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Trauma e terapia da pulpar vital
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Resumo(s)
Os traumatismos dentários podem ser consequência de inúmeras agressões que podem ocorrer ao nível da face. Este tipo de acontecimento requer que o tratamento seja feito por uma equipa multidisciplinar, incluindo várias especialidades da Medicina Dentária por forma a obter o melhor resultado possível.
Existem vários tipos de tratamento a aplicar quando acontece um trauma numa peça dentária. A Terapia Pulpar Vital tem como objetivo preservar a vitalidade pulpar e é especialmente indicado em casos de traumatismos de dentes jovens ou imaturos, uma vez que, a longo prazo, são os que apresentam maior probabilidade de sucesso.
Esta alternativa ao tratamento endodôntico tradicional, pode evitar a lesão do complexo dentino- pulpar e, desta forma, contribuir para a preservação do tecido pulpar remanescente.
Este tratamento pode ser realizado através de vários métodos, após um diagnóstico cuidado do médico dentista, como proteção pulpar direta, pulpotomia parcial ou pulpotomia total.
Além disto, a escolha para o material a utilizar é de extrema importância, pois poderá condicionar o prognóstico do dente. Os que reúnem maior consenso são os cimentos à base se silicato de cálcio como o Agregado de Trióxido Mineral e o Biodentine®, sendo este último apresenta tanto o maior número de vantagens, como uma melhor taxa de sucesso.
Dental trauma can be the result of numerous aggressions that can occur on the face. This type of event requires treatment to be carried out by a multidisciplinary team, including several specialties of Dentistry, to obtain the best possible result. There are several types of treatment to be applied when a trauma occurs to a tooth. Vital Pulp Therapy aims to preserve pulp vitality and it is indicated in cases of trauma to young or immature teeth, since in the long term they have the highest probability of success. This alternative to traditional endodontic treatment can prevent injury to the pulp-dentin complex and contribute to the preservation of the remaining pulp tissue. This treatment can be performed through several methods after a careful diagnosis by the dentist, such as direct pulp capping, partial pulpotomy or total pulpotomy. Furthermore, the choice of the material to use in this technique is extremely important, as it may affect the prognosis of the tooth. Those with the greatest consensus are calcium silicate-based cements such as Mineral Trioxide Aggregate and Biodentine®, but the last one has the greatest number of advantages and a better success rate.
Dental trauma can be the result of numerous aggressions that can occur on the face. This type of event requires treatment to be carried out by a multidisciplinary team, including several specialties of Dentistry, to obtain the best possible result. There are several types of treatment to be applied when a trauma occurs to a tooth. Vital Pulp Therapy aims to preserve pulp vitality and it is indicated in cases of trauma to young or immature teeth, since in the long term they have the highest probability of success. This alternative to traditional endodontic treatment can prevent injury to the pulp-dentin complex and contribute to the preservation of the remaining pulp tissue. This treatment can be performed through several methods after a careful diagnosis by the dentist, such as direct pulp capping, partial pulpotomy or total pulpotomy. Furthermore, the choice of the material to use in this technique is extremely important, as it may affect the prognosis of the tooth. Those with the greatest consensus are calcium silicate-based cements such as Mineral Trioxide Aggregate and Biodentine®, but the last one has the greatest number of advantages and a better success rate.
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Teses de mestrado - 2023 Saúde Oral