华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (6): 675-680.doi: 10.7518/hxkq.2018.06.018
收稿日期:
2017-12-11
修回日期:
2018-04-09
出版日期:
2018-12-01
发布日期:
2018-12-12
通讯作者:
李继遥
E-mail:jiyaoliscu@163.com
作者简介:
范梦琳,硕士,E-mail: 1339062538@qq.com
基金资助:
Menglin Fan,Libang He,Jiyao Li()
Received:
2017-12-11
Revised:
2018-04-09
Online:
2018-12-01
Published:
2018-12-12
Contact:
Jiyao Li
E-mail:jiyaoliscu@163.com
Supported by:
摘要:
直接盖髓术和活髓切断术的远期效果与盖髓材料的种类关系密切。直接盖髓材料的种类繁多,除临床上常用的氢氧化钙和三氧化矿物凝聚体(MTA)外,各种新的盖髓材料不断涌现。以硅酸钙类材料为代表的盖髓剂性能优良,受到学者们的广泛关注。此外,具有促再生和矿化作用的釉基质蛋白衍生物Emdogain以及其他具有修复功能的材料,也有望应用于盖髓。
中图分类号:
范梦琳,何利邦,李继遥. 直接盖髓应用材料的研究进展[J]. 华西口腔医学杂志, 2018, 36(6): 675-680.
Menglin Fan,Libang He,Jiyao Li. Recent advances in direct pulp capping materials[J]. West China Journal of Stomatology, 2018, 36(6): 675-680.
表 1
各种盖髓材料的属性对比
材料 | 主要成分 | X线阻射性 | 单/双组分 | 凝固时间 | 凝固后是否可直接 |
---|---|---|---|---|---|
粘接及树脂充填 | |||||
Dycal | 氢氧化钙 | 弱 | 双组分 | 2~3 min | 是 |
MTA | 波特兰水门汀,少量硫 | 有(氧化铋) | 粉液双组分 | ProRoot MTA超过4 h,MTA Angelus | 否(需先用Dyract Flow或 |
酸钙、氧化铋 | 初凝10 min,终凝15 min | 其他类似光固化玻璃离子 | |||
隔离) | |||||
Biodentine | 硅酸三钙粉末、氯化钙水溶 | 有(氧化锆) | 粉液双组分 | 初凝12 min | 是 |
液,赋形剂 | |||||
BioAggregate | 硅酸三钙、硅酸二钙 | 有(氧化钽) | 粉液双组分 | 初凝4 h,终凝28 d | 否(需先覆盖一薄层光固 |
化的充填材料) | |||||
CEM | 氧化钙,少量三氧化硫、五 | 有 | 粉液双组分 | 约50 min | 不详 |
氧化二磷、二氧化硅等 | |||||
ERRM | 硅酸钙,磷酸二氢钙,氧化 | 有 | 单组分 | 2~4 h,快凝膏体仅20 min | 否(需先覆盖一薄层玻璃 |
锆、氧化钽以及填料等 | 离子) | ||||
TheraCal | 波特兰水门汀、聚乙二醇二 | 弱 | 单组分 | 光固化20 s | 是 |
甲基丙烯酸酯、锆酸钡等 |
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