Influencia del Tipo de Retenedor Intracanal Directo en la Resistencia de Dientes Unirradiculares con Canales Anchos: una Revisión Sistemática
DOI:
https://doi.org/10.21270/archi.v13i7.6424Palabras clave:
Tratamiento del Conducto Radicular, Raíz del Diente, Técnica de Perno MuñónResumen
El objetivo de este estudio fue realizar una revisión sistemática para determinar la influencia del tipo de retenedor intraradicular directo sobre la resistencia de dientes unirradiculares permanentes con canales anchos tratados endodónticamente. Esta es una revisión sistemática que sigue los criterios PRISMA para informar revisiones sistemáticas y metanálisis. La pregunta de investigación se formuló mediante la estrategia P.I.C.O. El proceso de selección de estudios fue realizado por dos revisores de forma independiente, utilizando los mismos criterios de elegibilidad, previamente capacitados. La selección se realizó en cuatro etapas: título, resúmenes, estudio completo y análisis de calidad. Los datos se analizaron utilizando el software Stata11.0. Entre los tratamientos para dientes unirradiculares con canales anchos o debilitados, las restauraciones con postes de fibra de vidrio en conjunto con resinas compuestas, con postes accesorios de fibra y postes anatómicos demostraron mayor resistencia a la fractura y fuerza de adhesión que aquellos tratamientos sin refuerzos que utilizaron postes con cementos de resina, resinas fluidas o cintas de refuerzo de resina, no diferentes de los controles positivos metálicos fundidos. Las fracturas más comunes fueron reparables o no catastróficas. Los grupos de control con postes de metal fundido mostraron mayores resultados de resistencia a la fractura y los grupos con canales de diámetro regular demostraron una mejor resistencia a la adhesión y a la fractura que los dientes con un canal ancho. El uso de pernos remodelados de fibra de vidrio, reforzados con resinas compuestas o complementados con pernos accesorios como tratamiento restaurador de dientes unirradiculares, con canales amplios tratados endodónticamente, presenta adecuada resistencia a la fractura y adhesión y un patrón de fractura favorable.
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