国际口腔医学杂志

国际口腔医学杂志 ›› 2024, Vol. 51 ›› Issue (4): 475-482.doi: 10.7518/gjkq.2024047

• 综述 • 上一篇    

根管再治疗过程中冲洗剂清除硅酸钙基根管封闭剂效果的研究进展

张波1(),李霞2(),杨梦绮1   

  1. 1.山西医科大学口腔医学院 太原 030001
    2.山西医科大学口腔医院牙体牙髓一科 太原 030001
  • 收稿日期:2023-03-10 修回日期:2024-04-18 出版日期:2024-07-01 发布日期:2024-06-24
  • 通讯作者: 李霞
  • 作者简介:张波，医师，硕士，Email：1831732479@qq.com
  • 基金资助:
    山西医科大学口腔医院科研基金(KY201904)

Research progress on the removal of calcium silicate-based root canal sealers during retreatment process

Bo Zhang1(),Xia Li2(),Mengqi Yang1   

  1. 1.School of Stomatology, Shanxi Medical University, Taiyuan 030001, China
    2.Dept. of Cariology and Endodontics 1, Hospital of Stomatology, Shanxi Medical University, Taiyuan 030001, China Supported by: Foundation:Scientific Research Fund of Stomatological Hospital of Shanxi Medical University (KY 201904 )
  • Received:2023-03-10 Revised:2024-04-18 Online:2024-07-01 Published:2024-06-24
  • Contact: Xia Li

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摘要：

近年来硅酸钙基根管封闭剂因其优异的粘接封闭性、生物相容性等特性，在根管治疗中得到广泛应用。其优越的粘接封闭性提高了根管治疗的效果，但当根管治疗失败需要再治疗时，目前的常规根管再治疗方法以及机械预备和化学冲洗的技术改进难以有效地清除硅酸钙基根管封闭剂，根管再治疗的成功率随之受到挑战。因此本文聚焦于冲洗剂对硅酸钙基根管封闭剂的溶解作用，从物理溶解和化学溶解两方面对冲洗剂成分清除硅酸钙基根管封闭剂的能力进行综述，以期为临床上选择有效去除硅酸钙基根管封闭剂的根管冲洗剂，以及探索适宜的根管冲洗策略提供新思路。

关键词: 硅酸钙基根管封闭剂, 冲洗剂, 物理溶解, 化学溶解, 溶解度

Abstract:

In recent years, Calcium Silicate-based Root Canal Sealers have been widely used in root canal therapy because of its excellent adhesive sealing and biocompatibility. Its superior adhesive sealing improves the effect of root canal therapy, but when the root canal therapy fails and needs to be retreated, the current conventional root canal retreatment methods, as well as the technical improvement of mechanical preparation and chemical irrigation, are difficult to effectively remove the Calcium Silicate-based Root Canal Sealers, and the power of root canal retreatment is also challenged. Therefore, this paper focuses on the dissolution of the irrigating agents on the Calcium Silicate-based Root Canal Sealers, and summarizes the ability of the irrigating agent components to remove the Calcium Silicate-based Root Canal Sealers from both physical dissolution and chemical dissolution, with a view to providing a new idea for the clinical selection of root canal irrigating agent that can effectively remove the Calcium Silicate-based Root Canal Sealers, as well as the exploration of appropriate root canal irrigation strategies.

Key words: calcium silicate-based root canal sealer, irrigating agent, physical dissolution, chemical dissolution, solubility

中图分类号: 

  • R781.05

表 1

含硅酸钙基材料的类型以及主要组分"

商品名生产商主要成分
MTA FillapexSeptodont公司，法国

单组份：水杨酸基树脂、稀释树脂、天然树脂、三氧化二铋、纳米二氧化硅

颗粒、MTA和颜料

MTA-AAngelus公司，巴西

粉剂：氧化钾、氧化钠、氧化硫、氧化钙、氧化镁、三氧化二铋、三氧化二铝、硫酸钾、硅酸钠、二氧化硅晶体

液剂：水

White ProRoot MTADentsply Sirona公司，美国

粉剂：白色硅酸钙、氧化铋

液剂：水

Neo-MTA PlusAvalon Biomed公司，美国

粉剂：硅酸三钙、硅酸二钙、钽铁矿、硫酸钙、二氧化硅

液剂：水凝胶

BiodentineSeptodont公司，法国

粉剂：硅酸三钙

液剂：氯化钙水溶液、赋形剂

iRoot SPInnovative BioCeramix Inc公司，加拿大单组份：硅酸钙、磷酸钙、氢氧化钙、氧化铌、氧化锆
EndoSequence BC SealerBrasseler公司，美国单组份：硅酸钙、磷酸二氢钙、氢氧化钙、氧化锆、氧化钽、填料、增稠剂
EndoSequence BC Sealer HiFlowBrasseler公司，美国单组份：硅酸钙、磷酸二氢钙、氢氧化钙、氧化锆、氧化钽、填料、增稠剂
BioRoot RCSSeptodont公司，法国

粉剂：硅酸三钙、二氧化锆、聚维酮

液剂：水、氯化钙、聚羧酸盐

Bio-C SealerAngelus公司，巴西单组份：硅酸钙、铝酸钙、氧化钙、氧化锆、氧化铁、二氧化硅、聚乙二醇
Sealer Plus BCMK Life公司，巴西单组份：氧化锆、硅酸三钙、硅酸二钙、氢氧化钙、丙二醇
TotalFill BCFKG Dentaire SA公司，瑞士单组份：氧化锆、硅酸钙、磷酸钙、氢氧化钙、填料、增稠剂
EdgeBioCeramicEdgeEndo，美国单组份：氧化锆、硅酸三钙、硅酸二钙、氢氧化钙、填料、增稠剂
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