Efectividad del uso de guías quirúrgicas en el acceso endodóntico de dientes anteriores obliterados o calcificados comparada con la técnica convencional: Una revisión sistemática de la literatura
Date
2021
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Journal Title
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Publisher
Universidad Finis Terrae (Chile) Facultad de Odontología
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Abstract
La calcificación u obliteración del conducto radicular (CCR) se evidencia
comúnmente en los dientes anteriores producido por una reacción de la pulpa
asociada principalmente a, traumatismos, caries y edad avanzada del individuo, en
donde el conducto radicular se oblitera total o parcialmente por deposición de tejido
mineral. El tratamiento endodóntico en casos de CCR es considerado de alta
dificultad y de alto riesgo, sobre todo en dientes anteriores debido a que durante la
localización y comunicación con el conducto radicular se pierde tejido dentario de
sobremanera sobretodo en dientes anteriores. El objetivo de esta investigación fue
llevar a cabo una revisión sistemática sobre la efectividad del tratamiento
endodóntico de dientes anteriores calcificados u obliterados utilizando guías
quirúrgicas para la confección de la preparación de acceso comparada con la
técnica convencional. Para ello se utilizó el protocolo PRISMA, donde se revisaron
diferentes bases de datos como PubMed, Scielo, EBSCO, Scopus y para
complementar se adicionaron las siguientes revistas: Journal Of Endodontics y
International Endodontics Journal, de los artículos seleccionados se incluyeron un
total de 19 estudios donde se extrajeron los siguientes datos: tipo de técnica a
utilizar para la confección del acceso endodóntico, localización y comunicación del
conducto radicular, cantidad de tejido dentario perdido (mm³) y riesgo de iatrogenia
(desviación en mm y en ángulo). Como conclusión y según los artículos
seleccionados, se evidencia que la técnica guiada permite una preparación de la
cavidad de acceso al sistema de conducto con altas tasas de precisión y mínima
perdida de estructura dentaria comparada con la técnica convencional. Se estima
que son necesarios nuevos estudios de alta evidencia como como revisiones
sistemáticas con metaanálisis, estudios experimentales estandarizados con un gran
tamaño de muestra que permitan consolidar el uso de guías quirúrgicas en el acceso
endodóntico de dientes calcificados u obliterados como una técnica estándar.
Root canal calcification or obliteration (RCC) is commonly evidenced in anterior teeth produced by a pulp reaction mainly associated with trauma, caries and advanced age of the individual, where the root canal is totally or partially obliterated by deposition of mineral tissue. Endodontic treatment in cases of RCC is considered highly difficult and high risk, especially in anterior teeth, since dental tissue is greatly lost during location and communication with the root canal. The objective of this research was to carry out a systematic review on the effectiveness of endodontic treatment of calcified or obliterated anterior teeth using surgical guides for the preparation of the access preparation compared with the conventional technique. For this, the PRISMA protocol was used, where different databases such as PubMed, Scielo, EBSCO, Scopus were reviewed and to complement the following journals were added: Journal Of Endodontics and International Endodontics Journal, of the selected articles a total of 19 were included studies where the following data were extracted: type of technique to be used for the preparation of the endodontic access, location and communication of the root canal, amount of tooth tissue lost (mm) and risk of iatrogenesis (deviation in mm and angle). In conclusion, all the selected articles describe that the guided technique allows a preparation of the access cavity to the canal system with high precision rates and minimal loss of tooth structure compared to the conventional technique. New high-evidence studies are needed that a message New high-evidence studies are needed to consolidate the use of surgical guides in the endodontic access of calcified or obliterated teeth as a standard technique.
Root canal calcification or obliteration (RCC) is commonly evidenced in anterior teeth produced by a pulp reaction mainly associated with trauma, caries and advanced age of the individual, where the root canal is totally or partially obliterated by deposition of mineral tissue. Endodontic treatment in cases of RCC is considered highly difficult and high risk, especially in anterior teeth, since dental tissue is greatly lost during location and communication with the root canal. The objective of this research was to carry out a systematic review on the effectiveness of endodontic treatment of calcified or obliterated anterior teeth using surgical guides for the preparation of the access preparation compared with the conventional technique. For this, the PRISMA protocol was used, where different databases such as PubMed, Scielo, EBSCO, Scopus were reviewed and to complement the following journals were added: Journal Of Endodontics and International Endodontics Journal, of the selected articles a total of 19 were included studies where the following data were extracted: type of technique to be used for the preparation of the endodontic access, location and communication of the root canal, amount of tooth tissue lost (mm) and risk of iatrogenesis (deviation in mm and angle). In conclusion, all the selected articles describe that the guided technique allows a preparation of the access cavity to the canal system with high precision rates and minimal loss of tooth structure compared to the conventional technique. New high-evidence studies are needed that a message New high-evidence studies are needed to consolidate the use of surgical guides in the endodontic access of calcified or obliterated teeth as a standard technique.
Description
Tesis (Cirujano dentista)--Universidad Finis Terrae, 2021
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Santiago, Chile
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Citation
Keywords
DIENTES ANTERIORES OBLITERADOS, ENDODONCIA -- METODOS, PULPA DENTAL -- PATOLOGIAS, CALCIFICACIONES PULPARES, TESIS DIGITAL
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Atribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)