Terapia pulpar em dentes decíduos com pulpite irreversível ou necrose: uma revisão de literatura

Maria Eduarda de Oliveira  Guimaraes; Roberta Costa  Jorge; Maysa Lannes  Duarte; Natalia Rocha  Bedran

doi:10.47990/m8j6yp38

Autores

Maria Eduarda de Oliveira Guimaraes Centro Universitário Arthur Sá Earp Neto, Petrópolis, Rio de Janeiro, Brasil https://orcid.org/0009-0003-1931-8967
Roberta Costa Jorge Centro Universitário Arthur Sá Earp Neto, Petrópolis, Rio de Janeiro, Brasil. Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil https://orcid.org/0000-0002-1668-9143
Maysa Lannes Duarte Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil https://orcid.org/0000-0002-8067-2733
Natalia Rocha Bedran Centro Universitário Arthur Sá Earp Neto, Petrópolis, Rio de Janeiro, Brasil https://orcid.org/0000-0002-1009-4018

DOI:

https://doi.org/10.47990/m8j6yp38

Palavras-chave:

pulpectomia, tratamento pulpar do canal radicular, dente decíduo, revisão

Resumo

Para muitos profissionais, a pulpectomia em dentes decíduos é um procedimento desafiador devido à dificuldade técnica e complexidade dos canais radiculares. Além disso, existe uma grande variedade de técnicas e materiais disponíveis. Esta revisão tem como objetivo resumir e comparar as evidências científicas sobre pulpectomia em dentes decíduos. A busca bibliográfica foi realizada na base de dados PubMed em agosto de 2022 e atualizada em junho de 2023. Dois revisores avaliaram de forma independente os estudos de acordo com os seguintes critérios de inclusão: revisões sistemáticas com ou sem meta-análise, publicadas nos últimos 10 anos. A certeza de evidência (GRADE) foi retirada do artigo original. As divergências foram resolvidas por um terceiro revisor. Duzentos e trinta e seis estudos foram recuperados. Após a leitura, 31 estudos foram avaliados quanto à elegibilidade e 25 revisões sistemáticas foram incluídas. Os estudos foram desenvolvidos em 11 países, sendo o Brasil (n=7) e a Índia (n=6) responsáveis pela maioria dos estudos. O ano de publicação variou entre 2014 e 2023, sendo os anos de 2021 (n=8) e 2022 (n=5) os de maior número de estudos. A certeza de evidência da maioria dos estudos foi de moderada a muito baixa. Esta revisão concluiu que ainda não há evidências suficientes para determinar quais das diferentes técnicas e materiais são mais eficazes, cabendo ao profissional à escolha do protocolo clínico a ser utilizado.

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