牙髓血运重建术根管冲洗消毒药物的研究进展

Research progress on root canal irrigation and disinfection drugs for pulp revascularization

牙髓血运重建术是正式应用于临床的牙髓再生疗法,避免了传统的机械预备,通过彻底有效的根管冲洗和根管消毒,为干细胞创造有利的附着和增殖条件,最终实现牙髓—牙本质复合体再生,使得牙根继续发育成熟。因此根管冲洗和根管消毒对牙髓血运重建术的成功至关重要,但在不同的研究报道中根管冲洗消毒药物的使用差异性较大。本文就牙髓血运重建术中根管冲洗消毒药物的作用机制、作用效果、浓度选择、局限性及解决方案等方面作一综述,以期为年轻恒牙牙髓不可逆性损伤在临床上选择最佳治疗方案提供一定的参考价值。

Pulp revascularization is currently the only officially applied clinical endodontic regeneration therapy,which avoids the traditional mechanical preparation and creates favorable attachment and proliferation conditions for stem cells through thorough and effective root canal irrigation and disinfection,thus finally realizing the regeneration of dental pulpdentin complex and enabling the root to continue to develop and mature.Therefore,root canal irrigation and root canal disinfection are essential for the success of endodontic revascularization.However,the use of root canal irrigation and dis‐infection drugs varies widely from one study to another.This article discusses the action mechanism,action effect,concen‐tration selection,limitation and solution of root canal irrigation and root canal disinfection drugs in endodontic revascularization,which will provide certain reference value for the clinical selection of the best treatment plan for young perma‐nent teeth with irreversible pulp damage.