Avaliação comparativa entre terapia endodôntica convencional e técnica não instrumental: um relato de caso

Abstract

Objective: Dental pulp necrosis is a complication caused mainly by cavities and traumatic injuries. There is no consensus on the best technique and materials for endodontic treatment in primary dentition. The objective was to present a clinical case report in which different endodontic approaches were performed on traumatized and necrotic homologous teeth. Methods: A one year and eight month old boy suffered dentoalveolar trauma after a fall and sought out the UFMG School of Dentistry trauma extension project in October 2018 for clinical and radiographic evaluation. The left upper central incisor presented enamel and dentin fracture without pulp exposure, while the right upper central incisor presented mild intrusive dislocation. Both presented the development of periapical lesions. Results: The teeth were treated respectively with the non-instrumental technique with CTZ paste and with conventional endodontic therapy with Guedes-Pinto paste. Clinical and radiographic follow-up after treatments revealed asymptomatic teeth and evidence of periapical healing. Conclusion: The use of CTZ paste showed satisfactory results similar to traditional therapy in the short term in the case report presented.