o USO DE CIMENTOS BIOCERÂMICOS EM TRATAMENTOS DE DENTES IMATUROS ASSOCIADO COM TÉCNICAS DE ENDODONTIA REGENERATIVA: RELATO DE CASO CLÍNICO
RELATO DE CASO CLÍNICO
Palabras clave:
Endodontia Regenerativa. Dente Imaturo. Necrose PulparResumen
Introdução: Dentes imaturos e com ápice aberto representam um grande desafio para o tratamento endodôntico. Geralmente acomete mais crianças em decorrência de trauma, lesão cariosa ou anomalias dentárias. Objetivos: Relatar um caso clínico de tratamento endodôntico regenerativo em um dente imaturo com necrose pulpar. Metodologia: Tratamento regenerativo com biocerâmico, em dente com abscesso apical crônico, realizado em três sessões, irrigado com hipoclorito de sódio a 2,5%, sem instrumentação e obturação com um material biocerâmico BIO C SEALER (Angelus®) e Bio C Sealer Repair (Angelus®) com guta percha e o selamento com resina composta, acompanhado por 15 meses. Resultados: Após 15 meses, constatou-se o fechamento apical, a presença de material obturador extravasado na região periapical e a presença de uma área hipodensa associada com a região periapical e ausência de sintomatologia. Conclusão: Cimentos biocerâmicos, em tratamentos de dentes imaturos associado com técnicas de endodontia regenerativa pode permitir o fechamento apical e redução de tempo de tratamento.
Citas
ALAGL, A. et al. Use of platelet-rich plasma for regeneration in non-vital immature permanent teeth: Clinical and cone-beam computed tomography evaluation. The Journal of international medical research, v. 45, n. 2, p. 583–593, abr. 2017.
ALOBAID, A. S. et al. Radiographic and clinical outcomes of the treatment of immature permanent teeth by revascularization or apexification: a pilot retrospective cohort study. Journal of endodontics, v. 40, n. 8, p. 1063–1070, ago. 2014.
ALOTAIBI, S.; HAFTEL, A.; WAGNER, N. D. Avulsed Tooth. In: Treasure Island (FL): [s.n.].
BOSE, R.; NUMMIKOSKI, P.; HARGREAVES, K. A retrospective evaluation of radiographic outcomes in immature teeth with necrotic root canal systems treated with regenerative endodontic procedures. Journal of endodontics, v. 35, n. 10, p. 1343–1349, out. 2009.
CHANIOTIS, A. Treatment Options for Failing Regenerative Endodontic Procedures: Report of 3 Cases. Journal of endodontics, v. 43, n. 9, p. 1472–1478, set. 2017.
CHEN, M. Y. H. et al. Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures. International Endodontic Journal, v. 45, n. 3, p. 294–305, 2012.
ELNAGHY, A. M.; ELSAKA, S. E. Fracture resistance of simulated immature teeth filled with Biodentine and white mineral trioxide aggregate - an in vitro study. Dental traumatology : official publication of International Association for Dental Traumatology, v. 32, n. 2, p. 116–120, abr. 2016.
FLANAGAN, T. A. What can cause the pulps of immature, permanent teeth with open apices to become necrotic and what treatment options are available for these teeth. Australian endodontic journal : the journal of the Australian Society of Endodontology Inc, v. 40, n. 3, p. 95–100, dez. 2014.
FONZAR, F. et al. Induced post-traumatic apexification: 20 year follow-up and morphological study after new fracture. Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft, v. 216, p. 120–124, mar. 2018.
FOUAD, A. F. Microbiological aspects of traumatic injuries. Dental traumatology : official publication of International Association for Dental Traumatology, v. 35, n. 6, p. 324–332, dez. 2019.
GOMES-FILHO, J. E. et al. Tissue reaction to a triantibiotic paste used for endodontic tissue self-regeneration of nonvital immature permanent teeth. Journal of endodontics, v. 38, n. 1, p. 91–94, jan. 2012.
HARLAMB, S. C. Management of incompletely developed teeth requiring root canal treatment. Australian dental journal, v. 61 Suppl 1, p. 95–106, mar. 2016.
