TERAPIA PULPAR PARA LOS DIENTES DECIDUOS: UN ENFOQUE ACTUAL
Palabras clave:
Terapia pulpar, Formocresol, Proteínas morfogenéticas
Resumen
La terapia pulpar en dientes deciduos es uno de los procedimientos más practicados en la odontología pediátrica. El tema ha sido objeto de numerosas investigaciones; los agentes con los que se realiza han sido probados en varios estudios. En los últimos años, se ha avanzado en el campo de la formación dentinal a través de las proteínas morfogenéticas. En el futuro, puede que este sea el motivo para que se dé un cambio drástico en la forma de realizar la terapia pulpar en la dentición decidua. El objetivo de este artículo es hacer una revisión sobre los tratamientos pulpares, sobre sus avances y las diferentes alternativas que se presentan en la literatura actual.
[Rodríguez MJ. Terapia pulpar para los dientes deciduos: Un enfoque actual. Ustasalud odontología 2004; 3: 108 - 116]
Referencias
1. Ranly DM. Pulpotomy therapy in primary teeth: new modalities for old rationales. Pediatr Dent 1994; 16: 403 - 409.
2. Ranly DM, García-Godoy F. Current and potential pulp therapies for primary and young permanent teeth. J Dent 2000; 28: 153 - 161.
3. Avery J. Structural elements of the young normal human pulp. Oral Surg 1971; 22: 113 - 125.
4. Castillhos H, Chevitarese O. A comparative study of dentin thickness of primary human molars. J Clin Pediatr Dent 2003; 27: 277 - 281.
5. Sumikasa D, Marshall G, Gee L, Marshall S. Microstructure of primary tooth dentin. Pediatr Dent 1999; 21: 439 - 444.
6. Castillhos H, Chevitarese O. Density and diameter of dentinal tubules of first and second primary human molars - comparative scanning electron microscopy study. J Oin Pediatr Dent 2002; 26: 297 - 304.
7. Koutsi V, Noomam RG, Horner JA, Simpson MD, Matthews WG, Pashley DH. The effect of dentin depth on the permeability and ultrastructure of primary molars. Pediatr Dent 1994; 16: 29 • 35.
8. Costa LR, Watanabe IS, Kronka MC, Silva MP. Structure and microstructure of coronary dentin in non erupted human deciduous incisor teeth. Braz Dent J 2002; 13: 170 - 174.
9. Costa LR, Watanabe IS, Kronka MC. Coronal dentinal tubules of non-erupted deciduous incisors. Pesqui Odontol Bras 2002; 16: 12 - 17.
10. Urist M. Bone formation by autoinduction. Science 1965; 150: 893 - 899.
11. Nakashima M. Induction of dentin formation on canine amputated pulp by recombinant human bone morphogenetic protein (BMP)-2 and -4. J Dent Res 1994; 73: 1515 - 1522.
12. Iohara K, Nakashima M, Ito M, Ishikawa M, Naksima A, Akamine A. Dentin regeneration by dental pulp stem cell therapy with recombinant human bone morphogenetic protein 2. J Dent Res 2004; 83: 590 - 595.
13. Tziafas D. The future role of a molecular approach to pulp - dentinal regeneration. Caries Res 2004; 38: 314 - 320.
14. Smith AJ. Pulpal responses to caries and dental repair. Caries Res 2002; 36: 223 - 232.
15. Schroder U. Effects of calcium hydroxide-containing agent on pulp cell migration, proliferation and differentiation. J Dent Res 1985; 64: 541 - 548.
16. Cvek M, Grannath L, Cleaton-Jones P, Austin J. Hard tissue barrier formation in pulpotomized monkey teeth capped with cyanoacrylate or calcium hydroxide for 10 to 60 minutes. J Dent Res 1987; 66: 1166 - 1174.
17. American Academy of Pediatric Dentistry. Guidelines for pulp therapy for primary and Young permanent teeth. Pediatr Dent (Reference Manual) 2003; 25: 87 - 91.
18. Fuks A, Eidelman E. Pulp therapy in primary dentition. Curr Opin Dent 1991; 1: 556 - 563.
19. Bjorndal L, Larsen T, Thylstrup A. A clinical and microbiological study on deep carious lesions during stepwise excavation using long treatment intervals. Caries Res 1997; 31: 411 - 417.
