Celulite Infecciosa de Origem Endodôntica: Uma Revisão Integrativa sobre Etiologia, Diagnóstico e Manejo Clínico
DOI:
https://doi.org/10.36557/2674-8169.2026v8n4p722-740Palavras-chave:
Celulite Infecciosa, Endodontia, Infecção Odontogênica, Tratamento Endodôntico, Terapia AntibióticaResumo
INTRODUÇÃO: A celulite infecciosa endodôntica é uma infecção bacteriana aguda e difusa dos tecidos moles cervicofaciais, originada de canais radiculares necróticos. Representa um problema de saúde pública pelo risco de complicações graves e potencialmente fatais, como a angina de Ludwig, e pela frequência de manejos inadequados, incluindo a prescrição incorreta de antibióticos. OBJETIVOS: Sistematizar e interpretar criticamente a literatura sobre a celulite infecciosa endodôntica, a fim de identificar seus agentes etiológicos, analisar métodos diagnósticos, avaliar estratégias de manejo e explorar as complicações associadas. METODOLOGIA: Realizou-se uma revisão integrativa com busca sistemática na base de dados PubMed, utilizando os descritores “endodontic infectious cellulitis”, “endodontic-related cellulitis” e “cellulitis of endodontic origin”. Após aplicação de critérios de inclusão e exclusão, 16 estudos foram selecionados para análise crítica. CONCLUSÃO: Os resultados confirmam a etiologia polimicrobiana, mas ampliam o paradigma ao incluir a participação de vírus e fungos em contextos específicos. O exame clínico criterioso mostrou-se superior a métodos de imagem, como a ultrassonografia, para o diagnóstico diferencial. O manejo eficaz depende primariamente da eliminação da fonte infecciosa por meio de tratamento endodôntico de qualidade, sendo a antibioticoterapia indicada apenas para casos com disseminação sistêmica, o que contraria a prática da prescrição empírica. Conclui-se que o avanço no manejo da condição exige uma mudança de paradigma, valorizando o rigor técnico e o raciocínio clínico em detrimento da dependência cultural dos antibióticos.
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Copyright (c) 2026 Lucas Monteiro Baia, Caren Lorena Barros de Freitas , Thamiris Tereza da Cunha Bomfim Corrêa, Pedro Henrique Albuquerque Barros, Maisa da Silva Mendes, Diego Calvinho Imbiriba, Sérgius Paulo Amaral Bezerra Neto, Isabela Juliana Maia Cruz, Marielle Cabral Paixão, Daniel Mendes Costa, Paulo Vitor Rodrigues Pinheiro, Emily Evelyn Pinheiros Gomes, Flávia Melo Malato, Yasmin de Nazaré Corrêa Moraes, Sydney Santos de Souza
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
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