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根管冲洗的当前趋势

Current Trends in Root Canal Irrigation.

作者信息

Ali Azhar, Bhosale Anuradha, Pawar Swapnil, Kakti Ateet, Bichpuriya Anjali, Agwan Muhammad A

机构信息

Endodontics, Ministry of Health, Kingdom of Saudi Arabia, Al Jawf, SAU.

Periodontology, Dr D Y Patil Dental College and Hospital , Dr D Y Patil Vidyapeeth, Pune, IND.

出版信息

Cureus. 2022 May 8;14(5):e24833. doi: 10.7759/cureus.24833. eCollection 2022 May.

Abstract

Chemical and mechanical root canal debridement are the primary methods used in endodontic therapy to remove all dead tissue, bacteria, and microbial byproducts from the canal. Sodium hypochlorite, a powerful organic tissue dissolver with a broad spectrum of antibacterial properties, is an excellent choice for disinfecting surfaces. Chelating agents, on the other hand, may be used to remove the inorganic components found on the smear layer. This irrigation method is capable of removing the smear layer; however, it is less effective in the apical third. While using irrigant activation devices, irrigating solutions need to be in direct contact with the whole root canal wall surfaces, especially in the apical portions of tiny root canals. The role of irrigants is extremely important because they help not only to clean the canal but also to allow the seepage of the medicaments into the canal system. Thus, the canal needs to be healthy before the obturation procedure. Nowadays, many irrigants have been studied and hence compilation of the various available sources and their effect has to be studied both and . The correlation between the irrigants and the canal cleanliness is of utmost importance, as the success of endodontic root canal treatment depends on its proper activation and characteristics. Hence, this review incorporates the current use of various irrigating solutions and their advantages and disadvantages. In the future, endodontists may employ the novel irrigants and irrigant activation devices that were discovered in this study.

摘要

化学和机械根管清创术是牙髓治疗中用于清除根管内所有坏死组织、细菌和微生物副产物的主要方法。次氯酸钠是一种具有广泛抗菌特性的强力有机组织溶解剂,是消毒表面的极佳选择。另一方面,螯合剂可用于去除玷污层上的无机成分。这种冲洗方法能够去除玷污层;然而,在根尖三分之一处效果较差。在使用冲洗液激活装置时,冲洗液需要与整个根管壁表面直接接触,尤其是在细小根管的根尖部分。冲洗液的作用极其重要,因为它们不仅有助于清洁根管,还能使药物渗入根管系统。因此,在根管充填步骤之前,根管需要保持健康。如今,已经对许多冲洗液进行了研究,因此必须综合研究各种现有冲洗液及其效果。冲洗液与根管清洁度之间的相关性至关重要,因为牙髓根管治疗的成功取决于其适当的激活和特性。因此,本综述纳入了各种冲洗液的当前使用情况及其优缺点。未来,牙髓病医生可能会采用本研究中发现的新型冲洗液和冲洗液激活装置。

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