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Zahnmedizin up2date 2016; 10(03): 209-227
DOI: 10.1055/s-0042-102908
Endodontologie
Georg Thieme Verlag KG Stuttgart · New York

Wurzelkanalfüllung: Alternativen zur lateralen Kondensation

Thomas Connert
,
Mauro Amato
,
Roland Weiger
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Publikationsverlauf

Publikationsdatum:
31. Mai 2016 (online)

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Einleitung

Im Anschluss an eine vollständige chemomechanische Aufbereitung des Wurzelkanalsystems erfolgt im Regelfall die Wurzelkanalfüllung. Eine hermetische Abdichtung der Wurzelkanäle soll eine Verbreitung von Mikroorganismen und Flüssigkeiten verhindern. Sie ist somit der Vermeidung und/oder der Ausheilung einer bakteriell bedingten apikalen Parodontitis dienlich und gewährleistet einen langfristigen Behandlungserfolg [1].

Die zur Abdichtung verwendeten Materialien müssen gewisse Eigenschaften aufweisen, die schon 1940 von Grossman postuliert wurden [2]. Sie sollten biokompatibel, dimensionsstabil, abdichtend, unlöslich und radioopak sein; das Wachstum von Bakterien sollte nicht gefördert werden und bei Bedarf sollte die Wurzelfüllung auch wieder im Zuge einer Revision entfernbar sein.

 

