Avaliação do sucesso restaurador de diferentes materiais após tratamento endodôntico em dentes decíduos

Abstract

Dental caries is a prevalent chronic condition in childhood, often associated with factors such as a sugar-rich diet, inadequate oral hygiene, and unfavorable socioeconomic conditions. When left untreated, it can lead to pulpal complications that require endodontic treatment. In this context, the selection of the restorative material becomes essential for the clinical, functional, and aesthetic success of the rehabilitation of primary teeth. This study aimed to critically review the literature regarding the success of different restorative materials used after endodontic treatment in primary teeth, in order to identify which materials offer better performance and longevity in pediatric dental practice. Articles published between 2005 and 2024 were selected from the PubMed database. After applying eligibility criteria and analyzing titles and abstracts, 8 studies were included that evaluated materials such as prefabricated stainless steel crowns, composite resin (conventional and bulk fill), glass ionomer cement (conventional and resin-modified), amalgam, zinc oxide eugenol cement, compomer, and short fiber-reinforced composite resin (SFRC).The effectiveness of these materials was assessed through parameters such as success and survival rates, fracture resistance, and acceptance by caregivers and children. It was concluded that composite resin demonstrated superior clinical performance in several studies, while stainless steel crown remain the safest and most effective alternative in cases of extensive coronal destruction, especially in high- caries-risk patients. Compomer and glass ionomer cements, whether conventional or modified, showed more variable results, with the sandwich technique being a promising alternative. Proper indication and execution of the final restoration are crucial for the success of endodontic treatment in primary teeth.