Medicinal treatment of root canals in endodontics: problems of using modern agents

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INTRODUCTION: Medicinal treatment of root canals (RC) in the endodontic treatment is an important aspect of therapeutic dentistry. Antiseptic solutions help clean RC from smear layer components, pathogenic microorganisms and their toxins, and also ensure high adhesion of materials to tooth tissues. A quality medicinal irrigation permits to prevent the development of inflammation in the apical periodontium after endodontic treatment.

AIM: Based on current literature, to analyze the problems of using modern agents for medicinal treatment of RC in endodontics.

Articles from 2013–2023 in Russian and English from eLibrary, Medline/PubMed, Google Scholar electronic databases were analyzed.

The paper presents a review of studies concerning the choice of irrigant for medicinal treatment of RC in terms of different concentration of solutions and exposure time. The main problem in the use of antiseptics is their evident toxic effect on the human organism at the concentration required for a quality treatment of RC. The irrigation technique should be practically ideal to avoid severe complications of periodontal damage, which is achieved by a specialist over time. To increase the effectiveness of removing the smear layer, it is optimal to use combinations of antiseptics: 3% sodium hypochlorite and 17% EDTA, 3% sodium hypochlorite and 10% citric acid, 3% sodium hypochlorite and 3% hydrogen peroxide

CONCLUSION: Despite the variety of antiseptics for medicinal treatment of the dental RC, there is currently no preparation meeting all the requirement to these agents. Most effective remain sodium hypochlorite solutions both in a pure form and in a combination with ethylenediaminetetraacetic acid, hydrogen peroxide or citric acid. Activation of antiseptic solutions in the CR system using sound, ultrasound, laser radiation increases the effectiveness of medicinal treatment.

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作者简介

Narine Sarkisyan

Urals State Medical University; Institute of Immunology and Physiology of the Ural Branch of the Russian Academy of Sciences

Email: narine_25@mail.ru
ORCID iD: 0000-0002-6175-5752
SPIN 代码: 2694-8242

MD, Dr. Sci. (Med.), Associate Professor

俄罗斯联邦, Ekaterinburg; Ekaterinburg

Natal’ya Kataeva

Urals State Medical University

编辑信件的主要联系方式.
Email: kataeva.nn@mail.ru
ORCID iD: 0000-0002-2847-8810
SPIN 代码: 5105-9731

Cand. Sci. (Chem.), Associate Professor

俄罗斯联邦, Ekaterinburg

Diana Khokhryakova

Urals State Medical University

Email: diana_hohryakova@mail.ru
ORCID iD: 0000-0003-4887-2257
SPIN 代码: 4787-2328
俄罗斯联邦, Ekaterinburg

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