Evolución del uso de la pulpotomía parcial y total. Una revisión

Antecedentes: el tratamiento de pulpotomía conserva la vitalidad pulpar de los dientes y promueve la cicatrización. Objetivo: determinar los avances del tratamiento de pulpotomía parcial en los últimos 10 años. Criterio de selección: artículos de estudios analíticos, experimentales ECA (ensayos clín...

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Autores:: Alarcón Rodríguez, Yicelud

Tipo de recurso:: Trabajo de grado de pregrado

Fecha de publicación:: 2023

Institución:: Universidad Santo Tomás

Repositorio:: Repositorio Institucional USTA

Idioma:: spa

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network_acronym_str	SANTTOMAS2
network_name_str	Repositorio Institucional USTA
repository_id_str
dc.title.spa.fl_str_mv	Evolución del uso de la pulpotomía parcial y total. Una revisión
title	Evolución del uso de la pulpotomía parcial y total. Una revisión
spellingShingle	Evolución del uso de la pulpotomía parcial y total. Una revisión partial or total pulpotomy calcium hydroxide minera trioxide added MTA biodentin pulpitis dental pulp cells scarring Pulpa dental - enfermedades Inflamación Raices dentales Enfermedades de los dientes Especialización endodoncia Pulpotomia Terapia pulpar Vitalidad pulpar Pulpotomía parcial
title_short	Evolución del uso de la pulpotomía parcial y total. Una revisión
title_full	Evolución del uso de la pulpotomía parcial y total. Una revisión
title_fullStr	Evolución del uso de la pulpotomía parcial y total. Una revisión
title_full_unstemmed	Evolución del uso de la pulpotomía parcial y total. Una revisión
title_sort	Evolución del uso de la pulpotomía parcial y total. Una revisión
dc.creator.fl_str_mv	Alarcón Rodríguez, Yicelud
dc.contributor.advisor.none.fl_str_mv	Serpa Vélez, Maria Fernanda
dc.contributor.author.none.fl_str_mv	Alarcón Rodríguez, Yicelud
dc.subject.keyword.spa.fl_str_mv	partial or total pulpotomy calcium hydroxide minera trioxide added MTA biodentin pulpitis dental pulp cells scarring
topic	partial or total pulpotomy calcium hydroxide minera trioxide added MTA biodentin pulpitis dental pulp cells scarring Pulpa dental - enfermedades Inflamación Raices dentales Enfermedades de los dientes Especialización endodoncia Pulpotomia Terapia pulpar Vitalidad pulpar Pulpotomía parcial
dc.subject.lemb.spa.fl_str_mv	Pulpa dental - enfermedades Inflamación Raices dentales Enfermedades de los dientes
dc.subject.proposal.spa.fl_str_mv	Especialización endodoncia Pulpotomia Terapia pulpar Vitalidad pulpar Pulpotomía parcial
description	Antecedentes: el tratamiento de pulpotomía conserva la vitalidad pulpar de los dientes y promueve la cicatrización. Objetivo: determinar los avances del tratamiento de pulpotomía parcial en los últimos 10 años. Criterio de selección: artículos de estudios analíticos, experimentales ECA (ensayos clínicos controlados aleatorizados), revisiones sistemáticas que traten sobre pulpotomía parcial o total. Artículos con nivel de evidencia moderado a alto y seguimiento, control clínico y radiográfico en dientes tratados con pulpotomía publicados desde el año 2011 al 2022. Recopilación y análisis de datos: la evaluación de la calidad metodológica, riesgo de sesgo y extracción de datos se realizó de forma independiente. La calidad metodológica se evaluó con la guía PRISMA para revisiones sistemáticas y metaanálisis; CONSORT para ensayos clínicos aleatorizados y STROBE para estudios observacionales. El análisis del riesgo de sesgo en los estudios observacionales se evaluó con la herramienta de la Escala Newcastle-Ottawa y las revisiones sistemáticas con la herramienta (RoB2) Cochrane. Resultados: de los 54 estudios seleccionados, 11 fueron Revisiones sistemáticas, 33 ensayos clínicos aleatorizados y 10 estudios observacionales. Se observo buen pronóstico en dientes con ápice cerrado, el anestésico más utilizado fue con vasoconstrictor, el hipoclorito de sodio es el irrigante y hemostático más utilizado y los cementos Biocerámicos presentaron el mejor porcentaje de éxito. Conclusiones: los hallazgos de la revisión indican altas tasas de éxito para la pulpotomía; sin embargo, existe un riesgo moderado de sesgo en los estudios incluidos, por lo que los resultados generales deben interpretarse con cautela.
publishDate	2023
dc.date.accessioned.none.fl_str_mv	2023-06-01T14:12:33Z
dc.date.available.none.fl_str_mv	2023-06-01T14:12:33Z
dc.date.issued.none.fl_str_mv	2023-05-20
dc.type.local.spa.fl_str_mv	Trabajo de grado
dc.type.version.none.fl_str_mv	info:eu-repo/semantics/acceptedVersion
dc.type.category.spa.fl_str_mv	Formación de Recurso Humano para la Ctel: Trabajo de grado de Especialización
dc.type.coar.none.fl_str_mv	http://purl.org/coar/resource_type/c_7a1f
dc.type.drive.none.fl_str_mv	info:eu-repo/semantics/bachelorThesis
format	http://purl.org/coar/resource_type/c_7a1f
status_str	acceptedVersion
dc.identifier.citation.spa.fl_str_mv	Alarcón Rodriguez ,Y, (2023), Evolución del uso de la pulpotomía parcial y total. Una revisión. [Tesis de posgrado]. Universidad Santo Tomás, Bucaramanga, Colombia.
dc.identifier.uri.none.fl_str_mv	http://hdl.handle.net/11634/50723
dc.identifier.reponame.spa.fl_str_mv	reponame:Repositorio Institucional Universidad Santo Tomás
dc.identifier.instname.spa.fl_str_mv	instname:Universidad Santo Tomás
dc.identifier.repourl.spa.fl_str_mv	repourl:https://repository.usta.edu.co
identifier_str_mv	Alarcón Rodriguez ,Y, (2023), Evolución del uso de la pulpotomía parcial y total. Una revisión. [Tesis de posgrado]. Universidad Santo Tomás, Bucaramanga, Colombia. reponame:Repositorio Institucional Universidad Santo Tomás instname:Universidad Santo Tomás repourl:https://repository.usta.edu.co
url	http://hdl.handle.net/11634/50723
dc.language.iso.spa.fl_str_mv	spa
language	spa
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Prognosis of Vital Pulp Therapy on Permanent Dentition: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Endod., 47(11), 1683-1695. doi:10.1016/j.joen.2021.08.008 Schröder , U. (1985, April). Effects of calcium hydroxide-containing pulp-capping agents on pulp cell migration, proliferation, and differentiation. J Dent Res., 64(4), 541-548. doi:10.1177/002203458506400407. SELTZER , S., BENDER , I., & NAZIMOV, H. (1965, Mar). DIFFERENTIAL DIAGNOSIS OF PULP CONDITIONS. Oral Surg Oral Med Oral Pathol., 383-391. doi:10.1016/0030-4220(65)90050-2. Shabahang, S. (2013, March). Treatment Options: Apexogenesis and Apexification. JOE, 39, S26-29. doi:10.1016/j.joen.2012.11.046 Simon S, P. M. (2013, Jan). Should pulp chamber pulpotomy be seen as a permanent treatment? Some preliminary thoughts. Int Endod J, 46(1), 79-87. doi:10.1111/j.1365-2591.2012.02113.x. Simon S, P. M. (2013, Jan). Should pulp chamber pulpotomy be seen as a permanent treatment? 