Порівняльний аналіз ефективності сучасних методів активації іригантів у протоколі хемо-механічної обробки системи кореневого каналу (огляд літератури)
DOI:
https://doi.org/10.33295/1992-576X-2023-3-4Ключові слова:
ендодонтія, активація, іригація, кореневий канал, гіпохлорит натрію, змазаний шар, дебрис, ультразвук, звукова активація, лазер, Gentlewave, SAF (Self-AdjustingFile), XP-EndoFinisherАнотація
Резюме. Розвиток апікального періодонтиту є найпоширенішим ускладненням невдало проведеного ендодонтичного лікування. Очищення системи кореневого каналу є ключовим етапом та основним фактором успішного ендодонтичного протоколу. Неможливість видалення дебрісу з важкодоступних розгалужень системи кореневого каналу, особливо з апікальної частини, зумовлює та підвищує ризик розвитку його вторинного інфікування. Вибір оптимального методу активації іригантів залишається актуальним питанням сьогодення. За результатами низки досліджень жодна із окремо взятих технік активації іригантів не дозволяє досягнути ідеальної чистоти в кореневому каналі, але застосування лазерної, сонічної, мультисонічної та ультразвукової активації іригаційного розчину значно підвищує якість очищення та забезпечує пролонгований антимікробний ефект, шляхом посилення дифузії внутрішньоканальних антисептиків, їх гідролітичної та антибактеріальної ефективності, що в майбутньому забезпечить максимальну адгезію пломбувальних матеріалів. Це в свою чергу вказує на відсутність уніфікованого протоколу, який би давав стабільну ефективність іригації та пролонговані результати ендодонтичного лікування зубів. Застосування протоколу з комбінованою активацією іригантів залишається актуальною темою середклініцистів та науковців.
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