作为根管灌剂的酸-一个范围审查
Tanya Kapur1, Edlin Glane Mathias2, Sonia Gupta3
1Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India. tanyakapur9@gmail.com.
BMC oral health
|December 9, 2025
概括
酸 (MA) 在根管疗法中有效地去除涂抹层,特别是在顶端三分之一,比乙烯基二胺酸 (EDTA) 提供更好的粘附和再生潜力. 控制应用是最大限度地降低风险的关键.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
- 生物材料是一种生物材料.
背景情况:
- 根管治疗 (RCT) 需要有效地去除涂抹层,以获得最佳的密封和减少微生物污染.
- 乙烯二胺三酸 (EDTA) 是一种常见的化剂,但具有局限性,特别是在顶端根运河区域.
- 酸 (MA) 正因其去矿化和增强粘附性而成为一个有前途的替代品.
研究的目的:
- 评估雄性酸在根管治疗中的有效性.
- 强调涂抹层去除,抗菌活性,牙相互作用和牙材料兼容性.
主要方法:
- 按照PRISMA-ScR指南进行系统审查.
- 搜索了主要的数据库 (PubMed,Scopus,Embase,Web of Science) 至2024年10月.
- 包括71项基于PICO标准将MA与其他灌剂 (EDTA,酸) 进行比较的研究.
主要成果:
- 7%的MA在顶端三分之一显示出较高的涂抹层去除,而17%的EDTA则如此.
- MA增强了牙的湿透性,密封体的透性,结合力的强度和内通道药物的去除.
- 单独使用MA的抗菌活性中等,但结合后改善;它对牙微硬度和酸基材料产生了负面影响.
结论:
- 酸 (MA) 提供卓越的顶端涂抹层去除,在粘附和再生方面具有优势.
- 建议控制应用 (1-3分钟),以平衡好处和风险.
- 马是一种有希望的,较少的细胞毒性的EDTA替代品,需要标准化的协议和体内验证才能进行临床整合.
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