{"id":783,"date":"2021-06-25T20:24:05","date_gmt":"2021-06-25T23:24:05","guid":{"rendered":"https:\/\/wp.ufpel.edu.br\/pecos\/?page_id=783"},"modified":"2021-06-25T20:28:00","modified_gmt":"2021-06-25T23:28:00","slug":"pulpotomia-parcial-de-cvek-na-abordagem-conservadora-do-tecido-pulpar-exposto-em-dentes-permanentes","status":"publish","type":"page","link":"https:\/\/wp.ufpel.edu.br\/pecos\/pulpotomia-parcial-de-cvek-na-abordagem-conservadora-do-tecido-pulpar-exposto-em-dentes-permanentes\/","title":{"rendered":"Pulpotomia Parcial de Cvek na Abordagem Conservadora do Tecido Pulpar Exposto em Dentes Permanentes"},"content":{"rendered":"<p><a href=\"https:\/\/wp.ufpel.edu.br\/pecos\/artigos-endodontia\/artigo_pecos_mayana_2021_06_25\/\"><strong>Pulpotomia Parcial de Cvek na Abordagem Conservadora do Tecido Pulpar Exposto em Dentes Permanentes<\/strong><\/a><\/p>\n<p>FURTADO, Mayana Peres; Barbin, Eduardo Luiz. <strong>Pulpotomia Parcial de Cvek na Abordagem Conservadora do Tecido Pulpar Exposto em Dentes Permanentes<\/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: 25 jun. 2021.<\/p>\n<p>A edi\u00e7\u00e3o 2020 das diretrizes da Associa\u00e7\u00e3o Internacional de Traumatologia Dent\u00e1ria (IADT) para a abordagem de les\u00f5es dent\u00e1rias traum\u00e1ticas (fraturas e luxa\u00e7\u00f5es de dentes permanentes) indica a Pulpotomia Parcial com hidr\u00f3xido de c\u00e1lcio (de Cvek) ou com material biocer\u00e2mico sem potencial de pigmenta\u00e7\u00e3o (de Witherspoon) ou a prote\u00e7\u00e3o pulpar direta (capeamento pulpar) para o tratamento conservador da polpa dental. O objetivo deste trabalho foi evidenciar a atualidade, import\u00e2ncia e benef\u00edcios da Pulpotomia Parcial com \u00eanfase na t\u00e9cnica proposta por Cvek, com hidr\u00f3xido de c\u00e1lcio, e na modificada por Witherspoon, com MTA, descrevendo os protocolos cl\u00ednicos bem como seus pressupostos. O m\u00e9todo utilizado nesta pesquisa foi o de uma revis\u00e3o da literatura cient\u00edfica espec\u00edfica das \u00e1reas Endodontia e Traumatologia Dent\u00e1ria, bem como an\u00e1lise das cita\u00e7\u00f5es diretas e indiretas realizadas pelos autores a partir das diretrizes da IADT para inj\u00farias dentais traum\u00e1ticas. Observou-se que a IADT sugere, para o tratamento da fratura coron\u00e1ria de esmalte, dentina e polpa a Pulpotomia Parcial de Cvek ou de Witherspoon ou, ainda, a prote\u00e7\u00e3o pulpar direta (capeamento) no caso de dentes com rizog\u00eanese incompleta como tamb\u00e9m de dentes com raiz formada. J\u00e1 no caso das fraturas corono-radiculares, o tratamento indicado pela IADT para dentes jovens \u00e9 a Pulpotomia Parcial com hidr\u00f3xido de c\u00e1lcio ou com material biocer\u00e2mico sem potencial de pigmenta\u00e7\u00e3o. O protocolo de Cvek consiste de um tratamento mediato e o modificado por Witherspoon, imediato ou c\u00e9lere. As indica\u00e7\u00f5es das Pulpotomias Parciais estendem-se a outras causas de exposi\u00e7\u00e3o pulpar al\u00e9m das traum\u00e1ticas e s\u00e3o de sobremaneira importantes nas terapias conservadoras de dentes com rizog\u00eanese incompleta. H\u00e1 ind\u00edcios robustos na literatura revisada de que a Pulpotomia Parcial apresenta alta frequ\u00eancia de sucesso, principalmente em fun\u00e7\u00e3o da qualidade do selamento cavit\u00e1rio. O conte\u00fado desta obra vem a complementar o disponibilizado pela IADT para o tratamento das fraturas coron\u00e1rias e\/ou de coroa e raiz complicadas, contido em suas diretrizes para tratamento das inj\u00farias dentais traum\u00e1ticas.