国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (5): 581-586.doi: 10.7518/gjkq.2023086

• 综述 • 上一篇    下一篇

根管再治疗中根管充填物去除辅助技术的应用与发展

赵苑汐(),苏勤()   

  1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院牙体牙髓病科 成都 610041
  • 收稿日期:2022-09-13 修回日期:2023-05-26 出版日期:2023-09-01 发布日期:2023-09-01
  • 通讯作者: 苏勤
  • 作者简介:赵苑汐，硕士，Email：763291093@qq.com
  • 基金资助:
    四川省科技厅重点研发项目(2018SZ0129)

Application and development of supplementary techniques in removing the remaining filling materials of root canal retreatment

Zhao Yuanxi(),Su Qin.()   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-09-13 Revised:2023-05-26 Online:2023-09-01 Published:2023-09-01
  • Contact: Qin. Su
  • Supported by:
    Science and Technology Projects of Sichuan Province(2018SZ0129)

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摘要：

根管再治疗是通过根管途径从冠方去除根管内原有充填材料，对感染根管进行再预备、清理和充填，其中根管内充填物的有效去除是再治疗成功的基础。应用手动器械、机用再治疗镍钛器械等进行根管充填物去除的技术已广泛应用于临床，但为了进一步提高根管充填物去除率，根管充填物去除辅助技术应运而生，即在常规机械化器械去除充填物的基础上补充应用自调节锉、XP-Endo系列锉、动能冲洗系统、激光以及连续根管外冲洗等技术。本文就近年来新型辅助技术的应用与发展作一综述，旨在为提高临床根管充填物去除效果提供参考。

关键词: 根管再治疗, 根管充填物, 辅助技术

Abstract:

Root canal retreatment involves removing the original infected filling materials, preparing, cleaning, and fil-ling the root canal again in a crown down direction. The effective removal of filling materials is the basis of successful retreatment. Techniques of root filling removal using manual instruments and mechanical Ni-Ti retreatment have been widely used in clinical. For further improvement in the rate of root filling removal, supplementary techniques have been deve-loped on the basis of conventional mechanical system. Some examples include using self-adjusting file, XP-Endo files, kinetic energy irrigation system, laser and continuous flushing out of the canal to remove the filling materials. This review summarizes the application and development of new supplementary techniques to provide reference for improving the rate of root filling material removal in clinical work.

Key words: root canal retreatment, root filling materials, supplementary techniques

中图分类号: 

  • R 781.05
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