Zehnder Matthias, Lehnert Birgit, Schönenberger Kathrin, Waltimo Tuomas
Station für Endodontie, Klinik PPK, Zahnmedizinisches, Zentrum der Universität Zürich, Plattenstrasse 11, 8028 Zürich.
Schweiz Monatsschr Zahnmed. 2003;113(7):756-63.
Modern, biologic root canal therapy should be performed with suitable irrigating solutions and intracanal medicaments. The goal of endodontic treatment is to free the treated tooth from infection and prevent reinfection as thoroughly as possible by means which do not put the organism at risk. In this review of the literature, an evidence-based concept for irrigation and medication of root canal systems is presented. Irrigants and medicaments are discussed with respect to their antimicrobial, tissue-dissolving and endotoxin-decontaminating capacity in relation to their systemic toxicity. Recent findings pertaining to interactions of root canal medicaments and irrigating solutions and their impact on a sound irrigating and medicating concept are discussed.
现代生物性根管治疗应使用合适的冲洗液和根管内药物进行。牙髓治疗的目标是使患牙摆脱感染，并通过不会对机体造成风险的方法尽可能彻底地防止再次感染。在这篇文献综述中，提出了一种基于证据的根管系统冲洗和用药概念。就冲洗剂和药物的抗菌、溶解组织及内毒素去污能力及其全身毒性进行了讨论。还讨论了根管药物与冲洗液相互作用的最新研究结果及其对合理冲洗和用药概念的影响。