20. Fuks A. Pulp therapy for the primary and young permanent dentitions. Dent Clin North Am 2000; 44: 571 - 595.
21. Tziafas D, Smith AJ, Lesot H. Designing new treatment strategies in vital pulp therapy: J Dent 2000; 28: 77 - 92.
22. Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of Formocresol pulpotomy and indirect pulp treatment in the treatment of deep dentinal caries in primary teeth. Pediatr Dent 2000; 22: 278 - 286.
23. Mathewson RJ, Primosch RE. Pulp treatment. En: Mathewson RJ, Prismosch RE. Fundamentals of pediatric dentistry: 3rd ed. Chicago: Quintessence; 1995. p. 257 - 284.
24. Primosch R, Glomb T, Jerrel R. Primary tooth pulp therapy as taught in predoctoral pediatric dental programs in the United States. Pediatr Dent 1997; 19: 118 - 122.
25. Aponte AJ, Hartsook J, Crowley M. Indirect pulp capping success verified. J Dent Child 1966; 33: 164 - 166.
26. Nirschl RF, Avery DR. Evaluation of a new pulp capping agent in indirect pulp therapy. J Dent Child 1983; 50: 25 - 30.
27. Falster C, Araujo F, Straffon L, Nör J. Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs. calcium hydroxide for protection of the dentin-pulp complex. Pediatr Dent 2002; 24: 241 - 248.
28. Al-Zayer M, Straffon L, Feigal R, Welch K. Indirect pulp treatment of primary posterior teeth. A retrospective study. Pediatr Dent 2003; 25: 29 - 36.
29. Vij R, Coll J, Shelton P, Farooq N. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent 2004; 26: 214 - 220.
30. Costa CA, Hebling J, Hanks CT. Current status of pulp capping with dentin adhesive systems. A review. Dent Mater 2000; 16: 188 - 197.
31. Settembrini L, Boylan R, Strassler H, Scherer W. A comparison of antimicrobial activity of etchants used far total-etch technique. Oper Dent 1997; 22: 84 - 88.
32. Ribeiro CC, Baratieri LN, Perdigao J, Baratieri NM, Ritter AV. A clinical, radiographic, and scanning electron microscopic evaluation of adhesive restorations on carious dentin in primary teeth. Quintessence Int 1999; 30: 591 - 599.
33. Kopel H. The pulp capping procedure in primary teeth «revisited». J Dent Child 1997; 64: 327 - 333.
34. UK National Clinical Guidelines in Paediatric Dentistry. Int J Paediatr Dent 2000; 10: 248 - 252.
35. Cehreli Z, Turgut M, Olmez S, Dagadeviren A, Atilla P. Short term human primary pulpal response after direct pulp capping with fourth generation dentin adhesives. J Clin Paediatr Dent 2000; 25: 65 - 71.
36. Turner C, Courts F, Stanley H. A histological comparison of direct pulp capping agents in primary canines. J Dent Child 1987; 54: 423 -428.
37. Guedes-Pinto AC. Tratamento endodôntico em dentes decíduos. En: Guedes-Pinto AC. Odontopediatria. 7ma ed. Sao Paulo: Editora Santos; 2003. p. 553 - 573.
38. Stanley H. Pulp capping: Conserving the dental pulp - Can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol 1989; 68: 628 - 639.
39. Nakabayashi N, Pashley DH. Hybridization of dental hard tissues. Quintessence Publ., 1998.
40. Mantenilli MG, Botero TM, Yaman P, Dennison JB, Hanks CT, Nör JE. Adhesive resin induces apoptosis and cell-cycle arrest of pulp cells. J Dent Res 2003; 82: 592 - 596.
41. Kramer P, Faraco I, Feldens CA. Estado Atual da terapia pulpar nas universidades brasileiras - Pulpotomia e pulpectomia em dentes decíduos. Jornal Brasileiro de Odontopediatría & Odontologia da Bebe 2000; 3: 222 - 230.
42. Hunter ML, Hunter B. Vital pulpotomy in the primary dentition: attitudes and practices of Specialists in paediatric dentistry practicing in the United Kingdom. Int J Paediatr Dent 2003; 13: 246 - 250.
43. Ranly DM. Formocresol toxicity. Current knowledge. Acta Odontológica Pediátrica 1985; 5: 93 - 98.
44. Cárdenas D. Terapia pulpar. En: Cárdenas D. Odontología Pediátrica. 3ra ed. Medellín: Corporación para la Investigación Biológica; 2003. p. 224- 244.
