国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (1): 74-77.doi: 10.7518/gjkq.2018.01.015

• 综述 • 上一篇    下一篇

聚乳酸根管桩修复乳牙残根残冠的研究进展

王春燕, 张琨, 姜松磊   

  1. 山东省青岛市妇女儿童医院口腔科 青岛 266000
  • 收稿日期:2017-03-07 修回日期:2017-09-11 发布日期:2018-01-15
  • 通讯作者: 姜松磊,主治医师,硕士,Email:jiangsonglei@126.com
  • 作者简介:王春燕,住院医师,硕士,Email:wangchunyan_1986@hot- mail.com

Research progress on polylactic acid post for the repairment of residual crown and root in deciduous teeth

Wang Chunyan, Zhang Kun, Jiang Songlei   

  1. Dept. of Stomatology, Women and Children’s Hospital, Qingdao 266000, China
  • Received:2017-03-07 Revised:2017-09-11 Published:2018-01-15

摘要: 乳牙在儿童生长发育过程中起到重要的作用,而乳牙残根残冠是临床治疗的难点,以往只能选择对症处理或拔除。随着医用材料的发展,聚乳酸以其良好的生物相容性,可降解并能以二氧化碳和水的形式排出体外,对人类身体无毒害的优良物理化学性能被广泛应用于临床治疗。聚乳酸可吸收根管桩的应用为婴幼儿乳牙残根残冠的修复提供了广阔的前景。本文就近年关于聚乳酸根管桩的物理化学性质、生物相容性、适应证及临床应用等研究现状作一综述。

关键词: 严重婴幼儿龋, 聚乳酸, 可吸收根管桩

Abstract: The deciduous teeth play an important role in the process of children’s growth and development. The residual crown and residual root of it is a key problem for clinical treatment, which can only be choosed to suit the processing or pull out. Along with the development of medical materials, the polylactic acid (PLA) is widely used in clinical treatment because of its good biocompatibility, excellent physical and chemical properties of the human body without poison, and can be degraded and excreted in the form of carbon dioxide and water. The application of PLA post for its repair provides a broad prospect. This article summarizes the physical and chemical properties, biocompatibility, indication and clinical application status of the PLA post.

Key words: severe early childhood caries, polylatic acid, absorbable intracanal post

中图分类号: 

