Положительные и отрицательные свойства четырех групп эндодонтических силеров: систематический обзор

Введение. Выбор силера является для врача-стоматолога важным решением, которое влияет на долгосрочный результат лечения. Знание свойств и характеристик материалов каждой группы имеет решающее значение для выбора наилучшего эндогерметика в каждом конкретном клиническом случае.

Цель обзора - сравнение свойств эндодонтических силеров на основе эпоксидных смол, гидроокиси кальция, цинк-оксид эвгенола и биокерамики.

Методы. Поиск литературы производился в двух электронных базах: PubMed и Google Scholar и включал в себя статьи по 4 группам силеров (на основе эпоксидных смол, гидроокиси кальция, цинк-оксид эвгенола и биокерамики), опубликованные с 2014 по 2021 год, а также отдельные значимые публикации за период 2002-2013 гг. В обзор были включено 73 статьи независимо от дизайна исследования и языка публикации. Методы исследования, использованные в процессе анализа: контент-анализ и описательно-аналитический. Метаанализ не проводился в связи с высокой неоднородностью исследований.

Результаты. В настоящее время на рынке стоматологических материалов представлено много силеров различных групп. Наиболее широкое распространение получили эндодонтические герметики на основе эпоксидных смол, цинк-оксид эвгенола, гидроокиси кальция и биокерамики. Обзор показывает отсутствие идеального материала для пломбирования корневых каналов.

Заключение. Многочисленные исследования показывают преимущества и недостатки каждой группы эндодонтических силеров при сравнении по разным критериям. В зависимости от клинической ситуации врач может использовать то или иное свойство данных материалов, выбирая необходимый эндогерметик.

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