Influência de estratégias de sanificação no sucesso do tratamento da periodontite apical
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Data
2012
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Resumo
Aim: To discuss the influence of root canal sanitization stra-
tegies on success in apical periodontitis therapy. Methods: From
a critical analysis, it is observed the overestimation of the endo-
dontic treatment success. The mechanisms of bacterial virulence
of the pulpal infection and their consequences on the periapical tissues must suggest the therapeutic protocols. The criteria to
identify the failures have to be revised, particularly due to the
radiographic limitations, which suggested a strict approach in
adopting an adequate protocol of root canal sanitization. The
challenges to obtain a successful endodontic treatment are re-
lated to an adequate dental anatomy knowledge, endodontic infection control, immunologic responses involvement, ability
and professional continuous education. Conclusions: The adop-
tion of a therapeutic protocol that values rigorous in the saniti-
zation process of infected canals with apical periodontitis favors endodontic success.
Descrição
Palavras-chave
Periodontite apical, Preparo do canal radicular, Sanificação do canal radicular, Medicação intracanal, Irrigação do canal radicular, Apical periodontitis, Root canal sanitization, Root canal preparation, Root canal irrigation, Intracanal dressing
Citação
ESTRELA, Carlos et al. Influência de estratégias de sanificação no sucesso do tratamento da periodontite apical. Robrac: revista odontologica do Brasil Central, Goiânia, v. 21, n. 56, p. 367-375, 2012.