Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática

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dc.contributor.advisorSantos Hoyos, Román Andrés
dc.contributor.advisorJiménez Peña, Oscar Mauricio
dc.contributor.advisorParra Galvis, Diana Yecedt
dc.contributor.authorMoreno Moreno, Lucy Patricia
dc.contributor.authorRamírez Rodríguez, Mayerly Jhoanna
dc.contributor.authorRivera Hernández, Felix Ricardo
dc.coverage.campusCRAI-USTA Bucaramangaspa
dc.date.accessioned2022-06-21T15:42:24Z
dc.date.available2022-06-21T15:42:24Z
dc.date.issued2022-06-06
dc.descriptionAntecedentes: El hidróxido de calcio (Ca (OH)2) debe ser removido con la finalidad de acondicionar la superficie dentinaria y propiciar las condiciones físicas y químicas ideales para lograr un sellado óptimo, pero su eliminación total del sistema de conductos es difícil. Si la eliminación no se logra totalmente, los residuos del mismo pueden afectar algunas propiedades de los selladores endodónticos y, posteriormente, afectar los resultados del tratamiento Objetivo: Evaluar la efectividad de las técnicas de irrigación XP-endo® Finisher y la irrigación activada por láser de Transmisión fotoacústica inducida por fotones (PIPS) comparada con la técnica activada con ultrasonido (PUI) en la remoción del Ca (OH)2 en el tercio apical en dientes naturales durante el tratamiento endodóntico reportados en la literatura. Criterios de selección: Estudios publicados desde el año 2011 hasta el 2021 que traten sobre la remoción del Ca (OH)2, PUI, XP-endo® Finisher y PIPS, estudios donde el irrigante sea el hipoclorito de sodio (NaOCl), estudios experimentales in vitro, metaanálisis y ensayos clínicos aleatorizados. Recopilación y análisis de datos: La evaluación de la calidad metodológica, riesgo de sesgo y la extracción de datos se realizaron de forma independiente y por duplicado. Se utilizó la lista de chequeo Faggion para hacer lectura crítica y evaluación de la calidad metodológica de los artículos in vitro y la guía PRISMA para la revisión sistemática y metaanálisis. Para la evaluación del riesgo de sesgo de los estudios in vitro se usó una herramienta realizada por los autores con base en la guía Faggion y para el otro artículo se usó la herramienta risk-of-bias tool for randomized trials (RoB2) de Cochrane. La unidad estadística de análisis fueron los estudios incluidos. Resultados: De los doce estudios seleccionados once son estudios in vitro y uno es una revisión sistemática y metaanálisis. Tres estudios evaluaron la técnica PUI, cinco la XP-endo® Finisher y los cuatro restantes PIPS Conclusiones: Aunque las tres técnicas de irrigación tuvieron la capacidad de eliminar el hidróxido de calcio intraconducto, ninguna logro retirarlo en su totalidad del tercio apical. Debido a los tamaños de muestra pequeños, el bajo número de estudios incluidos y las limitaciones, se necesitan más investigaciones para confirmar los resultados.spa
dc.description.abstractBackground: Calcium hydroxide Ca (OH)2 must be removed in order to condition the dentin surface and provide the ideal physical and chemical conditions to achieve an optimal seal, but its total elimination from the canal system is tough. If the removal is not fully achieved, residues may affect some properties of endodontic sealers and subsequently affect treatment outcomes Objective: To assess the effectiveness of XP-endo® Finisher and Photon-Induced Photoacoustic Transmission Laser Activated Irrigation (PIPS) compared with the technique activated with ultrasound (PUI) in the removal of calcium hydroxide in the apical third in natural teeth during endodontic treatment reported in the literature. Selection criteria: Studies published from 2011 to 2021 dealing with the removal of calcium hydroxide PUI, XP-endo® Finisher and PIPS, studies where the irrigant is sodium hypochlorite, in vitro experimental studies, meta-analyses and randomized clinical trials. Data collection and analysis: Assessment of methodological quality, risk of bias, and data extraction were performed independently and in