Consideraciones sobre la filosofía "no-post" en dientes tratados endodónticamente: Revisión de la literatura
DOI:
https://doi.org/10.33448/rsd-v12i7.37863Palabras clave:
Resinas compuestas; Diente no vital; Restauración dental permanente.Resumen
La restauración de dientes tratados endodónticamente con gran pérdida de estructura dental es un verdadero reto para la odontología, ya que requiere el uso de materiales capaces de ampliar el soporte coronal y evitar la propagación de las fracturas. Recientemente, ha surgido un cambio en el uso de los retenedores intrarradiculares, creando un nuevo concepto "sin poste", basado en el uso de compuestos de resina reforzados por fibras de vidrio. El objetivo de esta revisión es explorar en la literatura si el material, representado por EverX Posterior (GC), presenta alguna ventaja de uso en comparación con otros materiales ya descritos para la restauración de dientes tratados endodónticamente. La búsqueda se realizó en las principales bases de datos, PubMed, Scopus y Web of Science, dando como resultado 163 artículos. Tras excluir los duplicados y la lectura completa, se incluyeron en la versión final del análisis 14 artículos in vitro y 1 artículo clínico. En cuanto a los datos encontrados, el nuevo biomaterial mostró una mayor resistencia a la fractura en los dientes posteriores en la mayoría de los estudios evaluados, excepto en comparación con las restauraciones indirectas, especialmente del tipo endocorona. En comparación con las restauraciones directas, EverX Posterior, en "bicapa", funcionó como un refuerzo para la distribución de fuerzas y con propiedades mejoradas en presencia de ranuras retentivas. Para los retenedores intrarradiculares, el nuevo biomaterial también garantizó un mejor comportamiento mecánico, similar a la comparación realizada para el polietileno y las fibras de vidrio. Por lo tanto, deberían realizarse nuevos estudios clínicos para confirmar las consideraciones sobre esta filosofía.
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Derechos de autor 2023 Marcella Santos Januzzi; Maria Isabela Lopes Gandolfo; José Vitor Quinelli Mazaro; Ricardo Alexandre Zavanelli; Adriana Cristina Zavanelli
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