Uso de medicación intraconducto en endodoncia. Revisión sistemática.

Castellanos Rodriguez, Maria Camila; Leal Daza, Johann Sebastian

Uso de medicación intraconducto en endodoncia. Revisión sistemática.

dc.contributor.advisor	Manosalva Estrada, Maria Alejandra
dc.contributor.author	Castellanos Rodriguez, Maria Camila
dc.contributor.author	Leal Daza, Johann Sebastian
dc.contributor.corporatename	Universidad Santo Tomás
dc.date.accessioned	2025-12-09T16:23:21Z
dc.date.available	2025-12-09T16:23:21Z
dc.date.issued	2025-12-06
dc.description	Introducción. La endodoncia es un tratamiento odontológico que permite conservar los dientes no vitales, aunque puede fracasar por la complejidad anatómica de los conductos o por la persistencia de microorganismos resistentes. La medicación intraconducto cumple un papel fundamental en la eliminación bacteriana y en el alivio del dolor posoperatorio, complementando la acción de las soluciones irrigantes. Entre los medicamentos más empleados se encuentran el hidróxido de calcio y la pasta triple antibiótica, cuya efectividad clínica ha sido ampliamente evaluada. Objetivo. Determinar el uso y la efectividad del hidróxido de calcio y la pasta triple antibiótica como medicación intraconducto en endodoncia, según la literatura científica publicada entre 2015 y 2025. Metodología. Se realizó una revisión sistemática, se efectuaron búsquedas en las bases de datos PubMed, Scopus, Google Académico y ScienceDirect, utilizando operadores booleanos y combinaciones específicas de palabras clave. Se incluyeron estudios publicados entre 2015 y 2025, disponibles en texto completo y escritos en inglés, español o portugués. Los datos se extrajeron mediante una matriz estandarizada que incluyó año de publicación, tipo de estudio, medicación utilizada, tiempo de seguimiento, herramientas diagnósticas y resultados clínicos. Se aplicaron análisis estadísticos descriptivos y univariados para resumir los hallazgos. Se aplicaron las guías de calidad. Resultados. Se identificaron 72 estudios. Tras eliminar duplicados y aplicar los criterios de elegibilidad, se incluyeron 11 estudios en el análisis final. La mayoría (91,7 %) correspondió a diseños experimentales, mientras que solo uno fue observacional. La mayor producción científica provino de Pakistán, Arabia Saudita e India. El hidróxido de calcio fue el medicamento más utilizado (58,3 %), seguido de la pasta triple antibiótica (25 %). Las principales finalidades de la medicación intraconducto fueron la reducción del dolor posoperatorio y del tamaño de las lesiones periapicales, evaluadas principalmente mediante la escala visual análoga (EVA) y el control clínico-radiográfico combinado. Predominaron los seguimientos de corta duración (<1 mes) con un 58,3 %, mientras que los estudios con seguimientos prolongados (>6 meses) fueron escasos. En cuanto a la efectividad, el 25 % de los estudios reportó resultados altamente efectivos, el 8,3 % efectividad parcial y el 58,4 % resultados mixtos o no satisfactorios. conclusión. El hidróxido de calcio continúa siendo el medicamento intraconducto de referencia por su disponibilidad, biocompatibilidad y acción antimicrobiana. No obstante, la pasta triple antibiótica se perfila como una alternativa prometedora, especialmente en infecciones periapicales resistentes o extensas.
dc.description.abstract	Introduction. Endodontics is a dental treatment that allows the preservation of non-vital teeth, although it may fail due to the anatomical complexity of root canals or the persistence of resistant microorganisms. Intracanal medication plays a fundamental role in bacterial elimination and postoperative pain relief, complementing the action of irrigating solutions. Among the most commonly used medicaments are calcium hydroxide and triple antibiotic paste, whose clinical effectiveness has been widely evaluated. Objective. To determine the use and effectiveness of calcium hydroxide and triple antibiotic