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class="text editor">　　氫氧化鈣作為牙體牙髓疾病治療中常用的消毒劑和蓋髓劑，已經(jīng)得到越來越廣泛的應(yīng)用，人們對此也做了大量的實驗研究和臨床觀察。隨著研究的逐步深入，氫氧化鈣及其制劑在兒童牙病中的應(yīng)用越來越普遍。<br /> 　　常規(guī)狀態(tài)為白色粉末,化學(xué)性質(zhì)穩(wěn)定,被溶于水并可少量離解成鈣離子和氫氧根離子,它具有強堿性,pH值高達(dá)12.3,一般pH值為10～12,是牙科臨床治療常用的蓋髓劑和消毒劑,它具有以下藥理作用:①抗菌;②滅活內(nèi)毒素;③誘導(dǎo)硬組織形成,促進(jìn)修復(fù)等。<br /> <p> 　　活髓切斷術(shù)活髓切斷術(shù)是治療意外露髓的有效方法，在露髓點以下1～2 mm切斷炎癥牙髓組織，充分止血后，用氫氧化鈣制劑覆蓋斷面，促使牙本質(zhì)橋的形成，保存活髓。Blanco等[收集了39顆前牙外傷露髓的病例，用氫氧化鈣制劑覆蓋牙髓斷面的活髓切斷術(shù)進(jìn)行治療，3個月后牙本質(zhì)橋開始形成，觀察1～12年，發(fā)現(xiàn)所有病例預(yù)后良好。 </p> <p style="text-align:center;"> <img src="/Upload/thumb_6434bcc008294.jpeg" width="400" height="325" title="氫氧化鈣" alt="氫氧化鈣" /> </p> 　　乳牙根管充填作為乳牙的根管充填材料應(yīng)具備以下特點：不刺激根尖周組織，具有抗菌作用，容易導(dǎo)入根管，超出部分易吸收，X線阻射，能誘導(dǎo)生活的尖周組織封閉根管。目前乳牙的根管充填材料常用的有氧化鋅丁香油糊劑和氫氧化鈣碘仿糊劑。氫氧化鈣的消毒滅菌性、滲透性、滅活內(nèi)毒素等特點保證了其作為根充糊劑控制根管內(nèi)感染的能力。Mickel等發(fā)現(xiàn)雖然氧化鋅丁香油糊劑比氫氧化鈣糊劑有更強的抗菌作用，但鈣離子可以和牙本質(zhì)中的磷灰石基質(zhì)反應(yīng)形成磷酸鈣晶體，封閉牙本質(zhì)小管，減少細(xì)菌存在，且細(xì)胞毒性小于氧化鋅丁香油糊劑。加入碘仿，根充后遇到組織液、脂肪或細(xì)菌產(chǎn)物能緩慢釋放出游離碘，有殺菌和使細(xì)胞氧化的作用，作用持久，對組織無刺激，能促進(jìn)根尖區(qū)炎癥的消退和病變的修復(fù)。還具有以下優(yōu)點：溶解速度慢，有持續(xù)消毒效果;具有收斂性，對根管有滲液者有良好效果;溶解根管內(nèi)壞死牙髓組織，有利于清潔根管;不使牙變色;價廉和使用方便。因此，很多學(xué)者推薦作為換代根管消毒藥物應(yīng)用，但尚需進(jìn)一步的臨床研究和觀察。<br /> 　　氫氧化鈣作為一種新興的根管消毒劑，其有的消毒滅菌能力、滲透能力、滅活內(nèi)毒素的能力，為使其成為根管消毒劑提供了有利條件。<br /> 小編：Amy<br /></div> <div id="wgq2yqg" class="page" style="clear:both;"> 上一條： <a href="http:///xinwen/news/show351.html">氫氧化鈣老化是什么原因造成的</a> <br> 下一條： <a href="http:///xinwen/news/show345.html">超細(xì)氧化鈣和生石灰的區(qū)別有哪些？</a> <br> </div> <h4 class="related"><span style="font-weight:bold;height:30px;line-height:30px;font-size:13px; 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