45. Fuks A, Holan G, Davis J, Eidelman E. Ferric sulfate versus dilute formocresol in pulpotomized primary molars: long-term follow up. Pediatr Dent 1997; 19: 327 - 330.
46. Smith NL, Seale NS, Nunn ME. Ferric sulfate pulpotomy in primary molars: A retrospective study. Pediatr Dent 2000; 22: 192 - 199.
47. Eidelman E, Holan G, Fuks A. Mineral trioxide aggregate vs. formocresol in pulpotomized primary molars: a preliminary report. Pediatr Dent 2001; 23: 15 - 18.
48. Burnett S, Walker J. Comparison of ferric sulfate, formocresol, and a combination of ferric sulfate/formocresol in primary tooth vital pulpotomies: A retrospective radiographic survey. J Dent Child 2002; 69: 44- 48.
49. Sasaki H, Ogawa T, Koreeda M, Ozaki T, Sobue S, Ooshima T. Electrocoagulation extends the indication of calcium hydroxide pulpotomy in the primary dentition. J Clin Pediatr Dent 2002; 26: 275 - 278.
50. Dean JA, Mack RB, Fulkerson BT, Sanders BJ. Comparison of electrosurgical and formocresol pulpotomy procedures in children. Int J Paediatr Dent 2002; 12: 177 - 182.
51. Rivera N, Reyes E, Mazzaoui S, Moran A. Pulpal therapy for primary teeth: Formocresol vs. electrosurgery: A clinical study. J Dent Child 2003; 70: 71 - 73.
52. Agamy HA, Bakry NS, Mounir MMF, Avery D. Comparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth. Pediatr Dent 2004; 26: 302 - 309.
53. Koch G, Modeér T, Poulsen S, Rasmussen R. Endodontics. En: Koch G, Modeér T, Poulsen S, Rasmussen R. Pedodontics - a clinical approach. Munksgaard; 1992. p. 185 - 210.
54. Guedes-Pinto AC. Comunicación personal. Sao Paulo; 2003.
55. Nurko C, García-Godoy F. Evaluation of a calcium hydroxide/iodoform paste (Vitapex(r)) in root canal therapy for primary teeth. J Clin Pediatr Dent 1999; 23: 289 - 294.
56. Nurko C, Ranly D, García-Godoy F, Lakshmyya K. Resorption of a calcium hydroxide/iodoform paste (Vitapex(r)) in root canal therapy for primary teeth: A case report. Pediatr Dent 2000; 22: 517 - 520.
2. Ranly DM, García-Godoy F. Current and potential pulp therapies for primary and young permanent teeth. J Dent 2000; 28: 153 - 161.
3. Avery J. Structural elements of the young normal human pulp. Oral Surg 1971; 22: 113 - 125.
4. Castillhos H, Chevitarese O. A comparative study of dentin thickness of primary human molars. J Clin Pediatr Dent 2003; 27: 277 - 281.
5. Sumikasa D, Marshall G, Gee L, Marshall S. Microstructure of primary tooth dentin. Pediatr Dent 1999; 21: 439 - 444.
6. Castillhos H, Chevitarese O. Density and diameter of dentinal tubules of first and second primary human molars - comparative scanning electron microscopy study. J Oin Pediatr Dent 2002; 26: 297 - 304.
7. Koutsi V, Noomam RG, Horner JA, Simpson MD, Matthews WG, Pashley DH. The effect of dentin depth on the permeability and ultrastructure of primary molars. Pediatr Dent 1994; 16: 29 • 35.
8. Costa LR, Watanabe IS, Kronka MC, Silva MP. Structure and microstructure of coronary dentin in non erupted human deciduous incisor teeth. Braz Dent J 2002; 13: 170 - 174.
9. Costa LR, Watanabe IS, Kronka MC. Coronal dentinal tubules of non-erupted deciduous incisors. Pesqui Odontol Bras 2002; 16: 12 - 17.
10. Urist M. Bone formation by autoinduction. Science 1965; 150: 893 - 899.
11. Nakashima M. Induction of dentin formation on canine amputated pulp by recombinant human bone morphogenetic protein (BMP)-2 and -4. J Dent Res 1994; 73: 1515 - 1522.
