Composición y eficacia de diferentes pastas antibióticas usadas en terapia pulpar no instrumentada de dientes deciduos
The absence of collaboration, apprehension towards dental consultations, constrained financial means among parents, and limitations within public health services collectively present challenges to the implementation of conventional pulpectomy treatment for deciduous teeth affected by pulpal necrosis...
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| Hovedforfatter: | |
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| Format: | bachelorThesis |
| Sprog: | spa |
| Udgivet: |
2024
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| Fag: | |
| Online adgang: | https://dspace.unl.edu.ec/jspui/handle/123456789/29551 |
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Tilføj Tag | Summary: | The absence of collaboration, apprehension towards dental consultations, constrained financial means among parents, and limitations within public health services collectively present challenges to the implementation of conventional pulpectomy treatment for deciduous teeth affected by pulpal necrosis. However, there are other alternatives available, such as the non-instrumented pulpal technique, also known as LSTR, which involves the application of an antibiotic paste within the pulp chamber without the need for canal obturation or instrumentation. Consequently, the main objective of this research project is to determine the composition of two pastes used within this technique, namely MP and CTZ, and to evaluate their efficacy in the short, medium, and long-term durations through the examination of diverse clinical cases. The present study, characterized by its descriptive, analytical, bibliographic, and cross-sectional nature, includes a total of 22 scientific articles, all of which are clinical cases. These articles are selected based on pre-established inclusion criteria and are sourced from different databases. In order to systematize the information gathered, customized blank spreadsheets are used in Microsoft Excel, carefully designed to meet the research objectives. The results show that a combination of metronidazole, ciprofloxacin and minocycline is used in 100% of reported cases involving MP paste. Furthermore, propylene glycol and macrogol are used in 66.66% and 33.33% of cases respectively. The CTZ paste, on the other hand, contains chloramphenicol, tetracycline, zinc oxide and eugenol, all of which are used exclusively in 100% of cases. Clinical and radiographic aspects are studied to assess efficacy. However, the predominant findings indicate that in 80% of cases, short-term monitoring is the primary focus for the MP paste, whereas medium-term monitoring is the primary focus for the CTZ paste. In both types of pastes, it is determined that there is a 100% reduction in post-treatment pain. In conclusion, it is found that there is a 60% reduction in the radiolucent zone or area in the periapical radiograph for the MP paste, while a 100% reduction is observed for the CTZ paste |
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