Palabras clave
endodoncia
incisivos
MTA
odontología
perforación radicular
reparación de perforación iatrogénica
revisión sistemática de alcance
tratamiento del conducto radicular
Cómo citar
Resumen
Antecedentes: El tratamiento de una perforación radicular consiste en sellar la comunicación entre el conducto radicular y los tejidos periodontales con un material reparador biocompatible. Objetivo: Presentar un caso clínico en el que se utilizó MTA como material reparador de una perforación radicular lateral en un incisivo central superior, el cual estuvo apoyado por una revisión sistemática de alcance sobre el uso del mismo material en casos similares. Métodos: Se emplearon descriptores normalizados MeSH y DeCS con conectores booleanos en cuatro bases de datos (PubMed, LILACS, SciELO y Google Académico) para buscar las investigaciones relacionadas. Se identificaron estudios de casos clínicos, series de casos, ensayos clínicos, revisiones sistemáticas y narrativas, y estudios retrospectivos sobre el uso de MTA en perforaciones radiculares laterales. Resultados: De 194 títulos de artículos encontrados, se seleccionaron 16 que abordaron tratamientos similares en conductos unirradiculares. Descripción del caso: El caso se trató de una paciente de sexo femenino de 23 años de edad con perforación radicular lateral provocada durante el retiro de un perno de fibra de vidrio. Se selló la perforación con MTA vía intraconducto en un incisivo central superior. El seguimiento clínico se extendió durante un año. Conclusiones: El caso clínico apoya la evidencia sobre la eficacia del MTA en la reparación de perforaciones radiculares laterales, con resultados favorables a un año. La revisión de alcance respalda su uso como una alternativa eficaz y viable, gracias a su biocompatibilidad y capacidad de sellado superior a mediano plazo.
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Derechos de autor 2025 Eugenia de Jesús Arévalos Ávalos, Liz Carolina Ibarra Benítez, Amalia Soledad Morínigo Areco, Sol Aramí Centurión Zayas, Lidia Carolina López Bazán, Diego Fernando Casco Silva