Mohammadi Zahed, Jafarzadeh Hamid, Shalavi Sousan, Sahebalam Rasoul, Kinoshita Jun Ichiro
Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shaheed Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Iranian National Elite Foundation, Tehran, Islamic Republic of Iran.
J Contemp Dent Pract. 2017 Mar 1;18(3):246-249.
Microorganisms should be considered to have the major role in starting and perpetuation of pulpo-periapical diseases. Using intracanal medicaments is necessary to gain a bacteria-free environment in the canal system. Calcium hydroxide (abbreviated as Ca(OH)), which is the most commonly used medicament in endodontic therapy, has been shown to be effective against primary sources of infection; however, its effectiveness against some microorganisms, such as Candida albicans and Enterococcus faecalis has not been proved. On the other hand, sodium hypochlorite (NaOCl), chlorhexidine (CHX), and iodine potassium iodide (IKI) have been shown to be the potent medicaments against these microorganisms. Because of this fact, combination of Ca(OH) and some irrigants of the root canal has been suggested as potential intracanal medicaments. The aim of this literature review is to identify and address the efficacy of Ca(OH) in combined with some of these irrigating solutions.
微生物应被视为引发和持续牙髓根尖周疾病的主要因素。使用根管内药物对于在根管系统中获得无菌环境是必要的。氢氧化钙（简称为Ca(OH)₂）是牙髓病治疗中最常用的药物，已被证明对主要感染源有效；然而，其对某些微生物，如白色念珠菌和粪肠球菌的有效性尚未得到证实。另一方面，次氯酸钠（NaOCl）、氯己定（CHX）和碘化钾（IKI）已被证明是对抗这些微生物的有效药物。基于这一事实，有人建议将Ca(OH)₂与一些根管冲洗剂联合作为潜在的根管内药物。这篇文献综述的目的是确定并探讨Ca(OH)₂与其中一些冲洗液联合使用的疗效。
