Alternativas de tratamento para lesões endoperiodontais: uma revisão integrativa

Within dentistry, various tissue and bone changes and inflammations are identified and studied. One of these changes is specifically the lesions that affect both the supporting tissues of the tooth, called periodontal disease, and the pulp, which is a soft tissue located in the deepest part of the tooth, where there are many nerves and is highly vascularized. These changes are called endoperiodontal lesions, which can be caused by several factors and mainly by the connection between these structures, directly causing the interference of one in the other, since one can cause the other and vice versa. Thus, the objective of the present study is to analyze what is the best treatment alternative for each endoperiodontal alteration, according to its cause, in order to obtain a more adequate diagnosis and avoid future damage to the patient. To this end, articles were examined in the “Pubmed” database between 2011 and 2021, clinical cases, case series, clinical trials and in vitro studies, with 21 articles selected for the study, excluding repeated articles, review articles from literature, meta-analyzes and those that did not present at least six months of evaluation. After reading these articles, different treatment alternatives for endoperative injuries were identified, such as: the use of ozone gas (mainly assisting in the healing process), the use of platelet-rich fibrin prepared with titanium (T-PRF), tissue regeneration guided (GTR), the regenerative capacity of the combination of platelet derivatives (fibrin and plasma) with bioactive glass and the mineral trioxide aggregate (MTA). With that, it was concluded that all these alternatives showed positive results, collaborating for an effective treatment