Terapia pulpar vital en diente permanente joven: revisión de la literatura
Resumen
La endodoncia en dientes permanentes jóvenes ha tenido una evolución paulatina, existiendo actualmente numerosas alternativas de tratamiento para cada caso, sin embargo, la elección de tratamiento dependerá de la preparación y actualización de conocimientos del clínico, es por ello que se llevó a cabo una investigación de tipo documental, explicativa, con base en la metodología de una revisión bibliográfica. Objetivo: Compilar información actualizada sobre la terapia pulpar vital, los materiales utilizados y la efectividad a largo plazo de estos tratamientos. Métodos: Se llevó a cabo una búsqueda en las bases de datos: PubMed, SciELO, Dialnet, RedALyC, Elsevier y Google Académico. Resultados: un total de 44 artículos fueron seleccionados para su lectura y análisis crítico. Conclusiones: La terapia pulpar vital (TPV) es una opción de tratamiento confiable y viable para dientes permanentes jóvenes, las técnicas y materiales empleados en la realización de la misma han evolucionado, actualmente los biocerámicos son los materiales con mejor desempeño en las TPV, el Biodentine y el MTA son los que mejor se posicionan y las diferencias entre ambos no son significativas, el Theracal se ve limitado al estar en contacto directo con el tejido pulpar debido a su composición. El material precursor en las TPV, el hidróxido de calcio ha demostrado menor tasa de éxito en comparación con los materiales actuales, aunque aún se reporta su uso.
Recibido: 06/06/22 Aceptado: 14/08/22Palabras clave
Texto completo:
PDFReferencias
Fuks A, Nuni E. Pulp Therapy for the Young Permanent Dentition. Pediatric Dentistry. 2019;: p. 482–496.
Pradeep K, Mohata P, Butula R. Biodentine: novel endodontic material for single step apexification: A case report. South African Dental Journal. 2018;: p. 452-455.
Committee AS. AAE Position Statement on Vital Pulp Therapy. 2021.
Duncan H, Galler K, Tomson P, Simon S, El-Karim I, Kundzina R, et al. European Society of Endodontology position statement: Management of deep caries and the exposed pulp. International Endodontic Journal. 2019;: p. 923-934.
Lin L, Ricucci D, Saoud T, Sigurdsson A, Kahler B. Vital pulp therapy of mature permanent teeth with irreversible pulpitis from the perspective of pulp biology. Australian Endodontic Journal. 2020; 46(1): p. 154-166.
Guan X, Zhou Y, Yang Q, Zhu T, Chen X, Deng S, et al. Vital Pulp Therapy in Permanent Teeth with Irreversible Pulpitis Caused by Caries: A Prospective Cohort Study. Journal of personalized medicine. 2021; 11(11).
Nessrin T, About I, Sedgley C, Messer. H. Conservative Management of Mature. Journal of Endodontics. 2020; 46(9).
Wongwatanasanti N, Jantarat J, Sritanaudomchai H, Hargreaves k. Effect of Bioceramic Materials on Proliferation and Odontoblast Differentiation of Human Stem Cells from the Apical Papilla. Journal of Endodontics. 2018; 44(8): p. 1270-1275.
American Academy of Pediatric Dentistry (AAPD). Pulp therapy for primary and immature permanent teeth. The Reference Manual. 2021;: p. 399-407.
Basso M. Conceptos actualizados en cariología. Rev Asoc Odontol Argent. 2019; 107: p. 25-35.
Schwendicke F, Frencken I. Caries excavation. Evolution treating cavitated carious lesions. Monogr Oral Sci. 2018; 27.
Rahman B, Goswami M. Comparative Evaluation of Indirect Pulp Therapy in Young Permanent Teeth using Biodentine and Theracal: A Randomized Clinical Trial. Journal of Clinical Pediatric Dentistry. 2021; 45(3): p. 158-164.
Vural U, Kiremitci A, Gokalp S. Which is the most effective biomaterial in indirect pulp capping? 4-year comparative randomized clinical trial. European Oral Research. ; 56(1): p. 35-41.
Elchaghaby M, Moheb D, Shahawy E. Clinical and radiographic evaluation of indirect pulp treatment of young permanent molars using photo-activated oral disinfection versus calcium hydroxide: a randomized controlled pilot trial. BDJ. 2020; 6(4).
Bjørndal L. Stepwise Excavation. Monogr Oral Sci. 2018; 27: p. 68-81.
Bayoumy E. Clinical and microbiological evaluation of calcium silicate versus calcium hydroxide in two-step indirect pulp treatment: A randomized clinical trial. Journal of International Oral Health. 2021; 13(1).
Wunsch P. Indirect Pulp Therapy for Young Permanent Molars. Handbook of Clinical Techniques in Pediatric Dentistry. 2021.
Golubchin D. Acciones Terapéuticas Actuales en Caries Profunda. Revisión. Odontoestomatología. 2017; 19(29).
Manhas S, Pandit I, Gugnani N. Comparative Evaluation of the Efficacy of Stepwise Caries Excavation vs Indirect Pulp Capping in Preserving the Vitality of Deep Carious Lesions in Permanent Teeth of Pediatric Patients: An In Vivo Study. International journal of clinical pediatric dentistry. 2020; 13(1): p. 92-97.
Massón M, Viteri-García A, Verdugo-Paiva F. Stepwise removal compared to complete removal for deep carious lesions. Med Wave. 2022; 22(1).
Vinh Tran X, Salehi H, Truong T, Minic S, Sadoine J, Jacquot B, et al. Reparative Mineralized Tissue Characterization after Direct Pulp Capping with Calcium-Silicate-Based Cements. Materials. 2019.