12. Iohara K, Nakashima M, Ito M, Ishikawa M, Naksima A, Akamine A. Dentin regeneration by dental pulp stem cell therapy with recombinant human bone morphogenetic protein 2. J Dent Res 2004; 83: 590 - 595.
13. Tziafas D. The future role of a molecular approach to pulp - dentinal regeneration. Caries Res 2004; 38: 314 - 320.
14. Smith AJ. Pulpal responses to caries and dental repair. Caries Res 2002; 36: 223 - 232.
15. Schroder U. Effects of calcium hydroxide-containing agent on pulp cell migration, proliferation and differentiation. J Dent Res 1985; 64: 541 - 548.
16. Cvek M, Grannath L, Cleaton-Jones P, Austin J. Hard tissue barrier formation in pulpotomized monkey teeth capped with cyanoacrylate or calcium hydroxide for 10 to 60 minutes. J Dent Res 1987; 66: 1166 - 1174.
17. American Academy of Pediatric Dentistry. Guidelines for pulp therapy for primary and Young permanent teeth. Pediatr Dent (Reference Manual) 2003; 25: 87 - 91.
18. Fuks A, Eidelman E. Pulp therapy in primary dentition. Curr Opin Dent 1991; 1: 556 - 563.
19. Bjorndal L, Larsen T, Thylstrup A. A clinical and microbiological study on deep carious lesions during stepwise excavation using long treatment intervals. Caries Res 1997; 31: 411 - 417.
20. Fuks A. Pulp therapy for the primary and young permanent dentitions. Dent Clin North Am 2000; 44: 571 - 595.
21. Tziafas D, Smith AJ, Lesot H. Designing new treatment strategies in vital pulp therapy: J Dent 2000; 28: 77 - 92.
22. Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of Formocresol pulpotomy and indirect pulp treatment in the treatment of deep dentinal caries in primary teeth. Pediatr Dent 2000; 22: 278 - 286.
23. Mathewson RJ, Primosch RE. Pulp treatment. En: Mathewson RJ, Prismosch RE. Fundamentals of pediatric dentistry: 3rd ed. Chicago: Quintessence; 1995. p. 257 - 284.
24. Primosch R, Glomb T, Jerrel R. Primary tooth pulp therapy as taught in predoctoral pediatric dental programs in the United States. Pediatr Dent 1997; 19: 118 - 122.
25. Aponte AJ, Hartsook J, Crowley M. Indirect pulp capping success verified. J Dent Child 1966; 33: 164 - 166.
26. Nirschl RF, Avery DR. Evaluation of a new pulp capping agent in indirect pulp therapy. J Dent Child 1983; 50: 25 - 30.
27. Falster C, Araujo F, Straffon L, Nör J. Indirect pulp treatment: in vivo outcomes of an adhesive resin system vs. calcium hydroxide for protection of the dentin-pulp complex. Pediatr Dent 2002; 24: 241 - 248.
28. Al-Zayer M, Straffon L, Feigal R, Welch K. Indirect pulp treatment of primary posterior teeth. A retrospective study. Pediatr Dent 2003; 25: 29 - 36.
29. Vij R, Coll J, Shelton P, Farooq N. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent 2004; 26: 214 - 220.
30. Costa CA, Hebling J, Hanks CT. Current status of pulp capping with dentin adhesive systems. A review. Dent Mater 2000; 16: 188 - 197.
31. Settembrini L, Boylan R, Strassler H, Scherer W. A comparison of antimicrobial activity of etchants used far total-etch technique. Oper Dent 1997; 22: 84 - 88.
32. Ribeiro CC, Baratieri LN, Perdigao J, Baratieri NM, Ritter AV. A clinical, radiographic, and scanning electron microscopic evaluation of adhesive restorations on carious dentin in primary teeth. Quintessence Int 1999; 30: 591 - 599.
33. Kopel H. The pulp capping procedure in primary teeth «revisited». J Dent Child 1997; 64: 327 - 333.
34. UK National Clinical Guidelines in Paediatric Dentistry. Int J Paediatr Dent 2000; 10: 248 - 252.
35. Cehreli Z, Turgut M, Olmez S, Dagadeviren A, Atilla P. Short term human primary pulpal response after direct pulp capping with fourth generation dentin adhesives. J Clin Paediatr Dent 2000; 25: 65 - 71.
36. Turner C, Courts F, Stanley H. A histological comparison of direct pulp capping agents in primary canines. J Dent Child 1987; 54: 423 -428.
