华西口腔医学杂志 ›› 2017, Vol. 35 ›› Issue (3): 232-238.doi: 10.7518/hxkq.2017.03.002

• • 上一篇    下一篇

根管充填的难点和误区

张琛()   

  1. 首都医科大学附属北京口腔医院牙体牙髓科,北京 100050
  • 收稿日期:2016-12-21 修回日期:2017-04-09 出版日期:2017-06-05 发布日期:2017-06-01
  • 作者简介:

    张琛,主任医师,博士,E-mail:zhangchen710cool@qq.com

Difficulties and misunderstandings of root canal filling

Chen. Zhang()   

  1. Dept. of Endodontics and Operative Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing 100050, China
  • Received:2016-12-21 Revised:2017-04-09 Online:2017-06-05 Published:2017-06-01

摘要:

根管充填是根管治疗最后也是最重要的步骤,对根管系统进行严密的三维封闭是根管治疗成功的关键。根管系统的复杂性及根管充填材料方法的局限性影响根管系统严密的封闭,为尽可能地做到严密封闭根管系统,完善根管充填质量进而提高根管治疗疗效,本文将针对不同根管充填方法的优缺点、适应证、技术要点、临床注意事项及操作过程中容易出现的失误及对策等进行详细深入的阐述,以其为临床应用提供指导和帮助。

关键词: 根管充填, 牙胶, 冷侧压, 热垂直加压, 生物陶瓷类根管封闭剂

Abstract:

Root canal filling is performed as the final and most important procedure of root canal treatment. The superior 3D filling is the key determinant of endodontic success. However, such procedure remains a challenge because of the comple-xity of the root canal system and the limitation of root canal filling materials and methods. This paper provides an overview of current principles and practices in root canal filling, focusing on advantages, disadvantages and indications. The process errors and countermeasures in various root canal filling methods are also discussed. This review provides guidance and help for clinical and practice to achieve a satisfactory root canal filling and improve root canal treatment outcome.

Key words: root canal filling, gutta percha, cold lateral condensation, warm vertical condensation, bioceramic-based root canal sealer

中图分类号: