Palabras clave
Cavidad pulpar
Tratamiento conservador
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Resumen
Objetivo: Describe las implicaciones que generan en el tratamiento endodóntico los accesos endodóncicos conservadores en relación a los accesos endodóncicos tradicionales. Metodos: Se realizó una búsqueda en las bases de datos PubMed, utilizando los términos “Root canal treatment”, “Dental Pulp Cavity” y “Conservative Treatment”. Se dio prioridad a los artículos de los últimos diez años en inglés de las revistas “Journal of Endodontics” y “International Endodontic Journal”. Resultados: A pesar de la búsqueda de la Endodoncia conservadora por preservar las estructuras sanas, pueden presentarse resultados indeseables en las etapas posteriores del acceso endodóntico, como dificultad para acceder a la cámara pulpar, limitaciones en la visualización, instrumentación, obturación y limpieza de los conductos radiculares, y también resistencia a la fractura sin diferencia significativa con relación al acceso tradicional. Consideraciones finales: Si bien el acceso endodóntico conservador es un abordaje prometedor, es importante resaltar que puede presentar limitaciones, ya que no existe evidencia de mayor resistencia a la fractura en dientes con accesos conservadores al compararlos con los accesos tradicionales, así como otras desventajas relevantes durante el tratamiento, por lo que no hay razón para optar por él, siendo preferible el acceso tradicional.
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