乙酸在涂抹层去除中的有效性:对体外研究的系统性审查
María-Inmaculada Vidal-Montolío1, José Luis Sanz1, James Ghilotti1
1Department of Stomatology, Faculty of Medicine and Dentistry, Universitat de València, 46010 Valencia, Spain.
Journal of functional biomaterials
|January 27, 2026
概括
使用乙酸的连续化与传统的低酸 (NaOCl) 和乙烯基胺三酸 (EDTA) 连续灌在根运河处理中去除涂抹层一样有效,甚至比它更有效.
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
背景情况:
- 缺少标准化的灌协议,用于根管治疗中去除涂抹层.
- 有效的涂抹层去除对于成功的内牙结局至关重要.
研究的目的:
- 为了比较基于乙酸的灌方案与传统的低酸 (NaOCl) 和乙烯基二胺三酸 (EDTA) 连续灌以去除涂抹层的有效性.
- 评价用于连续化和作为最终灌剂的埃迪龙酸.
主要方法:
- 在体外研究的系统审查.
- 电子数据库搜索 (Medline,Embase,Cochrane,Scopus,Web of Science) 通过电子数据库进行搜索.
- 基于PICO的研究选择和数据提取与偏差风险评估.
主要成果:
- 在90%的研究中,在连续化过程中,与顺序的NaOCl-EDTA相比,乙酸显示出同等或更高的涂抹层去除.
- 作为最终灌剂的乙酸表现较差,特别是在顶端三分之一.
- 包括的研究平均符合修改后的CONSORT检查清单的58%.
结论:
- 在连续化中使用的乙酸是传统NaOCl-EDTA灌用于涂抹层去除的可行替代品.
- 连续用埃迪沃龙酸化可能会简化临床工作流程,而不会影响疗效.
- 可能需要进一步的研究,以优化使用埃德酸作为最终灌剂.
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