Expert consensus on irrigation and intracanal medication in root canal therapy

IF 10.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Oral Science Pub Date : 2024-03-01 DOI:10.1038/s41368-024-00280-5
Xiaoying Zou, Xin Zheng, Yuhong Liang, Chengfei Zhang, Bing Fan, Jingping Liang, Junqi Ling, Zhuan Bian, Qing Yu, Benxiang Hou, Zhi Chen, Xi Wei, Lihong Qiu, Wenxia Chen, Wenxi He, Xin Xu, Liuyan Meng, Chen Zhang, Liming Chen, Shuli Deng, Yayan Lei, Xiaoli Xie, Xiaoyan Wang, Jinhua Yu, Jin Zhao, Song Shen, Xuedong Zhou, Lin Yue
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引用次数: 0

Abstract

Chemical cleaning and disinfection are crucial steps for eliminating infection in root canal treatment. However, irrigant selection or irrigation procedures are far from clear. The vapor lock effect in the apical region has yet to be solved, impeding irrigation efficacy and resulting in residual infections and compromised treatment outcomes. Additionally, ambiguous clinical indications for root canal medication and non-standardized dressing protocols must be clarified. Inappropriate intracanal medication may present side effects and jeopardize the therapeutic outcomes. Indeed, clinicians have been aware of these concerns for years. Based on the current evidence of studies, this article reviews the properties of various irrigants and intracanal medicaments and elucidates their effectiveness and interactions. The evolution of different kinetic irrigation methods, their effects, limitations, the paradigm shift, current indications, and effective operational procedures regarding intracanal medication are also discussed. This expert consensus aims to establish the clinical operation guidelines for root canal irrigation and a position statement on intracanal medication, thus facilitating a better understanding of infection control, standardizing clinical practice, and ultimately improving the success of endodontic therapy.

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根管治疗中的灌洗和根管内用药专家共识
化学清洗和消毒是根管治疗中消除感染的关键步骤。然而,灌洗剂的选择或灌洗程序却远未明确。根尖区的蒸汽锁效应尚未解决,阻碍了灌洗效果,导致残余感染,影响治疗效果。此外,根管用药的临床适应症不明确以及敷料方案不规范等问题也必须得到澄清。不适当的根管内用药可能会产生副作用,影响治疗效果。事实上,临床医生多年来一直意识到这些问题。根据目前的研究证据,本文回顾了各种冲洗剂和龋内药物的特性,并阐明了它们的有效性和相互作用。文章还讨论了不同动力灌洗方法的演变、其效果、局限性、范式转变、当前适应症以及有关龈内药物的有效操作程序。本专家共识旨在制定根管冲洗的临床操作指南和根管内用药的立场声明,从而促进对感染控制的更好理解,规范临床实践,最终提高根管治疗的成功率。
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来源期刊
International Journal of Oral Science
International Journal of Oral Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
31.80
自引率
1.30%
发文量
53
审稿时长
>12 weeks
期刊介绍: The International Journal of Oral Science covers various aspects of oral science and interdisciplinary fields, encompassing basic, applied, and clinical research. Topics include, but are not limited to: Oral microbiology Oral and maxillofacial oncology Cariology Oral inflammation and infection Dental stem cells and regenerative medicine Craniofacial surgery Dental material Oral biomechanics Oral, dental, and maxillofacial genetic and developmental diseases Craniofacial bone research Craniofacial-related biomaterials Temporomandibular joint disorder and osteoarthritis The journal publishes peer-reviewed Articles presenting new research results and Review Articles offering concise summaries of specific areas in oral science.
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