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根管治疗中活性冲洗的临床疗效:聚焦综述

Clinical efficacy of activated irrigation in endodontics: a focused review.

作者信息

Cheung Amelia Wan Tin, Lee Angeline Hui Cheng, Cheung Gary Shun Pan

机构信息

Discipline of Endodontology, Division of Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR.

出版信息

Restor Dent Endod. 2021 Jan 26;46(1):e10. doi: 10.5395/rde.2021.46.e10. eCollection 2021 Feb.

DOI:10.5395/rde.2021.46.e10
PMID:33680899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7906851/
Abstract

Root canal debridement, which includes the removal of infected tissues and microbial biofilms, is considered the corner stone of root canal treatment. Chemical adjuncts play a multitude of functions in this regard, as tissue solvents, antimicrobial agents and for removing the smear layer. These adjuncts (irrigants) are usually delivered using a syringe and needle. With increasing knowledge of the complexity of root canal anatomy and tenacity of microbial biofilms, the need for strategies that potentiate the action of these irrigants within the root canal system cannot be overemphasized. Several such activated irrigation strategies exist. The aim of this review is to comprehensively discuss the different irrigant activation methods from the context of clinical studies.

摘要

根管清创术,包括清除感染组织和微生物生物膜,被认为是根管治疗的基石。化学辅助剂在这方面发挥着多种作用,可作为组织溶剂、抗菌剂以及用于去除玷污层。这些辅助剂(冲洗剂)通常通过注射器和针头输送。随着对根管解剖结构复杂性和微生物生物膜韧性的认识不断增加,强调增强这些冲洗剂在根管系统内作用的策略的必要性再怎么强调也不为过。存在几种这样的活化冲洗策略。本综述的目的是从临床研究的角度全面讨论不同的冲洗剂活化方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea60/7906851/d3797f83bcbb/rde-46-e10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea60/7906851/d3797f83bcbb/rde-46-e10-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea60/7906851/d3797f83bcbb/rde-46-e10-g001.jpg

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本文引用的文献

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Int Endod J. 2020 Jan;53(1):53-61. doi: 10.1111/iej.13202. Epub 2019 Aug 31.
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The effects of photodynamic therapy on postoperative pain in teeth with necrotic pulps.光动力疗法对坏死牙髓牙术后疼痛的影响。
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Passive Ultrasonic Irrigation Efficacy in the Vapor Lock Removal: Systematic Review and Meta-Analysis.
四种主动附加冲洗法对根管系统的清洗与消毒。
Sci Rep. 2024 Feb 15;14(1):3795. doi: 10.1038/s41598-024-53375-8.
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Synergistic antimicrobial potential of EGCG and fosfomycin against biofilms associated with endodontic infections.表没食子儿茶素没食子酸酯和磷霉素联合抗根管感染相关生物膜的抗菌潜力。
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Comparison of sealer penetration of sonic activation versus conventional needle irrigation: a systematic review and meta-analysis of randomized controlled trials.超声激活与传统针管冲洗对牙胶封闭剂渗透性的比较:系统评价和随机对照试验的荟萃分析。
BMC Oral Health. 2022 Dec 3;22(1):566. doi: 10.1186/s12903-022-02608-1.
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