中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (29): 5455-5459.doi: 10.3969/j.issn. 2095-4344.2012.29. 028

• 生物材料综述 biomaterial review • 上一篇    下一篇

根管治疗难度评估系统及根管充填材料的研究现状

周艳勤1，钟晓波2   

  1. 1重庆医科大学，重庆市 400016；
    2重庆医科大学附属口腔医院牙体牙髓科，重庆市 400015
  • 收稿日期:2012-01-17 修回日期:2012-03-10 出版日期:2012-07-15 发布日期:2012-07-15
  • 通讯作者: 钟晓波，硕士生导师，主任，教授，重庆医科大学附属口腔医院牙体牙髓科(上清寺)，重庆市 400015 zhongxb3151@ sina.com
  • 作者简介:周艳勤★，女，1986年生，汉族，云南省曲靖市人，重庆医科大学在读硕士，主要从事根管治疗方面的研究。 xianglu414@ 163.com

Difficulty assessment system of root canal treatment and research status of root canal filling materials

Zhou Yan-qin1, Zhong Xiao-bo2   

  1. 1Chongqing Medical University, Chongqing 400016, China;
    2Department of Endodontics, the Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 400015, China
  • Received:2012-01-17 Revised:2012-03-10 Online:2012-07-15 Published:2012-07-15
  • Contact: Zhong Xiao-bo, Master’s supervisor, Professor, Department of Endodontics, the Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 400015, China zhongxb3151@ sina.com
  • About author:Zhou Yan-qin★, Studying for master’s degree, Chongqing Medical University, Chongqing 400016, China xianglu414@ 163.com

PDF

790

被引次数

60

摘要：

背景：根管充填材料的选择影响根管充填的质量，根管充填质量是影响根管治疗远期疗效的重要因素。
目的：综述目前国内外根管治疗难度评估和根管材料的研究现状。
方法：由第一作者检索1990/2011 PubMed数据及维普中文科技期刊数据库有关根管治疗难度的危险因素及根管充填材料对根管治疗质量影响等方面的文献。
结果与结论：根管治疗是保留患有牙髓根尖周病最有效方法，但治疗效果受诸多因素影响，因此在根管治疗前有必要进行根管治疗难度评估。对于根管治疗难度大的需要先进的治疗器械为根管充填操作技术打下良好基础。根管充填是根管治疗的关键步骤，充填效果直接影响根管治疗的疗效和预后。根管充填不严密会导致微渗漏的发生，根管再次感染使治疗失败。因此，根管治疗的成败很大程度上取决于根管充填的严密与否，而根管充填材料的性能是根管封闭的关键。因此，根管充填材料的选择对根管治疗的成败有很大影响。目前还没有一种根管材料可以完全封闭根管系统，未来的研究需要进一步完善根管治疗难度评估系统及研究理想的新型填充材料。

关键词: 根管充填, 根管材料, 危险因素, 根管治疗质量, 难度评估系统, 生物材料

Abstract:

BACKGROUND: The choice of root canal filling materials can affect the quality of root canal filling. The quality of root canal filling is an important key factor that affects the long-term results of root canal treatment.
OBJECTIVE: To review the difficulty assessment of root canal treatment and research status of root canal filling materials at home and abroad in recent years.
METHODS: PubMed and VIP databases (1990/2011) were searched by the first author for papers concerning the risk factors for the difficulty of root canal treatment and the effect of root canal filling materials on the quality of root canal treatment.
RESULTS AND CONCLUSION: Root canal treatment is the most effective method for pulpal and periapical diseases, but its effectiveness is affected by many factors. Therefore, it is necessary to have a difficulty assessment of root canal treatment before treatment. During the treatment, difficult root canal treatment requires advanced therapeutic instruments to lay a good foundation for root canal filling technology. Root canal filling is a key step of the treatment, and the filling result directly influences the effectiveness and the prognosis of root canal treatment. The imprecision of filling can cause microleakage, which can result in the treatment failure due to the root canal reinfection. Therefore, the success or failure of root canal treatment largely depends on the tight filling or not. At present, there is not a kind of root canal material that can completely seal the root canal system. It is needed to further improve the difficulty assessment system of root canal treatment and to study the ideal root canal filling materials in future research.

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