  • R781.05
[1]葛立宏. 儿童口腔医学[M]. 4版. 北京: 人民卫生出版社, 2012:40. Ge LH. Pediatric dentistry[M]. 4th ed. Beijing: People’s Medical Publishing House, 2012:40.
[2]Schroth RJ, Harrison RL, Moffatt ME. Oral health of indigenous children and the influence of early child-hood caries on childhood health and well-being[J]. Pediatr Clin North Am, 2009, 56(6):1481-1499.
[3]Yengopal V, Harneker SY, Patel N, et al. Dental fillings for the treatment of caries in the primary dentition[J]. Cochrane Database Syst Rev, 2009(2):CD004483.
[4]Eggertsson H, Ferreira-Zandona A. Dentition and lesion history[J]. Monogr Oral Sci, 2009, 21:102- 112.
[5]Pihlajamäki H, Böstman O, Tynninen O, et al. Long-term tissue response to bioabsorbable poly-L-lactide and metallic screws: an experimental study[J]. Bone, 2006, 39(4):932-937.
[6]Oyama HT, Tanaka Y, Kadosaka A. Rapid controlled hydrolytic degradation of poly (L-latic acid) by blen-ding with poly (aspartic acid-co-l-lactide)[J]. Polym Degrad Stab, 2009, 94(9):1419-1426.
[7]Mainil-Varlet P, Curtis R, Gogolewski S. Effect of in vivo and in vitro degradation on molecular and me-chanical properties of various low-molecular-weight polylactides[J]. J Biomed Mater Res, 1997, 36(3):360-380.
[8]d’Ayala GG, Malinconico M, Laurienzo P. Marine derived polysaccharides for biomedical applications: chemical modification approaches[J]. Molecules, 2008, 13(9):2069-2106.
[9]Sadick NS. Poly-L-lactic acid: a perspective from my practice[J]. J Cosmet Dermatol, 2008, 7(1):55-60.
[10]Seppälä JV, Helminen AO, Korhonen H. Degradable polyesters through chain linking for packaging and biomedical applications[J]. Macromol Biosci, 2004, 4(3):208-217.
[11]谢秋菲. 牙体解剖与口腔生理学[M]. 北京: 北京大学医学出版社, 2005:244. Xie QF. Dental anatomy and oral physiology[M]. Beijing: Peking University Medical Press, 2005:244.
[12]Yerit KC, Hainich S, Turhani D, et al. Stability of bio-degradable implants in treatment of mandibular frac-tures[J]. Plast Reconstr Surg, 2005, 115(7):1863- 1870.
[13]冀堃, 王茜, 邹艳萍, 等. 聚乳酸根管钉浸提液对人乳牙牙周膜细胞生物学性能的影响水[J]. 临床口腔医学杂志, 2009, 25(9):515-518. Ji K, Wang X, Zou YP, et al. Effects of PLA post extract liguld on biological characteristics of deci-duous teeth periodontal ligament flbroblasts[J]. J Clin Stomatol, 2009, 25(9):515-518.
[14]邹艳萍, 李石保, 冀堃, 等. 聚乳酸根管桩浸提液对人牙囊细胞生物学性能的影响[J]. 牙体牙髓牙周病学杂志, 2009, 19(10):567-570. Zou YP, Li SB, Ji K, et al. Effects of PLA post lea-ching liquor on biological characteristics of human dental follicle cells[J]. Chin J Conserv Dent, 2009, 19(10):567-570.
[15]王茜, 冀堃, 邹艳萍, 等. 聚乳酸生物材料与人乳牙牙髓干细胞的生物相容性研究[J]. 牙体牙髓牙周病学杂志, 2009, 19(11):627-631. Wang X, Ji K, Zou YP, et al. Biocompatibility be-tween polyesters polylactide and stem cells from hu-man exfoliated deciduous teeth[J]. Chin J Conserv Dent, 2009, 19(11):627-631.
[16]杜欧. 聚乳酸复合材料预成乳牙根管桩的基础研究[D]. 长春: 吉林大学, 2014:23-26. Du O. The basic research of polylactic acid compo-sites prefabricate as root canal post in primary teeth [D]. Changchun: Jilin University, 2014:23-26.
[17]陈碧霞, 胡结恩, 钟美霞. 可吸收性根管桩在乳牙外伤及乳牙残冠中的应用分析[J]. 中外医学研究, 2014, 12(35):139-140. Chen BX, Hu JE, Zhong MX. The application analy-sis of absorbable root pile in deciduous teeth trauma and residual crowns[J]. Chin Foreign Med Res, 2014, 12(35):139-140.
[18]文玲英, 杨富生. 临床儿童口腔科学[M]. 西安: 世界图书出版公司, 2001:58-59. Wen LY, Yang FS. Clinical Pediatric Dentistry[M]. Xi’an: World Publishing Corporation, 2001:58-59.
[19]Gurbuz T, Sengul F, Altun C. Finite element stress analysis of short-post core and over restorations pre-pared with different restorative materials[J]. Dent Mater J, 2008, 27(4):499-507.
[20]Givissis PK, Symeonidis PD, Ditsios KT, et al. Late results of absorbable pin fixation in the treatment of radial head fractures[J]. Clin Orthop Relat Res, 2008, 466(5):1217-1224.
[21]Mizutani T, Nakayama A, Iwasaki H, et al. Sui-tability of polymers as screw post materials in pri-mary teeth: an in vitro study[J]. Eur J Paediatr Dent, 2012, 13(1):19-24.
[22]García Cerdá D, Ballester AM, Aliena-Valero A, et al. Use of cyanoacrylate adhesives in general surgery [J]. Surg Today, 2015, 45(8):939-956.
[23]Wang H, Shan L, Zeng H, et al. Is fibrin sealant effec-tive and safe in total knee arthroplasty? A meta-analysis of randomized trials[J]. J Orthop Surg Res, 2014, 9:36.
[24]潘徽, 程灿, 胡嘉, 等. 聚乳酸可吸收根管桩与3种粘接剂的粘接强度[J]. 北京大学学报(医学版), 2015, 47(6):990-993. Pan H, Cheng C, Hu J, et al. Bond strengths of ab-sorbable polylactic acid root canal post with three different adhesives[J]. J Peking Univ (Health Sci), 2015, 47(6):990-993.
[25]何蔚, 刘明. 氰基丙烯酸酯-纳米药物骨的靶向治疗[J]. 中国组织工程研究, 2013, 17(25):4692-4698. He W, Liu M. Cyanoacrylate-nano drug: a bone-tar-geted therapy[J]. Chin J Tis Eng Res, 2013, 17(25): 4692-4698.
[26]Mojon P, Kaltio R, Feduik D, et al. Short-term conta-mination of luting cements by water and saliva[J]. Dent Mater, 1996, 12(2):83-87.
[27]陈爱华, 黄华. 婴幼儿乳牙残冠残根修复的研究进展[J]. 国际口腔医学杂志, 2013, 40(5):600-603. Chen AH, Huang H. Research progress on restora-tion of residual crown and root in deciduous teeth[J]. Inter J Stomatol, 2013, 40(5):600-603.
[1] 罗恩 魏世成. 聚乳酸与聚乳酸羟基乙酸共聚物作为骨形成蛋白载体的研究现状[J]. 国际口腔医学杂志, 2003, 30(04): 260-262.
[2] 吴勇. 牙周引导性组织再生术可降解屏障膜材料的研究[J]. 国际口腔医学杂志, 2000, 27(06): -.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .