Azizi Hadas, Hadad Avi, Levy Dan Henry, Ben Itzhak Joe, Kim Hyeon-Cheol, Solomonov Michael
Department of Endodontics, Israel Defense Forces (IDF) Medical Corps, Tel Hashomer, Ramat-Gan, Israel.
"Bina" Program, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Dent J (Basel). 2024 Mar 25;12(4):85. doi: 10.3390/dj12040085.
This study aimed to review the considerations for choosing a suitable sealer according to various endodontic scenarios. An electronic search of PubMed, Scopus, and the Web of Science was undertaken for the keywords of 'sealer choosing', 'appropriate sealer', 'suitable sealer', 'sealer for clinical scenario', and 'sealer for clinical situations'. However, the literature review revealed a lack of studies with practical clinical recommendations regarding the choice of appropriate endodontic root canal sealers for particular clinical situations of root canal treatment. Therefore, a narrative review was undertaken under the basis of the characteristics of an epoxy resin-based sealer (ERS) versus a calcium silicate-based sealer (CSS). Based on the evidence found through the review, the choice of an appropriate sealer in a variety of clinical scenarios was proposed. An ERS is recommended for one-visit non-vital cases, teeth with periodontal involvement, cracked teeth, and internal root resorption without root perforation. A CSS is recommended for vital or non-vital cases in multiple visits, teeth with internal root resorption with perforation or internal approach for external cervical resorption, teeth with open apices, and teeth with iatrogenic aberrations.
本研究旨在回顾根据各种牙髓病情况选择合适封闭剂的相关考量因素。通过电子检索PubMed、Scopus和科学网，以“封闭剂选择”“合适的封闭剂”“适用的封闭剂”“临床情况的封闭剂”以及“临床情形的封闭剂”为关键词进行搜索。然而，文献综述显示，缺乏针对根管治疗特定临床情况选择合适牙髓根管封闭剂的具有实际临床建议的研究。因此，基于环氧树脂基封闭剂（ERS）与硅酸钙基封闭剂（CSS）的特性进行了叙述性综述。基于综述中发现的证据，提出了在各种临床情况下选择合适封闭剂的建议。对于一次性非活髓病例、伴有牙周病变的牙齿、牙裂以及无牙根穿孔的内部牙根吸收，建议使用ERS。对于多次就诊的活髓或非活髓病例、伴有穿孔的内部牙根吸收或外部颈缘吸收的内部入路病例、根尖孔开放的牙齿以及存在医源性异常的牙齿，建议使用CSS。