37. Guedes-Pinto AC. Tratamento endodôntico em dentes decíduos. En: Guedes-Pinto AC. Odontopediatria. 7ma ed. Sao Paulo: Editora Santos; 2003. p. 553 - 573.
38. Stanley H. Pulp capping: Conserving the dental pulp - Can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol 1989; 68: 628 - 639.
39. Nakabayashi N, Pashley DH. Hybridization of dental hard tissues. Quintessence Publ., 1998.
40. Mantenilli MG, Botero TM, Yaman P, Dennison JB, Hanks CT, Nör JE. Adhesive resin induces apoptosis and cell-cycle arrest of pulp cells. J Dent Res 2003; 82: 592 - 596.
41. Kramer P, Faraco I, Feldens CA. Estado Atual da terapia pulpar nas universidades brasileiras - Pulpotomia e pulpectomia em dentes decíduos. Jornal Brasileiro de Odontopediatría & Odontologia da Bebe 2000; 3: 222 - 230.
42. Hunter ML, Hunter B. Vital pulpotomy in the primary dentition: attitudes and practices of Specialists in paediatric dentistry practicing in the United Kingdom. Int J Paediatr Dent 2003; 13: 246 - 250.
43. Ranly DM. Formocresol toxicity. Current knowledge. Acta Odontológica Pediátrica 1985; 5: 93 - 98.
44. Cárdenas D. Terapia pulpar. En: Cárdenas D. Odontología Pediátrica. 3ra ed. Medellín: Corporación para la Investigación Biológica; 2003. p. 224- 244.
45. Fuks A, Holan G, Davis J, Eidelman E. Ferric sulfate versus dilute formocresol in pulpotomized primary molars: long-term follow up. Pediatr Dent 1997; 19: 327 - 330.
46. Smith NL, Seale NS, Nunn ME. Ferric sulfate pulpotomy in primary molars: A retrospective study. Pediatr Dent 2000; 22: 192 - 199.
47. Eidelman E, Holan G, Fuks A. Mineral trioxide aggregate vs. formocresol in pulpotomized primary molars: a preliminary report. Pediatr Dent 2001; 23: 15 - 18.
48. Burnett S, Walker J. Comparison of ferric sulfate, formocresol, and a combination of ferric sulfate/formocresol in primary tooth vital pulpotomies: A retrospective radiographic survey. J Dent Child 2002; 69: 44- 48.
49. Sasaki H, Ogawa T, Koreeda M, Ozaki T, Sobue S, Ooshima T. Electrocoagulation extends the indication of calcium hydroxide pulpotomy in the primary dentition. J Clin Pediatr Dent 2002; 26: 275 - 278.
50. Dean JA, Mack RB, Fulkerson BT, Sanders BJ. Comparison of electrosurgical and formocresol pulpotomy procedures in children. Int J Paediatr Dent 2002; 12: 177 - 182.
51. Rivera N, Reyes E, Mazzaoui S, Moran A. Pulpal therapy for primary teeth: Formocresol vs. electrosurgery: A clinical study. J Dent Child 2003; 70: 71 - 73.
52. Agamy HA, Bakry NS, Mounir MMF, Avery D. Comparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth. Pediatr Dent 2004; 26: 302 - 309.
53. Koch G, Modeér T, Poulsen S, Rasmussen R. Endodontics. En: Koch G, Modeér T, Poulsen S, Rasmussen R. Pedodontics - a clinical approach. Munksgaard; 1992. p. 185 - 210.
54. Guedes-Pinto AC. Comunicación personal. Sao Paulo; 2003.
55. Nurko C, García-Godoy F. Evaluation of a calcium hydroxide/iodoform paste (Vitapex(r)) in root canal therapy for primary teeth. J Clin Pediatr Dent 1999; 23: 289 - 294.
56. Nurko C, Ranly D, García-Godoy F, Lakshmyya K. Resorption of a calcium hydroxide/iodoform paste (Vitapex(r)) in root canal therapy for primary teeth: A case report. Pediatr Dent 2000; 22: 517 - 520.
Cómo citar
Rodríguez Gómez, M. (1). TERAPIA PULPAR PARA LOS DIENTES DECIDUOS: UN ENFOQUE ACTUAL. Ustasalud, 3(2), 108-116. https://doi.org/https://doi.org/10.15332/us.v3i2.1883
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