Palavras-chave
Lesiones endoperiodontales
Regeneración tisular
Como Citar
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Resumo
Objetivo: Revisar a classificação, o diagnóstico e o manejo terapêutico das lesões endoperiodontais, com ênfase nos métodos de imagem, biomarcadores, biomateriais e estratégias regenerativas. Revisão bibliográfica: A classificação atual das lesões endoperiodontais (LEP) considera a presença ou ausência de dano radicular e, nos casos sem dano, a presença de periodontite e a extensão do comprometimento periodontal. Recursos como a tomografia computadorizada de feixe cônico (TCFC/CBCT) e os biomarcadores inflamatórios podem complementar a avaliação clínica em casos selecionados. Quando há necrose ou infecção endodôntica, o tratamento endodôntico geralmente precede ou é integrado à terapia periodontal. MTA, cimentos biocerâmicos, regeneração tecidual guiada, concentrados plaquetários e fotobiomodulação apresentam potencial como recursos complementares. Considerações finais: A classificação correta e a avaliação integrada dos tecidos pulpares e periodontais são fundamentais para o planejamento. Tecnologias diagnósticas, biomateriais e terapias regenerativas podem contribuir para o manejo, mas a heterogeneidade das evidências ainda limita a padronização dos protocolos.
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