СРАВНИТЕЛЬНЫЙ АНАЛИЗ ГИДРООКИСИ КАЛЬЦИЯ, МТА И БИОДЕНТИНА В СОЗДАНИИ АПИКАЛЬНОГО БАРЬЕРА В НЕСФОРМИРОВАННЫХ КОРНЯХ ПОСТОЯННЫХ ЗУБОВ ПРИ ХРОНИЧЕСКОМ АПИКАЛЬНОМ ПЕРИОДОНТИТЕ
Введение. Хронический апикальный периодонтит является одной важных проблем в детской эндодонтии, приводящих к задержке развития и формирования корня постоянных зубов. Апексификация считается важным методом лечения несформированных постоянных зубов с открытой верхушкой.
Цель: анализ литературы по вопросу эффективности гидроокиси кальция, МТА и Биодентина в клиническом и рентгенологическом успехе апексификации некротизированных несформированных постоянных зубов.
Стратегия поиска. Поиск осуществлялся в базах данных Pubmed, Web of Science, Scopus, eLibrary, Cochrane Library, Google Scholar, Research Gate: рандомизированные контролируемые испытания, проспективные и ретроспективные исследования на английском и русском языках, датированные 2012 - 2022 гг. Использовались ключевые слова по следующим разделам: патология: «apical periodontitis», «immature permanent teeth»; лечение: «apexification»; препараты: «calcium hydroxide», «MTA», «Biodentine»; исследования: «randomized controlled trial». Всего в анализ было включено 7 полнотекстовых исследований.
Результаты. Анализ литературы показал, что Биодентин является наиболее эффективным с клинической и рентгенологической точек зрения, сокращает количество посещений пациента до одного визита, имеет лучшие эксплуатационные характеристики, отвердевая внутри канала за 12 минут и позволяя одномоментно обтурировать корневой канал. МТА обладает менее благоприятными характеристиками, вызывая потемнение эмали зуба. Однако появление модификаций в виде белого МТА нивелировали указанные недостатки. Гидроокись кальция является бюджетным и достаточно эффективным решением для апексификации, который и по сей день находит широкое распространение как за рубежом, так и в Республике Казахстан.
Выводы. Из трех представленных материалов для апексификации Биодентин и МТА являются наиболее клинически и рентгенологически эффективными материалами. Гидроокись кальция остается препаратом выбора, хотя и имеет ряд недостатков.
Мадина А. Курманалина1, Айгуль М. Суманова2,
Виолетта Р. Деточкина2, Жанара А. Шабанбаева2,
1НАО «Западно-Казахстанский медицинский университет имени Марата Оспанова»,
г. Актобе, Республика Казахстан;
2НАО «Медицинский университет Астана». г. Астана, Республика Казахстан.
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Курманалина М.А., Суманова А.М., Деточкина В.Р., Шабанбаева Ж.А. Сравнительный анализ гидроокиси кальция, МТА и Биодентина в создании апикального барьера в несформированных корнях постоянных зубов при хроническом апикальном периодонтите // Наука и Здравоохранение. 2023. 4(Т.25). С. 258-269. doi 10.34689/SH.2023.25.4.031Похожие публикации:
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