Formação de microtrincas dentinárias após instrumentação endodôntica: revisão de literatura
DOI:
https://doi.org/10.34117/bjdv9n1-296Keywords:
defeitos dentinário, tratamento endodôntico, microtrincaAbstract
As microtrincas dentinárias podem ser geradas ao longo do tratamento endodôntico devido ao stress provocado no interior dos canais radiculares, durante o preparo químico-mecânico pela cinemática dos instrumentos empregados. O presente trabalho visa esclarecer os resultados obtidos por diferentes técnicas de instrumentação na formação de microtrincas. Através de uma busca nas bases de dados LILACS, SciELO, BIREME e PUBMED e utilizando as palavras-chaves dentinal defects, endodontic treatment e microcrack, foram identificados 548 artigos, os quais pelos critérios de seleção por título e resumo foram selecionados 293, posteriormente através da leitura completa e com base nos critérios de elegibilidade foram selecionados 14 para o presente estudo. O resultado demonstrou que a endodontia mecanizada, junto a habilidade e conhecimento do cirurgião-dentista não contribuem para formação de microtrincas dentinárias. Conclusão: Não houve um consenso entre os estudos sobre qual sistema proporciona menores riscos de microtrincas. Mais estudos futuros, com metodologias bem delineadas e utilizando métodos não destrutivos, como a microtomografia computadorizada, são necessários para proporcionar uma evidencia mais assertiva para o clínico.
References
Aggarwal A, Nawal RR, Yadav S, Talwar S, Kunnoth S, Mahajan P. Comparative Evaluation of Dentinal Microcrack Formation before and after Root Canal Preparation Using Rotary, Reciprocating, and Adaptive Instruments at Different Working Lengths-A Micro-computed Tomographic Study. J Endod. v.47, n.8, p.1314-1320, 2021.
Arias A, González-Cervera J, Tenias JM, Lucendo AJ. Efficacy of dietary interventions for inducing histologic remission in patients with eosinophilic esophagitis: a systematic review and meta-analysis. Gastroenterology. v.146, n.7, p.1639-48, 2014.
Arashiro FN, De-Deus G, Belladona FG, Cavalacante DM, Coelho MS, Silva EJNL, Pereira KFS, Silva PG, Lopes RT, Souza EM. Dentinal microcracks on freshly extracted teeth: the impact of the extraction technique. J. Endod. v. 53, n.4, 2020.
Bahrami P, Scott R, Galicia JC, Arias A, Peters OA. Detecting Dentinal Microcracks Using Different Preparation Techniques: An in Situ Study with Cadaver Mandibles. J. Endod. v.43, n.12, 2017.
BIER CAS, Shemesh H, Tanomaru Filho M, Wesselink PR, Wu M. The ability of different nickel-titanium rotary instrumentsto induce dentinal damage during canal preparation. Journal of Endodontics v.35, n.2, p.236-8, 2009.
Ceyhanli KT, Erdilek N, Tatar I, Celik D. Comparison of ProTaper, RaCe and Safesider instruments in the induction of dentine microcracks: a micro-CT study. Int. Endod. J. v. 49, n.7, 2016.
Çapar ID, Gök T, Uysal B, Keles A. Comparison of microcomputed tomography, cone beam tomography, stereomicroscopy, and scanning electron microscopy techniques for detection of microcracks on root dentin and effect of different apical sizes on microcrack formation. Microscopy, Research & Techine, v. 82, n.10, 2019.
De-Deus G, Silva EJ, Marins J, Souza E, Neves Ade A, Gonçalves Belladonna F, Alves H, Lopes RT, Versiani MA. Lack of causal relationship between dentinal microcracks and root canal preparation with reciprocation systems. J Endod. 2014 Sep;40(9):1447-50. doi: 10.1016/j.joen.2014.02.019. Epub 2014 Apr 21. PMID: 25146030.
De Deus G, Carvalhal JCA, Belladona FG, Silva EJNL, Lopes RT, Filho REM, Souza EM Provenzano JC, Versiani MA. Dentinal Microcrack Development after Canal Preparation: A Longitudinal in Situ Micro-computed Tomography Study Using a Cadaver Model. J. Endod. v.43, n.9, 2017.
Fonseca, CA; Borges, TS; Vilibor, FF; Veloso, IA; Silva, EMM; Alves, YGF; Neto, VRM. Treatment of traumatic dental injuries: current perspectives. Brazilian Journal of Development, Curitiba, v.7, n.4, p. 38121-38126, 2021.
Kfir A, Elkes D, Pawar A, Weissman A, Tsesis I. Incidence of microcracks in maxillary first premolars after instrumentation with three different mechanized file systems: a comparative ex vivo study. Clin Oral Investig. 2017 v.21, n.1, p.405-411, 2017.