Torabinejad M, Parirokh P, Dummer M. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview – part II: other clinical applications and complications. Int Endod J 2018. 2018; 51: p. 284-317.
Cushley D, Lappin M, Chua P, Elamin A, Clarke M, El-Karim I. Efficacy of direct pulp capping for management of cariously exposed pulps in permanent teeth: a systematic review and meta-analysis. International endodontic journal. 2021; 54(4): p. 556-571.
Peñaloza-De La Torre U, Calizaya-Laquise N. Actualidad de los cementos reparadores endodónticos: MTA y biodentine. Revista Odontológica Basadrina. 2020; 4(2): p. 57-62.
Brizuela C, Ormeño A, Cabrera C, Cabezas R, Silva C, Ramíre V, et al. Direct Pulp Capping with Calcium Hydroxide, Mineral Trioxide Aggregate, and Biodentine in Permanent Young Teeth with Caries: A Randomized Clinical Trial. J Endod. 2017; 43(11).
Parinyaprom N, Nirunsittirat AA, Chuveera P, Na Lampang S, Srisuwan T, Sastraruji T, et al. Outcomes of Direct Pulp Capping by Using Either ProRoot Mineral Trioxide Aggregate or Biodentine in Permanent Teeth with Carious Pulp Exposure in 6- to 18-Year-Old Patients: A Randomized Controlled Trial. J endond. 2018; 44(3): p. 341-348.
Paula A, Laranjo M, Marto C, Abrantes A, Casalta-Lopes J, Gonçalves A, et al. Biodentine™ boosts, WhiteProRoot® MTA increases and Life® suppresses odontoblast activity. Materials, 12(7), 1184. Materials. 2019; 12(7): p. 1184.
Chen Y, Chen X, Zhang Y, Zhou F, Deng J, Z, et al. Chen Y, Chen X, ZMaterials for pulpotomy in immature permanent teeth: a systematic review and meta-analysis.. BMC Oral Health. 2019; 19(227).
Dhaimy S, Hoummadi A, & Nadifi S. Dental Pulp Capping: A Literature Review. J Clin Mol Pathol. 2019; 3(1): p. 20.
Omidi S, Bagheri M, Fazli M, Ahmadiankia N. The effect of different pulp-capping materials on proliferation, migration and cytokine secretion of human dental pulp stem cells. Iran J Basic Med Sci. 2020; 23(6).
Sanz J, Soler-Doria A, López-García S, García-Bernal D, Rodríguez-Lozano F, Lozano A. Comparative Biological Properties and Mineralization Potential of 3 Endodontic Materials for Vital Pulp Therapy: Theracal PT, Theracal LC, and Biodentine on Human Dental Pulp Stem Cells. Journal of Endodontics. 2021; 47(12): p. 1896-1906.
Zafar K, Shizrah J, Ghafoor R.. "Bio-active cements-Mineral Trioxide Aggregate based calcium silicate materials: A narrative review. The Journal of the Pakistan Medical Association. 2020; 70(3).
Çalışkan M, Güneri P. Prognostic factors in direct pulp capping with mineral trioxide aggregate or calcium hydroxide: 2- to 6-year follow-up. Clin Oral Invest. 2017; 21: p. 357–367.
Pozos-Guillen A, Molina G, Soviero V, Arthur R, Chavarria-Bolanos D, Acevedo A. Management of dental caries lesions in Latin American and Caribbean countries. Braz. oral. res. 2021; 35(1).
Uyar D, Alacam A. Evaluation of partial pulpotomy treatment in cariously exposed immature permanent molars: Randomized controlled trial. Niger J Clin Pract. 2021; 25.
Kundzina R, Stangvaltaite L, Eriksen H, E Kerosuo E. Capping carious exposures in adults: a randomized controlled trial investigating mineral trioxide aggregate versus calcium hydroxide. Int Endo J. 2017; 50(10): p. 924-932.
Bakhtiar H, Nekoofar M, A, Abedi F, Naghi Moosavi F, E E, et al. Human Pulp Responses to Partial Pulpotomy Treatment with TheraCal as Compared with Biodentine and ProRoot MTA: A Clinical Trial. J Endod. 2017.
Sadaf D. Success of Coronal Pulpotomy in Permanent Teeth with Irreversible Pulpitis: An Evidence-based Review. Cureus. 2020; 12(1).
Prieto M, Rumbo-Prieto J. La revisión sistemática: pluralidad de enfoques y metodologías. Enfermería clínica. 2018; 28: p. 387-393.
IAPD. Terapia pulpar para dientes primarios y permanentes jóvenes: Artículos esenciales y recomendaciones consensuadas, 2021. IAPD.
Fuks A, Nuni E. Pulp Therapy for the Young Permanent Dentition. En Elsevier , editor. Pediatric Dentistry (Sixth Edition).; 2021. p. 482-496.
Parinyaprom N, al. e. Outcomes of Direct Pulp Capping by Using Either ProRoot Mineral Trioxide Aggregate or Biodentine in Permanent Teeth with Carious Pulp Exposure in 6- to 18-Year-Old Patients: A Randomized Controlled Trial.
Ricucci D, Siqueira J, Li Y, Tay F. Vital pulp therapy: histopathology and histobacteriology-based guidelines to treat teeth with deep caries and pulp exposure. Journal of dentistry. 2019; 86: p. 41-52.
Rajasekharan S, Martens L, Cauwels R, Anthonappa R. "Biodentine™ material characteristics and clinical applications: a 3 year literature review and update. European Archives of Paediatric Dentistry. 2018; 19(1).
Todos los documentos publicados en esta revista se distribuyen bajo una
Licencia Creative Commons Atribución -No Comercial- Compartir Igual 4.0 Internacional.
Por lo que el envío, procesamiento y publicación de artículos en la revista es totalmente gratuito.