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再生牙髓学的未来:新型抗菌剂和再生策略。

What the future holds for regenerative endodontics: novel antimicrobials and regenerative strategies.

机构信息

Department of Clinical Dental Science, Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi

出版信息

Eur Cell Mater. 2021 Jun 25;41:811-833. doi: 10.22203/eCM.v041a51.

Abstract

Regenerative/revitalisation endodontic techniques are increasingly used as a treatment approach for the management of immature permanent teeth with necrotic pulps. Different chemical irrigants and medicaments are routinely used clinically for intra-canal disinfection. However, despite remarkable progress in this field, coronal discolouration, cell cytotoxicity, difficulty of removal of organic biofilm from the root canal, development of sensitisation and antimicrobial resistance are still challenges to this line of treatment. This review critically discusses and challenges the current status quo of antimicrobials used in regenerative endodontics and sheds the light on future alternative antimicrobial materials with regenerative potential.

摘要

再生/ revitalisation 牙髓治疗技术越来越多地被用作治疗牙髓坏死的未成熟恒牙的方法。不同的化学冲洗液和药物常规用于根管内消毒。然而,尽管在这一领域取得了显著进展,但牙冠变色、细胞细胞毒性、从根管中去除有机生物膜的困难、致敏和抗菌耐药性的发展仍然是这一治疗方法的挑战。本综述批判性地讨论并挑战了再生牙髓治疗中使用的抗菌药物的现状,并探讨了具有再生潜力的未来替代抗菌材料。

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