{"id":6,"date":"2024-04-03T23:08:35","date_gmt":"2024-04-03T20:08:35","guid":{"rendered":"https:\/\/sisu.ut.ee\/juureravi1\/taitmisel-kasutatavad-materjalid-siilerid\/"},"modified":"2024-04-09T09:03:02","modified_gmt":"2024-04-09T06:03:02","slug":"taitmisel-kasutatavad-materjalid-siilerid","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/juureravi1\/taitmisel-kasutatavad-materjalid-siilerid\/","title":{"rendered":"Endodontilised siilerid"},"content":{"rendered":"<p>Endodontilised siilerid on isek\u00f5vanevad pastad, mida kasutatakse kombinatsioonis t\u00e4itematerjalidega, sulgemaks t\u00fchimikud t\u00e4idismaterjali ja juurekanali vahel. Siilerid t\u00e4idavad ka dentiinituubulid ning k\u00e4ituvad lubrikandina juurekanalite seintel, et h\u00f5lbustada juuret\u00e4idismaterjali j\u00f5udmist apikaalpiirkonda. Neid peab kasutama minimaalselt, p\u00f5hiosa juuret\u00e4idisest peab moodustama \u00a0pooltahke v\u00f5i tahke t\u00e4idismaterjal.<\/p>\n\n\n\n<h6 class=\"wp-block-heading\">J\u00e4ta meelde!\u00a0\nSiiler on ABIVAHEND! K\u00f5ik siilerid resorbeeruvad mingil m\u00e4\u00e4ral, kui satuvad kontakti koevedelikuga ning kestva tulemuse saavutamiseks on vajalik juurekanali t\u00e4itmine tahke v\u00f5i pooltahke juuret\u00e4idismaterjaliga!<\/h6>\n\n\n\n<p>Ideaalse siileri omadused:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">piisavalt pikk t\u00f6\u00f6aeg;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">kergesti segatav;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">kleepub kanaliseintele;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">moodustab vedelikukindla sulguse juuret\u00e4idismaterjali ja juurekanali seina vahel;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">biosobiv;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">k\u00f5vastumisel kergelt paisuv;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">absoluutselt inertne;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">f\u00fc\u00fcsikaliselt stabiilne;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">mitteresorbeeruv;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">mittelahustuv;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">radiopaakne;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">ei tohi v\u00e4rvida hambakudesid;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">bakteriostaatiline;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">vajadusel kergesti kanals\u00fcsteemist eemaldatav;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">mittemutageenne;<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">mittekantserogeenne.<\/span><\/li>\n<\/ul>\n\n\n\n<h6 class=\"wp-block-heading\">J\u00e4ta meelde!\u00a0\nK\u00f5ik siilerid on vahetult p\u00e4rast segamist toksilised, kuid toksilisus v\u00e4heneb k\u00f5vanemisel!<\/h6>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><span data-mce-mark=\"1\">Siilerite t\u00fc\u00fcbid<\/span><\/strong><\/h2>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">1. Tsinkoksiid-eugenoolsiilerid<br><\/strong>Resorbeeruvad kontaktis koevedelikuga, kootuvad reageerides, lahustuvad koevedelikus, v\u00e4rvivad hambakudesid (sisaldavad eugenooli, Canada balsamit v\u00f5i h\u00f5beda osakesi). Neil on pikk k\u00f5vastumisaeg, on antimikroobsed, radioopaaksed, head lubrikandid.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Tubliseal (SybronEndo, Orange, California)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Roth`i siiler (Roth International, New York, USA)<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">2.\u00a0<\/strong><strong style=\"line-height: 1.6em;\">Kaltsiumh\u00fcdroksiidsiilerid<br><\/strong>Tugeva antimikroobse efekti saavutamiseks on lisatud siilerisse Ca(OH)\u2082 , kuid aine aktiveerimiseks on vaja lahustina vedelikku. See aga on lubamatu ja soovitud tulemust pole v\u00f5imalik saavutada. Biosobivad.