Influencia de la infección viral en el proceso de reparación de lesiones periapicales: una revisión narrativa
DOI:
https://doi.org/10.33448/rsd-v10i3.13134Palabras clave:
Citomegalovirus; Herpes Simple; Periodontitis apical; Salud bucal; Virus de Epstein-Barr; VIH.Resumen
Antecedentes: El tratamiento de endodoncia tiene como principal objetivo eliminar los microorganismos y sus productos tóxicos, permitiendo el restablecimiento de las defensas del organismo y consecuentemente, la reparación de los tejidos periapicales. Sin embargo, numerosos factores pueden afectar la reparación periapical, como los materiales de obturación, la presencia de microorganismos, factores sistémicos y más recientemente, las infecciones virales se han asociado al empeoramiento de las lesiones periapicales. Objetivo: Discutir la relación entre las principales infecciones virales y las manifestaciones de la periodontitis apical y cómo estas infecciones pueden influir en la reparación de los tejidos periapicales. Conclusión: La literatura no establece una relación causa-efecto entre la presencia de virus en los tejidos periapicales y el aumento de patogenicidad de la periodontiti apical. Sin embargo, deben realizarse más estudios para afirmar el potencial viral en tejidos periapicales, ya que la literatura muestra una respuesta inmune en periodontitis apical desencadenada por virus en fase lítica, similar a la observada en otros patógenos, pudiendo exacerbar la respuesta inflamatoria, aumentan la resorción ósea y también interfieren con la reparación de los tejidos periapicales.
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Derechos de autor 2021 Caroline Loureiro; Marcelo Augusto Seron; Gabriela Pacheco de Almeida Braga; Cristiane Cantiga da Silva; Rogério Castilho Jacinto; Gustavo Sivieri-Araujo; Cristiane Duque; Luciano Tavares Angelo Cintra; João Eduardo Gomes-Filho
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