Palavras-chave
Própolis; medicação intraconducto; tratamento do canal radicular; sucesso; hidróxido de cálcio
Como Citar
Uso de própolis com hidróxido de cálcio como medicação intraconducto na periodontite apical assintomática. Relato de Caso. (2021). Odontoestomatología, 23(37). https://doi.org/10.22592/ode2021n37a9
Resumo
O mel e seus produtos, ao longo da história, têm sido utilizados por várias civilizações para fins terapêuticos devido aos seus efeitos curativos. Atualmente, há um interesse renovado no uso da apiterapia como adjuvante em vários tratamentos médicos, onde a própolis se destaca por seu bactericida, antiinflamatório, anticâncer, entre outros. O objetivo deste artigo é descrever um caso de primeiro molar inferior esquerdo com diagnóstico de necrose pulpar e periodontite periapical assintomática que foi gerenciada com o uso da mistura de própolis com hidróxido de cálcio como medicamento intraconducto entre as consultas, conseguindo observar um processo de reparo ósseo durante esse período. Em conclusão, a própolis é uma alternativa viável como adjuvante ao hidróxido de cálcio nos casos indicados por medicação intraconducto.
Referências
1. Cohen S, Burns R. Vías de la pulpa. 10ª edición. Barcelona: Elsevier, 2011. 1004 pp.
2. Ørstavik D, Ford P. Essential Endodontics. London: Blackwell Science; 1999. 410 pp.
3. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 1965; 20: 340-349.
4. Pumarola J, Canalda C. Endodoncia. 3ra ed. Barcelona: Masson; 2001. 367 pp.
5. Nair PNR. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004; 15(6): 348-381.
6. Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. Int Dent J. 2009; 59(1): 5-11.
7. Parolia A, Thomas S, Kundabala M, Mohan M. Propolis and its potential uses in oral health. Int J Med and Medic Sci. 2010; 2(7): 210-215.
8. Lavandera I. Curación de heridas sépticas con miel de abejas. Rev Cubana Cir. 2011; 50(2): 187-196.
9. Cabrera L, Rodriguez G. Actividad antibacteriana de miel de abejas multiflorales de cuatro zonas apícolas del estado Zulia, Venezuela. Rev Científ FCV-LUZ. 2003; 3(8): 205-211.
10. Marcucci M. Propolis: chemical composition, biological properties and therapeutic activity. Apidolog. 1995; 28: 83-99.
11. Tronstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. Ph changes in dental tissues after root canal filling with calcium. J Endod 1981; 7(1): 17-21.
12. Esberard M. Changes in pH at the Dentin Surface in Roots Obturated with Calcium Hydroxide Pastes. J Endod 1996; 22(8):134-38.
13. Andrade F, Almeida P. Evaluation of pH levels and calcium ion release in various calcium hydroxide endodontic dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97: 388-92.
14. Ahuja V, Ahuja A. Apitherapy - A sweet approach to dental diseases. Part II: Propolis. J. Academy Adv Dental Research. 2011; 2(2): 1-7.
15. Rezende G, Acosta L, Baroni D. In vitro antimicrobial activity of endodontic pastes with propolis extracts and calcium hydroxide. Braz Dent J 2008; 19(4): 301-305.
16. Victorino F, Franco S. Pharmacological evaluation of propolis solutions for endodontic use. Pharma Biol. 2007; 45(9): 721-727.
17. Koru O, Toksoy F. In a vitro antimicrobial activity of propolis samples from different geographical origins against certain oral pathogens. Anaerobe. 2007; 13:140-145.
18. Wieckiewicz W, Miernik M, Wieckiewicz M, and Morawiec T. Does propolis help to maintain Oral health? Evid Based Complement Alternat Med. 2013:1-8.
19. Ahangari Z, Naseri M. Propolis: Chemical composition and its applications in endodontics. Iran Endod J. 2018; 13(3):285-292.
20. Estrela C, Pécora JD, Souza-Neto MD, Estrela CRA, Bammann LL. Effect of vehicle on antimicrobial properties of calcium hydroxide pastes. Braz Dent J. 1999; 10: 63-72.
21. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J 2007; 40: 2-10.
22. Pimenta H, Violante I, Musis C, Borges A, Aranha A. In vitro effectiveness of Brazilian brown propolis against Enterococcus faecalis. Braz Oral Res. 2015; 29(1): 1-6.
23. Victorino R, Bramante C, Watanabe E, Ito I, Franco S, Hidalgo M. Antibacterial activity of propolis-based toothpastes for endodontic treatment. Braz. J. Pharm. Sci. 2009; 45(4): 795-800.
24. Jaiswal N, Dakshita S, Udai S, Kanwardeep S, Urja A, Shivika G. Evaluation of antibacterial efficacy of Chitosan, Clorhexidine, Propolis and Sodium hypoclorite on Enterococcus faecalis biofilm: an in vitro study. J Clin Exp Dent. 2017; 9(9): 1066-74.
25. Kalyoncuoglu E, Gönülol N, Özsezer E, Bodrumlu E. Effect of Propolis as a root canal irrigant on bond strength to dentin. J Appl Biomater Funct Mater. 2015; 13(4):362-366.
26. El-Tayeb M, Abu-Seida A, El Ashry S, El-Hady S.. Evaluation of antibacterial activity of propolis on regenerative potential of necrotic immature permanent teeth in dogs. BMC Oral Health. 2019; 19(174): 1-12.
