Remoção parcial ou total do tecido cariado: uma abordagem atual

Autores

  • Fábio R. L. Silva Universidade Veiga de Almeida
  • Fernando Guimarães Universidade Veiga de Almeida
  • Luís Felipe Schneider Universidade Veiga de Almeida, Universidade Federal Fluminense
  • Celso Queiroz Universidade Veiga de Almeida, Universidade do Estado do Rio de Janeiro
  • Andréa G. Antonio Universidade Federal do Rio de Janeiro

DOI:

https://doi.org/10.15448/1980-6523.2015.1.14751

Palavras-chave:

Preparo da cavidade dentária, cárie dentária, dentina, restauração dentária, tratamento expectante

Resumo

Considerando as lesões extensas de cárie, uma grande variedade de técnicas é utilizada para a remoção do tecido cariado. Entretanto, existem controvérsias na literatura quanto a real necessidade da remoção total desse tecido, tendo em vista que, quando um adequado selamento da cavidade é realizado, a porção mais interna da dentina afetada pela cárie é passível de remineralização. Por isso, muitos estudos preconizam a técnica de remoção parcial por promover a interrupção do circuito metabólico dos micro-organismos remanescentes, impedindo a progressão da lesão de cárie. Assim, o objetivo do presente estudo foi apresentar evidências científicas da literatura sobre a aplicabilidade clínica de se remover completa ou parcialmente o tecido cariado e discutir as variantes que influenciam os resultados de cada um desses tratamentos.

Biografia do Autor

Fábio R. L. Silva, Universidade Veiga de Almeida

Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida

Fernando Guimarães, Universidade Veiga de Almeida

Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida

Luís Felipe Schneider, Universidade Veiga de Almeida, Universidade Federal Fluminense

Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida; Deartamento de Odontotécnica, Faculdade de odontologia, UFF - Niterói

Celso Queiroz, Universidade Veiga de Almeida, Universidade do Estado do Rio de Janeiro

Departamento de Pós-Graduação (Mestrado em Odontologia), Universidade Veiga de Almeida

Andréa G. Antonio, Universidade Federal do Rio de Janeiro

Departamento de Odontopediatria e Ortodontia, Faculdade de Odontologia, UFRJ

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Publicado

2015-08-06

Edição

Seção

Revisão de Literatura