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Sealapex (Sybron Endo, Orange, California)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Apexit (Ivoclar Vivadent, Liechtenstein)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Apexit Plus (Ivoclar Vivadent, Liechtenstein)<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">3. Mitteeugenoolsed siilerid<br><\/strong>Samad omadused kui tsinkoksiid-eugenoolsiileritel, kuid eugenooli \u00e4rritava toimeta. Koostisosade reageerimisel paisuvad veidi.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Nogenol (GC America Inc., USA)<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">4. Klaasioomeersiilerid<br><\/strong>Dentiiniga seostuvad positiivsed omadused, minimaalselt antimikroobne,kerge k\u00e4sitleda, radioopaakne, hea voolavusega, \u00fcmberravi korral raske eemaldada.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Ketac-Endo (3M ESPE, Minneapolis, Minnesota)<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">5. Vaigusiilerid<br><\/strong>Ei sisalda eugenooli, kleepuvad h\u00e4sti kanaliseintele. Antibakteriaalsed, toksilised, radioopaaksed, keemiliselt ja bioloogiliselt inertsed, v\u00e4hese lahustuvusega.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">AH Plus (Dentsply Maillefer, Bellaigues, \u0160veits)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">EndoREZ (Ultradent, Utah, USA)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Epiphany (Sybron Endo, Orange, California)<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">6. Silikoonsiilerid<br><\/strong>Koostisosade reageerimisel paisuvad kergelt, radioopaaksed, ei lahustu vedelikus.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">RoekoSeal (Coltene \/ Whaledent, Langenau, Saksamaa)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">GuttaFlow (Coltene \/ Whaledent, Langenau, Saksamaa)<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">7. Biokeraamilised siilerid<br><\/strong>H\u00fcdrofiilsed, sisaldavad tsirkooniumoksiidi, ei kootu, dimensionaalselt stabiilsed, antimikroobsed. Ei lahustu vedelikus, marginaalse lekke teke minimaalne, biosobivad. Bakteriostaatilised, raske k\u00e4sitleda, kallid.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">iRoot SP (Veriodent, Vancouver, Canada)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">iRoot BP (Veriodent, Vancouver, Canada)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">Endosequence BC (Brassler, Savannah, USA)<\/span><\/li>\n<\/ul>\n\n\n\n<p><strong style=\"line-height: 1.6em;\">8. Ravimitega siilerid<br><\/strong>Sisaldavad paraformaldeh\u00fc\u00fcdi, mis on v\u00e4ga toksiline periapikaalkudedele. Kasutamine vastun\u00e4idustatud! \u00a0Ajalooline t\u00e4htsus. Kasutati iseseisva t\u00e4idismaterjalina. Kasutamise miinuseks on t\u00e4idise pikkuse (ala- v\u00f5i \u00fclet\u00e4itmine) ja tiheduse (h\u00f5re pooriline juuret\u00e4idis) kontrollimise v\u00e4hene v\u00f5imalus. \u00dclet\u00e4itmist on v\u00f5imalik korrigeerida vaid kirurgiliselt.<\/p>\n\n\n\n<p>N\u00e4ited:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">N2 (Sargenti pasta)(Mirabella Eclano, Itaalia)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\" data-mce-mark=\"1\">RC-2B (Ameerika t\u00fc\u00fcp N2-st)<\/span><\/li>\n\n\n\n<li><span style=\"line-height: 1.6em;\">Endomethasone (Septodont, Iirimaa)<\/span><strong style=\"color: #ff0000; line-height: 1.6em;\">\u00a0<\/strong><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"accordion mb-3\">\n        <div class=\"accordion-item accordion-item--white\">\n        <h2 class=\"accordion-header\" id=\"accordion-69e346893acc7-heading\">\n            <button class=\"accordion-button collapsed\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#accordion-69e346893acc7-collapse\" aria-expanded=\"true\" aria-controls=\"accordion-69e346893acc7-collapse\">Loe ja vaata lisaks!