O uso da terapia fotodinâmica comparada com o hidróxido de cálcio reduz os microrganismos intracanal em dentes com necrose pulpar? uma revisão sistemática e meta-análise
DOI:
https://doi.org/10.33448/rsd-v10i12.20058Palavras-chave:
dentes permanentes; meta-análise, necrose pulpar; revisão sistemática; tratamento dos canais radiculares.; Dentição permanente; Meta-análise; Necrose pulpar; Revisão sistemática; Tratamento do canal radicular.Resumo
Uma revisão sistemática foi realizada para avaliar a redução de microrganismos intracanal em dentes com necrose pulpar com o uso da terapia fotodinâmica (TFD) comparada ao hidróxido de cálcio (HC). A pesquisa buscou ensaios clínicos randomizados que empregaram a TFD para auxiliar na desinfecção intracanal em dentes com necrose pulpar comparada com o uso do HC. A busca foi realizada no PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library e literatura cinzenta. Resumos do IADR, registros de ensaios inéditos, dissertações e teses também foram pesquisados. A ferramenta de análise de risco de viés da Cochrane Collaboration foi aplicada para a avaliação da qualidade dos estudos e a qualidade de evidência com o GRADE. Foram identificados 121 artigos. Apenas 5 estudos permaneceram na síntese qualitativa, sendo que um foi considerado de “baixo” risco de viés e 4 considerados com risco de viés “indefinido” nos domínios-chaves. Os 5 artigos foram incluídos na meta-análise. A redução de microrganismos em dentes com necrose pulpar comparando a TFD em relação ao HC foi de 0,01 (intervalo de confiança [CI] = -0,04 a 0,07, p = 0,59). A qualidade de evidência foi classificada como moderado para os tratamentos. Esse resultado demonstra que não houve diferença entre as terapias. Pode-se concluir que não houve diferença entre o uso da TFD ou do HC na desinfecção intracanal de dentes com necrose pulpar.
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