Os avanços nas técnicas para a remoção de pino intrarradicular de fibra de vidro
revisão de escopo
DOI:
https://doi.org/10.35699/Palavras-chave:
dente, tratamento do canal radicular, impressão tridimensionalResumo
Objetivo: O objetivo desta revisão de escopo é fornecer uma visão abrangente das técnicas atualmente utilizadas na remoção dos PFVs.
Métodos: Realizou-se uma busca eletrônica nas bases de dados PubMed/Medline, Web of Science e Embase, de janeiro de 2000 a agosto de 2023, por estudos clínicos, laboratoriais e revisões sistemáticas da literatura sobre a remoção de PFV. Foram utilizadas palavras-chaves livres e descritores DeCS/MeSH: (Tooth OR “Root canal treatment”) AND (“Post and core” OR “Fiberglass post”) AND (“Post Removal Techniques” OR “Guided removal”). Dos 1992 estudos identificados, 45 foram selecionados para análise completa e 17 foram incluídos para análise qualitativa.
Resultados: Entre os 14 estudos primários sobre remoção de PFV encontramos, 6 relatos de casos com uso da EG, 8 estudos experimentais comparando acurácia de: ultrassom com brocas (2 estudos), ultrassom com laser (2), brocas com diferentes pinos (1), EG dinâmica com TM (1), EG estática com dinâmica com ultrassom (1) e EG estática em relação à experiência dos operadores (1). Os resultados apontaram maior precisão da EG em comparação com TM, e menor desgaste do tecido dentinário com o laser. Foram relatados pouca iatrogenia com guias (1), sendo mais comum com brocas e ultrassom (2).
Conclusão: a EG é promissora na remoção de PFV, com alta precisão e baixo índice de complicações. A laserterapia oferece remoção mais precisa, minimizando danos aos tecidos circundantes e à dentina. No entanto, limitações de custo mantêm as remoções por brocas e ultrassom ainda comuns. Mais estudos são necessários para orientar a prática clínica na escolha entre as técnicas.
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