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Onde realmente acaba o tratamento endodôntico : revisão narrativa
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Introdução: A Endodontia é a área que se foca na polpa dentária e nos tecidos perirradiculares. A restauração dos dentes com tratamento endodôntico (TE) influencia a sua sobrevivência. Objetivos: Salientar a importância de restaurar os dentes com TE, com ênfase no tipo de restauração e no tempo decorrido entre o tratamento endodôntico não cirúrgico (TENC) e a colocação da restauração. Materiais e Métodos:Foi realizada uma pesquisa através dos motores de busca PubMed, Web of Science e b-ON, utilizando as palavras-chave root canal treatment; endodontically treated teeth; restoration; survival rate; sucess rate. A pesquisa e seleção dos artigos foi realizada de novembro a dezembro de 2024, tendo sido incluídos 44 artigos. Resultados: A sobrevivência do dente com TENC depende da quantidade de estrutura remanescente, do efeito férula e do tempo decorrido até à sua restauração. O compósito é, dos métodos diretos, considerado o melhor material para a restauração de imediatamente após a obturação. As restaurações indiretas são uma opção viável pela sua durabilidade, resistência às forças mastigatórias e estética. A restauração com inlays e onlays também pode ser considerada pela preservação de estrutura dentária. Conclusões: A restauração de dentes endodonciados é essencial, devendo-se ter em conta a estrutura remanescente, o efeito férula e o tempo decorrido. A restauração deve ser o mais conservativa possível. Atualmente não existem orientações detalhadas para a escolha da restauração, sendo viável restaurar com compósito, coroas totais ou onlays e overlays.
Introduction: Endodontics is the area that focuses on the dental pulp and the perirradicular tissues. The restauration of teeth with endodontic treatment (TE) influences its survival. Objectives: Highlight the importance of restoring teeth with TE, with emphasis on the type of restoration and the time between the non-surgical endodontic treatment (TENC9 and the placement of the restoration. Materials and Methods: A search was made through the search engines PubMed, Web of Science and b-ON, using the keywords root canal treatment; endodontically treated teeth; restoration; survival rate; sucess rate. The search and selection of articles was made between November and December of 2024, having been included 44 articles. Results: The survival of the tooth with TENC depends on the quantity of remaining structure, the ferrule effect and the time until restoration. Composite is, form the direct methods, the best material for the restoration immediately after obturation. Indirect restorations are a viable option for its durability, endurance against masticatory forces and aesthetics. The restoration with inlays and onlays may also be considered for the preservation of structure. Conclusion: The restoration of endodontically treated teeth is essential, having to account for the remaining structure, the ferrule effect and the time passed. The restauration must be as conservative as possible. At the present there are no guidelines for the choice of restoration, being viable to restore it with composite, total crowns or onlays and inlays.
Introduction: Endodontics is the area that focuses on the dental pulp and the perirradicular tissues. The restauration of teeth with endodontic treatment (TE) influences its survival. Objectives: Highlight the importance of restoring teeth with TE, with emphasis on the type of restoration and the time between the non-surgical endodontic treatment (TENC9 and the placement of the restoration. Materials and Methods: A search was made through the search engines PubMed, Web of Science and b-ON, using the keywords root canal treatment; endodontically treated teeth; restoration; survival rate; sucess rate. The search and selection of articles was made between November and December of 2024, having been included 44 articles. Results: The survival of the tooth with TENC depends on the quantity of remaining structure, the ferrule effect and the time until restoration. Composite is, form the direct methods, the best material for the restoration immediately after obturation. Indirect restorations are a viable option for its durability, endurance against masticatory forces and aesthetics. The restoration with inlays and onlays may also be considered for the preservation of structure. Conclusion: The restoration of endodontically treated teeth is essential, having to account for the remaining structure, the ferrule effect and the time passed. The restauration must be as conservative as possible. At the present there are no guidelines for the choice of restoration, being viable to restore it with composite, total crowns or onlays and inlays.
Descrição
Dissertação de Mestrado em Medicina Dentária, 2025
Palavras-chave
Endodontically treated teeth Dental restoration permanent Crowns Inlays tratamento endodôntico Restauração dentária Coroas definitivas Inlays