Associação entre o trauma dentário e a reabsorção cervical invasiva: uma revisão sistemática

• Autor(a) principal: Minchio, Evelin Scarabelli
• Data de Publicação: 2023
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
• Texto Completo: http://repositorio.ufes.br/handle/10/12457
• topic: Ciências da Saúde; Reabsorção cervical externa; Trauma dental; Etiologia; Prevalência

Cervical invasive resorption (ICR) is a still largely misunderstood pathology that involves dentin, periodontium and may or may not involve the pulp. The biological mechanism associated with the occurrence of ICR is directly related to the integrity of the cementum, which provides root protection. This starts when this tissue suffers some damage or has a deficiency, which generates exposure of the root to clastic cells, which initiate root resorption. Many can be the causes that cause these cement defects, as well as multiple factors can be associated. Among the main predisposing factors, Dental Trauma stands out. The objective of this systematic review was to evaluate the relationship between invasive cervical resorption and the main predisposing factors, with emphasis on dental trauma as a single or associated agent. Searches were carried out in PubMed, Embase, Scopus, Web of Science, LILACS, Scielo and Google Scholar databases. Observational clinical studies were included whose sample consisted of patients affected by invasive cervical resorption, with no restriction regarding publication date or language. The methodological quality assessment instrument used to assess the included studies was the Joanna Briggs Institutute Critical Appraisal Checklist for Systematic Reviews and Research. A total of 6.484 articles were found, four of which were included in the qualitative analysis. In all studies, Dental Trauma was considered a relevant etiological factor for the occurrence of invasive cervical resorption, with a prevalence that varied between 27-33%, being evaluated as a single etiological factor or associated with other factors. The risk of bias in these studies was considered to be of low reliability, since 2 articles were evaluated with a high risk of bias (37.5% and 50%) and two others with a moderate risk of bias (both 62.5%). Although the studies presented have supported the relationship between dental trauma and the development of invasive cervical resorption, the literature on the subject is scarce and the studies evaluated present a high risk of bias. The need for further studies on the subject is highlighted so that this relationship can be established with greater reliability.