Estratégias complementares modernas de remoção de material obturador no retratamento não cirúrgico do canal radicular
DOI:
https://doi.org/10.33448/rsd-v12i6.42127Palavras-chave:
Canal radicular; Remoção de material obturador; Retratamento não cirúrgico.Resumo
Non-surgical retreatment is currently the most affected therapy in Endodontics in terms of clinical outcome. The present study aims to evaluate modern strategies for supplementary approaches in filling material removal. A narrative literature review was conducted in PubMed, Cochrane Library and Web of Science databases with the following keywords in different orders: “root canal”, “filling material removal”, “non-surgical retreatment” and “supplementary”. For the studies selection outline, after titles screening, removal of duplicates and inclusion criteria was applied, followed by analyses of abstract, and finally full-text review was performed for final selection of studies. Further research was conducted manually on demand. Six types of cleaning strategies were identified in the literature for supplementary approach in non-surgical retreatmen: Passive ultrasonic & sonic activation, active ultrasonic activation, plastic instruments for mechanical agitation, metallic instruments for mechanical agitation, multisonic activation and laser activation. Those addressed in the literature have mainly been associated with higher performances of filling material removal compared to instrumentation systems only. However, none of them were able to completely remove filling material within the root canal system. Randomized controlled clinical studies are needed to understand the real influence of these strategies on the non-surgical retreatment. There is a notable discrepancy between the volume of studies for each strategy, more studies are needed in certain systems already covered. There are still systems for activating irrigation solutions not covered in non-surgical retreatment.
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