Terapia pulpar en dientes primarios con pulpitis irreversible o necrosis: una revisión de la literatura

Autores/as

DOI:

https://doi.org/10.47990/m8j6yp38

Palabras clave:

pulpectomía, tratamiento del conducto radicular, diente primario, revisión

Resumen

Para muchos profesionales, la pulpectomía en dientes temporales es un procedimiento desafiante debido a la dificultad técnica y la complejidad de los conductos radiculares. Además, existe una amplia variedad de técnicas y materiales disponibles. Esta revisión tiene como objetivo resumir y comparar la evidencia científica sobre pulpectomía en dientes temporales. 10 años. La certeza de la evidencia (GRADE) fue tomada del artículo original. Los desacuerdos fueron resueltos por un tercer revisor. Se recuperaron doscientos treinta y seis estudios. Después de la lectura, se evaluó la elegibilidad de 31 estudios y se incluyeron 25 revisiones sistemáticas. Los estudios se llevaron a cabo en 11 países, siendo Brasil (n=7) e India (n=6) responsables de la mayoría de los estudios. El año de publicación varió entre 2014 y 2023, siendo los años 2021 (n=8) y 2022 (n=5) los de mayor número de estudios. La certeza de la evidencia para la mayoría de los estudios fue de moderada a muy baja. Esta revisión concluyó que aún no existe evidencia suficiente para determinar cuáles de las diferentes técnicas y materiales son más efectivos, y corresponde al profesiona elegir el protocolo clínico a utilizar.

Referencias

Casaña Ruiz MD, Martínez LM, Miralles EG. Update in the Diagnosis and Treatment of Root Canal Therapy in Temporary Dentition through Different Rotatory Systems: A Systematic Review. Diagnostics (basel). 2022; 12: 1-11.

Tedesco KT, Reis TM, Mello-Moura ACV, Da Silva GS, Scarpini S, Floriano I et al. Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis. Braz Oral Res. 2021; 35: 1-14.

Nadelman P, Magno MB, Pithon MM, Castro ACR. Maia LC. Does the premature loss of primary anterior teth cause morphological, functional and psychosocial consequences? Braz Oral Res. 2021; 35: 92-102.

Bhujel N, Duggal MS, Saini P, Day, PF. The effect of premature extraction of primary teeth on the subsequent need for orthodontic treatment. Eur Arch Paediatr Dent. 2016; 17: 423-434.

Barja-Fidalgo F, Moutinho-Ribeiro M, Oliveira MAA, Oliveira BH. A systematic review of root canal filling materials for deciduous teeth: is there an alternative for zin oxide-eugenol? ISRN Dentistry. 2011; 2011: 1-7.

Junior MFS, Wambier LM, Gevert MV, Chibinski ACR. Effectiveness of iodoform-based filling materials in root canal treatment of deciduous teeth: a systematic review and meta-analysis. Biomater investig dent. 2022; 9(1); 52-74.

Cassol DV, Duarte ML, Pintor AVB, Barcelos R, Primo LG. Iodoform Vs Calcium Hydroxide/Zinc Oxide based pastes: 12-month findings of a randomized controlled trial. Braz Oral Res. 2019; 33: 2-10.

Coll JA, Vargas K, Marghalani AA, Chen C, Alshamali S, Dhar V et al. A systematic review and meta-analysis of nonvital pulp therapy for primary teeth. Pediatr Dent. 2020; 42: 256-272.

Arduim AS, Gonçalves DP, Casagrande L, Lenzi TL. Is lentulospiral the best option for root canal filling of endodontically treated primary teeth? A systematic review and meta-analysis. Eur Arch Paediatr Dent. 2021; 22: 537-545.

Duarte ML, Pires PM, Ferreira DM, Pintor AVB, Neves AA, Maia LC et al. Is there evidence for the use of lesion sterilization and tissue repair therapy in the endodontic treatment of primary teeth? A systematic review and meta-analyses. Clin Oral Investig. 2020; 24: 2959-2972.

Vitali FC, Santos PS, Cardoso M, Massignan C, Garcia LFR, Bortoluzzi EA et al. Are electronic apex locators accurate in determining working length in primary teeth pulpectomies? A systematic review and meta-analysis of clinical studies. Int Endod J. 2022; 55: 989-1009.

Pintor AVB, Santos MRM, Ferreira DM, Barcelos R, Primo LG, Maia LC. Does Smear Layer Removal Influence Root Canal Therapy Outcome? A Systematic Review. J Clin Pediatr Dent. 2016; 40: 1-7.

Pedrotti D, Bottezini PA, Casagrande L, Braga MM, Lenzi TL. Root canal flling materials for endodontic treatment of necrotic primary teeth: a network meta-analysis.Eur Arch Paediatr Dent. 2023; 24: 151-166.