<\/button>\n        <\/h2>\n        <div id=\"accordion-69e346893acc7-collapse\" class=\"accordion-collapse collapse\" aria-labelledby=\"accordion-69e346893acc7-heading\">\n            <div class=\"accordion-body\">\n<ul>\n<li><a href=\"https:\/\/centerforinquiry.org\/wp-content\/uploads\/sites\/33\/quackwatch\/dental\/questionable\/sargenti\/after.gif\" target=\"_blank\" rel=\"noopener\">https:\/\/centerforinquiry.org\/wp-content\/uploads\/sites\/33\/quackwatch\/dental\/questionable\/sargenti\/after.gif<\/a><\/li>\n<li><a href=\"http:\/\/www.drbicuspid.com\/index.aspx?sec=sup&amp;sub=rst&amp;pag=dis&amp;ItemID=303790\" target=\"_blank\" rel=\"noopener\">http:\/\/www.drbicuspid.com\/index.aspx?sec=sup&amp;sub=rst&amp;pag=dis&amp;ItemID=303790<\/a><\/li>\n<li><a href=\"http:\/\/www.dentalwatch.org\/questionable\/sargenti\/overview.html\" target=\"_blank\" rel=\"noopener\">http:\/\/www.dentalwatch.org\/questionable\/sargenti\/overview.html<\/a><\/li>\n<\/ul>\n<\/div>\n        <\/div>\n        <\/div>\n    <\/div>\n\n\n\n<p>Siileri aplitseerimisel juurekanalisse on kasutusel erinevad vahendid: peatihvt, lentulo (nurkotsiku mootor t\u00f6\u00f6tab vastup\u00e4eva), viil v\u00f5i riimer, ultraheli, pabertihvt. Siiler penetreerub dentiinituubulitesse paremini, kui eelnevalt on eemaldatud preparatsioonipraht (<em style=\"line-height: 1.6em;\">smear layer)<\/em>.<\/p>\n\n\n\n<h6 class=\"wp-block-heading\">Pane t\u00e4hele! Siilerid on erineva r\u00f6ntgenkontrastsusega. Valmis juuret\u00e4idist on k\u00fcll parem vaadelda, kui on kasutatud r\u00f6ntgenkontrastsemat siilerit, kuid juuret\u00e4idise KVALITEETI siileri r\u00f6ntgenkontrastsus ei paranda. <\/h6>\n\n\n\n<div class=\"accordion mb-3\">\n        <div class=\"accordion-item accordion-item--white\">\n        <h2 class=\"accordion-header\" id=\"accordion-69e346893acd1-heading\">\n            <button class=\"accordion-button collapsed\" type=\"button\" data-bs-toggle=\"collapse\" data-bs-target=\"#accordion-69e346893acd1-collapse\" aria-expanded=\"true\" aria-controls=\"accordion-69e346893acd1-collapse\">Miks on vaja eemaldada preparatsioonipraht?<\/button>\n        <\/h2>\n        <div id=\"accordion-69e346893acd1-collapse\" class=\"accordion-collapse collapse\" aria-labelledby=\"accordion-69e346893acd1-heading\">\n            <div class=\"accordion-body\">\nV\u00e4ldib rekontaminatsiooni, h\u00e4vitab dentiinituuulitest mikroobe, paraneb t\u00e4itematerjalide adhesioon ja juuret\u00e4idise tugevus, v\u00e4heneb mikrolekke v\u00f5imalus.<\/div>\n        <\/div>\n        <\/div>\n    <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Endodontilised siilerid on isek\u00f5vanevad pastad, mida kasutatakse kombinatsioonis t\u00e4itematerjalidega, sulgemaks t\u00fchimikud t\u00e4idismaterjali ja juurekanali vahel. Siilerid t\u00e4idavad ka dentiinituubulid ning k\u00e4ituvad lubrikandina juurekanalite seintel, et h\u00f5lbustada juuret\u00e4idismaterjali j\u00f5udmist apikaalpiirkonda. Neid peab kasutama minimaalselt, p\u00f5hiosa juuret\u00e4idisest peab moodustama \u00a0pooltahke v\u00f5i tahke &#8230;<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-6","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/pages\/6","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/comments?post=6"}],"version-history":[{"count":9,"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/pages\/6\/revisions"}],"predecessor-version":[{"id":140,"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/pages\/6\/revisions\/140"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/juureravi1\/wp-json\/wp\/v2\/media?parent=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}