HUANG, G. T. J. Apexification: The beginning of its end. International Endodontic Journal, v. 42, n. 10, p. 855–866, 2009.
JAMSHIDI, D. et al. Impact and Fracture Strength of Simulated Immature Teeth Treated with Mineral Trioxide Aggregate Apical Plug and Fiber Post Versus Revascularization. Journal of endodontics, v. 44, n. 12, p. 1878–1882, dez. 2018.
JEERUPHAN, T. et al. Mahidol study 1: Comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: A retrospective study. Journal of Endodontics, v. 38, n. 10, p. 1330–1336, 2012.
JIANG, S.; WU, H.; ZHANG, C. F. Partial Pulpotomy of Immature Teeth with Apical Periodontitis using Bioceramics and Mineral Trioxide Aggregate: A Report of Three Cases. The Chinese journal of dental research : the official journal of the Scientific Section of the Chinese Stomatological Association (CSA), v. 19, n. 2, p. 115–120, jun. 2016.
JIANG, X.; LIU, H.; PENG, C. Clinical and Radiographic Assessment of the Efficacy of a Collagen Membrane in Regenerative Endodontics: A Randomized, Controlled Clinical Trial. Journal of endodontics, v. 43, n. 9, p. 1465–1471, set. 2017.
JITARU, S. et al. The use of bioceramics in endodontics - literature review. Clujul medical (1957), v. 89, n. 4, p. 470–473, 2016.
LI, L. et al. Clinical and Radiographic Outcomes in Immature Permanent Necrotic Evaginated Teeth Treated with Regenerative Endodontic Procedures. Journal of Endodontics, v. 43, n. 2, p. 246–251, 2017.
MARTENS, L.; RAJASEKHARAN, S.; CAUWELS, R. Endodontic treatment of trauma-induced necrotic immature teeth using a tricalcium silicate-based bioactive cement. A report of 3 cases with 24-month follow-up. European journal of paediatric dentistry, v. 17, n. 1, p. 24–28, mar. 2016.
MARTIN, D. E. et al. Concentration-dependent effect of sodium hypochlorite on stem cells of apical papilla survival and differentiation. Journal of endodontics, v. 40, n. 1, p. 51–55, jan. 2014.
SHETTY, H. et al. Cone-beam computed tomographic and histological investigation of regenerative endodontic procedure in an immature mandibular second premolar with chronic apical abscess. Journal of investigative and clinical dentistry, v. 9, n. 4, p. e12352, nov. 2018.
SHIVASHANKAR, V. Y. et al. Comparison of the Effect of PRP, PRF and Induced Bleeding in the Revascularization of Teeth with Necrotic Pulp and Open Apex: A Triple Blind Randomized Clinical Trial. Journal of clinical and diagnostic research : JCDR, v. 11, n. 6, p. ZC34–ZC39, jun. 2017.
SILVEIRA, C. M. M. et al. Apexification of an immature permanent incisor with the use of calcium hydroxide: 16-year follow-up of a case. Case Reports in Dentistry, v. 2015, p. 984590, 2015.
TIMMERMAN, A.; PARASHOS, P. Delayed Root Development by Displaced Mineral Trioxide Aggregate after Regenerative Endodontics: A Case Report. Journal of endodontics, v. 43, n. 2, p. 252–256, fev. 2017.
TORABINEJAD, M. et al. An animal model to study regenerative endodontics. Journal of endodontics, v. 37, n. 2, p. 197–202, fev. 2011.
TREVINO, E. G. et al. Effect of irrigants on the survival of human stem cells of the apical papilla in a platelet-rich plasma scaffold in human root tips. Journal of endodontics, v. 37, n. 8, p. 1109–1115, ago. 2011.
TROPE, M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dental clinics of North America, v. 54, n. 2, p. 313–324, abr. 2010.
WONGWATANASANTI, N. et al. Effect of Bioceramic Materials on Proliferation and Odontoblast Differentiation of Human Stem Cells from the Apical Papilla. Journal of endodontics, v. 44, n. 8, p. 1270–1275, ago. 2018.
YAMAUCHI, N. et al. Immunohistological characterization of newly formed tissues after regenerative procedure in immature dog teeth. Journal of endodontics, v. 37, n. 12, p. 1636–1641, dez. 2011.