Chugh VK, Patnana A, Chugh A, Kumar P, Wadhwa P, Singh S. Clinical differences of hand and rotary instrumentations during biomechanical preparation in primary teeth-A systematic review and meta-analysis. Int J Paediatr Dent. 2021; 31: 131-142.

Elicherla SR, Bandi S, Saikiran KV, Nunna M, Sahiti PS, Nuvvula S. The clinical and radiographic success of Endoflas compared with other root canal obturating materials in primary teeth: A systematic review. Dent Res J. 2022; 1: 1-9.

Lakshmanan L, Somasundaram S, Jeevanandan G, Subramanian EMG. Evaluation of postoperative pain after pulpectomy using different file systems in primary teeth: A systematic review. Contemp Clin Dent. 2021; 12: 3-8.

Natchiyar N, Asokan S, Priya PRG, Kumar TDY. Comparison of clinical and radiographic success of rotary with manual instrumentation techniques in primary teeth: A systematic review. Int J Clin Pediatr Dent. 2021; 14: 8-13.

Tirupathi SP, Krishna N, Rajasekhar S, Nuvvula S. Clinical Efficacy of Single-visit Pulpectomy over Multiple-visit Pulpectomy in Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent. 2019; 12: 453-459.

Agarwal SR, Bendgude VD, Kakodkar P. Evaluation of success Rate of Lesion Sterilization and Tissue Repair Compared to Vitapex in Pulpally Involved Primary Teeth: A Systematic Review. J Conserv Dent. 2019; 22: 510-515.

Ahmad IA, Pani SC. Accuracy of electronic apex locators in primary teeth: A meta-analysis. Int Endod J. 2014; 48: 298-307.

Najjar RS, Alamoudi NM, El-Housseiny AA, Al Tuwirqi AA, Sabbagh HJ. A comparison of calcium hydroxide/iodoform paste and zinc oxide eugenol as root filling materials for pulpectomy in primary teeth: A systematic review and meta-analysis. Clin Exp Dent Res. 2019; 5: 294-310.

Manchanda S, Sardana D, Yiu CKY. A systematic review and metaanalysis of randomized clinical trials comparing rotary canal instrumentation techniques with manual instrumentation techniques in primary teeth. Int Endod J. 2020; 53: 333-353.

Jia L, Zhang X, Shi H, Li T, Lv B, Xie M. The Clinical Effectiveness of Calcium Hydroxide in Root Canal Disinfection of Primary Teeth: A Meta-Analysis. Med Sci Monit. 2019; 25: 2908-2916.

Khouqeer NF, Husein D, Chogle S. For Pulp Treatment in Primary Teeth, Rotary Canal Instrumentation May Be Modestly Time Efficient, but Otherwise Similar to Manual Canal Instrumentation. J Evid Base Dent Pract. 2021; 21: 1-3.

Boutsiouki C, Frankenberger R, Krämer N. Clinical and radiographic success of (partial) pulpotomy and pulpectomy in primary teeth:A systematic review. Eur J Paediatr Dent. 2021; 22; 273-285.

Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2018; 5: 1-339.

Paradiso D, Tullio A, Bensi C. Working length determination in primary teeth pulpectomy: A systematic review and meta-analysis. Aust Endod J. 2022; 49: 444-454.

Pozos-Guillen A, Garcia-Flores A, Esparza-Villalpando V, Garrocho-Rangel A. Intracanal irrigants for pulpectomy in primary teeth: a systematic review and meta-analysis. Int J Paediatr Dent. 2016; 26: 412-425.

Chouchene F, Masmoudi F, Baaziz A, Maatouk F, Ghedira H. Antibiotic Mixtures in Noninstrumental Endodontic Treatment of Primary Teeth with Necrotic Pulps: A Systematic Review. Int J Dent. 2021; 1: 1-12.

Gimenez T, Souza DP, Viganó ME, Wanderley MT, Mendes FM, Bönecker M et al. Does the Decline in Caries Prevalence of Latin American and Caribbean Children Continue in the New Century? Evidence from Systematic Review with Meta-Analysis. PLoS One. 2016; 11: 1-14.

Schrijvers G, van Hoorn A, Huiskes N. The care pathway: concepts and theories: an introduction. Int J Integr Care. 2012; 12: 1-7.

Ashley PF, Williams CE, Moles DR, Parry J. Sedation versus general anesthesia for provision of dental treatment to patients younger than 18 years. Cochrane Database Syst Rev. 2015; 9: 1-24.

Publicado

20-05-2025

Número

Sección

Revisiones Narrativas

Cómo citar

Terapia pulpar en dientes primarios con pulpitis irreversible o necrosis: una revisión de la literatura. (2025). Revista De Odontopediatría Latinoamericana, 15. https://doi.org/10.47990/m8j6yp38