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Reabilitação com poste de fibra vs endocrown de dentes anteriores endodonciados
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Introdução: A reabilitação funcional e estética de dentes anteriores endodonciados ainda é um desafio devido à perda da estrutura dentária, e consequentemente, da resistência e retenção. Os dentes anteriores suportam forças oclusais diferentes dos dentes posteriores, estando sujeitos a forças laterais. Atualmente, existem diversos métodos que respondem às exigências na reabilitação dos dentes anteriores. A colocação de espigões de fibra ainda é considerado o método de eleição, no entanto, com a evolução das técnicas adesivas, foram introduzidas as endocrowns, apesar de ainda pouco utilizadas nos dentes anteriores.
Objetivos: Esta revisão pretende oferecer uma visão geral da informação da literatura existente, acerca das técnicas atuais e futuras de reabilitação de dentes anteriores endodonciados.
Materiais e Métodos: Bases de dados científicas como o PubMed, Scopus e ScienceDirect foram sistematicamente averiguadas, tendo sido selecionados os artigos que abordavam as diferentes técnicas de reabilitação de dentes anteriores endodonciados. Foram incluídos artigos em inglês, dos últimos 10 anos que reportassem a reabilitação com postes de fibra e endocrowns. Os artigos foram agrupados consoante o design do estudo, sendo incluídos estudos in vitro e in vivo.
Resultados: Foram encontrados estudos com contribuição significativa para a Medicina Dentária, escolhendo-se aqueles que reportaram a aplicabilidade clínica de novas técnicas de reabilitação. Os estudos permitiram tirar conclusões quanto às propriedades mecânicas, nomeadamente, a resistência e a retenção que estas conferem aos dentes anteriores endodonciados.
Conclusões: Foi evidenciado que ambos os métodos analisados nos diferentes estudos se mostraram fiáveis e exequíveis, correspondendo às necessidades funcionais e estéticas. Uma vez que não existe evidência que permita refutar os métodos convencionais, é da responsabilidade do Médico Dentista escolher a técnica mais adequada ao paciente.
Relevância Clínica: Verifica-se a necessidade da condução de estudos adicionais sobre novas técnicas alternativas de modo a combater os riscos existentes nos métodos hoje utilizados.
Introduction: The functional and esthetic rehabilitation of endodontically treated anterior teeth is still a challenge due to the loss of tooth structure and, consequently, of strength and retention. Anterior teeth bear different occlusal forces than posterior teeth and are subject to lateral forces. Currently, there are several methods that meet the demands in the rehabilitation of anterior teeth. The placement of fiber posts is still considered the method of choice, however, with the evolution of adhesive techniques, endocrowns were introduced, although they are still little used in anterior teeth. Objectives: This review aims to provide an overview of existing literature information about current and future techniques for rehabilitating endodontically treated anterior teeth. Materials and Methods: Scientific databases such as PubMed, Scopus, and ScienceDirect were systematically checked, and articles that addressed the different rehabilitation techniques for endodontically treated anterior teeth were selected. Articles in English from the last 10 years reporting rehabilitation with fiber posts and endocrowns were included. Articles were grouped according to study design, including in vitro and in vivo studies. Results: Studies with significant contribution to dentistry were found, choosing those that reported the clinical applicability of new rehabilitation techniques. The studies allowed drawing conclusions regarding the mechanical properties, namely strength and retention, that these confer to endodontically treated anterior teeth. Conclusions: It was evidenced that both methods analyzed in the different studies proved to be reliable and feasible, corresponding to functional and esthetic needs. Since there is no evidence to disprove conventional methods, it is the responsibility of the dentist to choose the technique best suited for the patient. Clinical Relevance: There is a need to conduct additional studies on new alternative techniques to combat the risks existing in the methods used today.
Introduction: The functional and esthetic rehabilitation of endodontically treated anterior teeth is still a challenge due to the loss of tooth structure and, consequently, of strength and retention. Anterior teeth bear different occlusal forces than posterior teeth and are subject to lateral forces. Currently, there are several methods that meet the demands in the rehabilitation of anterior teeth. The placement of fiber posts is still considered the method of choice, however, with the evolution of adhesive techniques, endocrowns were introduced, although they are still little used in anterior teeth. Objectives: This review aims to provide an overview of existing literature information about current and future techniques for rehabilitating endodontically treated anterior teeth. Materials and Methods: Scientific databases such as PubMed, Scopus, and ScienceDirect were systematically checked, and articles that addressed the different rehabilitation techniques for endodontically treated anterior teeth were selected. Articles in English from the last 10 years reporting rehabilitation with fiber posts and endocrowns were included. Articles were grouped according to study design, including in vitro and in vivo studies. Results: Studies with significant contribution to dentistry were found, choosing those that reported the clinical applicability of new rehabilitation techniques. The studies allowed drawing conclusions regarding the mechanical properties, namely strength and retention, that these confer to endodontically treated anterior teeth. Conclusions: It was evidenced that both methods analyzed in the different studies proved to be reliable and feasible, corresponding to functional and esthetic needs. Since there is no evidence to disprove conventional methods, it is the responsibility of the dentist to choose the technique best suited for the patient. Clinical Relevance: There is a need to conduct additional studies on new alternative techniques to combat the risks existing in the methods used today.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
Dentes anteriores endodonciados Poste Núcleo Endocrown