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  

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

作　　者：张波 李霞[2] 杨梦绮 Zhang Bo;Li Xia;Yang Mengqi(School of Stomatology,Shanxi Medical University,Taiyuan 030001,China;Dept.of Cariology and Endodontics 1,Hospital of Stomatology,Shanxi Medical University,Taiyuan 030001,China)

机构地区：[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

出　　处：《国际口腔医学杂志》2024年第4期475-482,共8页International Journal of Stomatology

基　　金：山西医科大学口腔医院科研基金(KY201904)。

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。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.

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 

分 类 号：R781.05[医药卫生—口腔医学]