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硅酸钙基骨水泥时代的一项突破:批判性综述

A Breakthrough in the Era of Calcium Silicate-Based Cements: A Critical Review.

作者信息

Chaudhari Payal S, Chandak Manoj G, Jaiswal Akshay A, Mankar Nikhil P, Paul Priyanka

机构信息

Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

Public Health Dentistry, Sharad Pawar Dental College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Aug 29;14(8):e28562. doi: 10.7759/cureus.28562. eCollection 2022 Aug.

Abstract

Calcium silicate-based cements (CSCs) or mineral trioxide aggregate (MTA) lookalike materials are blocks of cement or root canal sealers produced from calcium (Ca) and silicate. They have superior sealing ability, bioactivity, and marginal adaptability, making them appropriate for various dental treatment applications. Mineral trioxide aggregate is widely used in numerous endodontic repair techniques. The capacity of this cement to promote tissue regeneration and stimulate mineralization accounts for its widespread usage in pulp capping, apexification, apical surgeries, and revascularization. Several studies have been conducted to investigate changes in the components of MTA-based types of cement directed to improve their presentation clinically. To improve flowability, new Ca silicate-based formulations have been introduced commercially. In these new formulations, essential features such as adequate radiopacity and setting time, color stability, alkaline pH, and calcium ion release and biocompatibility must be considered. Owing to an increased range of indications of CSCs, including some for restorative dentistry, and with the emergence of novel silicate calcium-based materials with considerable changes in their compositions, it is necessary to examine the available scientific literature that evaluates their usage in these applications. Therefore, this review paper aims to assess the existing knowledge of CSCs, emphasizing their potential uses in restorative and endodontic dentistry. This report strives to update doctors' understanding of CSCs, allowing for a better therapeutic approach.

摘要

硅酸钙基水门汀(CSCs)或类三氧化矿物凝聚体(MTA)材料是由钙(Ca)和硅酸盐制成的水门汀或根管封闭剂块体。它们具有卓越的封闭能力、生物活性和边缘适应性,使其适用于各种牙科治疗应用。三氧化矿物凝聚体广泛应用于众多牙髓治疗修复技术中。这种水门汀促进组织再生和刺激矿化的能力解释了其在盖髓术、根尖诱导成形术、根尖手术和牙髓血管再生术中的广泛应用。已经进行了多项研究来调查基于MTA的水门汀类型的成分变化,旨在临床上改善它们的性能。为了提高流动性,新的硅酸钙基配方已在商业上推出。在这些新配方中,必须考虑一些基本特性,如足够的射线不透性和凝固时间、颜色稳定性、碱性pH值、钙离子释放和生物相容性。由于CSCs的适应证范围不断扩大,包括一些用于修复牙科的适应证,并且随着新型硅酸钙基材料的出现,其成分发生了相当大的变化,因此有必要查阅评估它们在这些应用中的使用情况的现有科学文献。因此,这篇综述文章旨在评估CSCs的现有知识,强调它们在修复牙科和牙髓病学中的潜在用途。本报告力求更新医生对CSCs的认识,以便采用更好的治疗方法。

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本文引用的文献

1
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Dent Traumatol. 2016 Dec;32(6):480-487. doi: 10.1111/edt.12285. Epub 2016 May 18.

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