Uso do metronidazol como medicação intracanal em dentes com necrose pulpar e reação periapical – relato de caso
Abstract
O objetivo desse trabalho foi comparar dois tratamentos endodônticos realizados em dentes com abscesso periapical crônico, em um mesmo paciente, empregando-se medicações intracanais diferentes. Para isso foram relatados dois casos clínicos de tratamentos endodônticos em dois dentes (31 e 41), nos quais foram empregados a mesma técnica de preparo biomecânico e obturação, variando apenas a medicação intracanal, pois no dente 31 foi empregada uma pasta a base de hidróxido de cálcio (Calen) e no dente 41, o metronidazol na forma de gel ginecológico. Após um ano de proservação dos tratamentos realizados, verificou-se reparação dos tecidos periapicais em ambos os dentes, concluindo-se que, nesse caso, a variação da medicação intracanal não interferiu no resultado do tratamento instituído e que o metronidazol pode ser uma alternativa viável como coadjuvante na terapia endodôntica desse tipo de patologia.
UNITERMOS: hidróxido de cálcio; medicação intracanal; metronidazol; reação periapical.
SUMMARYM
The aim of this work was to compare two endodontic treatments in teeth with cronic periapical abscess, in the same patient, using different intracanal medications. This two clinical cases are reported of endodontic treatments in two teeth (31 and 41), in which was used the same technique of biomechanic root preparation and obturation, varying only the intracanal medication. In the tooth 31 a paste based on calcium hidroxide (Calen) was applied and in the tooth 41 was used metronidazol in the form of a gynaecological gel. After 1 year of following up, the repair of periapical tissue of both teeth was evaluated. In conclusion, the variation of the intracanal medication did not interfere with the results of the treatment. The metronidazol can be a viable alternative as a coadjuvant in the endodontic treatment of this type of pathology.
UNITERMS: calcium hidroxide; intracanal medication; metronidazol; periapical reaction.
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.