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spelling	Serpa Vélez, Maria FernandaAlarcón Rodríguez, Yicelud2023-06-01T14:12:33Z2023-06-01T14:12:33Z2023-05-20Alarcón Rodriguez ,Y, (2023), Evolución del uso de la pulpotomía parcial y total. Una revisión. [Tesis de posgrado]. Universidad Santo Tomás, Bucaramanga, Colombia.http://hdl.handle.net/11634/50723reponame:Repositorio Institucional Universidad Santo Tomásinstname:Universidad Santo Tomásrepourl:https://repository.usta.edu.coAntecedentes: el tratamiento de pulpotomía conserva la vitalidad pulpar de los dientes y promueve la cicatrización. Objetivo: determinar los avances del tratamiento de pulpotomía parcial en los últimos 10 años. Criterio de selección: artículos de estudios analíticos, experimentales ECA (ensayos clínicos controlados aleatorizados), revisiones sistemáticas que traten sobre pulpotomía parcial o total. Artículos con nivel de evidencia moderado a alto y seguimiento, control clínico y radiográfico en dientes tratados con pulpotomía publicados desde el año 2011 al 2022. Recopilación y análisis de datos: la evaluación de la calidad metodológica, riesgo de sesgo y extracción de datos se realizó de forma independiente. La calidad metodológica se evaluó con la guía PRISMA para revisiones sistemáticas y metaanálisis; CONSORT para ensayos clínicos aleatorizados y STROBE para estudios observacionales. El análisis del riesgo de sesgo en los estudios observacionales se evaluó con la herramienta de la Escala Newcastle-Ottawa y las revisiones sistemáticas con la herramienta (RoB2) Cochrane. Resultados: de los 54 estudios seleccionados, 11 fueron Revisiones sistemáticas, 33 ensayos clínicos aleatorizados y 10 estudios observacionales. Se observo buen pronóstico en dientes con ápice cerrado, el anestésico más utilizado fue con vasoconstrictor, el hipoclorito de sodio es el irrigante y hemostático más utilizado y los cementos Biocerámicos presentaron el mejor porcentaje de éxito. Conclusiones: los hallazgos de la revisión indican altas tasas de éxito para la pulpotomía; sin embargo, existe un riesgo moderado de sesgo en los estudios incluidos, por lo que los resultados generales deben interpretarse con cautela.Record: pulpotomy is a treatment that promotes pulp healing. Objective: To the aim of this review was to assess the progress of partial pulpotomy treatment in the last 10 years. Selection criteria: analytical articles, experimental studies CCT (Controled Clinical Trial), systematic reviews of partial or total pulpotomy. Articles with moderate to high evidence level and follow-up, clinical and radiographic control in teeth treated with pulpotomy published from 2011 to 2022. Data collection and analysis: the evaluation of methodological quality, risk of bias and data extraction was carried out independently. Methodological quality was assessed with the PRISMA guide for systematic reviews and meta-analyzes, CONSORT for randomized clinical trials and STROBE for observational studies. Risk of bias analysis in observational studies was assessed using the Newcastle-Ottawa Scale tool and systematic reviews using the Cochrane (RoB2) tool. Results: from 54 studies selected, 11 were systematic reviews, 33 randomized clinical trials and 10 observational studies. Good prognosis was observed in teeth with closed apex, the most used anesthetic was with vasoconstrictor, sodium hypochlorite is the most used irrigant and hemostatic and the Bioceramic cements presented the best success rate. Conclusions: the findings of the review indicate high success rates for pulpotomy; however, there is a moderate risk of bias in the included studies, so the overall results should be interpreted with caution.Especialista en Endodonciahttp://www.ustabuca.edu.co/ustabmanga/presentacionEspecializaciónapplication/pdfspaUniversidad Santo TomásEspecialización EndodonciaFacultad de OdontologíaAtribución 2.5 ColombiaCC0 1.0 Universalhttp://creativecommons.org/publicdomain/zero/1.0/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Evolución del uso de la pulpotomía parcial y total. 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