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根尖周组织对两种含氢氧化钙根管封闭剂的反应

Periapical tissue response to two calcium hydroxide-containing endodontic sealers.

作者信息

Soares I, Goldberg F, Massone E J, Soares I M

机构信息

Department of Endodontics, Universidad de Santa Catarina, Florianopolis, Brazil.

出版信息

J Endod. 1990 Apr;16(4):166-9. doi: 10.1016/S0099-2399(06)81964-3.

DOI:10.1016/S0099-2399(06)81964-3
PMID:2074406
Abstract

One-hundred twenty root canals of dog teeth were cleaned, shaped, and obturated with gutta-percha and sealers using a lateral condensation technique. The sealers used were Sealapex, CRCS, and zinc oxide-eugenol. The animals were killed after 30 or 180 days and the specimens were examined histologically. Sealapex and CRCS caused a periapical tissue response similar to that found with the zinc oxide-eugenol. An ingrowth of connective tissue infiltrated with chronic inflammatory cells was noticed in cases where the filling material reached the apical stops. Regardless of sealer used, deposition of new hard tissue along the apical root canal walls was observed, which caused the partial closure of the apical opening. In the Sealapex and CRCS groups, sealer particles were found at a considerable distance from the apices. All overfilled specimens caused chronic inflammatory reactions in the periapical tissues.

摘要

使用侧向加压技术,对120颗犬齿根管进行清理、塑形,并用牙胶尖和封闭剂进行充填。所用封闭剂为Sealapex、CRCS和氧化锌丁香酚。30天或180天后处死动物,对标本进行组织学检查。Sealapex和CRCS引起的根尖周组织反应与氧化锌丁香酚相似。当充填材料到达根尖止点时,可见结缔组织向内生长并浸润慢性炎症细胞。无论使用何种封闭剂,均观察到沿根尖根管壁有新的硬组织沉积,导致根尖孔部分封闭。在Sealapex和CRCS组中,在距根尖相当远的距离处发现了封闭剂颗粒。所有超充标本均在根尖周组织中引起慢性炎症反应。

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引用本文的文献

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Biotoxicity of commonly used root canal sealers: A meta-analysis.常用根管封闭剂的生物毒性:一项荟萃分析。
J Conserv Dent. 2015 Mar-Apr;18(2):83-8. doi: 10.4103/0972-0707.153054.
2
Neurotoxicity of various root canal sealers on rat sciatic nerve: an electrophysiologic and histopathologic study.不同根管封闭剂对大鼠坐骨神经的神经毒性:一项电生理和组织病理学研究。
Clin Oral Investig. 2015 Nov;19(8):2091-100. doi: 10.1007/s00784-015-1447-y. Epub 2015 Mar 14.
3
Histological analysis of the biocompatibility of three different calcium hydroxide-based root canal sealers.
三种不同氢氧化钙类根管封闭剂生物相容性的组织学分析
J Appl Oral Sci. 2006 Oct;14(5):376-81. doi: 10.1590/s1678-77572006000500014.