Successful management of root perforation with bioceramics: a case report with clinical and radiographic follow-up

2025-10-08T18:04:25+00:00

Introduction: root perforations are a frequent complication in endodontic practice. The prognosis of these teeth depends on several factors, such as the location, size, and the time elapsed since the perforation occurred. In recent years, treatment has evolved with the introduction of bioceramic materials, which provide superior sealing ability compared with traditional filling materials. Objective: to present a clinical case on the successful management of root perforation using bioceramic materials, including clinical and radiographic follow-up. Methodology: a clinical case is reported involving the surgical selling of a root perforation in the middle third of a previously treated tooth using bioceramic materials. Clinical and radiographic follow-ups were performed for 15 days, 1 month, 3, 6, and 9 months. Results: The patient remained asymptomatic, without signs of inflammation or dental mobility. Radiographic evaluation revealed appropriate periradicular tissue regeneration. Conclusions: although extensive root perforations are often considered lesions with poor prognosis, they do not necessarily imply the definitive loss of the tooth. This case demonstrates that, through timely intervention, the use of bioceramic materials and the correct application of biological protocols, it is possible to restore and maintain the functionality of the affected tooth. General Area of Study: Odontology. Specific area of study: Endodontic. Type of study: Clinical case.

Effects of physical exercise in women with gestational diabetes

2025-10-15T15:22:50+00:00

Introduction. Physical activity has been shown to be an effective strategy for the non-pharmacological management of gestational diabetes, contributing to glycemic control, reducing maternal-fetal complications, and improving quality of life. Therefore, it is important to compile and analyze current scientific evidence demonstrating the benefits of physical exercise in women diagnosed with this condition, thus promoting its therapeutic use by physical therapists as an integral part of treatment during pregnancy. Objective. To synthesize the available scientific evidence on the effects of physical exercise in pregnant women with gestational diabetes, considering its impact on glycemic control and its role as a therapeutic strategy. Methodology. A systematic review that followed the guidelines of the PRISMA declaration. Results. Structured and supervised exercise consistently improves glycemic control in GDM. Additionally, resistance exercise may have a slight advantage in postprandial glycemia. Professional supervision enhances the metabolic and psychosocial benefits of exercise-based interventions, improving quality of life. Conclusion. Aerobic and resistance exercise improve fasting and postprandial glycemia, with the latter being more sensitive to resistance training. However, unsupervised activities, such as postprandial walking without personalization, can be ineffective or counterproductive. Professional supervision ensures an adequate therapeutic dose and optimizes metabolic effects. General Area of Study: Health Sciences. Specific area of study: Physiotherapy. Type of study: Systematic bibliographic review.

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Successful management of root perforation with bioceramics: a case report with clinical and radiographic follow-up

Effects of physical exercise in women with gestational diabetes