[Endodontics--a literature review. Continuation of part II].
A survey of physical and biological properties of well-known root canal filling materials are discussed and the following conclusions were drawn: --No root canal filling material fulfils all requirements of an ideal sealer. Those materials, which perfectly seal the root canal and also show minimal periradicular tissur reaction, are recommended in Endodontics. --During setting time, all sealers are more or less toxic to the periradicular tissue. Materials which contain paraformaldehyde and lead exhibit a strong and persistent toxicity. --The tissue reaction of root canal filling materials is only slight when the root canal is underfilled. Ideally, in vital cases, the root canal should be filled to the dentine-cemental junction (approx. 1 mm short of the apex), in necrotic cases to the apical foramen. --Neither a root canal cement nor a guttapercha cone will perfectly seal a root canal alone. The combination of the two materials is recommended. --Silver cones are indicated only in narrow, tortuous canals. --Success of root canal therapy depends on various factors, primarily however on thorough root canal débridement.
D002478:Cells, Cultured; D055598:Chemical Phenomena; D002627:Chemistry, Physical; D001840:Dental Bonding; D003907:Dexamethasone / Q000633:toxicity; D005557:Formaldehyde / Q000633:toxicity; D006171:Gutta-Percha / Q000633:toxicity; D006854:Hydrocortisone / Q000633:toxicity; D007659:Ketones / Q000633:toxicity; D008709:Methenamine / Q000633:toxicity; D009824:Ointments; D010486:Periapical Tissue / Q000187:drug effects; D011076:Polycarboxylate Cement / Q000633:toxicity; D012387:Root Canal Filling Materials / Q000633:toxicity; D012390:Root Canal Therapy; D012834:Silver / Q000633:toxicity; D013943:Thymol / Q000031:analogs & derivatives; D015035:Zinc Oxide-Eugenol Cement / Q000633:toxicity
D007659:Ketones; D009824:Ointments; D011076:Polycarboxylate Cement; D012387:Root Canal Filling Materials; D015035:Zinc Oxide-Eugenol Cement; D005557:Formaldehyde; D013943:Thymol; D012834:Silver; D003907:Dexamethasone; D006171:Gutta-Percha; D008709:Methenamine; D006854:Hydrocortisone
Endodontie -- eine iteraturübersicht. Fortsetzung des II. Teils.