Diagnóstico y tratamiento de las lesiones cervicales no cariosas : Scoping Rewiew
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Fecha
2020
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Debido al origen multifactorial de las lesiones cervicales no cariosas (LCNC) y a la ausencia de una
estandarización específica para caracterizarlas, ha sido difícil para el clínico establecer un buen diagnóstico, tratamiento y
pronóstico. Objetivo: Establecer una guía actualizada sobre el Diagnóstico y tratamiento de las LCNC en la literatura.
Métodos: Se realizó una revisión sistemática exploratoria de la literatura científica de los últimos cinco años acerca de las
estrategias clínicas reportadas para el diagnóstico y tratamiento de las LCNC. Tres búsquedas se realizaron en
Medline/Pubmed usando “NCCL”, “non carious cervical lesions”, “non-carious cervical lesions” respectivamente. El
administrador de citas EndNoteX9 eliminó duplicados, que posteriormente, de forma manual, se seleccionaron a través de
una revisión completa por partes lo los que tuvieron relación con LCNC, obteniendo finalmente 40 artículos. Resultados: Los
factores de riesgo principales para las LCNC son un ambiente ácido, técnica cepillado inadecuada y estrés oclusal. La
morfología de estas lesiones está directamente relaciona con éstos y con su etiología principal: biocorrosión, abrasión y
abfracción. La dentina en éstas se encuentra hipermineralizada, por lo que debe realizarse un acondicionamiento de superficie
previo, tanto como para sistemas adhesivos y sus resinas como para el uso de materiales autoadhesivos como lo es el
ionómero de vidrio. Conclusión: El presente estudio no pudo establecer una guía actualizada sobre el diagnóstico y
tratamiento de las LCNC. Sin embargo, con la evidencia disponible se puede seguir una guía o recomendaciones para realizar
el mejor tratamiento posible.
Due to the multifactorial origin of non carious cervical lesions (NCCL) and the absence of a specific standardization to characterize them, it has been difficult for the clinician to establish a good diagnosis, treatment and prognosis. Objective: To establish an updated guide on the Diagnosis and treatment of NCCL in the literature. Methods: A scoping review of the scientific literature of the last five years was carried out on the clinical strategies reported for the diagnosis and treatment of NCCL. Three searches were performed in Medline / Pubmed using "NCCL", "non carious cervical lesions", "non-carious cervical lesions" respectively. The citation manager EndNoteX9 eliminated duplicates, which were subsequently manually selected through a complete review by parts of those related to LCNC, finally obtaining 40 articles. Results: The main risk factors for NCCL are an acidic environment, inadequate brushing technique and occlusal stress. The morphology of these lesions is directly related to them and to their main etiology: biocorrosion, abrasion and abfraction. The dentin in these is hypermineralized, so a prior surface conditioning must be carried out, both for adhesive systems and their resins and for the use of self-adhesive materials such as glass ionomer. Conclusion: The present study was unable to establish an updated guide on the diagnosis and treatment of NCCL. However, with the available evidence, a guide or recommendations can be followed to carry out the best possible treatment.
Due to the multifactorial origin of non carious cervical lesions (NCCL) and the absence of a specific standardization to characterize them, it has been difficult for the clinician to establish a good diagnosis, treatment and prognosis. Objective: To establish an updated guide on the Diagnosis and treatment of NCCL in the literature. Methods: A scoping review of the scientific literature of the last five years was carried out on the clinical strategies reported for the diagnosis and treatment of NCCL. Three searches were performed in Medline / Pubmed using "NCCL", "non carious cervical lesions", "non-carious cervical lesions" respectively. The citation manager EndNoteX9 eliminated duplicates, which were subsequently manually selected through a complete review by parts of those related to LCNC, finally obtaining 40 articles. Results: The main risk factors for NCCL are an acidic environment, inadequate brushing technique and occlusal stress. The morphology of these lesions is directly related to them and to their main etiology: biocorrosion, abrasion and abfraction. The dentin in these is hypermineralized, so a prior surface conditioning must be carried out, both for adhesive systems and their resins and for the use of self-adhesive materials such as glass ionomer. Conclusion: The present study was unable to establish an updated guide on the diagnosis and treatment of NCCL. However, with the available evidence, a guide or recommendations can be followed to carry out the best possible treatment.
Notas
Trabajo de titulación (Cirujano Dentista, Licenciado en Odontología)
Palabras clave
Dientes, Heridas, Lesiones, etc., Restauración Dental, Alteraciones Posturales, cabeza, Análisis multifactorial, Chile