Guldener P H
SSO Schweiz Monatsschr Zahnheilkd. 1979 Apr;89(4):330-45.
A survey of physical and biological properties of well-known root canal filling materials are discussed and the following conclusions were drawn: --No root canal filling material fulfils all requirements of an ideal sealer. Those materials, which perfectly seal the root canal and also show minimal periradicular tissur reaction, are recommended in Endodontics. --During setting time, all sealers are more or less toxic to the periradicular tissue. Materials which contain paraformaldehyde and lead exhibit a strong and persistent toxicity. --The tissue reaction of root canal filling materials is only slight when the root canal is underfilled. Ideally, in vital cases, the root canal should be filled to the dentine-cemental junction (approx. 1 mm short of the apex), in necrotic cases to the apical foramen. --Neither a root canal cement nor a guttapercha cone will perfectly seal a root canal alone. The combination of the two materials is recommended. --Silver cones are indicated only in narrow, tortuous canals. --Success of root canal therapy depends on various factors, primarily however on thorough root canal débridement.
本文讨论了对知名根管充填材料的物理和生物学特性的一项调查,并得出以下结论:——没有一种根管充填材料能满足理想封闭剂的所有要求。那些能完美封闭根管且对根尖周组织反应最小的材料,在牙髓病学中是推荐使用的。——在凝固期,所有封闭剂对根尖周组织或多或少都有毒性。含有多聚甲醛和铅的材料表现出强烈且持久的毒性。——当根管充填不足时,根管充填材料的组织反应很轻微。理想情况下,在活髓病例中,根管应充填至牙本质-牙骨质界(距根尖约1毫米处),在坏死病例中应充填至根尖孔。——根管黏固剂和牙胶尖单独都不能完美封闭根管。建议将这两种材料联合使用。——银尖仅适用于狭窄、弯曲的根管。——根管治疗的成功取决于多种因素,但主要取决于彻底的根管清创。