Diagnóstico de fracturas verticales en raíces de dientes posteriores vitales y tratados endodonticamente, basados en parámetros tomográficos radiológicos y clínicos: revisión sistemática. Diagnosis of vertical root fractures in endodontically and nonendodontically treated posterior teeth, based in clinical, radiologic and tomographic parameters: a systematic review.
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RESUMEN
Este estudio tuvo como objetivo realizar una búsqueda sistemática y evaluación de la literatura existente en el diagnóstico de síntomas clínicos, índices radiográficos y tomográficos de fracturas radiculares verticales en dientes posteriores vitales y tratados endodonticamente. Se realizó una búsqueda bibliográfica y un criterio de inclusión estricta en las bases de datos de Pubmed y Scielo (español y portugués), desde el año 1980 hasta 2016 se identificaron los estudios clínicos, radiográficos y tomográficos relevantes que evaluaron el diagnóstico de fracturas verticales en dientes posteriores. Fueron encontrados 730 artículos, luego de descartarse algunos de estos estudios, se seleccionaron 50, y ninguno de estos artículos alcanzó los criterios de inclusión para realizar una revisión completa del artículo. Con base en los resultados de esta revisión sistemática, no hay evidencia sustancial para un diagnóstico preciso de los dientes vitales y tratados endodónticamente.
PALABRAS CLAVES: Revisión sistemática, síndrome de diente fisurado, fractura de diente, diente endodónticamente tratado
Abstract
The objective of this study was to carry out a systematic search and evaluation of existing literature in the diagnosis of clinical symptoms, radiographic and tomographic indexes of vertical root fractures in vital posterior teeth and endodontically treated teeth. A bibliographic search and strict inclusion criteria were carried out in the Pubmed and Scielo databases (Spanish and Portuguese), from 1980 to 2016 we found 730 studies that evaluated the diagnosis of vertical fractures in posterior teeth, the articles found describe clinical, radiographic and tomographic studies. After discarding some of the studies, 50 were selected,
and none of these articles met the inclusion criteria for a complete review of the article. Based on the results of this systematic review, there is no substantial evidence for an accurate diagnosis of vital and endodontically treated teeth.
Keywords: Systematic review, cracked teeth, vertical root fracture, endodontically-treated teeth.
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