{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-O6S0R07Y/96630c0d-7fa0-4569-8665-453148a99678/PDF","dcterms:extent":"365 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-O6S0R07Y/51915c1b-9bd4-413c-bc85-6bcf52aa6558/TEXT","dcterms:extent":"30 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-O6S0R07Y","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2023","dc:creator":"Samec, Tomi","dc:contributor":"Samec, Tomi","dc:format":[{"@xml:lang":"sl","#text":"številka:9/10"},{"@xml:lang":"sl","#text":"letnik:92"},{"@xml:lang":"sl","#text":"str. 420-426"}],"dc:identifier":["DOI:10.6016/ZdravVestn.3409","ISSN:1318-0347","COBISSID:164098307","URN:URN:NBN:SI:doc-O6S0R07Y"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"en","#text":"chloroform"},{"@xml:lang":"en","#text":"endodontics"},{"@xml:lang":"sl","#text":"endodontija"},{"@xml:lang":"en","#text":"eucalyptol"},{"@xml:lang":"sl","#text":"evkaliptol"},{"@xml:lang":"sl","#text":"kloroform"},{"@xml:lang":"sl","#text":"ksilol"},{"@xml:lang":"en","#text":"orange oil"},{"@xml:lang":"sl","#text":"pomarančno olje"},{"@xml:lang":"en","#text":"xylol"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Uporaba topil med ponovnim koreninskim zdravljenjem| Use of solvents in endodontic treatment|"},"dc:description":[{"@xml:lang":"sl","#text":"Endodontic treatment is a dental procedure that removes the infection from the root canal system. In endodontic retreat-ment, infected filling material in the root canal system must be removed. Gutta-percha points are most commonly used for root canal filling. The filling material is removed mechanically using hand or machine-driven (rotary or reciprocating) instruments, ultrasound, hot instruments, laser, and chemically using root canal rinsing solutions or solvents. Several solvents are available: chloroform, eucalyptol, xylene, orange oil, tetrachloroethylene, turpentine, and others. None of the solvents is non-toxic to surrounding tissues and an effective gutta-percha solvent; some are even potentially carcinogenic. Chloroform was the solvent of choice for many years but was abandoned due to cytotoxicity, hepatotoxicity and possible carcinogenicity, and clear recommendations on using alternative solvents became unknown. The literature review in this paper shows that gutta-percha solvents can inhibit proliferation, induce apoptosis and reduce the migration rate of fibro-blast cells. Studies on the solubilisation efficiency of gutta-percha by individual solvents are conflicting. Although solvents have resulted in less time spent removing filling material, their potential toxicity suggests that their use should be limited to cases where mechanical removal alone does not achieve the working length or where the curvature of the root canal risks complications (instrument fracture, perforation). Solvents do not improve the quality of cleaning of the root canal system but may negatively impact subsequent procedures in conservative or prosthetic care. Due to the slight differences in the effectiveness of solvents for gutta-percha removal, it is impossible to recommend a single solvent from the litera-ture. Using chloroform and tetrachloroethylene is not recommended, given the high likelihood of carcinogenicity"},{"@xml:lang":"sl","#text":"Endodontsko zdravljenje je zobozdravniški poseg, s katerim želimo odstraniti okužbo iz koreninskokanalskega sistema. Pri ponovnem koreninskem zdravljenju je v koreninskokanalskem sistemu okužen polnilni material, ki ga je treba odstraniti. Za polnitev koreninskih kanalov se najpogosteje uporabljajo gutaperčne pene. Odstranjevanje polnilnega materiala izvaja-mo mehansko, s pomočjo ročnih ali strojnih (rotirajočih ali recipročnih) instrumentov, z ultrazvokom, vročimi instrumenti, laserjem, kemično pa s pomočjo raztopin za izpiranje koreninskih kanalov ali topil. Na voljo je več vrst topil: kloroform, ev-kaliptol, ksilen, pomarančno olje, tetrakloretilen, terpentin in druga topila. Nobeno topilo ni hkrati netoksično do okolnih tkiv in učinkovito topilo za gutaperčo, nekatera pa so celo lahko rakotvorna. Kloroform je bil dolga leta topilo izbire, vendar so ga zaradi citotoksičnosti, hepatotoksičnosti in možne rakotvornosti opustili, jasna priporočila o uporabi nadomestnih topil pa so postala neznanka. Pregled literature v članku kaže, da topila gutaperče lahko zavirajo proliferacijo, povzročijo apoptozo in zmanjšajo stopnjo migracije celic fibroblastov. Študije učinkovitosti topljenja gutaperče s posameznimi topili si nasprotujejo. Čeprav se je uporaba topil izrazila v manjši porabi časa pri odstranjevanju polnilnega materiala zaradi njihove potencialne toksičnosti, svetujemo, da se uporaba omeji na primere, ko zgolj z mehanskim odstranjevanjem ne dosežemo delovne dolžine oziroma kadar zaradi ukrivljenosti koreninskega kanala tvegamo zaplet (zlom instrumenta, predrtje). Uporaba topil v ničemer ne izboljšuje kakovosti čiščenja koreninskokanalskega sistema, lahko pa negativno vpli-va na nadaljnje postopke v konzervativni ali protetični oskrbi. Zaradi majhnih razlik v učinkovitosti topil pri odstranjevanju gutaperče je po literaturi nemogoče priporočiti posamezno topilo. Uporabo kloroforma in tetrakloretilena glede na veliko verjetnost rakotvornosti odsvetujemo"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-O6S0R07Y","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-O6S0R07Y"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-O6S0R07Y/96630c0d-7fa0-4569-8665-453148a99678/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-O6S0R07Y/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-O6S0R07Y"}}}}