Introduction: Preservation of pulp tissue can extend the long-term survival of teeth through relatively simple restorative procedures. Objective:To analyze the literature on the success of indirect pulp capping in primary and permanent teeth, as well as direct pulp capping and partial and complete pulpotomy in mature and immature teeth. Methodology: An electronic search was performed during January 2022 in the PubMed, SCOPUS and Google Scholar databases, using Boolean logical operators AND, OR and NOT. Human or in vitro comparative studies were included and evaluated, the keywords used were: "vital pulp therapy", "direct pulp capping", "indirect pulp capping", "primary teeth", "partial pulpotomy", "permanent", "mature" and "immature". Results: An indirect pulp capping (IPC) will depend mainly on the size of the lesion and its time of evolution, TheraCal and Biodentine can be considered as the material of choice. A direct pulp capping (DPC) has a success rate between 80% to 90% and the materials used do not differ much from each other. Partial pulpotomy has a success rate between 85% and 95% and the most used material is MTA. Complete pulpotomy has a success ranging from 85% to 93%, with MTA and Biodentine being the most used materials. Conclusions: IPC, as well as partial and complete pulpotomy, have high success rates both above 85%. The material of choice will be TheraCal for IPC, and MTA and Biodentine for partial and complete pulpotomy.
Introduction:The small access cavities could make it more difficult to visualize the pulp chamber as well as to locate, shape, clean and fill the canals. At the same time, increase the risk of iatrogenic complications. (Silva et al., 2020) Objective: To analyze the literature concerning the influence of minimally invasive endodontic access in pulp therapy, in relation to the degree of disinfection, degree of conformation, quality of obturation and resistance to the fracture. Methodology: By searching in electronic databases such as PubMed, using keywords: "minimally invasive endodontics", "degree of disinfection", "shaping", "obturation" and "resistance to fracture". Results: A true compromise of the degree of conformation of the canal is not demonstrated, although neither a benefit, when performing a contracted endodontic cavity (CEC). It is not possible to reach an adequate conclusion about the degree of disinfection in a CEC; priority should be given to a traditional endodontic cavity (TEC). Efficient canal obturation in CEC is limited to a single obturation technique, but if it is not intended to work under this protocol, the use of a TEC is suggested. No noticeable change in fracture strength is demonstrated in a CEC over a TEC. Conclusions: Success of endodontic treatment is represented by each of the stages that make up the procedure. CECs are an alteration to the traditional protocol and with it to the rest of the treatment stages.
Introduction: Direct pulp treatment is a procedure in which the exposed vital pulp is treated with a therapeutic material, it is sought to promote healing, maintain pulp vitality and protect the pulp. Objective: To prove that TheraCal is the material of choice as a coating for direct pulp treatment in terms of biocompatibility and cytotoxicity, solubility and clinical management, effects on the pulp, clinical and radiographic success in comparison with current materials used; MTA and Biodentine. Methodology: An electronic search was performed during September 2021 in the PubMed-MEDLINE database. Human or In vitro comparative studies evaluating biocompatibility, clinical and radiographic success were included. No restriction was applied to the date of publication. Case series and expert opinions were excluded. Keywords such as "Theracal", "direct pulp capping", "Biodentine", "MTA" and "vital pulp treatment" were used. Results: Only one article was found that discussed the toxic effects of TheraCal. TheraCal has very favorable effects on the pulp, as it could be observed to induce dentin formation, these effects are to some extent limited. The solubility of TheraCal is one of its strongest characteristics, and it is very useful in indirect pulp capping, but not very useful in direct pulp capping. In comparison with other materials, Theracal shows good results that are considerably successful, however, the MTA and Biodentine variants present better percentages and higher probabilities of success. Conclusion: Theracal cannot be considered as a first-choice material when performing direct pulp treatment.
El aislamiento ocasionado por la pandemia del COVID-19, vino a corroborar la importancia de generar programas e incluso políticas públicas que se establezcan de acuerdo con las necesidades remotas, el uso de las tecnologías de información para continuar con la enseñanza en línea. El propósito de la investigación fue determinar los factores que son necesarios para el desarrollo de las competencias profesionales en la educación continua en línea, en la Facultad de Odontología de la Universidad Autónoma de Nuevo León. La metodología utilizada tiene un enfoque cuantitativo, y se realizó por medio de la utilización de un cuestionario, diseñado para el proyecto obtenido de investigaciones científicas previas considerando las variables de teleodontología, educativo, infraestructura, y tecnológico. Este cuestionario se colocó a una muestra no probabilística de 28 docentes y 42 estudiantes. De acuerdo con los resultados encontrados en el análisis cuantitativo se observa que los docentes y estudiantes consideran importante el uso de la educación continua en línea mediante la teleodontología para fortalecer las competencias y habilidades educativas en forma virtual que les permitan mejorar el acceso a la salud bucal.
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