Eficácia do tratamento da lesão endodôntica-periodontal frente à influência dos procedimentos endodônticos ou periodontais - revisão sistemática

Abstract

The efficcacy of the treatment of the endodontic-periodontal lesion was evaluated in longitudinal studies, by means through a systematic review. Bibliographic tabulation sources identified electronically by MEDLINE, from 1966 up to March, 26 of 2007 and Cochrane Library, in the same period. As search strategy one used the terms - endodontic-periodontal lesion or endodontic-periodontal lesions or endodontic periodontal lesion or endodontic periodontal lesions or endo-perio lesion or endo-perio lesions or endodontics periodontal lesion or endodontics periodontal lesions - as word-key. The studies had been selected by two copyholders, independent, that also they had determined the criteria of inclusion and exclusion. The search presented 257 related articles, being that, of these, 55 articles were of literature revision, 27 articles became related with prospectives studies, 70 studies was cases reports, 19 studies had been developed in animals and 25 had involved retrospective studies. Absence of longitudinal studies that satisfied the inclusion criteria, with sights to the analysis based on evidences was observed. However, front to applied literature was verified that the success of the treatment of the endodontic-periodontal lesions is related to the brief identification of the etiology, to the control of microbiota present, to the immunological characteristics of the individual, being that one of the strategies and possible prognostic the origin of the infectious process is associated to it. Considering the estimate of success of the clinical success of the endodontic-periodontal lesion an initial microorganisms control in the oral cavity is suggested, followed for the control of endodontical microorganisms and, to follow, the periodontal, for then carrying through the treatment. The immunological system of the individual participates actively of the process as component manager.