Intracanal dressing and root canal filling materials in tooth replantation: a literature review.
Intracanal dressing and root canal filling materials in tooth replantation: a literature review.
复制标题
牙齿再植中的根管内敷料和根管充填材料：文献综述。
DOI：
10.1111/j.1600-9657.2011.01023.x
复制
发表时间：
2012
影响因子：
2.5
通讯作者：
C. L. V. dos Santos
中科院分区：
文献类型：
--
作者：
S. Panzarini;C. L. Trevisan;D. Brandini;W. Poi;C. Sonoda;E. Luvizuto;C. L. V. dos Santos
再植牙的预后通常与牙髓治疗的需要有关，而牙髓治疗的需要与牙根吸收的发生有直接关系。已经进行了几项研究，试图预防、推迟或治疗这些并发症，这些并发症是导致再植牙丢失的主要原因。这篇文献回顾了有关根管内敷料和根管充填材料用于牙齿再植的研究证据。在Medline/Pubmed、Bireme和Scielo全文电子期刊数据库中进行了全面搜索，以检索1964至2010年间发表的涉及这些主题的英文文章。氢氧化钙(CH)仍然是再植牙通常推荐的根管内药物；然而，有证据表明，在引入CH之前，最初使用皮质类固醇-抗生素组合(如LederMix糊剂)来控制潜在的早期吸收，在治疗进行性牙根吸收方面的有益效果已经得到很好的证明。至于根管充填材料，由于其生物学特性，含CH封闭剂是一个很好的选择。准确的诊断和充分的治疗计划可能构成非常复杂的任务，特别是在牙齿撕脱中，因为涉及到多个变量。除了针对治疗质量的技术知识和临床经验外，患者教育可能会有利地影响再植牙齿的存活率。
The prognosis of tooth replantation is usually related to the need of endodontic treatment, which has a direct relationship with the occurrence of root resorptions. Several studies have been undertaken in an attempt to prevent, delay, or treat these complications, which are the main causes of loss of replanted teeth. This literature review examines research evidence on intracanal dressings and root canal filling materials used in cases of tooth replantation. A comprehensive search was performed in the Medline/Pubmed, Bireme and Scielo full-text electronic journal databases to retrieve English-language articles referring to these topics that had been published between 1964 and 2010. Calcium hydroxide (CH) remains the usually recommended choice as an intracanal medicament in replanted teeth; however, there is evidence to support the initial use of a corticosteroid-antibiotic combination such as Ledermix paste to control potential early resorption, prior to the introduction of CH where the beneficial effect in the treatment of progressive root resorption has been well proven. Regarding root filling materials, CH-containing sealers are a good option because of their biological properties. Accurate diagnosis and adequate treatment plan may constitute very complex tasks, particularly in tooth avulsion because several variables are involved. In addition to the technical knowledge and clinical experience directed toward the quality of treatment, patient education may favorably influence the survival of replanted teeth.