Palabras clave
agentes adhesivos a dentina, materiales biocompatibles, materiales dentales, restauraciones dentales permanentes, estudios clínicos.
Cómo citar
Sellado Dentinario Inmediato: debe ser un procedimiento de rutina en las restauraciones adheridas indirectas?. (2023). Odontoestomatología, 25(41), 21. https://odon.edu.uy/ojs/index.php/ode/article/view/573
Resumen
Resumen
Objetivos: Evaluar los resultados biomecánicos, biológicos, técnicos y clínicos de la técnica del Sellado Dentinario Inmediato.
Metodología: Una Revisión Crítica de la Literatura fue llevada a cabo, para discutir los resultados de estudios clínicos, de laboratorio y revisiones sistemáticas, a fin de responder la pregunta del título.
Resultados: Los resultados clínicos, biomecánicos y biológicos fueron variados, pero a mediano y largo plazo no mostraron diferencias significativas entre el Sellado Dentinario Inmediato y el Sellado Dentinario Diferido. Por otra parte, la técnica es más compleja e insume más tiempo clínico.
Discusión: De acuerdo con la evaluación de los resultados mencionados, el Sellado Dentinario Inmediato no tuvo los niveles de eficacia y eficiencia esperados. Conclusiones: Hasta el momento, el Sellado Dentinario Inmediato justificaría su aplicación en situaciones específicas y no como procedimiento de rutina en la realización de restauraciones indirectas adheridas.
Referencias
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3. Schwendicke F, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, et al. Managing Carious Lesions: Consensus Recommendations on Caries Tissue Removal. Adv Dent Res 2016 May;28(2):58- 67. doi: 10 1177/0022034516639271.
4. Borgia Botto E, Barón R, Borgia JL. Pulp response of 160 indirect pulp protections: retrospective clinical study between 5 and 18 years (in Spanish). RODYB 2020;2:24-32.
5. Khokhar M, Tewari S. Outcomes of Partial and Complete Caries Excavation in Permanent Teeth: A 18 Month Clinical Study. Contemp Clin Dent. 2018;9:468-473.
6. Schwendicke F, Stolpe M, Meyer-Lueckel H, Paris S, Dörfer CE. Cost-effectiveness of one- and twostep incomplete and complete excavations. J Dent Res 2013;92(10):880-887.
7. Maltz M, Henz SL, de Oliveira EF, Jardim JJ. Conventional caries removal and sealed caries in permanent teeth: A microbiological evaluation. J of Dent. 2012; 40:776-782.
8. Bjorndal L, Reit C, Bruun G, Markvart M, Kjældgaard M, Nasman P, et al. Treatment of deep caries lesions in adults: randomized clinical trials comparing stepwise vs. direct complete excavation, and direct pulp capping vs. partial pulpotomy. Eur J Oral Sci 2010; 118: 290–297.
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11. Pashley DH. Consideration of dentin permeability in cytotocixity testing. Int Endod J. 1988; 21:143–154.
12. Putzeys E , Duca RC , Coppens L , Vanoirbeek J , Godderis L , Van Meerbeek B, et al. In-vitro transdentinal diffusion of monomers from adhesives. J Dent. 2018 Aug;75: 91-97.doi: 10.1016/j.jdent.2018.05.023. Epub 2018 Jun 1.
13. Ratanasathien S, Wataha JC, Hanks CT, Dennison JB. Cytotoxic interactive effects of dentin bonding components on mouse fibroblasts. J Dent Res. 1995; 74:1602-6.
14. de Souza Costa CA , Teixeira HM, Lopes do Nascimento AB, Hebling J. Biocompatibility of resinbased dental materials applied as liners in deep cavities prepared in human teeth. J Biomed Mater Res B Appl Biomater. 2007 Apr;81(1):175-84. doi: 10.1002/jbm.b.30651.
15. Corralo DJ, Maltz M. Clinical and Ultrastructural Effects of Different Liners/Restorative Materials on Deep Carious Dentin: A Randomized Clinical Trial. Caries Res 2013; 47:243–250.
16. Duque C, Negrini T de C, Sacono NT, Spolidorio DM, de Souza Costa CA, Hebling J. Clinical and microbiological performance of resin-modified glass-ionomer liners after incomplete dentine caries removal. Clin Oral Investig 2009; 13:465-71.
17. Wang Z. Bioceramic materials in Endodontics. Endodontic Topics 2015; 3:3-30.
18. Dias Ribeiro AP, Tomoko Sacono N , Soares DG, Alves Ferreira Bordini E, de Souza Costa CA, Hebling J. Human pulp response to conventional and resin-modified glass ionomer cements applied in very deep cavities. Clin Oral Investig 2020 May;24(5): 1739-1748.doi: 10.1007/s00784-019-03035-3. Epub 2019 Aug 1.
19. Mathur VP, Dhillon JK, Logani A, Kalra G. Evaluation of indirect pulp capping using three different materials: A randomized control trial using cone-beam computed tomography. Indian J Dent Res. 2016;27(6):623-629.
20. Petrou MA, Alhamoui FA, Welk A, Altarabulsi MB, Alkilzy M, H Splieth C. A randomized clinical trial on the use of medical Portland cement, MTA and calcium hydroxide in indirect pulp treatment. Clin Oral Investig 2014;18(5):1383-9.
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