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FP 核心载体技术:使用聚丙烯核心的热塑牙胶根管充填技术。

FP core carrier technique: thermoplasticized gutta-percha root canal obturation technique using polypropylene core.

作者信息

Kato Hiroshi, Nakagawa Kan-Ichi

机构信息

Department of Endodontics and Clinical Cariology, Tokyo Dental College, Chiba, Japan.

出版信息

Bull Tokyo Dent Coll. 2010;51(4):213-20. doi: 10.2209/tdcpublication.51.213.

Abstract

Core carrier techniques are unique among the various root canal filling techniques for delivering and compacting gutta-percha in the prepared root canal system. Thermafil (TF), considered the major core carrier device, is provided as an obturator consisting of a master core coated with thermoplasticized gutta-percha. We have devised a thermoplasticized gutta-percha filling technique using a polypropylene core, FlexPoint® NEO (FP), which was developed as a canal filling material that can be sterilized in an autoclave. Therefore, FP can be coated onto thermoplasticized gutta-percha and inserted into the prepared canal as a core carrier. The FP core carrier technique offers many advantages over the TF system: the core can be tested in the root canal and verified radiographically; the core can be adjusted to fit and surplus material easily removed; furthermore the core can be easily removed for retreatment. The clinical procedure of the FP core carrier technique is simple, and similar that with the TF system. Thermoplasticized gutta-percha in a syringe is heated in an oven and extruded onto the FP core carrier after a trial insertion. The FP core carrier is inserted into the root canal to the working length. Excess FP is then removed with a red-hot plastic instrument at the orifice of the root canal. The FP core carrier technique incorporates the clinical advantages of the existing TF system while minimizing the disadvantages. Hence the FP core carrier technique is very useful in clinical practice. This paper describes the FP core carrier technique as a new core based method.

摘要

在各种根管充填技术中,核心载体技术在预备根管系统中输送和压实牙胶方面独具特色。热牙胶尖充填技术(TF)被认为是主要的核心载体装置,它是一种充填器,由涂有热塑牙胶的主尖组成。我们设计了一种使用聚丙烯芯FlexPoint® NEO(FP)的热塑牙胶充填技术,FP作为一种可在高压灭菌器中灭菌的根管充填材料而开发。因此,FP可以涂覆在热塑牙胶上,并作为核心载体插入预备好的根管中。与TF系统相比,FP核心载体技术具有许多优点:可以在根管内测试核心并通过影像学验证;可以调整核心以适配根管,多余材料易于去除;此外,为了再治疗,核心可以轻松取出。FP核心载体技术的临床操作简单,与TF系统类似。将注射器中的热塑牙胶在烤箱中加热,试插入后挤出到FP核心载体上。将FP核心载体插入根管至工作长度。然后用炽热的塑料器械在根管口去除多余的FP。FP核心载体技术结合了现有TF系统的临床优点,同时将缺点降至最低。因此,FP核心载体技术在临床实践中非常有用。本文将FP核心载体技术描述为一种新的基于核心的方法。

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