FATORES QUE INFLUENCIAM NA SENSIBILIDADE P�S-OPERAT�RIA EM PROCEDIMENTOS RESTAURADORES: REVIS�O DE LITERATURA

Natasha Muniz Fontes; Madlla Pereira da Silva Ramalho; Rebeca Almeida dos Santos; Luciana Quesado Lavor; Kaique de Freitas Matos

FATORES QUE INFLUENCIAM NA SENSIBILIDADE P�S-OPERAT�RIA EM PROCEDIMENTOS RESTAURADORES: REVIS�O DE LITERATURA

Natasha Muniz Fontes, Madlla Pereira da Silva Ramalho, Rebeca Almeida dos Santos, Luciana Quesado Lavor, Kaique de Freitas Matos

Resumo

Diante do grande n�mero de pacientes que retornam ao consult�rio odontol�gico queixando-se de algum desconforto ap�s serem submetidos a algum procedimento restaurador, surgiu assim a necessidade de revisar na literatura as falhas durante as etapas da t�cnica restauradora.��Este trabalho teve com principal objetivo identificar e conhecer os fatores que influenciam na sensibilidade p�s-operat�ria, pretendendo assim, esclarecer d�vidas e ampliar o conhecimento ao cirurgi�odentista. Metodologia: Foi realizada uma busca eletr�nica de publica��es nas bases de dados PubMed e Scielo utilizando-se as seguintes palavras-chave, obtidas de acordo com o Medical Subject Headings (MeSH): adhesive, composite resin, dental leakage e sensitivity. Foram adotados como crit�rio de inclus�o dos estudos: a) artigos que descrevem os seguintes assuntos: Sensibilidade p�soperat�ria em procedimentos restauradores, b) artigo divulgado no per�odo de 2006 a 2018 e c) artigo publicado na l�ngua inglesa. Segundo os crit�rios de inclus�o, realizou-se ent�o a sele��o de 16.850 trabalhos. Ap�s sua an�lise, 16.819 foram exclu�dos e, ao final, 31 artigos foram selecionados para o presente estudo. Discuss�o:Existem diversos fatores respons�veis pelo fracasso da restaura��o, portanto, � de extrema import�ncia que o cirurgi�o-dentista os identifique. Dessa forma � poss�vel evitar e/ou minimizar a sensibilidade p�s-operat�ria. De acordo com esse estudo, foi observado que o mais indicado para uma restaura��o sem falhas s�o o uso de nanocomp�sitos, preparo cavit�rio raso ou m�dio, sistema adesivo de 3 passos, dist�ncia entre o fotopolimerizador e o material restaurador de 7mm, realizar a t�cnica Soft-Start associada � t�cnica de incremento volum�trico para melhor polimeriza��o do material e seguir corretamente as recomenda��es do fabricante em rela��o ao tipo de fotopolimerizador escolhido.�

Palavras-chave

Adesivo; Infiltra��o dent�ria; Resina composta; Sensibilidade.

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Refer?ncias

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