Muliyar Sabir, Shameem K Abdul, Thankachan Rekha P, Francis P G, Jayapalan C S, Hafiz K A Abdul
Professor & Head, Department of Conservative Dentistry, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India.
Professor, Department of Conservative Dentistry, MES Dental College, Perinthalmanna, Palachode, Malappuram, Kerala, India.
J Int Oral Health. 2014 Nov-Dec;6(6):99-104.
A three-dimensional obturation and complete coronal and apical seal is one the important aims of root canal treatment. Since microorganisms may remain in the root canal system after instrumentation, a tight apical seal is desired to prevent bacteria and their by-products from invading the apex. A perfect apical seal is also desired to prevent apical percolation. One of the major objectives of tooth restoration is the protection of exposed dentine against bacteria and their toxins. The interface between the restoration and dental hard tissue is an area of clinical concern as insufficient sealing can result in marginal discoloration, secondary caries, and pulpitis. For that reason, adequate sealing is essential for the optimal clinical performance Prevention of microleakage in endodontically treated teeth is most important for patients who rely on the combined expertise and quality care of dentist/endodontist colleagues. Microleakage is arguably the single most important risk factor for apical periodontitis.
三维充填以及完善的冠部和根尖封闭是根管治疗的重要目标之一。由于在根管预备后微生物可能残留在根管系统中,因此需要紧密的根尖封闭以防止细菌及其产物侵入根尖。还需要完美的根尖封闭以防止根尖渗漏。牙齿修复的主要目标之一是保护暴露的牙本质免受细菌及其毒素的侵害。修复体与牙齿硬组织之间的界面是临床关注的区域,因为封闭不足会导致边缘变色、继发龋和牙髓炎。因此,充分的封闭对于最佳临床性能至关重要。对于依赖牙医/牙髓病医生同事的综合专业知识和优质护理的患者来说,防止根管治疗后牙齿的微渗漏最为重要。微渗漏可以说是根尖周炎最重要的单一危险因素。