{"id":640,"date":"2021-03-08T20:15:43","date_gmt":"2021-03-08T23:15:43","guid":{"rendered":"https:\/\/wp.ufpel.edu.br\/pecos\/?page_id=640"},"modified":"2021-03-08T22:42:41","modified_gmt":"2021-03-09T01:42:41","slug":"terapeutica-para-dentes-imaturos-com-polpa-nao-vital-revascularizacao","status":"publish","type":"page","link":"https:\/\/wp.ufpel.edu.br\/pecos\/terapeutica-para-dentes-imaturos-com-polpa-nao-vital-revascularizacao\/","title":{"rendered":"Terap\u00eautica para Dentes Imaturos com Polpa N\u00e3o Vital: Revasculariza\u00e7\u00e3o"},"content":{"rendered":"<p><a href=\"https:\/\/wp.ufpel.edu.br\/pecos\/files\/2021\/03\/artigo_pecos_bernardo_franco_2021_03_08.pdf\"><strong>Terap\u00eautica para Dentes Imaturos com Polpa N\u00e3o Vital: Revasculariza\u00e7\u00e3o<\/strong><\/a><\/p>\n<p><em>Therapy for immature teeth with non-vital pulp: revascularization<\/em><\/p>\n<p>SILVA, Bernardo Franco; FURTADO, Mayana Peres; BARBIN, Eduardo Luiz. <strong>Terap\u00eautica para dentes imaturos com polpa n\u00e3o vital: revasculariza\u00e7\u00e3o<\/strong>. Plataforma de Ensino Continuado de Odontologia e Sa\u00fade (PECOS), Pelotas, 2021. Dispon\u00edvel em: &lt;www.ufpel.edu.br\/pecos&gt;. Acesso em: 26 jan. 2021.<\/p>\n<p>O tratamento de dentes permanentes imaturos necr\u00f3ticos \u00e9 desafiador devido \u00e0 espessura reduzida das paredes dentin\u00e1rias radiculares e abertura apical ampla. Objetivou-se evidenciar a atualidade, a import\u00e2ncia e os benef\u00edcios de se discutirem abordagens cl\u00ednicas para os dentes permanentes imaturos necr\u00f3ticos com \u00eanfase na t\u00e9cnica da Revasculariza\u00e7\u00e3o do espa\u00e7o pulpar com manejo endod\u00f4ntico (REP), bem como apresentar alguns Protocolos Cl\u00ednicos dispon\u00edveis na literatura t\u00e9cnica e cient\u00edfica odontol\u00f3gica e relatar benef\u00edcios e poss\u00edveis efeitos adversos, bem como alternativas de tratamento e outras informa\u00e7\u00f5es relevantes. O m\u00e9todo utilizado nesta pesquisa foi o de uma revis\u00e3o da literatura t\u00e9cnica e cient\u00edfica com \u00eanfase nas \u00e1reas de Endodontia e Traumatologia Dentoalveolar, com enfoque em apresentar protocolos cl\u00ednicos da t\u00e9cnica de revasculariza\u00e7\u00e3o do espa\u00e7o pulpar com manejo endod\u00f4ntico. Como resultados, apresentaram-se tr\u00eas protocolos terap\u00eauticos de revasculariza\u00e7\u00e3o com manejo endod\u00f4ntico, sendo um com car\u00e1ter hist\u00f3rico e dois com aspectos atuais, dois protocolos resumidos sobre apicifica\u00e7\u00e3o, pelo meio tradicional e com \u201cplug\u201d de MTA, e pressupostos t\u00e9cnicos e cient\u00edficos que sustentam tais protocolos. P\u00f4de-se concluir, em fun\u00e7\u00e3o da literatura revisada, que os estudos cient\u00edficos sobre REPs, apresentam, com grande frequ\u00eancia, alto risco de vi\u00e9s e baixa qualidade metodol\u00f3gica, bem como falta de consenso quanto ao protocolo cl\u00ednico e que, apesar ou em fun\u00e7\u00e3o disso, h\u00e1 um grande empenho da comunidade cient\u00edfica em pesquisar e promover o desenvolvimento de t\u00e9cnicas de revasculariza\u00e7\u00e3o com manejo endod\u00f4ntico para dentes permanentes necr\u00f3ticos que apresentem previsibilidade e resolutividade, incluindo publica\u00e7\u00f5es de protocolos por entidades de classe (AAE e ESE).<\/p>\n<p>Palavras-chave: revasculariza\u00e7\u00e3o; dente imaturo; rizog\u00eanese incompleta; \u00e1pice aberto; necrose pulpar.<\/p>\n<p>SILVA, Bernardo Franco; FURTADO, Mayana Peres; BARBIN, Eduardo Luiz. <strong>Therapy for immature teeth with non-vital pulp: revascularization<\/strong>. Plataforma de Ensino Continuado de Odontologia e Sa\u00fade (PECOS), Pelotas, 2021. Dispon\u00edvel em: &lt;www.ufpel.edu.br\/pecos&gt;. Acesso em: 26 jan. 2021.<\/p>\n<p>The treatment of immature necrotic permanent teeth is challenging due to the reduced thickness of the root dentin walls and wide apical opening. The objective of this study was to highlight the timeliness, importance and benefits of discussing clinical approaches to immature necrotic permanent teeth with emphasis on pulp space revascularization technique with endodontic management (REP), as well as to present some clinical protocols available in the technical and scientific dental literature and to report benefits and possible adverse effects, as well as treatment alternatives and other relevant information. The method used in this research was a review of the technical and scientific literature with emphasis in the areas of Endodontics and Dental Traumatology, focusing on presenting clinical protocols of the pulp space revascularization technique with endodontic management. As results, three therapeutic protocols of revascularization with endodontic management were presented, one with historical character and two with current aspects, two protocols summarized on apicification, by the traditional medium and with &#8220;plug&#8221; of MTA, and technical and scientific assumptions that support such protocols. It was concluded, due to the revised literature, that scientific studies on REPs present, with great frequency, high risk of bias and low methodological quality, as well as lack of consensus on the clinical protocol, and that despite or as a consequence of this, there is a great commitment of the scientific community to research and promote the development of revascularization techniques for necrotic permanent teeth with endodontic management that present predictability and resolution, including publications of protocols by class entities (AAE and ESE).<\/p>\n<p>Keywords: revascularization; immature tooth; incomplete rhizogenesis; open apex; pulp necrosis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Terap\u00eautica para Dentes Imaturos com Polpa N\u00e3o Vital: Revasculariza\u00e7\u00e3o Therapy for immature teeth with non-vital pulp: revascularization SILVA, Bernardo Franco; FURTADO, Mayana Peres; BARBIN, Eduardo Luiz. Terap\u00eautica para dentes imaturos com polpa n\u00e3o vital: revasculariza\u00e7\u00e3o. Plataforma de Ensino Continuado de Odontologia e Sa\u00fade (PECOS), Pelotas, 2021. Dispon\u00edvel em: &lt;www.ufpel.edu.br\/pecos&gt;. Acesso em: 26 jan. 2021. O [&hellip;]<\/p>\n","protected":false},"author":30,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-640","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/pages\/640","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/comments?post=640"}],"version-history":[{"count":3,"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/pages\/640\/revisions"}],"predecessor-version":[{"id":643,"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/pages\/640\/revisions\/643"}],"wp:attachment":[{"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/media?parent=640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}