BIOCERAMIC-BASED ROOT CANAL SEALERS - USE IN ENDODONTICS
نویسندگان
چکیده
Ăvod a pĹedmÄt sdÄlenĂ: Sealery na bĂĄzi kalciumsilikĂĄtĹŻ oznaÄovanĂŠ takĂŠ jako biokeramickĂŠ sealery mohou dĂky svĂ˝m vlastnostem zabezpeÄit hermetickĂŠ zapeÄetÄnĂ koĹenovĂ˝ch kanĂĄlkĹŻ zubĹŻ v endodoncii. DoporuÄenĂĄ monokĂłnickĂĄ hydraulickĂĄ metoda plnÄnĂ za studena nebo pĹĂpadnÄ laterĂĄlnĂ kondenzace gutaperÄi se jevĂ vhodnĂ˝ zpĹŻsob vyuĹžitĂ tohoto typu sealerĹŻ pĹi endodontickĂŠ obturaci. PĹi sprĂĄvnĂŠm vĂ˝bÄru hlavnĂho gutaperÄovĂŠho Äepu, kterĂ˝ pĹesnÄ odpovĂdĂĄ apikĂĄlnĂmu rozmÄru po opracovĂĄnĂ koĹenovĂŠho kanĂĄlku, lze dosĂĄhnout spolehlivĂŠho ve spojenĂ sealerem aplikovanĂ˝m filler. DĂky vysokĂŠ mĂĹe biokompatibility pĹĂpadnĂĄ extruze materiĂĄlu do periodoncia nepĹŻsobà Şådnou jen malou pooperaÄnĂ citlivost. biokeramiky majĂ schopnost vyplnit i anatomickĂŠ nepravidelnosti utÄsnit iatrogennÄ vzniklĂŠ defekty. MinimĂĄlnĂ preparace koronĂĄrnĂho dentinu, chemickĂĄ vazba dentin relativnÄ malĂ˝ kondenzaÄnĂ tlak kanĂĄlku pĹispĂvajĂ ke snĂĹženĂ rizika fraktury koĹene. PlnÄnĂ pomocĂ tĂŠto skupiny poskytuje podle dostupnĂ˝ch informacĂ minimĂĄlnÄ srovnatelnĂŠ vĂ˝sledky zlatĂ˝ standard endodoncii - metodou gutaperÄi. postendodontickĂŠm oĹĄetĹenĂ je doporuÄovĂĄna finĂĄlnĂ vĂ˝plĹovĂĄ terapie tĂŠĹže nĂĄvĹĄtÄvÄ, to nejlĂŠpe s pouĹžitĂm adhezivnĂch vĂ˝plĹovĂ˝ch materiĂĄlĹŻ. DĹŻleĹžitĂ˝m bodem pĹitom prostorovĂŠ oddÄlenĂ biokeramickĂŠho sealeru, hydrofilnĂ, od pĹĂpravkĹŻ pro adhezivnĂ Ăşpravu kavity, kterĂŠ jsou hydrofobnĂ. Jako mezernĂk praxi doporuÄuje pouĹžitĂ malĂŠho mnoĹžstvĂ horkĂŠ skloionomernĂ cement. V zĂĄvislosti klinickĂŠ situaci k post- rekonstrukci vyuĹžĂt FRC Äepy (Fiber Reinforced Composite) zavĂĄdÄnĂŠ nĂĄvĹĄtÄvÄ nĂĄslednĂŠ protetickĂŠ ĹeĹĄenĂ. SekundĂĄrnĂ pĹĂpadÄ moĹžnĂŠ, ale odstranÄnĂ materiĂĄlu, mĂĄ chemickou vazbu stÄnĂĄm obtĂĹžnĂŠ patĹĂ spĂĹĄe rukou endodontickĂŠho specialisty. ZĂĄvÄr: BiokeramickĂŠ zjednoduĹĄenĂm pracovnĂho postupu pĹispÄt zkvalitnÄnĂ obturace ordinaci praktickĂŠho zubnĂho lĂŠkaĹe. PĹĂnos pĹedstavovat prĂĄci specialisty, nejen ĹeĹĄenĂ komplikovanĂ˝ch pĹĂpadĹŻ. Ke koneÄnĂŠmu zhodnocenĂ vĹĄak tĹeba dalĹĄĂch vĂ˝zkumĹŻ.
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ژورنال
عنوان ژورنال: ?eská stomatologie a Praktické zubní léka?ství
سال: 2021
ISSN: ['1805-4471', '1213-0613']
DOI: https://doi.org/10.51479/cspzl.2021.006