华西口腔医学杂志 ›› 2024, Vol. 42 ›› Issue (6): 699-705.doi: 10.7518/hxkq.2024.2024225

• 特约述评 • 上一篇    下一篇

临床导向的机用镍钛预备器械研究新进展

崔晨(), 权晶晶, 韦曦()   

  1. 中山大学附属口腔医院牙体牙髓病科,广东省口腔疾病临床医学研究中心,广州 510055
  • 收稿日期:2024-06-12 修回日期:2024-07-09 出版日期:2024-12-01 发布日期:2024-11-29
  • 通讯作者: 韦曦 E-mail:cuich7@mail.sysu.edu.cn;weixi@mail.sysu.edu.cn
  • 作者简介:崔晨,主治医师,博士,E-mail:cuich7@mail.sysu.edu.cn|韦曦,主任医师、教授、博士生导师,中山大学附属口腔医院牙体牙髓病科主任。兼任中华口腔医学会牙体牙髓病学专业委员会副主任委员,广东省口腔医学会牙体牙髓病学专业委员会主任委员,国家医师资格考试口腔类别试题开发专家委员会委员。主要从事牙髓病根尖周病的防治研究,擅长牙体牙髓疾病的显微与数字化治疗。发表学术论文200余篇,其中SCI收录96篇,主编、副主编专著6部。主持国家自然科学基金、省部级科研项目等18项,获省部级科技进步奖6项、省级教学成果一等奖3项。,教授,博士,E-mail:weixi@mail.sysu.edu.cn
  • 基金资助:
    国家自然科学基金(82370943);广州地区临床重大技术项目(2023P-ZD07)

Research progress in problem-solving nickel-titanium rotary instrument in endodontics

Cui Chen(), Quan Jingjing, Wei Xi()   

  1. Dept. of Operative Dentistry and Endodontics, Hospital of Stomatology, Sun Yat-sen University & Guangdong Provincial Clinical Research Center of Oral Diseases, Guangzhou 510055, China
  • Received:2024-06-12 Revised:2024-07-09 Online:2024-12-01 Published:2024-11-29
  • Contact: Wei Xi E-mail:cuich7@mail.sysu.edu.cn;weixi@mail.sysu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(82370943);The Key Clinical Technical Pro-ject of Guangzhou(2023P-ZD07)

摘要:

根管治疗是牙髓及根尖周疾病的主要治疗手段,为了增进根管清理和成形的效果,不同材质和设计的根管预备器械不断涌现,其中机用镍钛预备器械极大提高了根管预备效率。然而,随着根管系统解剖复杂性、根管治疗目的和预后的认识的深入,临床实践对机用镍钛预备器械提出了新需求,这些基于临床导向的需求为器械改革创新提供了动力。目前镍钛预备系统不断推陈出新,新型机用镍钛预备系统的改良及优势何在,其如何提高根管预备效率,本文拟对这类问题进行系统阐述。

关键词: 根管治疗, 镍钛器械, 机动预备, 微创, 效率, 临床应用

Abstract:

Root canal therapy is the primary treatment method for pulpal and periapical diseases. Various advanced endodontic instruments for mechanical preparation have been marketed. The emergence of nickel-titanium rotary instruments has greatly improved the efficiency of root canal preparation. New demands have been put forward for nickel-titanium rotary instruments as a result of the deepening of clinicians’ awareness of root canal anatomy system as well as the purpose and prognosis of root canal treatment. These clinical-oriented demands accelerate instrument reform and innovation. This work presents new marketed nickel-titanium systems and discusses the advantages and limitations of these systems and how they perform in terms of the efficiency and outcome of root canal preparation.

Key words: root canal therapy, nickel-titanium instrument, rotary preparation, minimally invasive, efficiency, clinical application

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