中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (21): 3927-3930.doi: 10.3969/j.issn.1673-8225.2010.21.030

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

根管治疗中不同充填材料的应用效果及其生物相容性

车  彤   

  1. 沈阳市沈河区牙病防治所，辽宁省沈阳市  110011
  • 出版日期:2010-05-21 发布日期:2010-05-21
  • 作者简介:车 彤，女，1969年生，辽宁省沈阳市人，汉族，1992年中国医科大学毕业，副主任医师，主要从事儿童牙科常见病治疗。 ct2010@sina.cn

Different filling materials in root canal therapy and their biocompatibility

Che Tong   

  1. Shenhe District Center for Dental Disease Prevention and Control, Shenyang   110011, Liaoning Province, China
  • Online:2010-05-21 Published:2010-05-21
  • About author:Che Tong, Associate chief physician, Shenhe District Center for Dental Disease Prevention and Control, Shenyang 110011, Liaoning Province, China ct2010@sina.cn

PDF

368

被引次数

10

摘要：

目的：探讨不同充填材料在根管治疗中的应用效果及其生物相容性，找出合理的充填材料。
方法：以“根管治疗，充填材料，牙髓病，根尖周病”为检索词，采用计算机检索2001-01/2009-12 Pubmed数据库(http://www.ncbi.nlm.nih.gov/PubMed)及维普数据库(http://www.cqvip.com/)有关根管充填材料及其生物相容性的文献，排除重复研究或Meta分析类文章。共保留36篇文献进一步分析，文献类型包括动物实验和临床研究。
结果：目前常用的根管充填材料根据其性状可分为硬性类和糊剂类。硬性类根管充填材料包括牙胶尖、银尖等，临床常用的是牙胶，牙胶需占据主要的根管空间，但这类根管充填材料都不能将根管完整充填，应配合根管糊剂使用，而以糊剂形式填入根管内的封闭剂不应太多，其作用仅是填补牙胶之间以及牙胶与根管壁之间的缝隙。糊剂类根管充填材料大多是由粉和液调拌成糊状，充填后可硬化。多为以氧化锌、氢氧化钙或碘仿为基质的糊剂，常用的糊剂有氧化锌丁香油糊剂、氢氧化钙糊剂、Vitapex糊剂。
结论：目前还没有一种能完全符合要求的材料，在应用现有材料的同时，还应努力开发新材料，满足临床及患者的要求。

关键词: 根管治疗, 充填材料, 根管充填, 牙髓病, 根尖周病

Abstract:

OBJECTIVE: To study the application and biocompatibility of different root canal filling materials in the root canal therapy, and to find a reasonable filling material.
METHODS: Using “root canal therapy, filling materials, pulposis, periapical disease” in Chinese as the key words, a computer search was performed in Pubmed database (http://www.ncbi.nlm.nih.gov/PubMed) and the VIP Database (http://www.cqvip.com/) between January 2001 and December 2009 for articles about the root canal filling materials and their biocompatibility, excluding repeated studies or Meta analysis. Totally 36 documents were retained for further analysis, and literature type includes animal experiments and clinical research.
RESULTS: The common root canal filling materials can be classified into the paste and rigid ones according to their characters. Rigid type of root canal filling materials include gutta percha point and silver cone, etc., dental adhesive is commonly used in clinical application, occupying the main root canal space, but this type of root canal filling materials can not completely fill root canal, and should combine with paste materials, and sealers in a paste to fill root canal should not be too much, its role is only to fill the gap between gutta-percha, between gutta-percha and root wall. Paste type of root canal filling materials are made from the powder and liquid, they could harden after filling. The zinc oxide, calcium hydroxide or iodoform are mostly used for the matrix of pastes, common pastes are zinc oxide eugenol paste, calcium hydroxide paste, and Vitapex paste.
CONCLUSION: There is no one kind of material that can fully meet the requirements, the application of existing materials should be accompanied by efforts to develop new materials, thus meeting the clinical requirements.

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