttapercha and ZOE by lateral condensation. Results: Clinical and radiographic controls at one, three, five and eight years were performed. After one year, 83.9-95.7% were asymptomatic and negative to percussion, absent fistula between 93,5-100%, without periapical lesion 32,3-91,3%. After three years 96,8-100% asymptomatic and negative on percussion, absence of fistula, without periapical lesion 80,6-95,7%. At five years 96,8-100% asymptomatic and negative on percussion, absence of fistula and 93,5- 100% without periapical lesion. In eight years, 100% asymptomatic, negative percussion and absence of fistula and 93,5-95,7% without periapical lesion. Conclusions: The use of zinc oxide-eugenol and formocresol is a successful therapeutic option in cases of fractured instruments that could not be removed and/or exceeded


Assuntos
Humanos , Masculino , Feminino , Obturação do Canal Radicular/instrumentação , Cimento de Óxido de Zinco e Eugenol/uso terapêutico , Formocresóis/uso terapêutico , Fraturas Periprotéticas/diagnóstico , Hipoclorito de Sódio/uso terapêutico , Desmineralização do Dente , Cavidade Pulpar/anatomia & histologia , Doenças Periapicais , Doenças Periodontais/diagnóstico , Radiografia Dentária/métodos
8.
Endodoncia (Madr.) ; 33(4): 197-207, oct.-dic. 2015. ilus
Artigo em Espanhol | IBECS | ID: ibc-152016

RESUMO

Propósito: Se describe un protocolo de revascularización en una sola sesión para tratar un incisivo superior, con antecedentes de traumatismo, diagnosticado con periodontitis apical asintomática. Resumen: Los dientes inmaduros que reciben procedimientos de revascularización pueden completar su desarrollo, aunque la pulpa se haya necrosado y las bacterias hayan alcanzado la zona apical. Aún no existe un protocolo estandarizado que pueda seguirse. El caso presentado narra la revascularización de un diente 1.1, con el diagnostico de una periodontitis apical asintomática, que fue tratado con irrigación coronal y radicular con hipoclorito de sodio al 5,25%, sin instrumentación y sellado en una sola visita. Conclusión: La correcta evolución de este caso clínico sugiere que el procedimiento de revascularización permite aprovechar la vitalidad de las células madre dentales creando un ambiente adecuado para la regeneración pulpar y el completo desarrollo de la raíz


Background: The revascularization protocol in one session to treat an upper incisor, with a history of trauma, diagnosed with asymptomatic apical periodontitis, is described. Case report: Immature teeth that receives revascularization procedures can complete their development, although its pulp has reached necrotic and bacteria has reached the apical area. There is still no standardized protocol that can be followed. The present case shows the revascularization of a tooth 1.1, with the diagnosis of asymptomatic apical periodontitis. The tooth was treated with coronal and root irrigation of 5.25% sodium hypochlorite, without instrumentation and sealed in a single visit. Conclusion: The correct evolution of this case suggests that the revascularization procedure takes advantage of the vitality of dental stem cells creating a suitable environment for the pulp regeneration and full root development


Assuntos
Humanos , Feminino , Criança , Dente Molar/anormalidades , Regeneração/fisiologia , Incisivo/lesões , Irrigação Terapêutica/métodos , Hipoclorito de Sódio/uso terapêutico , Necrose da Polpa Dentária/diagnóstico , Doenças Periodontais , Doenças Periapicais , Radiografia Dentária/métodos , Protocolos Clínicos/normas
9.
Endodoncia (Madr.) ; 33(4): 208-219, oct.-dic. 2015. ilus
Artigo em Espanhol | IBECS | ID: ibc-152017

RESUMO

Se presenta un caso de un tratamiento endodóntico de un primer molar superior derecho con una morfología radicular atípica en forma de C. Mediante tomografía computarizada de haz cónico (TCHC) se evidenció la fusión de los conductos palatino y distovestibular en una única raíz. En el artículo se describe la importancia de la correcta identificación de esta variación anatómica mediante los distintos métodos imagenológicos. Se revisa también la literatura respecto a la prevalencia de los molares superiores en forma de C, y el reto que supone en relación a la preparación químico-mecánica y a la obturación tridimensional


This clinical case presents an endodontic treatment of a C-shaped right maxillary first molar which represents an unusual root morphology. The cone beam computed tomography (CBCT) shows a complete fusion of the distobuccal and palatine canals in a single root. The article describes the importance of performing an adequate identification of this complex anatomy using different imaging techniques. It also reviews the literature regarding the prevalence of maxillary molars with a C-shape configuration, the challenge concerning chemical and shaping preparation and also the root canal filling


