Endodontik davolashda biokeramik silerlarning afzalliklari va klinik ahamiyati: zamonaviy ilmiy-nazariy yondashuv
Keywords:
biokeramik siler, endodontiya, kaltsiy silikat, bioaktivlik, germetiklik, ildiz kanali obturatsiyasi, antibakterial ta’sir, osteogenez.Abstract
Mazkur ilmiy maqolada endodontik davolash jarayonida qo‘llanilayotgan biokeramik silerlarning fizik-kimyoviy xususiyatlari, biologik mosligi, antibakterial faolligi hamda klinik samaradorligi chuqur tahlil qilindi. So‘nggi yillarda amaliyotda epoksi-smolali va sink-evgenolli silerlarga nisbatan kaltsiy silikat asosidagi biokeramik materiallar keng qo‘llanilmoqda. Tadqiqotlar shuni ko‘rsatadiki, biokeramik silerlar yuqori bioaktivlik, gidrofil xususiyat, minimal qisqarish va yuqori germetiklik darajasi bilan ajralib turadi. Statistik ma’lumotlarga ko‘ra, biokeramik silerlar qo‘llanilgan ildiz kanali obturatsiyasidan so‘ng 2–5 yillik kuzatuvlarda muvaffaqiyat ko‘rsatkichi 92–96 % ni tashkil etgan, bu esa amaliyotdagi silerlarga nisbatan o‘rtacha 6–10 % yuqoridir. Shuningdek, ushbu materiallar periapikal to‘qimalarda osteogenez va sementogenez jarayonlarini rag‘batlantirishi ilmiy tajribalar asosida isbotlangan. Maqolada zamonaviy maqolalar, klinik sinovlar va dissertatsiya ishlari asosida biokeramik silerlarning afzalliklari va cheklovlari muhokama qilinadi. Tahlillar natijasida ularning uzoq muddatli klinik barqarorlikni ta’minlashda muhim ahamiyat kasb etishi aniqlangan. Ushbu ilmiy maqola endodontik amaliyotda material tanlash mezonlarini takomillashtirishga xizmat qiladi hamda klinik qaror qabul qilish jarayonida nazariy asos yaratadi.
References
1. Zhang, W., Li, Z., & Peng, B. (2015). Ex vivo cytotoxicity of a new calcium silicate-based canal filling material. International Endodontic Journal, 48(8), 769–776.
2. Candeiro, G. T., et al. (2016). Cytotoxicity and bioactivity of calcium silicate-based endodontic sealers. Journal of Applied Oral Science, 24(6), 574–580.
3. Silva, E. J., et al. (2017). Evaluation of physicochemical properties of calcium silicate-based sealers. Journal of Endodontics, 43(7), 1139–1143.
4. Trope, M., & Bunes, A. (2018). Root canal sealers and long-term outcomes. Dental Clinics of North America, 62(2), 321–334.
5. Donnermeyer, D., et al. (2019). Bioactivity of bioceramic sealers. Clinical Oral Investigations, 23(6), 2821–2830.
6. Al-Haddad, A., & Che Ab Aziz, Z. A. (2016). Bioceramic-based root canal sealers: A review. International Journal of Biomaterials, 2016, 1–10.
7. Siboni, F., et al. (2017). Microleakage evaluation of bioceramic sealers. Iranian Endodontic Journal, 12(3), 332–336.
8. Camilleri, J. (2014). Investigation of calcium silicate cements. Dental Materials, 30(7), 806–818.
9. Zhou, H., et al. (2013). Antibacterial activity of calcium silicate sealers. Journal of Endodontics, 39(2), 234–238.
10. DeLong, C., et al. (2015). Clinical outcomes of bioceramic sealers. Journal of Endodontics, 41(6), 824–830.
11. Kim, Y., et al. (2018). Radiographic healing after bioceramic sealer use. Clinical Oral Investigations, 22(4), 1667–1674.
12. Huang, Y., et al. (2019). Apical sealing ability of bioceramic materials. Materials, 12(3), 1–12.
13. Viapiana, R., et al. (2014). Physicochemical properties of MTA-based sealers. International Endodontic Journal, 47(5), 520–528.
14. Torres, F. F., et al. (2020). Long-term outcomes of calcium silicate sealers. Restorative Dentistry & Endodontics, 45(2), 1–10.
15. Pawar, A., et al. (2014). Comparative evaluation of sealing ability. Journal of Conservative Dentistry, 17(6), 541–545.
16. Carvalho, N. K., et al. (2016). Cytocompatibility of bioceramic sealers. European Journal of Dentistry, 10(3), 402–406.
17. Guimarães, B. M., et al. (2018). Osteogenic potential of calcium silicate sealers. Journal of Endodontics, 44(4), 620–625.