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手用根管锉的使用技术及临床应用

薛晶

国际口腔医学杂志2025,Vol.52Issue(5):561-571,11.
国际口腔医学杂志2025,Vol.52Issue(5):561-571,11.DOI:10.7518/gjkq.2025081

手用根管锉的使用技术及临床应用

The technique and clinical application of root canal hand files

薛晶1

作者信息

  • 1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院牙体牙髓病科 成都 610041
  • 折叠

摘要

Abstract

Root-canal hand instruments,often referred to as hand files,are tools utilized in endodontic therapy to clean and enlarge the root canal through a push-pull motion from the crown to the root.In modern endodontic techniques,nic-kel-titanium instruments predominantly facilitate root canal preparation.However,hand instruments continue to play an ir-replaceable role in various procedures,including canal exploration,canal patency,apical clearance,and root canal length measurement.This article reviews the evolution of hand files,tracing the development of materials from the initial use of carbon steel to stainless steel and now to nickel-titanium.The manufacturing standards have progressed from irregularities to ISO standards,alongside the emergence of various modified instruments.As a result,hand files increasingly meet di-verse clinical needs,establishing themselves as indispensable tools in root canal therapy.Selecting appropriate hand in-struments and employing proper techniques—such as thorough irrigation;and cleaning,along with ultrasonic irrigation;helps prevent complications such as postoperative swelling,root canal perforation,instrument separation,and ledge for-mation.This has become an essential component of root canal therapy.

关键词

手用根管锉/根管预备/镍钛/器械分离

Key words

root canal hand file/root canal preparation/nickel-titanium/instrument separation

分类

医药卫生

引用本文复制引用

薛晶..手用根管锉的使用技术及临床应用[J].国际口腔医学杂志,2025,52(5):561-571,11.

国际口腔医学杂志

OA北大核心

1673-5749

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