Assuntos
Humanos , Feminino , Adulto Jovem , Dente Molar/anormalidades , Tomografia Computadorizada de Feixe Cônico/métodos , Cavidade Pulpar/lesões , Obturação do Canal Radicular/instrumentação , Doenças Periapicais
10.
Rev. esp. cir. oral maxilofac ; 37(4): 188-195, oct.-dic. 2015. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-145160

RESUMO

Objetivos. Evaluar el protocolo quirúrgico y discutir los posibles factores predisponentes de la periimplantitis apical. Material y método. En el presente trabajo, se planteó un estudio descriptivo retrospectivo analizando una serie de 11 casos clínicos de periimplantitis apical diagnosticados y tratados en el ámbito del Hospital de La Princesa (Madrid) y la Clínica Universidad de Navarra (Pamplona) entre 2002 y 2013. Los pacientes sintomáticos fueron tratados mediante legrado de la zona con o sin relleno. Resultados. Se analizaron un número total de 11 casos de periimplantitis apical (4 asintomáticos y 7 con síntomas). La clínica observada fue parecida a la enfermedad dentaria periapical y el tiempo transcurrido hasta el diagnóstico fue variable, inferior a los 3 años. Se observó resolución completa del problema en 6 de los 7 casos tratados con legrado de la zona periapical del implante. En el caso restante se procedió a la explantación del implante afecto. En los casos asintomáticos no se realizó ningún tipo de tratamiento quirúrgico, presentando una tendencia autolimitada. Conclusión. La periimplantitis apical es una enfermedad que puede complicar el tratamiento implantológico. La cirugía conservadora ha tenido resultados satisfactorios en los casos sintomáticos (AU)


Objectives. The purpose of this study was to evaluate the surgical protocol and discuss possible predisposing factors of apical peri-implantitis. Material and methods. A retrospective study was performed by analyzing a series of cases involving 11 patients, all of whom where diagnosed with, and treated for, apical peri-implantitis at La Princesa Hospital in Madrid and at Navarre University Clinic in Pamplona, Spain, between 2002 and 2013. Symptomatic patients were treated with curettage of the area, which was, in some cases, combined with bone regeneration techniques. Results. A total of 11 cases of apical periimplantitis were included (4 asymptomatic and 7 symptomatic). The symptoms observed were similar to dental periapical pathology, and the period of time elapsed until the patients were diagnosed with API was variable, but was less than 3 years. Complete resolution of the pathology was observed in 6 of the 7 patients treated with curettage of the periapical implant area. In the remaining case the affected implant was removed. No surgical treatment was used in asymptomatic cases, as they were self-limiting. Conclusion. Apical periimplantitis is a condition which may complicate the dental implant treatment. Conservative surgical treatment has shown satisfactory results in symptomatic patients (AU)


Assuntos
Feminino , Humanos , Masculino , Implantes Dentários , Implantes Dentários/efeitos adversos , Transplante Autólogo/métodos , Inflamação/complicações , Doenças Periapicais/complicações , Doenças Periapicais/tratamento farmacológico , Doenças Periapicais/cirurgia , Tecido Periapical/patologia , Tecido Periapical , Ápice Dentário/patologia , Ápice Dentário/cirurgia , Ápice Dentário , Estudos Retrospectivos , Próteses e Implantes/efeitos adversos , Endodontia/métodos
11.
Med. oral patol. oral cir. bucal (Internet) ; 20(6): e715-e722, nov. 2015. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-144704

RESUMO

Background: Analyze the most important prognostic factors when performing periapical surgery and compare the success rates of distinct authors. Introduction: Periapical surgery is an approach to treat non-healing periapical lesions and it should be viewed as an extension of endodontic treatment and not as a separate entity. Material and Methods: A search of articles published in Cochrane, PubMed (MEDLINE) and Scopus was conducted with the key words “prognostic factors”, “prognosis”, “periapical surgery”, “endodontic surgery” and “surgical endodontic treatment”. The inclusion criteria were articles including at least 10 patients, published in English, for the last 10 years. The exclusion criteria were nonhuman studies and case reports. Results: 33 articles were selected from 321 initially found. Ten articles from 33 were excluded and finally the systematic review included 23 articles: 1 metaanalysis, 1 systematic review, 2 randomized clinical trials, 6 reviews, 12 prospective studies and 1 retrospective study. They were stratified according to their level of scientific evidence using the SORT criteria. Conclusions: Factors associated with a better outcome of periapical surgery are patients ≤45 years old, upper anterior or premolar teeth, ≤10 sized lesions, non cystic lesions, absence of preoperative signs and symptoms, lesions without periodontal involvement, teeth with an adequate root-filling length, MTA as root-end filling material, uniradicular teeth, absence of perforating lesions, apical resection < 3 mm, teeth not associated to an oroantral fistula and teeth with only one periapical surgery (AU)


