Endodontic shielding with pediatric resin. Coronal sealing (shielding) after endodontic treatment.
Use of Twinky Star pediatric resin for cervical sealing after endodontic treatment.
Staining makes it easier to locate root canals in the event of re-treatment.
In: Sanos et al. Importance of coronal sealing in the success of endodontic treatment. Braz. J. Hea. Rev, Curitiba, v. 3, n. 6, p.17797-17812. nov./dez. 2020.
1 INTRODUCTION
Endodontic treatment aims to maintain dental elements and
re-establish the function of teeth with pulp and periapical damage. For
treatment to be successful, it is important to respect the mechanical and biological principles that
will be applied during the procedure (OCCHI et al., 2011).
The appearance of periapical diseases is related to the presence of microorganisms
inside the root canal system. Endodontic treatment aims to eliminate
the bacteria present there and create an environment where they cannot survive (JAMALI et al.,
2020).
For endodontic treatment to be successful, it is necessary to completely
disinfect the root canal, eliminating all microorganisms present, as well as avoiding recontamination in cases where more than one session is necessary during therapy
(SALAZAR-SILVA; PEREIRA; RAMALHO, 2004).
Endodontic therapy should be carried out in stages, from diagnosis and the creation of a
treatment plan, coronal opening, chemical and mechanical cleaning, intracanal medication (if
necessary) to obturation. Each stage has its objective, and if done well, will result in
successful treatment. However, the guarantee of success will come from correctly performed coronal sealing
(KHULLAR et al., 2013).
The therapy consists of healing the affected teeth by removing the diseased tissue,
completely sealing the root canal system and subsequently restoring the dental
structure, promoting patient health and restoring function and aesthetics to the dental element
(OLIVEIRA et al., 2013).
Failure to correctly seal the crown between sessions or at the end of treatment,
can cause the material to break down, exposing the filled canals to the oral environment, leading to
possible recontamination. (SOUZA; SILVEIRA; RANGEL, 2011). (ZANCAN et al., 2015).
The aim of this literature review was to elucidate the importance of crown sealing
for successful endodontic treatment.