duplicate. The Faggion checklist was extracted for critical reading and evaluation of the methodological quality of in vitro articles and the PRISMA guide for systematic review and meta-analysis. For the evaluation of the risk of bias of the in vitro studies, a tool made by the authors based on the Faggion guide was used and for the other article, the Cochrane risk-of-bias tool for Random Trials (RoB2) was used. The statistical unit of analysis was the included studies. Results: Of the twelve studies selected, one is in vitro studies and one is a systematic review and meta-analysis. Three studies evaluated the PUI technique, five the Xp-endo® Finisher and the remaining four PIPS Conclusions: Although the three irrigation techniques had the capacity to eliminate intracanal calcium hydroxide, none of them completely remove it from the apical third. Due to the small sample sizes, low number of included studies, and limitations, more research is needed to confirm the results.spa
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Endodonciaspa
dc.description.domainhttps://www.ustabuca.edu.co/spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.citationSantos Hoyos, R. A., Ramírez Rodríguez, M. J., Rivera Hernández, F. R. (2022). Efectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemática. [Trabajo de especialización]. Universidad Santo tomás. Bucaramanga, Colombiaspa
dc.identifier.instnameinstname:Universidad Santo Tomásspa
dc.identifier.reponamereponame:Repositorio Institucional Universidad Santo Tomásspa
dc.identifier.repourlrepourl:https://repository.usta.edu.cospa
dc.identifier.urihttp://hdl.handle.net/11634/45243
dc.language.isospaspa
dc.publisherUniversidad Santo Tomásspa
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.programEspecialización Endodonciaspa
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dc.relation.referencesBetancourt, P., Arnabat-Domínguez, J., & Viñas, M. (2021). Avances en la Desinfección Endodóntica Irrigación Activada por Láser. Canal Abierto. Revista Científica, 43, 4–7spa
dc.relation.referencesHosoya, N., Kurayama, H., Iino, F., & Arai, T. (2004). Effects of calcium hydroxide on physical and sealing properties of canal sealers. International Endodontic Journal, 37(3). https://doi.org/10.1111/j.0143-2885.2004.00781.xspa
dc.relation.referencesJiménez, L., Gómez, J., & Matos, M. (2014). IRRIGACIÓN ULTRASÓNICA PASIVA COMPARADA CON IRRIGACIÓN MANUAL EN LA ELIMINACIÓN DEL ENTEROCOCCUS FAECALIS DEL SISTEMA DE CONDUCTOS (ESTUDIO IN VITRO) PASSIVE ULTRASONIC IRRIGATION COMPARED WITH CONVENTIONAL MANUAL IRRIGATION IN THE ELIMINATION OF ENTEROCOCCUS FAECALIS OF DUCT RADICULAR SYSTEM (IN VITRO STUDY). Acta Odont. Venez, 52spa
dc.relation.referencesParedes Vieyra, J., Gradilla Martínez, I., Mondaca, J. M., Jiménez Enriquez, Fco. J., & Manriquez Quintana, M. I. (2009). Sistema Endovac en endodoncia por medio de presión apical negativa.spa
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordEffectivenessspa
dc.subject.keywordIrrigationspa
dc.subject.keywordCalcium hydroxidespa
dc.subject.keywordRemovalspa
dc.subject.keywordApicalspa
dc.subject.keywordNatural teethspa
dc.subject.keywordEndodonticsspa
dc.subject.lembPulpa dental- enfermedadesspa
dc.subject.lembApicoestomíaspa
dc.subject.lembRaíces dentalesspa
dc.subject.lembGranuloma periapicalspa
dc.subject.proposalEfectividadspa
dc.subject.proposalTécnicas de irrigaciónspa
dc.subject.proposalHidróxido de calciospa
dc.subject.proposalRemociónspa
dc.subject.proposalDientesspa
dc.subject.proposalTratamientos endodónticosspa
dc.titleEfectividad en la remoción del hidróxido de calcio en el tercio apical en dientes naturales en investigaciones In vitro – revisión sistemáticaspa
dc.typebachelor thesis
dc.type.categoryFormación de Recurso Humano para la Ctel: Trabajo de grado de Especializaciónspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driveinfo:eu-repo/semantics/bachelorThesis
dc.type.localTesis de pregradospa
dc.type.versioninfo:eu-repo/semantics/acceptedVersion

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