Cambios óseos observados posterior a cirugía perirradicular mediante análisis de tomografía computarizada de haz de cono con materiales biocerámicos – revisión narrativa

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dc.contributor.advisorChaves Cabrera, Angela María
dc.contributor.advisorSerpa Vélez, María Fernanda
dc.contributor.advisorJiménez, Oscar Mauricio
dc.contributor.authorGarcía Mendieta, Diana Catalina
dc.contributor.authorOstos Pérez, Clara Inés
dc.date.accessioned2021-06-21T15:44:30Z
dc.date.available2021-06-21T15:44:30Z
dc.date.issued2021-06-18
dc.descriptionAntecedentes: La tomografía volumétrica de haz de cono (CBCT) se ha documentado para evaluar la reparación durante el seguimiento posterior a la cirugía perirradicular mediante la observación de la evolución de imágenes hipodensas a hiperdensas que determinan la disminución de lesiones perirradiculares existentes. Objetivo: Determinar mediante una revisión narrativa los cambios óseos observados en pacientes sometidos a cirugía perirradicular con materiales biocerámicos por medio del análisis de CBCT. Metodología: Se diseñó una estrategia de búsqueda del 2011 al 2021, para estudios en pacientes tratados con cirugía perirradicular y materiales biocerámicos de última generación que evaluaran los cambios óseos mediante el análisis de CBCT, en idiomas inglés, español y portugués; se incluyeron artículos publicados en PubMed, Lilacs, Epistemonikos, Cochrane, Scopus, Web Of Science y Embase. La evaluación de la calidad metodológica, riesgo de sesgo y la extracción de datos se realizaron de forma independiente y por duplicado. Resultados: De los 22 artículos potencialmente elegibles, 13 fueron excluidos según los criterios de selección establecidos, obteniendo 9 publicaciones. Los estudios clínicos aleatorizados, los observacionales y los reportes de caso, todos evaluados con CBCT, mostraron una tasa de éxito de las cirugías perirradiculares mayores al 70%, favoreciendo la cicatrización ósea. El análisis global favoreció a los materiales biocerámicos de última generación. Estos resultados se basan en pocos ensayos con tamaños de muestra pequeñas, seguimientos relativamente cortos y con alto riesgo de sesgo, por lo tanto, deben considerarse con precaución. Conclusiones: Los materiales biocerámicos son una excelente alternativa para la obturación apical y los más utilizados en cirugía perirradicular y reportados en la literatura científica fueron EndoSequence® y Biodentine®, sin embargo, estos estudios mostraron un riesgo de sesgo de moderado a alto, por tanto, estos resultados deben asumirse con precaución.spa
dc.description.abstractBackground Cone beam computer tomography (CBCT) has been documented to assess repair during follow-up after periradicular surgery by observing the evolution of hypodense to hyperdense images that determine the shrinkage of existing periradicular lesions. Objective: To determine by means of a narrative review the bone changes observed in patients undergoing periradicular surgery with bioceramic materials by means of CBCT analysis. Methodology: A search strategy was designed from 2011 to 2021, for studies in patients treated with periradicular surgery and state-of-the-art bioceramic materials that evaluated bone changes by CBCT analysis, in English, Spanish and Portuguese; articles published in PubMed, Lilacs, Epistemonikos, Cochrane, Scopus, Web Of Science and Embase were included. The evaluation of methodological quality, risk of bias and data extraction were performed independently and in duplicate. Results: Of the 22 potentially eligible articles, 13 were excluded according to the established selection criteria, obtaining 9 publications. The randomized clinical studies, observational studies and case reports, all evaluated with CBCT, showed a success rate of periradicular surgeries higher than 70%, favoring bone healing. The overall analysis favored the latest generation bioceramic materials. These results are based on few trials with small sample sizes, relatively short follow-ups and with high risk of bias, therefore, they should be considered with caution. Conclusions: Bioceramic materials are an excellent alternative for apical obturation and the most commonly used in periradicular surgery and reported in the scientific literature were EndoSequence® and Biodentine®, however these studies showed a moderate to high risk of bias, therefore these results should be assumed with caution.spa
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Endodonciaspa
dc.description.domainhttps://www.ustabuca.edu.co/spa
dc.format.mimetypeapplication/pdf
dc.identifier.citationGarcía Mendieta, D. C. y Ostos Pérez, C. I. (2021). Cambios óseos observados posterior a cirugía perirradicular mediante análisis de tomografía computarizada de haz de cono con materiales biocerámicos - Revisión narrativa [Tesis 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/11634/34464
dc.language.isospa
dc.publisherUniversidad Santo Tomásspa
dc.publisher.branchCRAI-USTA Bucaramangaspa
dc.publisher.facultyFacultad de Odontologíaspa
dc.publisher.programEspecialización Endodonciaspa
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dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia
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.keywordPerirradicular Surgeryspa
dc.subject.keywordBone Healingspa
dc.subject.keywordBioceramic Cementsspa
dc.subject.lembCirugía dentalspa
dc.subject.lembCicatrices - Cirugíaspa
dc.subject.lembTomografía computarizada por rayos Xspa
dc.subject.lembCerámica dentalspa
dc.subject.proposalCirugía Perirradicularspa
dc.subject.proposalCicatrización Óseaspa
dc.subject.proposalCementos Biocerámicos.spa
dc.titleCambios óseos observados posterior a cirugía perirradicular mediante análisis de tomografía computarizada de haz de cono con materiales biocerámicos – revisión narrativaspa
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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Especialización Endodoncia