Tabela raiz-osso e distância do pavimento nasal dos dentes anteriores superiores com indicação para microcirurgia apical
DOI:
https://doi.org/10.20453/reh.v33i4.5112Palavras-chave:
apicoectomia, microcirurgia, tomografia computorizada de feixe cónico, maxilar, incisivoResumo
Objetivo: avaliar a distância da raiz às tábuas ósseas e ao assoalho nasal de dentes anteriores superiores com indicação de microcirurgia apical. Material e métodos: a amostra foi composta por 44 imagens de tomografia computadorizada de feixe cônico antes do procedimento de microcirurgia apical; além disso, 31 imagens foram selecionadas para comparação com dentes contralaterais sem indicação de microcirurgia apical. Foi medida a distância da raiz até as tábuas ósseas e o assoalho nasal. Resultados: a distância da superfície radicular às tábuas ósseas vestibular e palatina, a 3mm do ápice, foi de 0,98mm ± 0,67mm e 4,26mm ± 2,97mm para o incisivo central; 0,77mm ± 0,50mm e 2,12mm ± 1,22mm para o incisivo lateral; e 0,52mm ± 0,63mm e 5,31mm ± 1,38mm para o canino, respetivamente. A menor distância entre o ápice e o assoalho nasal foi de 9,56 ± 2,88 mm para o incisivo central; 10,33 ± 2,97 mm para o incisivo lateral; e 5,73 ± 2,57 mm para o canino. Uma distância estatisticamente significativa maior do ápice ao assoalho nasal foi encontrada apenas para o incisivo lateral com indicação de microcirurgia apical em comparação com o incisivo lateral sem indicação de microcirurgia apical. Conclusões: a distância da raiz até a tábua óssea vestibular é menor do que a distância da raiz até a tábua óssea palatina. O ápice mais próximo do assoalho nasal foi o do canino. Os dentes anteriores superiores com e sem indicação de microcirurgia apical apresentaram distâncias semelhantes da raiz às tábuas ósseas e ao assoalho nasal.
Referências
Taschieri S, Weinstein T, Rosano G, Del Fabbro M. Morphological features of the maxillary incisors roots and relationship with neighbouring anatomical structures: possible implications in endodontic surgery. Int J Oral Maxillofac Surg [Internet]. 2012; 41(5): 616-623. Disponible en: https://www.ijoms.com/article/S0901-5027(11)01492-5/fulltext
Jacobs R, Lambrichts I, Liang X, Martens W, Mraiwa N, Adriaensens P, et al. Neurovascularization of the anterior jaw bones revisited using high-resolution magnetic resonance imaging. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2007; 103(5): 683-693. Disponible en: https://www.oooojournal.net/article/S1079-2104(06)00877-8/fulltext
Ducommun J, Bornstein MM, Wong MCM, von Arx T. Distances of root apices to adjacent anatomical structures in the anterior maxilla: an analysis using cone beam computed tomography. Clin Oral Investig [Internet]. 2019; 23(5): 2253-2263. Disponible en: https://link.springer.com/article/10.1007/s00784-018-2650-4
Creasy JE, Mines P, Sweet M. Surgical trends among endodontists: the results of a web-based survey. J Endod [Internet]. 2009; 35(1): 30-34. Disponible en: https://www.jendodon.com/article/S0099-2399(08)00911-4/fulltext
García PX, Lavarello AN. Evaluación radiográfica y clínica de las microcirugías apicales [tesis de especialista en Internet]. Lima: Universidad Peruana Cayetano Heredia; 2018. Disponible en: https://hdl.handle.net/20.500.12866/3716
Uğur Z, Göller D. Relationship between the anatomic structures and mandibular posterior teeth for endodontic surgery in a Turkish population: a cone-beam computed tomographic analysis. Clin Oral Investig [Internet]. 2019; 23(9): 3637-3644. Disponible en: https://link.springer.com/article/10.1007/s00784-019-02834-y
Sheth K, Kapoor S, Daveshwar S. Comparison of cone-beam computed tomography and periapical radiography to determine the proximity of periapical lesions to anatomical structures in premaxillary area prior to surgical endodontics: a clinical study. Int J Clin Pediatr Dent [Internet]. 2020; 13(4): 322-326. Disponible en: https://www.ijcpd.com/doi/pdf/10.5005/jp-journals-10005-1783
AAOMR, AAE. Use of cone beam computed tomography in endodontics 2015 update. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2015; 120(4): 508-512. Disponible en: https://www.oooojournal.net/article/S2212-4403(15)01131-1/fulltext
Zahedi S, Mostafavi M, Lotfirikan N. Anatomic study of mandibular posterior teeth using cone-beam computed tomography for endodontic surgery. J Endod [Internet]. 2018; 44(5): 738-743. Disponible en: https://www.jendodon.com/article/S0099-2399(18)30070-0/fulltext
Lavasani SA, Tyler C, Roach SH, McClanahan SB, Ahmad M, Bowles WR. Cone-beam Computed tomography: anatomic analysis of maxillary posterior teeth - impact on endodontic microsurgery. J Endod [Internet]. 2016; 42(6): 890-895. Disponible en: https://www.jendodon.com/article/S0099-2399(16)30029-2/fulltext