paste as intracanal medicaments in endodontics, according to scientific literature published between 2015 and 2025. Methodology. A systematic review was conducted by searching PubMed, Scopus, Google Scholar, and ScienceDirect databases, using Boolean operators and specific keyword combinations. Studies published between 2015 and 2025, available in full text and written in English, Spanish, or Portuguese, were included. Data were extracted using a standardized matrix that included year of publication, study type, medication used, follow-up time, diagnostic tools, and clinical outcomes. Descriptive and univariate statistical analyses were applied to summarize findings, following quality assessment guidelines. Results. A total of 72 studies were identified. After removing duplicates and applying eligibility criteria, 11 studies were included in the final analysis. Most studies (91.7%) were experimental, while only one was observational. The highest scientific output came from Pakistan, Saudi Arabia, and India. Calcium hydroxide was the most frequently used medicament (58.3%), followed by triple antibiotic paste (25%). The main purposes of intracanal medication were postoperative pain reduction and reduction of periapical lesion size, mainly evaluated using the Visual Analogue Scale (VAS) and combined clinical-radiographic assessment. Short-term follow-ups (<1 month) predominated (58.3%), while long-term follow-ups (>6 months) were scarce. In terms of effectiveness, 25% of studies reported highly effective results, 8.3% partial effectiveness, and 58.4% mixed or unsatisfactory outcomes. Conclusion. Calcium hydroxide remains the reference intracanal medicament due to its availability, biocompatibility, and antimicrobial properties. However, triple antibiotic paste emerges as a promising alternative, especially in resistant or extensive periapical infections.
dc.description.degreelevel	Especialización	spa
dc.description.degreename	Especialista en Endodoncia	spa
dc.description.domain	https://www.ustabuca.edu.co/
dc.format.mimetype	application/pdf
dc.identifier.citation	Castellanos Rodriguez, M. C. y Leal Daza, J. S. (2025). Uso de medicación intraconductos en endodoncia. Revisión sistemática [Tesis de posgrado]. Universidad Santo Tomás, Bucaramanga, Colombia
dc.identifier.instname	instname:Universidad Santo Tomás	spa
dc.identifier.reponame	reponame:Repositorio Institucional Universidad Santo Tomás	spa
dc.identifier.repourl	repourl:https://repository.usta.edu.co	spa
dc.identifier.uri	http://hdl.handle.net/11634/70603
dc.language.iso	spa
dc.publisher	Universidad Santo Tomás	spa
dc.publisher.branch	CRAI-USTA Bucaramanga
dc.publisher.faculty	Facultad de Odontología	spa
dc.publisher.program	Especialización Endodoncia	spa
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dc.rights	Attribution-NoDerivs 2.5 Colombia	en
dc.rights.accessrights	info:eu-repo/semantics/openAccess
dc.rights.coar	http://purl.org/coar/access_right/c_abf2
dc.rights.local	Abierto (Texto Completo)	spa
dc.rights.uri	http://creativecommons.org/licenses/by-nd/2.5/co/
dc.subject.keyword	Calcium hydroxide, triple antibiotic paste, intracanal medication, endodontics, periapical lesions, systematic review
dc.subject.lemb	Odontología especializada
dc.subject.lemb	Consulta odontológica especializada
dc.subject.lemb	Enfermedades de los dientes
dc.subject.proposal	Hidróxido de calcio, pasta triple antibiótica, medicación intraconducto, endodoncia, lesiones periapicales, revisión sistemática.
dc.title	Uso de medicación intraconducto en endodoncia. Revisión sistemática.
dc.type	bachelor thesis
dc.type.category	Formación de Recurso Humano para la Ctel: Trabajo de grado de Especialización
dc.type.coar	http://purl.org/coar/resource_type/c_7a1f
dc.type.coarversion	http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.drive	info:eu-repo/semantics/bachelorThesis
dc.type.local	Trabajo de grado	spa
dc.type.version	info:eu-repo/semantics/acceptedVersion