Assuntos
Feminino , Humanos , Masculino , Prognóstico , Doenças Periapicais/cirurgia , Tecido Periapical/cirurgia , Endodontia/métodos , Implantação Dentária Endo-Óssea Endodôntica/métodos , Implantação Dentária Endo-Óssea Endodôntica/estatística & dados numéricos , Microcirurgia/métodos , Microcirurgia/estatística & dados numéricos , Estudos Prospectivos , Doenças Periodontais/epidemiologia
12.
Endodoncia (Madr.) ; 33(2): 77-83, abr.-jun. 2015. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-146581

RESUMO

Introducción: Las infecciones de origen endodóncico son infecciones polimicrobianas que pueden tener diversas manifestaciones clínicas y radiológicas. La presencia de virus en diferentes patologías pulpares y periapicales está en investigación con el fin de asociar su presencia con las lesiones radiolúcidas apicales y sus sintomatología. El objetivo de este estudio es analizar la evidencia científica disponible en la actualidad que relaciona la presencia de virus en diferentes patologías de endodoncia y sus posibles implicaciones clínicas. Métodos: Se hace una revisión en la base de datos Medline/Publine, utilizando diferentes parámetros de búsqueda, seleccionando posteriormente los artículos más relevantes, que cumplieron con el criterio de búsqueda. De igual manera se hace una búsqueda en Scielo e IME. Resultados: Se incluyeron un total de 21 artículos, de los cuales 17 detectan la presencia del virus en una de las muestras. En tres de los estudios, la presencia viral no se encontró en ninguna de las muestras estudiadas. Los virus que se encontraron con mayor frecuencia fueron el virus de Epstein-Barr y citomegalovirus; sin embargo, en algunos de estos estudios han aparecido agentes virales como el herpes humano 6 y 8 virus. La relación entre presencia viral y sintomatología no es posible detectarla en todos los estudios, y lo mismo sucede con el tamaño de la lesión. Conclusión: Es necesario examinar y comprender la relación microbiológica que se establece en las patologías de origen endodóncico, dando lugar a nuevas opciones terapéuticas y de tratamiento


Introduction: Infections of an endodontic origin are polymicrobiobial infections that can have diverse clinical and radiographic manifestations. Recently, the presence of viruses in different endodontic pathologies is a focus of new research, associating their presence with symptomology and with apical radiolucent lesions. The goal of this study is to analyze the scientific evidence available currently that relates the presence of viruses in different endodontic pathologies and their possible clinical implications. Methods: A revision was carried out of the Medline/Publine database, using different search parameters, subsequently selecting the most relevant articles, which complied with the search criterion. Results: A total of 21 articles were included, and 17 detected the presence of viruses in one of the samples. In 3 of the studies, viral presence was not found in any of the sample studied. The viruses that were most frequently found were the Epstein-Barr and Cytomegaloviruses; however in some of these studies viral agents have appeared such as the human herpes 6 and 8 viruses. The relation between viral presence and symptomology is not possible to detect in all of the studies, which is the same for the relationship with large apical lesions. Conclusion: It is necessary to examine and understand the microbiological relationships that are established in pathologies of endodontic origin, leading to new therapeutic and treatment options


Assuntos
Humanos , Doenças Periapicais/patologia , Periodontite Periapical/patologia , Estomatite Herpética/microbiologia , Periodontite Periapical/microbiologia , Controle de Infecções/tendências , Doenças Periapicais/virologia , Granuloma Periapical/virologia , Periodontite Periapical/virologia , Infecções por Papillomavirus/virologia , Infecções por Vírus Epstein-Barr/virologia , Tecido Periapical/lesões
14.
Av. odontoestomatol ; 31(1): 31-42, ene.-feb. 2015. tab
Artigo em Espanhol | IBECS | ID: ibc-184247

