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牙髓冲洗剂研发取得突破。

Breakthrough in the Development of Endodontic Irrigants.

作者信息

Naladkar Kapil, Chandak Manoj, Sarangi Swayangprabha, Agrawal Paridhi, Jidewar Namrata, Suryawanshi Tejas, Hirani Palak

机构信息

Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 16;16(8):e66981. doi: 10.7759/cureus.66981. eCollection 2024 Aug.

Abstract

The three main components of endodontic success are three-dimensional obturation, pulp space sterilization, and biomechanical preparation. Instrumentation techniques are insufficient to accomplish complete disinfection of the pulp space. It is essential to use additional tools, such as endodontic irrigants. This review article aims to provide a general overview of the different root canal irrigants and their clinical uses. Endodontic treatment focuses more on removing infectious material from the root canal system to facilitate the healing of an existing periapical lesion or to prevent the periradicular tissues from being infected. It is important to note that instrumentation alone can reach every part of the root canal wall. Therefore, the irrigation procedure is a crucial aspect of endodontic therapy. Irrigation requires the application of various irrigants, like sodium and chlorhexidine, to get rid of debris, bacteria, and tissue leftovers. The accomplishment of root canal treatments counts heavily on the thoroughness of irrigation, contributing to optimal canal shaping and disinfection. Modern root canal irrigation systems incorporate syringes, needles, and advanced delivery mechanisms, including sonic and ultrasonic devices. These inventions aim to enhance the mechanical action of irrigants, reaching intricate canal anatomy more efficiently. Understanding the dynamics of root canal irrigation and staying abreast of technological advancements are essential for clinicians to achieve improved treatment outcomes in endodontic procedures.

摘要

根管治疗成功的三个主要组成部分是三维充填、髓腔消毒和生物力学预备。器械操作技术不足以完成髓腔的彻底消毒。使用额外的工具,如根管冲洗剂,是必不可少的。这篇综述文章旨在对不同的根管冲洗剂及其临床应用进行概述。根管治疗更侧重于从根管系统中清除感染物质,以促进现有根尖周病变的愈合或防止根尖周组织受到感染。需要注意的是,仅靠器械操作无法到达根管壁的每个部位。因此,冲洗程序是根管治疗的一个关键方面。冲洗需要使用各种冲洗剂,如次氯酸钠和氯己定,以清除碎屑、细菌和组织残渣。根管治疗的成功在很大程度上取决于冲洗的彻底性,这有助于实现最佳的根管塑形和消毒。现代根管冲洗系统包括注射器、针头和先进的输送机制,包括声波和超声波设备。这些发明旨在增强冲洗剂的机械作用,更有效地到达复杂的根管解剖结构。了解根管冲洗的动态过程并跟上技术进步对临床医生在根管治疗程序中取得更好的治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66bd/11402485/550241267032/cureus-0016-00000066981-i01.jpg

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