在母牙中对各种根管灌方法的评估:一个系统的审查
Maryam Valizadeh1, Ali Gheidari2, Naeemeh Daghestani2
1Dental Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.
BMC oral health
|December 21, 2024
概括
有效的灌技术对于初级牙 (PT) 肺切除术至关重要. 激光激活可以减少细菌和涂抹层,而声波激活和特定注射器可以减少术后疼痛.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 儿科牙科 儿科牙科
- 牙科材料科学 牙科材料科学
背景情况:
- 有效的灌对于成功的母牙 (PT) 肺切除术至关重要.
- 关于PT的最佳灌技术存在缺乏共识.
- 本综述旨在指导临床医生选择基于证据的灌方法.
研究的目的:
- 系统地审查当前关于母牙切除术灌技术的研究.
- 评估不同灌方法在减少微生物和涂抹层方面的有效性.
- 评估灌技术对术后疼痛等临床结果的影响.
主要方法:
- 对PT灌的体外和体内研究进行了广泛的电子搜索,直到2024年4月.
- 包含的研究中的偏见使用QUIN和RoB 2工具进行了评估.
- 没有进行过元分析;审查综合了个别研究的发现.
主要成果:
- 实验室研究表明,灌剂的激活,特别是激光激活,有效地减少了Enterococcus faecalis和涂抹层.
- 某些方法,如Endovac,显示了碎片的角挤出减少.
- 在体内研究表明,声波激活和侧孔注射器减少了术后疼痛,改善了闭塞质量.
结论:
- 灌剂的激光激活对于减少Enterococcus faecalis和主要牙通道中的涂抹层是有效的.
- 声波激活和侧孔注射器可以在临床环境中减少术后疼痛.
- 需要进一步的研究,才能充分理解各种灌技术的抗菌作用.
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