RESUMO

Las lesiones periapicales resultado de la necrosis de la pulpa dental son las patologías que más frecuentemente ocurren encontradas en el hueso alveolar. El tratamiento consiste en la eliminación de los agentes infecciosos mediante el tratamiento del canal radicular, permitiendo la cicatrización de la lesión


Periapical lesions, which are a result of the necrosis of the dental pulp, are the most frequently occurring diseases found in the alveolar bone. The treatment involves the removal of infectious agents by treating the root canal, allowing the wound healing


Assuntos
Humanos , Doenças Periapicais/diagnóstico , Doenças Periapicais/terapia , Tecido Periapical/lesões , Granuloma Periapical/diagnóstico , Granuloma Periapical/terapia , Granuloma Periapical/cirurgia , Cavidade Pulpar/lesões , Cavidade Pulpar/cirurgia , Periodontite Periapical/diagnóstico , Periodontite Periapical/terapia
16.
Av. odontoestomatol ; 30(2): 95-98, mar.-abr. 2014. tab
Artigo em Espanhol | IBECS | ID: ibc-123212

RESUMO

El propósito de esta revisión fue sintetizar la evidencia disponible acerca de los efectos adversos que se pueden producir en el periápice luego de realizar una apexificación con MTA (mineral trióxido agregado). Materiales y métodos: se identificaron la publicaciones de más relevancia para ser revisadas, por medio de una búsqueda de base de datos electrónica como: bireme, embase, pubmed, y scirus. Resultados: de los 20 artículos referentes al MTA (mineral trióxido agregado) luego de ser revisados, sólo un artículo cumplía con los requisitos de inclusión y exclusión el cual fue analizado por el método Cochrane. Conclusión: no hay evidencia científica disponible que demuestre que el MTA cause algún efecto adverso en el periápice luego de ser aplicado en apexificaciones (AU)


The aim of this studio was to summarize the available evidence about the adverse effects that you can find on the periapex after any apexification with the use of MTA (mineral trioxide aggregate). Materials and methods: Important publications were identified through a search of electronic databases (PUBMED, EMBASE, BIREME and SCIRUS) and evaluated by the Cochrane method. Results: Of the 20 articles, just one met the requirements of inclusion and exclusion. Conclusions: There is no available evidence showing that MTA (mineral trioxide aggregate) produces any adverse effect on the periapex after being used in an apexification treatment (AU)


Assuntos
Humanos , Apexificação/métodos , Doenças Periapicais/induzido quimicamente , Partículas Inorgânicas/efeitos adversos , Inflamação/induzido quimicamente , Fatores de Risco
17.
Med. oral patol. oral cir. bucal (Internet) ; 18(2): 272-278, mar. 2013. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-112398

RESUMO

Objective: To evaluate the effects of different hemostatic agents upon the outcome of periapical surgery. Design: A retrospective study was made of patients subjected to periapical surgery between 2006-2009 with the ultrasound technique and using MTA as retrograde filler material. We included patients with a minimum follow-up of 12 months, divided into two groups according to the hemostatic agent used: A) dressings impregnated in anesthetic solution with adrenalin; or B) aluminum chloride paste (Expasyl™). Radiological controls were made after 6 and 12 months, and on the last visit. The global evolution scale proposed by von Arx and Kurt (1999) was used to establish the outcome of periapical surgery. Results: A total of 96 patients (42 males and 54 females) with a mean age of 40.7 years were included. There were 50 patients in the aluminum chloride group and 46 patients in the anesthetic solution with vasoconstrictor group. No significant differences were observed between the two groups in terms of outcome after 12 months - the success rate being 58.6% and 61.7% in the anesthetic solution with vasoconstrictor and aluminum chloride groups, respectively (p>0.05).Conclusion: The outcome after 12 months of follow-up was better in the aluminum chloride group than in the anesthetic solution with vasoconstrictor group, though the difference was not significant (AU)


Assuntos
Humanos , Hemostáticos/administração & dosagem , Hemostasia Cirúrgica/métodos , Perda Sanguínea Cirúrgica/prevenção & controle , Procedimentos Cirúrgicos Bucais/métodos , Doenças Periapicais/cirurgia , Compostos de Alumínio/uso terapêutico , Vasoconstritores/uso terapêutico , Anestesia Dentária/métodos
18.
Med. oral patol. oral cir. bucal (Internet) ; 17(4): 594-600, jul. 2012. tab
Artigo em Inglês | IBECS | ID: ibc-103092

