关于可用于基牙封闭的各种材料的文献综述

Debadrita Ghosh
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摘要

儿童乳牙或恒牙的治疗给临床医生带来了挑战。在当今时代,龋齿是影响儿童口腔的最常见口腔疾病。一旦牙髓发炎,患者就会感到疼痛,这时留给牙医的唯一选择就是从牙髓腔中取出发炎的牙髓,然后用钝化材料填充根管,形成根尖封闭,这样牙齿就不会与外部环境交流了。牙髓病变如不及时治疗,可能会导致牙齿错位的问题。儿童和/或乳牙的牙髓治疗与恒牙不同,同时乳牙的闭合材料也与恒牙的闭合材料不同。研究发现,由于根管形态解剖复杂,对乳牙根管进行充分清洁和冲洗相当困难。有不同的材料可用作乳牙的钝化材料,例如氧化锌丁香酚材料,作为乳牙的首选钝化材料已经使用了很长时间,但氧化锌丁香酚材料并不能被视为理想的根管填充材料,因为这种钝化材料的抗微生物作用非常小,而且这种材料的吸收速度也较慢。
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A literature review on various materials which can be used for obturation in primary teeth
Treatment of primary teeth or permanent teeth in children presents a challenge to the clinician. In today’s time, dental caries found to be the most common oral disease affecting the oral cavity of the children’s. And most of the cases of dental caries when not treated in the initial time leads to inflammation of the pulp and once the pulp got inflamed, patient presents with pain, at that time only option left for the dentist is removal of the inflamed pulp from the pulp chambers and then fill the root canals with obturating materials and form the apical seal, so that there will be no communication of the tooth with the external environment. Pulp pathologies when not treated on time, might leads to problem which is known as malocclusion of the teeth. Pulp treatment in children/or in primary teeth are different as compared to the permanent teeth, and simultaneously the obturating materials for the primary teeth are also different as compared to the obturating materials for the permanent teeth. It has been found that adequate cleaning of the canal and irrigation of the canal is quite difficult in primary teeth due to the complex anatomy of the root canal morphology. There are different materials which can be used as an obturating materials for the primary teeth for example zinc oxide eugenol material, has been into the use since long time as an obturating material of choice in the primary teeth, and also zinc oxide eugenol material can not considered as an ideal root canal filling material as this obturating material shows very much little anti-microbial action and this material also shows slower rate of resorption.
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