<\/p>\n<p><strong>Palavras-chave<\/strong>: Pulpotomia parcial. Pulpotomia de Cvek. Polpa dental. Hidr\u00f3xido de c\u00e1lcio. MTA.<\/p>\n<p>&nbsp;<\/p>\n<p>FURTADO, Mayana Peres; BARBIN, Eduardo Luiz. <strong>Cvek-type Pulpotomy in the Conservative Approach of Exposed Pulp Tissue in Permanent Teeth<\/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: 25 jun. 2021.<\/p>\n<p>The 2020 edition of the International Association of Dental Traumatology (IADT) guidelines for the management of traumatic dental injuries (fractures and luxations of permanent teeth) indicates Partial Pulpotomy with calcium hydroxide (from Cvek) or with non-staining bioceramic material (of Witherspoon) or direct pulp protection (pulp capping) for the conservative treatment of dental pulp. The objective of this study was to highlight the relevance, importance and benefits of Partial Pulpotomy with emphasis on the technique proposed by Cvek, with calcium hydroxide, and on the one modified by Witherspoon, with MTA, describing the clinical protocols as well as their assumptions. The method used in this research was a review of the specific scientific literature in the areas of Endodontics and Dental Traumatology, as well as an analysis of direct and indirect citations made by the authors from the IADT guidelines for traumatic dental injuries. It was observed that the IADT suggests, for the treatment of crown fractures of enamel, dentin and pulp, the Partial Pulpotomy of Cvek or Witherspoon, or even direct pulp capping in the case of teeth with incomplete root formation as well as teeth with formed root. In the case of crown-root fractures, the treatment indicated by the IADT for young teeth is the Partial Pulpotomy with calcium hydroxide or with non-staining bioceramic material. Cvek&#8217;s protocol consists of a mediate treatment and the one modified by Witherspoon, immediate or very fast. The indications for Partial Pulpotomy extend to other causes of pulp exposure in addition to the traumatic ones and are extremely important in conservative therapies for teeth with incomplete rhizogenesis. There is strong evidence in the reviewed literature that Partial Pulpotomy has a high success rate, mainly due to the quality of the cavity sealing. The content of this work complements that provided by the IADT for the treatment of complicated coronary and\/or crown and root fractures, contained in its guidelines for the treatment of traumatic dental injuries.<\/p>\n<p><strong>Keywords<\/strong>: Partial pulpotomy. Cvek Type Pulpotomy. Dental pulp. Calcium hydroxide. MTA.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pulpotomia Parcial de Cvek na Abordagem Conservadora do Tecido Pulpar Exposto em Dentes Permanentes FURTADO, Mayana Peres; Barbin, Eduardo Luiz. Pulpotomia Parcial de Cvek na Abordagem Conservadora do Tecido Pulpar Exposto em Dentes Permanentes. Plataforma de Ensino Continuado de Odontologia e Sa\u00fade (PECOS), Pelotas, 2021. Dispon\u00edvel em: &lt;www.ufpel.edu.br\/pecos&gt;. Acesso em: 25 jun. 2021. A edi\u00e7\u00e3o [&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-783","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/pages\/783","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=783"}],"version-history":[{"count":1,"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/pages\/783\/revisions"}],"predecessor-version":[{"id":785,"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/pages\/783\/revisions\/785"}],"wp:attachment":[{"href":"https:\/\/wp.ufpel.edu.br\/pecos\/wp-json\/wp\/v2\/media?parent=783"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}