Von Arx T, Käch S, Suter VGA, Bornstein MM. Perforation of the maxillary sinus floor during apical surgery of maxillary molars: a retrospective analysis using cone beam computed tomography. Aust Endod J [Internet]. 2020; 46(2): 176-183. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/aej.12413
Kazemipoor M, Sabaghzadegan F, Ardakani FE. Pattern of endodontic periapical lesion extension in anterior teeth: a CBCT study in an Iranian population. Iran Endod J [Internet]. 2019; 14(4): 259-264. Disponible en: https://journals.sbmu.ac.ir/iej/article/view/24188
Estrela C, Reis Bueno M, Correa Azevedo B, Ribamar Azevedo J, Djalma Pécora J. A new periapical index based on cone beam computed tomography. J Endod [Internet]. 2008; 34(11): 1325-1331. Disponible en: https://www.jendodon.com/article/S0099-2399(08)00733-4/fulltext
Bieszczad D, Wichlinski J, Kaczmarzyk T. Factors affecting the success of endodontic microsurgery: a cone-beam computed tomography study. J Clin Med [Internet]. 2022; 11(14): 3991. Disponible en: https://www.mdpi.com/2077-0383/11/14/3991
Urbaniak GC, Plous S. Research Randomizer [Computer software]. Disponible en: https://randomizer.org/
Paes da Silva LM, Ordinola-Zapata R, Húngaro MA, Alvares AL. Prevalence of apical periodontitis detected in cone beam CT images of a Brazilian subpopulation. Dentomaxillofac Radiol [Internet]. 2013; 42(1): 80179163. Disponible en: https://www.birpublications.org/doi/10.1259/dmfr/80179163
Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod [Internet]. 2006; 32(7): 601-623. Disponible en: https://www.jendodon.com/article/S0099-2399(05)00185-8/fulltext
Um M, Johnson B, Fayad M. Buccal plate thickness as a predictor for endodontic microsurgery outcomes: a retrospective cohort study. Oral Surg Oral Med Oral Pathol Oral Radiol [Internet]. 2023; 135(3): 324-332. Disponible en: https://www.oooojournal.net/article/S2212-4403(22)01048-3/fulltext
De Oliveira-Santos C, Rubira-Bullen IRF, Monteiro SAC, León JE, Jacobs R. Neurovascular anatomical variations in the anterior palate observed on CBCT images. Clin Oral Implants Res [Internet]. 2013; 24(9): 1044-1048. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0501.2012.02497.x
Shan T, Qu Y, Huang X, Gu L. Cone beam computed tomography analysis of accessory canals of the canalis sinuosus: a prevalent but often overlooked anatomical variation in the anterior maxilla. J Prosthet Dent [Internet]. 2021; 126(4): 560-568. Disponible en: https://www.thejpd.org/article/S0022-3913(20)30435-2/fulltext
Khojastepour L, Movahhedian N, Zolghadrpour M, Mahjoori-Ghasrodashti M. Assessment of the relationship between the maxillary sinus and the canine root tip using cone beam computed tomography. BMC Oral Health [Internet]. 2021; 21(1): 338. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-021-01700-2
Kim D, Ku H, Nam T, Yoon TC, Lee CY, Kim E. Influence of size and volume of periapical lesions on the outcome of endodontic microsurgery: 3-dimensional analysis using cone-beam computed tomography. J Endod [Internet]. 2016; 42(8): 1196-1201. Disponible en: https://www.jendodon.com/article/S0099-2399(16)30250-3/fulltext
Lin LM, Huang GTJ. Pathobiology of apical periodontitis. In: Hargreaves KM, Berman LH (eds.). Cohen’s Pathways of the Pulp. 12.a ed. Missouri: Elsevier; 2016. pp. 630-659.
Bornstein MM, Bingisser AC, Reichart PA, Sendi P, Bosshardt DD, Von Arx T. Comparison between radiographic (2-dimensional and 3-dimensional) and histologic findings of periapical lesions treated with apical surgery. J Endod [Internet]. 2015; 41(6): 804-811. Disponible en: https://www.jendodon.com/article/S0099-2399(15)00067-9/fulltext
Karamifar K, Tondari A, Saghiri MA. Endodontic periapical lesion: an overview on the etiology, diagnosis and current treatment modalities. Eur Endod J [Internet]. 2020; 5(2): 54-67. Disponible en: https://eurendodj.com/jvi.aspx?un=EEJ-42714&volume=
Sukegawa S, Matsuzaki H, Katase N, Kawai H, Kanno T, Asaumi JI, et al. Morphological characteristics of radicular cysts using computed tomography. Odontology [Internet]. 2020; 108(1): 74-83. Disponible en: https://link.springer.com/article/10.1007/s10266-019-00443-5
Boubaris M, Cameron A, Love R, George R. Sphericity of periapical lesion and its relation to the novel CBCT periapical volume index. J Endod [Internet]. 2022; 48(11): 1395-1399. Disponible en: https://www.jendodon.com/article/S0099-2399(22)00608-2/fulltext
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