YASSEN, G. H. et al. The effect of frequency of calcium hydroxide dressing change and various pre- and inter-operative factors on the endodontic treatment of traumatized immature permanent incisors. Dental traumatology : official publication of International Association for Dental Traumatology, v. 28, n. 4, p. 296–301, ago. 2012.
ZAKY, S. H. et al. Effect of the Periapical “Inflammatory Plug” on Dental Pulp Regeneration: A Histologic In Vivo Study. Journal of endodontics, v. 46, n. 1, p. 51–56, jan. 2020.
ZENG, Q. et al. Release of Growth Factors into Root Canal by Irrigations in Regenerative Endodontics. Journal of endodontics, v. 42, n. 12, p. 1760–1766, dez. 2016.
ALOBAID, A. S. et al. Radiographic and clinical outcomes of the treatment of immature permanent teeth by revascularization or apexification: a pilot retrospective cohort study. Journal of endodontics, v. 40, n. 8, p. 1063–1070, ago. 2014.
ALOTAIBI, S.; HAFTEL, A.; WAGNER, N. D. Avulsed Tooth. In: Treasure Island (FL): [s.n.].
BOSE, R.; NUMMIKOSKI, P.; HARGREAVES, K. A retrospective evaluation of radiographic outcomes in immature teeth with necrotic root canal systems treated with regenerative endodontic procedures. Journal of endodontics, v. 35, n. 10, p. 1343–1349, out. 2009.
CHANIOTIS, A. Treatment Options for Failing Regenerative Endodontic Procedures: Report of 3 Cases. Journal of endodontics, v. 43, n. 9, p. 1472–1478, set. 2017.
CHEN, M. Y. H. et al. Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures. International Endodontic Journal, v. 45, n. 3, p. 294–305, 2012.
ELNAGHY, A. M.; ELSAKA, S. E. Fracture resistance of simulated immature teeth filled with Biodentine and white mineral trioxide aggregate - an in vitro study. Dental traumatology : official publication of International Association for Dental Traumatology, v. 32, n. 2, p. 116–120, abr. 2016.
FLANAGAN, T. A. What can cause the pulps of immature, permanent teeth with open apices to become necrotic and what treatment options are available for these teeth. Australian endodontic journal : the journal of the Australian Society of Endodontology Inc, v. 40, n. 3, p. 95–100, dez. 2014.
FONZAR, F. et al. Induced post-traumatic apexification: 20 year follow-up and morphological study after new fracture. Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft, v. 216, p. 120–124, mar. 2018.
FOUAD, A. F. Microbiological aspects of traumatic injuries. Dental traumatology : official publication of International Association for Dental Traumatology, v. 35, n. 6, p. 324–332, dez. 2019.
GOMES-FILHO, J. E. et al. Tissue reaction to a triantibiotic paste used for endodontic tissue self-regeneration of nonvital immature permanent teeth. Journal of endodontics, v. 38, n. 1, p. 91–94, jan. 2012.
HARLAMB, S. C. Management of incompletely developed teeth requiring root canal treatment. Australian dental journal, v. 61 Suppl 1, p. 95–106, mar. 2016.
HUANG, G. T. J. Apexification: The beginning of its end. International Endodontic Journal, v. 42, n. 10, p. 855–866, 2009.
JAMSHIDI, D. et al. Impact and Fracture Strength of Simulated Immature Teeth Treated with Mineral Trioxide Aggregate Apical Plug and Fiber Post Versus Revascularization. Journal of endodontics, v. 44, n. 12, p. 1878–1882, dez. 2018.
JEERUPHAN, T. et al. Mahidol study 1: Comparison of radiographic and survival outcomes of immature teeth treated with either regenerative endodontic or apexification methods: A retrospective study. Journal of Endodontics, v. 38, n. 10, p. 1330–1336, 2012.
JIANG, S.; WU, H.; ZHANG, C. F. Partial Pulpotomy of Immature Teeth with Apical Periodontitis using Bioceramics and Mineral Trioxide Aggregate: A Report of Three Cases. The Chinese journal of dental research : the official journal of the Scientific Section of the Chinese Stomatological Association (CSA), v. 19, n. 2, p. 115–120, jun. 2016.
