¿El uso de la terapia fotodinámica en comparación con el hidróxido de calcio reduce los microorganismos intracanal en los dientes con necrosis pulpar? una revisión sistemática y un metanálisis
DOI:
https://doi.org/10.33448/rsd-v10i12.20058Palabras clave:
dientes permanentes; metaanálisis, necrosis pulpar; revisión sistemática; tratamiento de conducto; Dentición permanente; Metaanálisis; Necrosis pulpar; Revisión sistemática; Tratamiento del conducto radicular.Resumen
Se realizó una revisión sistemática para evaluar la reducción de microorganismos intracanal en dientes con necrosis pulpar mediante terapia fotodinámica (TFD) en comparación con hidróxido de calcio (HC). La investigación buscó ensayos clínicos aleatorios que utilizaran la TFD para ayudar en la desinfección intracanal en dientes con necrosis pulpar en comparación con el uso de HC. La búsqueda se realizó en PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library y literatura gris. También se realizaron búsquedas en resúmenes de IADR, registros de ensayos inéditos, disertaciones y tesis. Se aplicó la herramienta de análisis de riesgo de sesgo de la colaboración Cochrane para evaluar la calidad de los estudios. Se identificaron 121 artículos. Sólo 5 estudios permanecieron en la síntesis cualitativa, uno de los cuales se consideró con riesgo de sesgo "bajo" y 4 se consideró que tenían un riesgo de sesgo "indefinido" en los dominios clave. Los 5 artículos se incluyeron en el metanálisis. La reducción de microorganismos en dientes con necrosis pulpar comparando TFD con HC fue de 0,01 (intervalo de confianza [IC] = -0,04 a 0,07, p = 0,59). Este resultado demuestra que no hubo diferencia entre las terapias. Se puede concluir que no hubo diferencia entre el uso de TFD o HC en la desinfección intracanal de dientes con necrosis pulpar.
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Derechos de autor 2021 Milena Stuber; Paulo Fernando Otoni da Fonseca Filho; Carlla Sloane Alberton; Valéria Custódio dos Santos; Bruno Marques da Silva; Marina da Rosa Kaizer; Letícia Maíra Wambier; Flávia Sens Fagundes Tomazinho
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