Instrumentación rotatoria comparada con instrumentación manual para terapias pulpares en odontopediatría.

María Belén Salazar; María José Masson; María Cristina Salazar Montes; Leslee Angheloris Ribadeneira Morales

doi:10.47990/alop.v13i.560

Autores

María Belén Salazar Odontopediatra https://orcid.org/0000-0003-1116-2892
María José Masson Centro de Investigación de Salud Pública y Epidemiología Clínica (CISPEC). Universidad UTE https://orcid.org/0000-0001-7690-4733
María Cristina Salazar Montes Odontóloga General https://orcid.org/0000-0002-5084-3116
Leslee Angheloris Ribadeneira Morales Odontóloga General, Especialista en Odontopediatría, Coordinadora de la Especialización en Odontopediatría Universidad UTE https://orcid.org/0000-0001-6756-8571

DOI:

https://doi.org/10.47990/alop.v13i.560

Palavras-chave:

instrumentação rotativa, instrumentação manual, terapia de polpa, dentição primária

Resumo

Introdução: Na terapia pulpar, houve avanços que não estão relacionados apenas aos biomateriais utilizados, mas também às técnicas utilizadas para instrumentação; portanto, a otimização destes últimos contribuirá para um aumento na qualidade da terapia neste campo. Objetivo: Examinar as evidências disponíveis sobre instrumentação rotativa em comparação com instrumentação manual para terapia de polpa em odontologia pediátrica. Métodos: Foram aplicados os critérios de relatório PRISMA-SCR. Os bancos de dados pubmed/Medline, Elsevier, Epistemonikos, Scielo.org, Redalyc.org, Imbiomed e google artigos acadêmicos, em inglês e espanhol publicados de janeiro de 2017 a junho de 2022 foram usados para pesquisar artigos. Foram selecionados 15 artigos que cumpriam os critérios de inclusão estabelecidos para a revisão. Resultados: 60,0 % dos estudos relataram que a instrumentação rotativa tinha melhor qualidade de obturação do que a instrumentação manual; 40,0 % relataram não encontrar diferença estatisticamente significativa entre as duas técnicas. 100% dos estudos indicaram que houve uma redução significativa no tempo de instrumentação dos arquivos rotativos em comparação com os arquivos manuais. Conclusão: As evidências indicam que tanto a instrumentação rotativa quanto a manual, estão sendo eficazes para garantir a qualidade da obturação dos canais radiculares e que o tempo de instrumentação é menor com a instrumentação rotativa. Este aspecto é muito importante na odontologia pediátrica, pois reduz o tempo de tratamento e contribui para que a criança seja mais cooperativa e os tratamentos sejam mais eficazes.

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