Índice de sucesso em endodontia: uma revisão de literatura

Abstract

Introduction: The term “success” can refer to different procedures in dentistry, the results and success rates in Endodontics differ greatly, as there are factors that will interfere with the data obtained. Objective: To analyze the criteria that may affect the success rate in Endodontics through a narrative literature review. Materials and Methods: A search for articles was carried out on the search platforms Pubmed, Scielo, Google Scholar and Science Direct, 20 articles were selected over a period of 54 years published between 1966 and 2020, containing as descriptors the consecutive terms: “Endodontic success rate”, “periapical healing, as well as endodontic outcome”. In this research, scientific articles related to the topic and published in English and Portuguese were chosen, giving priority to those published in the magazines “Journal of Endodontics” and “International Endodontic Journal”, due to the esteem of these magazines in the scientific world. Result: The vast majority of articles believe that the incisors and premolars have a greater chance of success. The examiner can be a source of variance. The presence or absence of a region with radiolucency at the apex of the tooth is one of the key elements in determining the success of endodontic therapy. Filling the canal at the apical level had a higher success rate. To increase the success rate in endodontically treated teeth, hermetic coronal restorations must be made. Furthermore, there was no agreement between studies regarding the relationship between systemic conditions, pulp status, age group and gender, number of sessions and symptoms in the success of endodontic treatment. Conclusion: The criteria that can affect the success rate in Endodontics are: internal anatomy, its variations and dental elements; angle of the x-ray beam and/or film, exposure time and film development; examiner; periapical lesion; filling limit and coronal restorations.