27 Shabbir J, Qazi F, Farooqui W, Ahmed S. Effect of propolis paste as intracanal medicament on post-endodontic pain: a double blind randomized clinical trial. Int J Environ Res Public Health. 2020; 17(2): 445.
28. Toker H, Ozan F, Ozer H, Ozdemir H. A morphometric and histopathologic evaluation of the effects of propolis on alveolar bone loss in experimental periodontitis in rats. J Periodontol. 2008; 79(6): 1089-94.
29. Pileggi R, Antony K, Johnson K. Propolis inhibits osteoclast maturation. Dent Traumat. 2009; 25(6): 584–588.
2. Ørstavik D, Ford P. Essential Endodontics. London: Blackwell Science; 1999. 410 pp.
3. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 1965; 20: 340-349.
4. Pumarola J, Canalda C. Endodoncia. 3ra ed. Barcelona: Masson; 2001. 367 pp.
5. Nair PNR. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004; 15(6): 348-381.
6. Kawashima N, Wadachi R, Suda H, Yeng T, Parashos P. Root canal medicaments. Int Dent J. 2009; 59(1): 5-11.
7. Parolia A, Thomas S, Kundabala M, Mohan M. Propolis and its potential uses in oral health. Int J Med and Medic Sci. 2010; 2(7): 210-215.
8. Lavandera I. Curación de heridas sépticas con miel de abejas. Rev Cubana Cir. 2011; 50(2): 187-196.
9. Cabrera L, Rodriguez G. Actividad antibacteriana de miel de abejas multiflorales de cuatro zonas apícolas del estado Zulia, Venezuela. Rev Científ FCV-LUZ. 2003; 3(8): 205-211.
10. Marcucci M. Propolis: chemical composition, biological properties and therapeutic activity. Apidolog. 1995; 28: 83-99.
11. Tronstad L, Andreasen JO, Hasselgren G, Kristerson L, Riis I. Ph changes in dental tissues after root canal filling with calcium. J Endod 1981; 7(1): 17-21.
12. Esberard M. Changes in pH at the Dentin Surface in Roots Obturated with Calcium Hydroxide Pastes. J Endod 1996; 22(8):134-38.
13. Andrade F, Almeida P. Evaluation of pH levels and calcium ion release in various calcium hydroxide endodontic dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97: 388-92.
14. Ahuja V, Ahuja A. Apitherapy - A sweet approach to dental diseases. Part II: Propolis. J. Academy Adv Dental Research. 2011; 2(2): 1-7.
15. Rezende G, Acosta L, Baroni D. In vitro antimicrobial activity of endodontic pastes with propolis extracts and calcium hydroxide. Braz Dent J 2008; 19(4): 301-305.
16. Victorino F, Franco S. Pharmacological evaluation of propolis solutions for endodontic use. Pharma Biol. 2007; 45(9): 721-727.
17. Koru O, Toksoy F. In a vitro antimicrobial activity of propolis samples from different geographical origins against certain oral pathogens. Anaerobe. 2007; 13:140-145.
18. Wieckiewicz W, Miernik M, Wieckiewicz M, and Morawiec T. Does propolis help to maintain Oral health? Evid Based Complement Alternat Med. 2013:1-8.
19. Ahangari Z, Naseri M. Propolis: Chemical composition and its applications in endodontics. Iran Endod J. 2018; 13(3):285-292.
20. Estrela C, Pécora JD, Souza-Neto MD, Estrela CRA, Bammann LL. Effect of vehicle on antimicrobial properties of calcium hydroxide pastes. Braz Dent J. 1999; 10: 63-72.
21. Sathorn C, Parashos P, Messer H. Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J 2007; 40: 2-10.
22. Pimenta H, Violante I, Musis C, Borges A, Aranha A. In vitro effectiveness of Brazilian brown propolis against Enterococcus faecalis. Braz Oral Res. 2015; 29(1): 1-6.
23. Victorino R, Bramante C, Watanabe E, Ito I, Franco S, Hidalgo M. Antibacterial activity of propolis-based toothpastes for endodontic treatment. Braz. J. Pharm. Sci. 2009; 45(4): 795-800.
24. Jaiswal N, Dakshita S, Udai S, Kanwardeep S, Urja A, Shivika G. Evaluation of antibacterial efficacy of Chitosan, Clorhexidine, Propolis and Sodium hypoclorite on Enterococcus faecalis biofilm: an in vitro study. J Clin Exp Dent. 2017; 9(9): 1066-74.
25. Kalyoncuoglu E, Gönülol N, Özsezer E, Bodrumlu E. Effect of Propolis as a root canal irrigant on bond strength to dentin. J Appl Biomater Funct Mater. 2015; 13(4):362-366.
26. El-Tayeb M, Abu-Seida A, El Ashry S, El-Hady S.. Evaluation of antibacterial activity of propolis on regenerative potential of necrotic immature permanent teeth in dogs. BMC Oral Health. 2019; 19(174): 1-12.
27 Shabbir J, Qazi F, Farooqui W, Ahmed S. Effect of propolis paste as intracanal medicament on post-endodontic pain: a double blind randomized clinical trial. Int J Environ Res Public Health. 2020; 17(2): 445.
28. Toker H, Ozan F, Ozer H, Ozdemir H. A morphometric and histopathologic evaluation of the effects of propolis on alveolar bone loss in experimental periodontitis in rats. J Periodontol. 2008; 79(6): 1089-94.
29. Pileggi R, Antony K, Johnson K. Propolis inhibits osteoclast maturation. Dent Traumat. 2009; 25(6): 584–588.