RESUMO

Objective: To assess pain and swelling in the first 7 days after periapical surgery and their relationship with the agent used for bleeding control. Study Design: A prospective study was conducted between October 2006 and March 2009. Patients subjected to root surgery, who completed the questionnaire and who consented to the postoperative instructions were included in the study. The subjects were divided into two groups according to the hemostatic agent used: A) gauze impregnated with anesthetic solution with vasoconstrictor; or B) aluminum chloride. The patients were administered a questionnaire, and were asked to record the severity of their pain and swelling on a plain horizontal visual analog scale (VAS). Data were recorded by the patients on the first 7 postoperative days. In addition, the patients were asked to record analgesic consumption. Results: A total of 76 questionnaires (34 in group A and 42 in group B) were taken to be correctly completed. Pain was reported to be most intense two hours after surgery. At this point 52.6% of the patients had no pain. Seventy-five percent of the patients consumed analgesics in the first 24 hours. There were no significant differences between the two groups in terms of the intensity of pain or in the consumption of analgesics. Swelling reached its maximum peak on the second day; at this point, 60.6% of the patients suffered mild or moderate swelling. The Expasyl™ group showed significantly greater swelling than the gauzes group. Conclusion: The type of hemostatic agent used did not influence either the degree of pain or the need for analgesia among the patients in this study. However, the patients belonging to the Expasyl™ group suffered greater swelling than the patients treated with gauzes impregnated with anesthetic solution with vasoconstrictor (AU)


Assuntos
Humanos , Periodontite Periapical/cirurgia , Doenças Periapicais/cirurgia , Hemostáticos/farmacocinética , Dor Pós-Operatória/epidemiologia , Tecido Periapical/cirurgia , Compostos de Alumínio/farmacocinética , Anestesia Dentária/métodos , Vasoconstritores/farmacocinética , Estudos Prospectivos
19.
Med. oral patol. oral cir. bucal (Internet) ; 17(2): 276-280, mar. 2012. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-98954

RESUMO

Objective: To evaluate the clinical efficacy of polycarboxylate cement as retrograde filling material. Design: A prospective clinical study was made of 25 patients subjected to periapical surgery with ultrasound and magnifying loupes, in which polycarboxylate cement was used as retrograde filling material. Measurements were made of the area and diameter of the lesions pre- and postoperatively, and 6 and 12 months after the operation. The apical resection and retrograde filling areas were also measured, and the prognosis following surgery was recorded. Results: A total of 23 patients with 31 apicoectomized teeth were studied (2 patients being lost to follow-up). The mean area of the periapical lesions before surgery was 52.25 mm2, with a mean major diameter of 6.1 mm and a mean lesser diameter of 4.8 mm. The success rate after 12 months was 54.7%, according to the criteria of VonArx and Kurt. The prognosis was poorer in females, in larger lesions, and in cases with larger retrograde fillingareas. Conclusions: Polycarboxylate cement offers good results, with important bone regeneration after periapical surgery (AU)


Assuntos
Humanos , Cimento de Policarboxilato/uso terapêutico , Doenças Periapicais/cirurgia , Dente não Vital/reabilitação , Estudos Prospectivos , Regeneração Óssea
20.
Cient. dent. (Ed. impr.) ; 8(3): 23-29, sept -dic. 2011. ilus
Artigo em Espanhol | IBECS | ID: ibc-95996

RESUMO

Se presenta la resolución de un caso clínico de una paciente que acudió a consulta con un abscesocrónico asociado al diente 21 que presentaba una cirugía periapical convencional previa que estaba fracasando. El manejo del mismo fue mediante el empleo de los últimos materiales y técnicas empleados en cirugía endodóntica, y así , tras la revisión de este caso, se comprueba que este acto terapéutico, llevado a cabo mediante estos materiales y procedimientos, se convierte en un proceso más fácil y seguro y que permite al clínico obtener resultados más predecibles y exitosos (AU)


The resolution is presented of a clinical case ofa patient that went to the consultation with achronic abscess associated with tooth 21 that presented previous conventional periapical surgery that had failed. Its management was through the use of the latest materials and techniques used in endodontic surgery, and in this way, after the review of this case, it was verified that this therapeutic act, carried out by means of thesematerials and procedures, became an easier and safer process that permitted the clinician to obtain more predictable and successful results (AU)


Assuntos
Humanos , Feminino , Adulto , Microcirurgia/métodos , Doenças Periapicais/cirurgia , Apicectomia/métodos , Retratamento/métodos , Selantes de Fossas e Fissuras/uso terapêutico
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