根管冲洗剂拮抗性的研究进展  

Research progress of antagonistic interactions among root canal irrigations

作　　者：屈晨[1] 王萍[1] 

机构地区：[1]重庆医科大学附属第一医院口腔科,重庆400016

出　　处：《解放军医学杂志》2013年第6期524-527,共4页Medical Journal of Chinese People's Liberation Army

摘　　要：根管治疗是各型牙髓病和根尖周病最为有效的治疗方法。单纯的机械装备无法彻底清理根管,还可能影响根管的严密充填,只有与化学冲洗剂同时作用才能达到较强的清洁效果。根管冲洗液必须具备溶解组织、清除病原微生物、润滑根管壁、去除玷污层等作用,迄今为止没有任何一种溶液能同时发挥这些效能,因此需要联合使用。这样不仅能够达到良好的清洁和消毒效果,还可降低冲洗剂的使用浓度,减少副作用。但也有研究表明各种化学冲洗剂之间存在拮抗作用。本文针对几种常见的冲洗剂联合使用的拮抗作用进行综述。Root canal therapy is the most effective way to treat various pulposis and periapical disease. Simple mechanical apparatus can not clean root canal thoroughly, but may affect tight filling instead. It can achieve a satisfactory cleansing effect only when it is combined with a chemical solution. Irrigation fluid for root canal should possess the properties of tissue dissolution, antimicrobial, lubrication, and removal of smear layer. So far, no solution is able to fulfill all these functions. Therefore, a combined use of multiple irrigation solutions is suggested. It can not only achieve good effect in cleaning and disinfection, also it can lower the concentration of different solutions, thus reducing the side effects. Nevertheless, some experiments proved that antagonism existed among the chemicals used for irrigations. The purpose of present article is to review the antagonistic effect among the chemicals used for irrigation when they are used together for root canal treatment.

关 键 词：根管冲洗剂 次氯酸钠 螯合剂 有机酸 氯己定 

分 类 号：R781.05[医药卫生—口腔医学]