  • Literatur

  • 1 European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 2006; 39: 921-930
    CrossrefGoogle Scholar
  • 2 Grossman LI. Root Canal Therapy. Philadelphia: Lea & Febiger; 1940
    Google Scholar
  • 3 Savani GM, Sabbah W, Sedgley CM et al. Current trends in endodontic treatment by general dental practitioners: report of a United States national survey. J Endod 2014; 40: 618-624
    CrossrefPubMedGoogle Scholar
  • 4 Ng YL, Mann V, Gulabivala K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J 2011; 44: 583-609
    CrossrefPubMedGoogle Scholar
  • 5 Chu CH, Lo EC, Cheung GS. Outcome of root canal treatment using Thermafil and cold lateral condensation filling techniques. Int Endod J 2005; 38: 179-185
    CrossrefGoogle Scholar
  • 6 Gomes BP, Vianna ME, Matsumoto CU et al. Disinfection of gutta-percha cones with chlorhexidine and sodium hypochlorite. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 100: 512-517
    CrossrefPubMedGoogle Scholar
  • 7 Moinzadeh AT, Zerbst W, Boutsioukis C et al. Porosity distribution in root canals filled with gutta percha and calcium silicate cement. Dent Mater 2015; 31: 1100-1108
    CrossrefGoogle Scholar
  • 8 Gordon MP, Love RM, Chandler NP. An evaluation of .06 tapered gutta-percha cones for filling of .06 taper prepared curved root canals. Int Endod J 2005; 38: 87-96
    CrossrefGoogle Scholar
  • 9 Sonntag D, Ritter A, Burkhart A et al. Experimental amine-epoxide sealer: a physicochemical study in comparison with AH Plus and EasySeal. Int Endod J 2015; 48: 747-756
    CrossrefGoogle Scholar
  • 10 Carvalho-Sousa B, Almeida-Gomes F, Carvalho PR et al. Filling lateral canals: evaluation of different filling techniques. Eur J Dent 2010; 4: 251-256
    Google Scholar
  • 11 Schäfer E, Nelius B, Bürklein S. A comparative evaluation of gutta-percha filled areas in curved root canals obturated with different techniques. Clin Oral Investig 2012; 16: 225-230
    CrossrefGoogle Scholar
  • 12 Donnelly A, Sword J, Nishitani Y et al. Water sorption and solubility of methacrylate resin-based root canal sealers. J Endod 2007; 33: 990-994
    CrossrefGoogle Scholar
  • 13 Brackett MG, Marshall A, Lockwood PE et al. Cytotoxicity of endodontic materials over 6-weeks ex vivo. Int Endod J 2008; 41: 1072-1078
    CrossrefGoogle Scholar
  • 14 Hammad M, Qualtrough A, Silikas N. Extended setting shrinkage behavior of endodontic sealers. J Endod 2008; 34: 90-93
    CrossrefGoogle Scholar
  • 15 Rising DW, Goldman M, Brayton SM. Histologic appraisal of 3 experimental root canal filling materials. J Endod 1975; 1: 172-177
    CrossrefGoogle Scholar
  • 16 Langeland K, Olsson B, Pascon EA. Biological evaluation of Hydron. J Endod 1981; 7: 196-204
    CrossrefGoogle Scholar
  • 17 Shipper G, Orstavik D, Teixeira FB et al. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 2004; 30: 342-347
    CrossrefGoogle Scholar
  • 18 Teixeira FB, Teixeira EC, Thompson JY et al. Fracture resistance of roots endodontically treated with a new resin filling material. J Am Dent Assoc 2004; 135: 646-652
    CrossrefGoogle Scholar
  • 19 Tay FR, Pashley DH, Williams MC et al. Susceptibility of a polycaprolactone-based root canal filling material to degradation. I. Alkaline hydrolysis. J Endod 2005; 31: 593-598
    CrossrefGoogle Scholar
  • 20 Bouillaguet S, Wataha JC, Tay FR et al. Initial in vitro biological response to contemporary endodontic sealers. J Endod 2006; 32: 989-992
    CrossrefPubMedGoogle Scholar
  • 21 Tay FR, Loushine RJ, Lambrechts P et al. Geometric factors affecting dentin bonding in root canals: A theoretical modeling approach. J Endod 2005; 31: 584-589
    CrossrefGoogle Scholar
  • 22 Kim YK, Grandini S, Ames JM et al. Critical review on methacrylate resin-based root canal sealers. J Endod 2010; 36: 383-399
    CrossrefPubMedGoogle Scholar
  • 23 Torabinejad M, Hong CU, McDonald F et al. Physical and chemical properties of a new root-end filling material. J Endod 1995; 21: 349-353
    CrossrefGoogle Scholar
  • 24 Candeiro GT, Moura-Netto C, DʼAlmeida-Couto RS et al. Cytotoxicity, genotoxicity and antibacterial effectiveness of a bioceramic endodontic sealer. Int Endod J 2015; DOI: 10.1111/iej.12523.
    Google Scholar
  • 25 Hess D, Solomon E, Spears R et al. Retreatability of a bioceramic root canal sealing material. J Endod 2011; 37: 1547-1549
    CrossrefGoogle Scholar
  • 26 Schilder H. Filling root canals in three dimensions. Dent Clin North Am 1967; 723-744
    Google Scholar
  • 27 Goldman M. Evaluation of two filling methods for root canals. J Endod 1975; 1: 69-72
    CrossrefGoogle Scholar
  • 28 Buchanan LS. The continuous wave of condensation technique: a convergence of conceptual and procedural advances in obturation. Dent Today 1994; 13: 80-85
    Google Scholar
  • 29 Johnson WB. A new gutta-percha technique. J Endod 1978; 4: 184-188
    CrossrefGoogle Scholar
  • 30 Li GH, Niu LN, Selem LC et al. Quality of obturation achieved by an endodontic core-carrier system with crosslinked gutta-percha carrier in single-rooted canals. J Dent 2014; 42: 1124-1134
    CrossrefGoogle Scholar
  • 31 Lee FS, Van Cura JE, BeGole E. A comparison of root surface temperatures using different obturation heat sources. J Endod 1998; 24: 617-620
    CrossrefGoogle Scholar
  • 32 Clinton K, Van Himel T. Comparison of a warm gutta-percha obturation technique and lateral condensation. J Endod 2001; 27: 692-695
    CrossrefGoogle Scholar
  • 33 Azim AA, Griggs JA, Huang GT. The Tennessee study: factors affecting treatment outcome and healing time following nonsurgical root canal treatment. Int Endod J 2016; 49: 6-16
    CrossrefGoogle Scholar
  • 34 Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J 1995; 28: 12-18
    CrossrefGoogle Scholar