中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (42): 7934-7938.doi: 10.3969/j.issn.1673-8225.2010.42.034

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

三种新型糊剂类根管充填材料在根管治疗中的应用

谢家晔,李力文   

  1. 上海市长宁区中心医院口腔科,上海市  200051
  • 出版日期:2010-10-15 发布日期:2010-10-15
  • 通讯作者: 李力文,副主任医师,上海市长宁区中心医院口腔科,上海市 200051
  • 作者简介:谢家晔,男,1979年生,上海市人,汉族,2003年上海第二医科大学毕业,医师,主要从事口腔内科研究。 txzdzq@hotmail.com

Application of three new paste types of root canal filling materials in root canal therapy

Die Jia-ye, Li Li-wen   

  1. Department of Stomatology, Changning District Central Hospital in Shanghai, Shanghai   200051, China
  • Online:2010-10-15 Published:2010-10-15
  • Contact: Li Li-wen, Associate chief physician, Department of Stomatology, Changning District Central Hospital in Shanghai, Shanghai 200051, China
  • About author:Xie Jia-ye, Physician, Department of Stomatology, Changning District Central Hospital in Shanghai, Shanghai 200051, China txzdzq@hotmail.com

摘要:

目的:总结近年3种新型糊剂类根管充填材料(Cortisomol、Vitapex、AH-Plus)在根管治疗中的应用现状。
方法:由作者应用计算机检索维普数据库中与3种糊剂类根管充填材料(Cortisomol、Vitapex、AH-Plus)在根管治疗中应用相关的文章,检索时限2006-01/2010-08。检索关键词:Cortisomol;Vitapex;AH-Plus;根管治疗;根管充填;并发症。纳入标准:①糊剂类根管充填材料在根管治疗中应用的文章。②实验结果叙述与材料有关的并发症问题。排除标准:重复研究或较陈旧文献。根据纳入排除标准共保留相关文献19篇。
结果:Cortisomol、Vitapex、AH-Plus较以往常用的氧化锌丁香油糊剂有着较为突出的优势,术后的失败率均明显低于ZOE氧化锌丁香油糊剂,三者之间又各有其特点,Cortisomol对于根尖封闭的作用最为突出,而Vitapex在乳牙根管治疗中的作用无可替代,AH-Plus作为三者中最新型的糊剂类根充材料,相关的研究较少,其特点尚待进一步研究确认。
结论:Cortisomol、Vitapex、AH-Plus 3种材料的根管治疗成功率均较高,值得在临床推广使用。同时,3者又有其不同的特点和用途,在治疗中应加以选择性的应用。

关键词: 根管治疗, Cortisomol, Vitapex, AH-Plus, 根管充填, 并发症

Abstract:

OBJECTIVE: To summarize the application of three kinds of new paste type root canal filling materials (Cortisomol, Vitapex, AH-Plus) in root canal treatment at recent years.
METHODS: An online search of VIP database was performed for screening articles about three kinds of paste type root canal filling materials (Cortisomol, Vitapex, AH-Plus) in root canal therapy, search time was from January 2006 to August 2010. Key words included Cortisomol; Vitapex; AH-Plus; root canal therapy; root canal filling; complications. Inclusion criteria: ① Paste type root canal filling materials in root canal therapy. ② The experimental results described complications associated with the materials. Exclusion criteria: repeated studies or older literature. A total of 19 literatures were involved according to the inclusion and exclusion criteria.
RESULTS: Cortisomol, Vitapex, AH-Plus are superior to zinc oxide eugenol paste which is commonly used in the past, the postoperative failure rate was significantly lower than ZOE zinc oxide eugenol paste. These three kinds of materials have its own characteristics, Cortisomol is the most effective for apical sealing, Vitapex plays an irreplaceable role in root canal treatment of deciduous teeth, AH-Plus is the latest among three paste type root canal filling materials and few reported, future studies focus on the confirmation of its characteristics.
CONCLUSION: Three kinds of materials (Cortisomol, Vitapex, AH-Plus) have a high success rate in root canal treatment, and deserve clinical use. Meanwhile, they have their different characteristics and uses, and should be selective in the application.

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