Dioguardi Mario, Sovereto Diego, Illuzzi Gaetano, Laneve Enrica, Raddato Bruna, Arena Claudia, Alberto Caponio Vito Carlo, Caloro Giorgia Apollonia, Zhurakivska Khrystyna, Troiano Giuseppe, Lo Muzio Lorenzo
Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, 71122 Foggia, Italy.
Department of Emergency and Organ Transplantation, Nephrology, Dialysis and Transplantation Unit, University of Bari, Via Piazza Giulio Cesare, 70124 Bari, Italy.
Int J Dent. 2020 Feb 8;2020:5824369. doi: 10.1155/2020/5824369. eCollection 2020.
Endodontic treatment consists of different working procedures, such as the isolation of the operating field, pulp chamber access, and cleaning and shaping phases with at last the need of a three-dimensional filling of the canals. Each step requires a series of single-use or sterilizable instruments. We have performed a systematic review of different sterilization and disinfection procedures aiming at drawing up a disinfection and sterilization procedure to be used on endodontic instruments. A search on PubMed and Scopus was carried out using the following keywords: "endodontic sterilization," "endodontic autoclave," "decontamination dental bur," "sterilization dental burs," and "gutta-percha points sterilization." Eligible articles were included in the qualitative and quantitative analysis. Results of the meta-analysis showed that the most effective method in sterilization is autoclaving. The qualitative analysis showed that the use of single-use or first-use instruments requires presterilization or sterilization procedures, and for reusable tools, attention must be paid to the removal of debris deposited on the blades, not easy to remove manually.
牙髓治疗包括不同的操作步骤，如术野隔离、髓腔进入、清理和成形阶段，最后还需要对根管进行三维充填。每个步骤都需要一系列一次性或可消毒的器械。我们对不同的消毒和灭菌程序进行了系统评价，旨在制定一种用于牙髓器械的消毒和灭菌程序。使用以下关键词在PubMed和Scopus上进行了检索：“牙髓灭菌”、“牙髓高压灭菌器”、“牙科车针去污”、“牙科车针灭菌”和“牙胶尖灭菌”。符合条件的文章纳入定性和定量分析。荟萃分析结果表明，灭菌最有效的方法是高压灭菌。定性分析表明，使用一次性或首次使用的器械需要进行预灭菌或灭菌程序，对于可重复使用的工具，必须注意清除刀片上沉积的碎屑，手动清除并不容易。