JIANG, X.; LIU, H.; PENG, C. Clinical and Radiographic Assessment of the Efficacy of a Collagen Membrane in Regenerative Endodontics: A Randomized, Controlled Clinical Trial. Journal of endodontics, v. 43, n. 9, p. 1465–1471, set. 2017.
JITARU, S. et al. The use of bioceramics in endodontics - literature review. Clujul medical (1957), v. 89, n. 4, p. 470–473, 2016.
LI, L. et al. Clinical and Radiographic Outcomes in Immature Permanent Necrotic Evaginated Teeth Treated with Regenerative Endodontic Procedures. Journal of Endodontics, v. 43, n. 2, p. 246–251, 2017.
MARTENS, L.; RAJASEKHARAN, S.; CAUWELS, R. Endodontic treatment of trauma-induced necrotic immature teeth using a tricalcium silicate-based bioactive cement. A report of 3 cases with 24-month follow-up. European journal of paediatric dentistry, v. 17, n. 1, p. 24–28, mar. 2016.
MARTIN, D. E. et al. Concentration-dependent effect of sodium hypochlorite on stem cells of apical papilla survival and differentiation. Journal of endodontics, v. 40, n. 1, p. 51–55, jan. 2014.
SHETTY, H. et al. Cone-beam computed tomographic and histological investigation of regenerative endodontic procedure in an immature mandibular second premolar with chronic apical abscess. Journal of investigative and clinical dentistry, v. 9, n. 4, p. e12352, nov. 2018.
SHIVASHANKAR, V. Y. et al. Comparison of the Effect of PRP, PRF and Induced Bleeding in the Revascularization of Teeth with Necrotic Pulp and Open Apex: A Triple Blind Randomized Clinical Trial. Journal of clinical and diagnostic research : JCDR, v. 11, n. 6, p. ZC34–ZC39, jun. 2017.
SILVEIRA, C. M. M. et al. Apexification of an immature permanent incisor with the use of calcium hydroxide: 16-year follow-up of a case. Case Reports in Dentistry, v. 2015, p. 984590, 2015.
TIMMERMAN, A.; PARASHOS, P. Delayed Root Development by Displaced Mineral Trioxide Aggregate after Regenerative Endodontics: A Case Report. Journal of endodontics, v. 43, n. 2, p. 252–256, fev. 2017.
TORABINEJAD, M. et al. An animal model to study regenerative endodontics. Journal of endodontics, v. 37, n. 2, p. 197–202, fev. 2011.
TREVINO, E. G. et al. Effect of irrigants on the survival of human stem cells of the apical papilla in a platelet-rich plasma scaffold in human root tips. Journal of endodontics, v. 37, n. 8, p. 1109–1115, ago. 2011.
TROPE, M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dental clinics of North America, v. 54, n. 2, p. 313–324, abr. 2010.
WONGWATANASANTI, N. et al. Effect of Bioceramic Materials on Proliferation and Odontoblast Differentiation of Human Stem Cells from the Apical Papilla. Journal of endodontics, v. 44, n. 8, p. 1270–1275, ago. 2018.
YAMAUCHI, N. et al. Immunohistological characterization of newly formed tissues after regenerative procedure in immature dog teeth. Journal of endodontics, v. 37, n. 12, p. 1636–1641, dez. 2011.
YASSEN, G. H. et al. The effect of frequency of calcium hydroxide dressing change and various pre- and inter-operative factors on the endodontic treatment of traumatized immature permanent incisors. Dental traumatology : official publication of International Association for Dental Traumatology, v. 28, n. 4, p. 296–301, ago. 2012.
ZAKY, S. H. et al. Effect of the Periapical “Inflammatory Plug” on Dental Pulp Regeneration: A Histologic In Vivo Study. Journal of endodontics, v. 46, n. 1, p. 51–56, jan. 2020.
ZENG, Q. et al. Release of Growth Factors into Root Canal by Irrigations in Regenerative Endodontics. Journal of endodontics, v. 42, n. 12, p. 1760–1766, dez. 2016.
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2022-05-30
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