Restaurações em dentes decíduos: uma revisão sistemática
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Data
2021-12
Autores
Orientador
Chisini, Luiz Alexandre
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Resumo
O tratamento operatório da doença cárie deve se basear na intervenção dos fatores etiológicos da doença bem como o restabelecimento da função e estética dos elementos dentais. Em odontopediatria, existem diversas opções de materiais restauradores diretos e indiretos que têm apresentado diferentes taxas de sobrevivência. Parte dessa variação tem sido atribuída a fatores relacionados com o paciente pediátrico, experiência do operador e sensibilidade técnica do material. Assim, o objetivo do presente estudo foi sistematizar a literatura investigando a longevidade de restaurações em dentes decíduos e as suas razões de falha. Foram encontrados 1634 registros na busca inicial. Após a remoção das duplicatas, permaneceram 178 estudos. Desta forma, estes estudos foram avaliados pelos títulos e resumos, de maneira independente por dois revisores pautados nos critérios de inclusão e exclusão. Após esta etapa, considerando o período de 2017 a 2021, foram incluídos para a leitura completa 11 estudos e 10 permaneceram na revisão sistemática. A maioria dos estudos incluídos foram ensaios clínicos randomizados comparando diferentes materiais ou técnicas restauradoras. Ao todo 500 restaurações foram avaliadas, principalmente de resina composta. A coroa metálica foi o material que apresentou a maior taxa de sucesso seguida das coroas de zircônia. A taxa de sucesso das restaurações realizadas com resina composta variou de 54% a 98%. Resinas bulk fill apresentaram taxas de sucesso semelhantes às resinas compostas convencionais. A cárie secundária foi o principal motivo de falha das restaurações.
The treatment of caries disease consists mainly in the intervention of the etiological factors of the disease as well as the restoration of the function and esthetics of the dental elements. In pediatric dentistry, there are several options for direct and indirect restorative materials that have different rates present. Part of this variation has been attributed to factors related to the pediatric patient, operator experience and technical sensitivity of the material. Thus, the aim of this study was to systematize the literature investigating the longevity of restorations in primary teeth and their reasons for failure. 1634 studies were found in the initial search. After removing the duplicates, 178 studies remained. Thus, these studies were obtained by titles and abstracts regarding the inclusion and exclusion criteria. After this step, considering the period from 2017 to 2021, 11 studies were included for full reading and 10 remained in the systematic review. Most of the included studies were randomized clinical trials comparing different restorative materials or techniques. A total of 500 restorations were evaluated, mainly composite resin. The metallic crown was the material that presented the highest success rate followed by the zirconia crowns. The success rate of approved composite resin restorations ranged from 54% to 98%. Bulk fill resins similar success rates to conventional composite resins. Secondary caries was the main reason for failure of restorations.
The treatment of caries disease consists mainly in the intervention of the etiological factors of the disease as well as the restoration of the function and esthetics of the dental elements. In pediatric dentistry, there are several options for direct and indirect restorative materials that have different rates present. Part of this variation has been attributed to factors related to the pediatric patient, operator experience and technical sensitivity of the material. Thus, the aim of this study was to systematize the literature investigating the longevity of restorations in primary teeth and their reasons for failure. 1634 studies were found in the initial search. After removing the duplicates, 178 studies remained. Thus, these studies were obtained by titles and abstracts regarding the inclusion and exclusion criteria. After this step, considering the period from 2017 to 2021, 11 studies were included for full reading and 10 remained in the systematic review. Most of the included studies were randomized clinical trials comparing different restorative materials or techniques. A total of 500 restorations were evaluated, mainly composite resin. The metallic crown was the material that presented the highest success rate followed by the zirconia crowns. The success rate of approved composite resin restorations ranged from 54% to 98%. Bulk fill resins similar success rates to conventional composite resins. Secondary caries was the main reason for failure of restorations.
Descrição
Palavras-chave
Dentes decíduos; Revisão sistemática; Restaurações; Primary teeth; Systematic review; Restorations
Citação
EIFERT, Laísa Maira. Restaurações em dentes decíduos: uma revisão sistemática. 2021. Monografia (Graduação em Odontologia) – Universidade do Vale do Taquari - Univates, Lajeado, 02 dez. 2021. Disponível em: http://hdl.handle.net/10737/3341.