Kansal R, Rajput A, Talwar S, Roongta R, Verma M. Assessment of dentinal damage during canal preparation using reciprocating and rotary files. J Endod.v.40, n.9, p.1443-6, 2014.
Karataş, Ertuğrul; Gündüz, Hicran Ateş; Kırıcı Damla Özsu; Arslan, Hakan; Topçu, Meltem Çolak Toopçu; Yeter, Kübra Yeşildal. Dentinal Crack Formation during Root Canal Preparations by the Twisted File Adaptive, ProTaper Next, ProTaper Universal, and WaveOne Instruments. Journal of Endodontics. v. 41, n.2, p. 261-264, 2015.
Kumar A, Kaul S, Kuriakose F, James J, Joy B, Malik R. Evaluation of Radicular Dentin Microcracks Formation after Instrumentation with NiTi Hand and Rotary File System: A Stereomicroscopic Study. J Contemp Dent Pract. 2020, v.21, n.11,1233-1237.
Li SH, Lu Y, Song D, Zhou X, Zheng QH, Gao Y, Huang DM. Occurrence of Dentinal Microcracks in Severely Curved Root Canals with ProTaper Universal, WaveOne, and ProTaper Next File Systems. J Endod. v.41, n.11, p.1875-9, 2015.
Liu R, Hou BX, Wesselink PR, Wu MK, Shemesh H. The incidence of root microcracks caused by 3 different single-file systems versus the ProTaper system. J Endod. 2013 Aug; v.39, n.8, p.1054-6.
Missau, T; De Carlo Bello, M; Michelon, C; Mastella Lang, P; Kalil Pereira, G; Baldissara, P; et al. Influence of endodontic treatment and retreatment on the fatigue failure load, numbers of cycles for failure, and survival rates of human canine teeth. J Endod. v.43, n.12, p.2081-2087, 2017.
N. Tulasi Priya, Veeramachaneni Chandrasekhar, S. Anita,Muralidhar Tummala, T.B. Phanindhar Raj, Vijetha Badami,Pradeep Kumar and E. Soujanya. Dentinal Microcracks After Root Canal Preparation” A Comparative Evaluation with Hand, Rotary and Reciprocating Instrumentation. Journal Clinical and Diagnostic Res.v.8, n. 12, p. 70-72, 2014.
Oliveira, Bruna Paloma de et al. Effect of Reciprocating Systems and Working Lengths on Apical Microcrack Development: a micro-CT Study. Brazilian Dental J. v. 28, n. 6 p. 710-714, 2017.
PradeepKumar AR, Shemesh H, Archana D, Versiani MA, Sousa-Neto MD, Leoni GB, Silva-Sousa YTC, Kishen A. Root Canal Preparation Does Not Induce Dentinal Microcracks In Vivo. J Endod. v.45, n.10, p.1258-1264, 2019.
Priya NT, Chandrasekhar V, Anita S, Tummala M, Raj TB, Badami V, Kumar P, Soujanya E. Dentinal microcracks after root canal preparation" a comparative evaluation with hand, rotary and reciprocating instrumentation. J Clin Diagn Res. v.8, n.12, 2014
ROSEN, H. Operative procedures on mutilated endodontically treated teeth. Journal prosth Dent. v.20, n.11, p.973-86, 1961.,
Salem-Milani A, Zand V, Asghari-Jafarabadi M, Zakeri-Milani P, Banifatemeh A. The effect of protocol for disinfection of extracted teeth recommended by center for disease control (CDC) on microhardness of enamel and dentin. J. Clin Exp Dent, v. 7, n.5, 2015
SIQUEIRA JÚNIOR, J.F., LOPES, H.P. Endodontia: Biologia e técnica. 3. ed., Rio de Janeiro: Guanabara Koogan, 2015.
Souza, JP; Oliveira, LKL; Araújo, WR; Lopes, LPB. Mechanized endodontic instrumentation and its evolutions - Literature review. Braz. J. of Develop., Curitiba, v. 6, n.12, p. 96231-96240, 2020.
Torabinejad M, Corr R, Handysides R, Shabahang S. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J. Endod. v.35, n.7, p.930-937
Tonelli SQ, Antunes MA, Toubes KMS, Miranda ACO, Pereira AMB, Nunes E, Silveira FF. Dentinal Microcracks Induced by Endodontic Procedures: Suggested Design for Experimental Studies Using Micro-Computed Tomography and Strain Gauges. J. Endod. v. 47, n.7, 2021.
Versiani MA, Cavalcante DM, Belladona FG, Silva EJNL, Souza EM, De-Deus G. A critical analysis of research methods and experimental models to study dentinal microcracks. Int Endod. J. v.55. supp.1, 2022.
WILCOX LR, Roskelley C, Sutton T The relationship of root canal enlargement to finger-spreader induced vertical root fracture. Journal of Endodontics 1997; v.74, n.23, p. 533–4, 1997.
