O uso do laser no tratamento de apicectomias
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Data
2022-06-13
Autores
Silva, Gabriel Voltarelli da
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Contemporaneamente, na Odontologia, o estudo do laser e suas modalidades de
utilização estão progressivamente ganhando destaque. Agregando ao campo da
Endodontia, o laser possui diversas aplicações, que vão desde o tratamento
dentinário, tais como o preparo e irrigação dos canais radiculares, capeamento
pulpar, neutralização e antissepsia, até os procedimentos cirúrgicos parendodônticos
como a realização de apicectomia, propriamente dita. Neste estudo, fica evidente
uma certa superioridade no desempenho para tais aplicações, com enfoque na
apicectomia, pelo laser de Er: YAG. A apicectomia nada mais é do que o corte e
consequente retirada de porção ou parte da raiz de um dente; esse procedimento
faz-se necessário, devido a persistência de uma lesão endodôntica em seu ápice,
resistente ao tratamento endodôntico convencional e/ou também, quando este
tratamento convencional se torna inviável decorrente de inúmeros fatores, como por
exemplo, a dificuldade no tratamento em sistema de canais radiculares muito
complexos. A finalidade deste estudo, se deu na realização de um levantamento
bibliográfico de característica revisional, no qual foi possível a discussão dos pontos
positivos e negativos da aplicação do laser em procedimentos cirúrgicos de
apicectomias alcançando conclusões sobre o seu uso. Neste sentido, pode-se
concluir que o emprego do laser em apicectomias tem demonstrado resultados
positivos em relação ao método convencional com brocas. No entanto, mais estudos
tornam-se necessários para que seja recomendado como conduta decisiva para
obtenção de maiores índices de sucesso no tratamento com o referido
procedimento.
Contemporaneously, in Dentistry, the study of laser and its modalities of use are progressively gaining prominence. Adding to the field of In Endodontics, the laser has several applications, ranging from the treatment dentin, such as the preparation and irrigation of root canals, capping pulping, neutralization and antisepsis, to endodontic surgical procedures as the performance of apicoectomy itself. In this study, it is evident a certain superiority in performance for such applications, with a focus on apicoectomy, by the Er:YAG laser. Apicoectomy is nothing more than cutting and consequent removal of a portion or part of the root of a tooth; this procedure necessary, due to the persistence of an endodontic lesion at its apex, resistant to conventional endodontic treatment and/or also, when this conventional treatment becomes unfeasible due to numerous factors, such as For example, the difficulty in treating a root canal system that is very complexes. The purpose of this study was to carry out a survey bibliographic review, in which it was possible to discuss the points positive and negative effects of laser application in surgical procedures of apicoectomies reaching conclusions about its use. In this sense, one can conclude that the use of laser in apicoectomies has shown results positive in relation to the conventional method with drills. However, more studies become necessary for it to be recommended as decisive conduct for obtaining higher success rates in the treatment with the aforementioned procedure.
Contemporaneously, in Dentistry, the study of laser and its modalities of use are progressively gaining prominence. Adding to the field of In Endodontics, the laser has several applications, ranging from the treatment dentin, such as the preparation and irrigation of root canals, capping pulping, neutralization and antisepsis, to endodontic surgical procedures as the performance of apicoectomy itself. In this study, it is evident a certain superiority in performance for such applications, with a focus on apicoectomy, by the Er:YAG laser. Apicoectomy is nothing more than cutting and consequent removal of a portion or part of the root of a tooth; this procedure necessary, due to the persistence of an endodontic lesion at its apex, resistant to conventional endodontic treatment and/or also, when this conventional treatment becomes unfeasible due to numerous factors, such as For example, the difficulty in treating a root canal system that is very complexes. The purpose of this study was to carry out a survey bibliographic review, in which it was possible to discuss the points positive and negative effects of laser application in surgical procedures of apicoectomies reaching conclusions about its use. In this sense, one can conclude that the use of laser in apicoectomies has shown results positive in relation to the conventional method with drills. However, more studies become necessary for it to be recommended as decisive conduct for obtaining higher success rates in the treatment with the aforementioned procedure.
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Palavras-chave
Lasers, Apicectomia, Endodontia, Lasers, Apicoectomy, Endodontics