连续软化方案在去除涂抹层方面是否比传统灌方案更有效? - 进行系统审查
Sonali Khandelwal1, Sonali Taneja1, Vidhi Kiran Bhalla2
1Department of Conservative Dentistry and Endodontics, ITS Dental College, Ghaziabad, Uttar Pradesh, India.
Journal of conservative dentistry and endodontics
|February 9, 2026
概括
与传统灌相比,连续软化在内牙治疗中有望改善涂抹层的去除. 需要进一步的研究来证实它的有效性,并解决协议的变化.
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:
- 涂抹层的去除对于成功的内牙治疗至关重要.
- 传统的灌方法在有效去除涂抹层方面存在局限性.
研究的目的:
- 系统地审查和比较连续软化与传统灌在消除涂抹层在内牙治疗期间的有效性.
主要方法:
- 从2000年到2024年,在PubMed/MEDLINE,Google Scholar和Cochrane上进行了系统的文献搜索.
- 包括在体外研究中比较连续和常规化以去除涂抹层.
- 根据PRISMA指南,有9项研究符合纳入标准.
主要成果:
- 连续化在四项研究中证明了优异的涂抹层去除;一项研究支持传统灌,四项研究发现了类似的结果.
- 经常使用一种软化剂 - - 乙二酸,通常与二酸盐 (NaOCl) 一起使用.
- 低确定性证据表明,连续软化更有效,可能创造出一种多功能灌解决方案.
结论:
- 连续软化为牙周内学中涂抹层去除提供了一个有希望的替代方案.
- 需要进行额外的研究来验证这些发现,并解决方法上的异质性.
- 将弱化剂与NaOCl结合起来,可能提供一个多功能灌解决方案.
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