Avaliação do desenvolvimento radicular em resposta às proteínas derivadas da matriz do esmalte e à resolvina E1: estudo experimental em dentes de ratos com rizogênese incompleta e necrose pulpar

• Ano de defesa: 2011
• Autor(a) principal: Scarparo, Roberta Kochenborger
• Orientador(a): Batista Junior, Eraldo Luiz
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul; Porto Alegre
• Palavras-chave em Português: ODONTOLOGIA; ENDODONTIA; INFLAMAÇÃO; DENTES - ESMALTE
• Link de acesso: http://hdl.handle.net/10923/535

The present study aimed at: (a) developing an experimental model for testing treatment strategies in nonvital immature teeth, using the lower first molars of rats; (b) evaluating the effects of intracanal medication with enamel matrix proteins (EMD) and Resolvin E1 (RvE1). At first, the method to be used for arresting root development was tested, comparing healthy teeth with teeth which underwent pulpectomy and were left open since the initial stage of root development (four weeks-age). Radiographic and histological findings proved that induction of periapical lesions and arrest of root development were achieved. Moreover, these data allowed the definition of appropriate periods for testing treatment protocols (3 weeks after pulpectomy) and for evaluating its results (3 and 6 weeks post-treatment). In another group of animals, after arresting root development, disinfection using sodium hypochlorite and saline solution was carried out and intracanal medication with either polyantibiotic paste, EMD or RvE1 was tested. At the control group, no treatment was performed and teeth cavities were left exposed to the oral environment. Radiographic and histological data were evaluated using two-way ANOVA and Bonferroni post-hoc (P<0. 05).At the first time point, only the teeth subjected to RvE1 intracanal medication showed reduced periapical lesions (P<0. 05), which was corroborated by the reduced inflammatory response (P<0. 05). At the second time point, polyantibiotic paste, EMD and RvE1 showed similar results. Although some samples showed unsatisfactory results, root development could be observed, mainly at the expenses of cementum-like or bone-like tissues. EMD allowed, in addition to hard tissue formation at the apical and external portion of roots, its ingrowth into the root canal spaces. RvE1 as EMD presented a potential to be explored in nonvital immature teeth. Further studies should focus in the optimization protocol, cellular and molecular events that take part during root formation and treatment outcome in humans.