ARTYKUŁ PRZEGLĄDOWY. Jakie są wyniki badań naukowych dotyczących wpływu materiałów do wypełniania kanałów korzeniowych na ogólny stan zdrowia? – Till Dammaschke

ARTYKUŁ PRZEGLĄDOWY. Jakie są wyniki badań naukowych dotyczących wpływu materiałów do wypełniania kanałów korzeniowych na ogólny stan zdrowia? – Till Dammaschke
Opublikowano dnia : 12.10.2026

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Jakie są wyniki badań naukowych dotyczących wpływu materiałów do wypełniania kanałów korzeniowych na ogólny stan zdrowia?

Till Dammaschke

Streszczenie

Nawet w przypadku prawidłowego wypełnienia kanału korzeniowego, bez przepchnięcia materiału do tkanek przyzębia, składniki preparatów stosowanych w leczeniu endodontycznym mogą dyfundować do otaczających tkanek, a następnie rozprzestrzeniać się po organizmie za pośrednictwem naczyń krwionośnych i limfatycznych. Gutaperka i materiały uszczelniające powinny zatem charakteryzować się biozgodnością miejscową oraz brakiem niekorzystnego działania ogólnoustrojowego. W związku z tym należy wykluczyć stosowanie preparatów endodontycznych zawierających lub uwalniających formaldehyd ze względu na ich potencjał alergizujący oraz ryzyko toksyczności narządowej, genotoksyczności, mutagenności i neurotoksyczności. Krytycznej oceny wymaga również stosowanie tradycyjnych uszczelniaczy i cementów na bazie tlenku cynku i eugenolu. Warto też przyjrzeć się materiałom na bazie żywic epoksydowych ze względu na ich potencjał alergizujący i mutagenność w badaniach in vitro. Za najlepiej tolerowane uznaje się materiały bioceramiczne na bazie krzemianu wapnia. Odrębną grupę stanowią jednak materiały na bazie krzemianu wapnia modyfikowane żywicą, której obecność wymaga uwzględnienia potencjalnego działania toksycznego.

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