This review article explores the fundamental principles of modern endodontics with a focus on root canal cleaning and shaping.It reviews commonly used endodontic irrigant,namely sodium hypochlorite(NaOCl),herbal extra...This review article explores the fundamental principles of modern endodontics with a focus on root canal cleaning and shaping.It reviews commonly used endodontic irrigant,namely sodium hypochlorite(NaOCl),herbal extracts,chlorhexidine(CHX),and chelating agents,highlighting their properties,applications,and potential drawbacks.NaOCl,a key antimicrobial agent,demonstrates effectiveness against various microorganisms but poses challenges such as high cytotoxicity.Herbal extracts,gaining recognition in endodontics,present an alternative with potential advantages in preserving dentin integrity.CHX,known for its broad-spectrum antimicrobial activity,is discussed in both liquid and gel formulations,emphasizing its role in reducing smear layer formation and preserving hybrid layer durability.Chelating agents,specifically ethylenediaminetetraacetic acid and citric acid,play a vital role in removing the smear layer,enhancing dentin permeability,and facilitating the penetration of antimicrobial agents.The review article underscores the importance of careful application and consideration of each irrigant's properties to ensure safe and effective endodontic procedures.It serves as a valuable guide for clinicians in selecting appropriate irrigants based on specific treatment requirements.展开更多
目的探讨新型根管冲洗剂(mixture of doxycycline citric acid and detergent,MTAD)协同次氯酸钠对年轻恒牙牙髓血运重建术疗效的影响。方法选取东南大学附属中大医院江北院区2020年5月—2022年1月首次确诊为年轻恒牙牙髓病患儿120例作...目的探讨新型根管冲洗剂(mixture of doxycycline citric acid and detergent,MTAD)协同次氯酸钠对年轻恒牙牙髓血运重建术疗效的影响。方法选取东南大学附属中大医院江北院区2020年5月—2022年1月首次确诊为年轻恒牙牙髓病患儿120例作为研究对象,根据治疗方法将患儿分为2组,观察组与对照组,每组60例。观察组患儿采用MTAD协同次氯酸钠牙髓血运重建术治疗,对照组患儿采用MTAD牙髓血运重建术用于治疗,比较2组患儿治疗前及治疗12个月后的根管壁厚度、冠根比、咬合力、牙龈指数(gingival index,GI)、牙周指数(periodontal index,PI)、咀嚼功能,比较2组患儿的平均愈合时间、临床效果、术后并发症和满意度。结果治疗前,2组患儿的根管壁厚度、冠根比、咬合力、GI、PI和咀嚼功能差异无统计学意义(P>0.05),治疗后,2组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均增加,差异有统计学意义(P<0.05),GI、PI均降低,差异有统计学意义(P<0.05),与对照组比,观察组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均明显增加,差异有统计学意义(P<0.05),GI、PI均明显降低,差异有统计学意义(P<0.05)。与对照组比,观察组患儿的平均愈合时间和术后并发症总发生率明显减少,差异有统计学意义(P<0.05),总有效率和总满意度明显增加,差异有统计学意义(P<0.05)。结论采取MTAD协同次氯酸钠用于年轻恒牙牙髓病患儿对年轻恒牙牙髓血运重建术治疗效果比较显著。展开更多
文摘This review article explores the fundamental principles of modern endodontics with a focus on root canal cleaning and shaping.It reviews commonly used endodontic irrigant,namely sodium hypochlorite(NaOCl),herbal extracts,chlorhexidine(CHX),and chelating agents,highlighting their properties,applications,and potential drawbacks.NaOCl,a key antimicrobial agent,demonstrates effectiveness against various microorganisms but poses challenges such as high cytotoxicity.Herbal extracts,gaining recognition in endodontics,present an alternative with potential advantages in preserving dentin integrity.CHX,known for its broad-spectrum antimicrobial activity,is discussed in both liquid and gel formulations,emphasizing its role in reducing smear layer formation and preserving hybrid layer durability.Chelating agents,specifically ethylenediaminetetraacetic acid and citric acid,play a vital role in removing the smear layer,enhancing dentin permeability,and facilitating the penetration of antimicrobial agents.The review article underscores the importance of careful application and consideration of each irrigant's properties to ensure safe and effective endodontic procedures.It serves as a valuable guide for clinicians in selecting appropriate irrigants based on specific treatment requirements.
文摘目的探讨新型根管冲洗剂(mixture of doxycycline citric acid and detergent,MTAD)协同次氯酸钠对年轻恒牙牙髓血运重建术疗效的影响。方法选取东南大学附属中大医院江北院区2020年5月—2022年1月首次确诊为年轻恒牙牙髓病患儿120例作为研究对象,根据治疗方法将患儿分为2组,观察组与对照组,每组60例。观察组患儿采用MTAD协同次氯酸钠牙髓血运重建术治疗,对照组患儿采用MTAD牙髓血运重建术用于治疗,比较2组患儿治疗前及治疗12个月后的根管壁厚度、冠根比、咬合力、牙龈指数(gingival index,GI)、牙周指数(periodontal index,PI)、咀嚼功能,比较2组患儿的平均愈合时间、临床效果、术后并发症和满意度。结果治疗前,2组患儿的根管壁厚度、冠根比、咬合力、GI、PI和咀嚼功能差异无统计学意义(P>0.05),治疗后,2组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均增加,差异有统计学意义(P<0.05),GI、PI均降低,差异有统计学意义(P<0.05),与对照组比,观察组患儿的根管壁厚度、冠根比、咬合力、咀嚼功能均明显增加,差异有统计学意义(P<0.05),GI、PI均明显降低,差异有统计学意义(P<0.05)。与对照组比,观察组患儿的平均愈合时间和术后并发症总发生率明显减少,差异有统计学意义(P<0.05),总有效率和总满意度明显增加,差异有统计学意义(P<0.05)。结论采取MTAD协同次氯酸钠用于年轻恒牙牙髓病患儿对年轻恒牙牙髓血运重建术治疗效果比较显著。
