Ducto com exsudato persistente: Causas e manejo clínico
DOI:
https://doi.org/10.33448/rsd-v10i9.18558Palavras-chave:
Exsudato persistente; Tratamento do canal radicular; Endodontia.Resumo
Objetivo: O objetivo desta revisão integrativa da literatura foi abordar as causas e o manejo clínico do ducto com exsudato persistente ou “ducto lacrimejante”, que é uma entidade clínica caracterizada pela presença de exsudato inflamatório persistente no ducto, apesar do ducto tratamento em execução, mesmo após várias consultas. Metodologia: Foi realizado levantamento bibliográfico nas bases de dados Pubmed, Scopus e EBSCO, em inglês e sem restrição de data de publicação. Os termos de pesquisa usados em combinação foram: canal radicular úmido, canal de drenagem, exsudato persistente, exsudato intracanal persistente e tratamento de canal radicular. Resultados e conclusão: Conclui-se que a principal causa descrita é microbiana, na forma de biofilme bacteriano ou infecção recalcitrante. Em relação ao seu manejo clínico, uma série de abordagens estão disponíveis, como pontas de papel, medicação intracanal e sistemas de aspiração como o EndoVac, enquanto o uso da terapia a laser Nd: YAG requer mais estudos para embasar seu uso clínico.
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