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근관 실러의 분류와 특성 비교
Root Canal Sealers : from Conventional Sealers to the Contemporary Sealers

대한통합치과학회지 2017년 6권 2호 p.65 ~ 72

최동진, 정지은, 곽은정, 박원서, 정복영, 김기덕, 방난심,

소속 상세정보

최동진 ( Choi Dong-Jin ) - 연세대학교 치과대학 통합진료학과
정지은 ( Jung Ji-Eun ) - 연세대학교 치과대학 통합진료학과
곽은정 ( Kwak Eun-Jung ) - 연세대학교 치과대학 통합진료학과
박원서 ( Park Won-Se ) - 연세대학교 치과대학 통합진료학과
정복영 ( Jung Bock-Young ) - 연세대학교 치과대학 통합진료학과
김기덕 ( Kim Ki-Deok ) - 연세대학교 치과대학 통합진료학과
방난심 ( Pang Nan-Sim ) - 연세대학교 치과대학 통합진료학과

KMID : 1146620170060020065

Abstract

The aim of this review was to compare calcium hydroxide-based root canal sealers with various contemporary commercial sealers especially leakage / solubility aspect. An extensive search of the endodontic literature through pubmed was made to identify publications related to calcium hydroxide-based sealers, epoxy resin-based sealers,
methacrylate resin-based sealers and bioceramic-based sealers.
1. All sealers leak in long-term evaluation (>60 days).
(except MTA sealers, because they do not have long-term [>120 days] evaluation data yet.)
2. Some sealers have better short-term sealing ability (<30 days).
(but, the result could be reversed in long-term evaluation and meaningless after some period, because all sealers
leak eventually.)
3. Regardless of the type of sealers, leakage increases over time.
4. A lot of endodontic treatment failure cases are because of re-infection through various route.
5. It is very important for the long-term survival of endodontically treated teeth that installation of full coverage-type
final restoration as soon as possible after endodontical treatment.
(further research is required to estabilish the sealing ability of luting cement or core material) It seems right to use sealers that have best bacterial sealing ability during those period (about 20 days) until the installation of full coverage-type final restoration right after the endodontical treatment finished. In that case, calcium hydroxide-based sealers are very effective and efficient.