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Aktuelle Konzepte der Wurzelkanaldesinfektion

Spülung, medikamentöse Einlage und adjuvante Maßnahmen

  • Zahnärztliche Fortbildung
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wissen kompakt Aims and scope

Zusammenfassung

Die Desinfektion des Wurzelkanalsystems in Kombination mit der mechanischen Präparation stellt den wichtigsten Bestandteil der endodontischen Therapie dar. Für eine optimale Desinfektion muss vor allem der mikrobiologische Ausgangsbefund berücksichtigt, d. h. eine Differenzierung zwischen infizierten und nichtinfizierten Wurzelkanälen vorgenommen werden. Der vorliegende Beitrag beschreibt die Eigenschaften und Interaktionen verschiedener Spülflüssigkeiten und stellt neuartige Techniken und Systeme für die Applikation bzw. Aktivierung dieser Substanzen vor. Darüber hinaus wird die Notwendigkeit zur Verwendung intrakanalärer Medikamente diskutiert sowie das Prinzip und die antimikrobielle Wirksamkeit der photoaktivierten Desinfektion erläutert. Abschließend werden Desinfektionsprotokolle für verschiedene klinische Situationen abgeleitet.

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Literatur

  1. Byström A, Sundqvist G (1981) Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy. Scand J Dent Res 89:321–328

    PubMed  Google Scholar 

  2. Dalton BC, Ørstavik D, Phillips C et al (1998) Bacterial reduction with nickel-titanium rotary instrumentation. J Endod 24:763–767

    Article  PubMed  Google Scholar 

  3. Peters OA, Schönenberger K, Laib A (2001) Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J 34:221–230

    Article  PubMed  Google Scholar 

  4. Zehnder M (2006) Root canal irrigants. J Endod 32:389–398

    Article  PubMed  Google Scholar 

  5. Siqueira JF Jr, Rocas IN, Favieri A, Lima KC (2000) Chemomechanical reduction of the bacterial population in the root canal after instrumentation and irrigation with 1 %, 2.5 %, and 5.25 % sodium hypochlorite. J Endod 26:331–334

    Article  PubMed  Google Scholar 

  6. Bergenholtz G, Spångberg L (2004) Controversies in endodontics. Crit Rev Oral Biol Med 15:99–114

    Article  PubMed  Google Scholar 

  7. DGZMK (2006) Wissenschaftliche Stellungnahme: Die Wurzelkanalspülung. Dtsch Zahnärztl Z 61:448–449

    Google Scholar 

  8. Chang YC, Huang FM, Cheng MH et al (1998) In vitro evaluation of the cytotoxicity and genotoxicity of root canal medicines on human pulp fibroblasts. J Endod 24:604–606

    Article  PubMed  Google Scholar 

  9. Chang YC, Tai KW, Huang FM, Huang MF (2000) Cytotoxic and nongenotoxic effects of phenolic compounds in human pulp cell cultures. J Endod 26:440–443

    Article  PubMed  Google Scholar 

  10. Fager FK, Messer HH (1986) Systemic distribution of camphorated monochlorophenol from cotton pellets sealed in pulp chambers. J Endod 12:225–230

    Article  PubMed  Google Scholar 

  11. Barthel CR, Zaritzki FF, Raab WH, Zimmer S (2006) Bacterial leakage in roots filled with different medicaments and sealed with Cavit. J Endod 32:127–129

    Article  PubMed  Google Scholar 

  12. European Society of Endodontology (2006) Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 39:921–930

    Article  Google Scholar 

  13. Boutsioukis C, Lambrianidis T, Verhaagen B et al (2010) The effect of needle-insertion depth on the irrigant flow in the root canal: evaluation using an unsteady computational fluid dynamics model. J Endod 36:1664–1668

    Article  PubMed  Google Scholar 

  14. Wu MK, Wesselink PR (1995) Efficacy of three techniques in cleaning the apical portion of curved root canals. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:492–496

    Article  PubMed  Google Scholar 

  15. Huffaker SK, Safavi K, Spangberg LS, Kaufman B (2010) Influence of a passive sonic irrigation system on the elimination of bacteria from root canal systems: a clinical study. J Endod 36:1315–1318

    Article  PubMed  Google Scholar 

  16. Hauser V, Braun A, Frentzen M (2007) Penetration depth of a dye marker into dentine using a novel hydrodynamic system (RinsEndo). Int Endod J 40:644–652

    Article  PubMed  Google Scholar 

  17. Burleson A, Nusstein J, Reader A, Beck M (2007) The in vivo evaluation of hand/rotary/ultrasound instrumentation in necrotic, human mandibular molars. J Endod 33:782–787

    Article  PubMed  Google Scholar 

  18. Gutarts R, Nusstein J, Reader A, Beck M (2005) In vivo debridement efficacy of ultrasonic irrigation following hand-rotary instrumentation in human mandibular molars. J Endod 31:166–170

    Article  PubMed  Google Scholar 

  19. Sathorn C, Parashos P, Messer H (2007) Antibacterial efficacy of calcium hydroxide intracanal dressing: a systematic review and meta-analysis. Int Endod J 40:2–10

    Article  PubMed  Google Scholar 

  20. Siqueira JF Jr, Rôças IN (2011) Controlling endodontic infections – an overview. In: Siqueira JF Jr (Hrsg) Treatment of endodontic infections. Quintessence Publishing, London S 211–234

  21. Trope M, Debelian G (2008) Endodontic treatment of apical periodontitis. In: Ørstavik D, Pitt Ford T (Hrsg) Essential Endodontology, 2. Aufl. Blackwell Publishing, Oxford 347–380

  22. Economides N, Koulaouzidou EA, Beltes P, Kortsaris AH (1999) In vitro release of hydroxyl ions from calcium hydroxide gutta-percha points. J Endod 25:481–482

    Article  PubMed  Google Scholar 

  23. Barthel CR, Zimmer S, Zilliges S et al (2002) In situ antimicrobial effectiveness of chlorhexidine and calcium hydroxide: gel and paste versus gutta-percha points. J Endod 28:427–430

    Article  PubMed  Google Scholar 

  24. Chen H, Teixeira FB, Ritter AL et al (2008) The effect of intracanal anti-inflammatory medicaments on external root resorption of replanted dog teeth after extended extra-oral dry time. Dent Traumatol 24:74–78

    Article  PubMed  Google Scholar 

  25. Upadya MH, Kishen A (2010) Influence of bacterial growth modes on the susceptibility to light-activated disinfection. Int Endod J 43:978–987

    Article  PubMed  Google Scholar 

  26. Garcez AS, Nunez SC, Hamblim MR et al (2010) Photodynamic therapy associated with conventional endodontic treatment in patients with antibiotic-resistant microflora: a preliminary report. J Endod 36:1463–1466

    Article  PubMed  Google Scholar 

  27. Garcez AS, Nunez SC, Hamblin MR, Ribeiro MS (2008) Antimicrobial effects of photodynamic therapy on patients with necrotic pulps and periapical lesion. J Endod 34:138–142

    Article  PubMed  Google Scholar 

  28. Rödig T, Hülsmann M, Nordmeyer S, Drebenstedt S (2009) Desinfektion des Wurzelkanalsystems. Spitta, Balingen, S 175–202

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  1. Abteilung Präventive Zahnmedizin, Parodontologie und Kariologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland

    T. Rödig

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Rödig, T. Aktuelle Konzepte der Wurzelkanaldesinfektion. wissen kompakt 7, 27–39 (2013). https://doi.org/10.1007/s11838-012-0162-7

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  • DOI: https://doi.org/10.1007/s11838-012-0162-7

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