摘要
牙体牙髓病科最常见的疾病是龋病和牙髓根尖周病,其有效治疗手段是及时去除龋坏或感染坏死牙髓组织并进行严密无菌的充填,在阻断病变发展的基础上最大限度地保留健康牙体组织,尽可能提高患牙的远期保存率。随着现代诊疗设备的革新、新材料的应用,牙髓生物学基础和临床研究日益深入,其中牙髓炎症状态的判断、活髓牙的治疗策略、活髓保存治疗的预后分析这三方面更是提出了不同以往的一些新理念。基于此,我们通过此笔谈阐述牙体牙髓病中活髓保存微创治疗理念的重要意义,以进一步指导相关活髓保存技术在临床的应用。
Dental caries,pulpitis and periapical diseases are the most common diseases in the Endodontics. Correspondingly, the effective treatment is to remove the structure of caries or infections in time and to fill or restore them with aseptic methods strictly. On the basis of stopping the development of the disease,the healthy tooth tissues will be preserved as much as possible to improve the long . term preservation rate of the affected teeth. With the innovation of modern diagnostic and therapeutic equipments,the application of new materials and the study of basic research on vital pulp therapy,together with the application of this minimally invasive theory in the field of vital pulp therapy have been further realized. This article reviews the minimally invasive theory in the vital pulp therapy by briefly introducing these three parts:the diagnosis of dental pulp under the guidance of the new concepts and methods,the treatment strategies for the vital pulp,the evaluation and prognosis of vital pulp therapy.
作者
刘奕雯
蒋宏伟
Liu Yiwen;Jiang Hongwei(Guanghua School of Stomatology,Hospital of Stomatology,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510055,China)
出处
《中华口腔医学研究杂志（电子版）》
CAS
2019年第4期193-199,共7页
Chinese Journal of Stomatological Research(Electronic Edition)
基金
广东省自然科学基金（2017A030313713)~~
关键词
龋齿
牙髓
牙周疾病
微创牙髓治疗
活髓保存治疗
牙体保存
Dental carries
Dental pulp
Periodontal diseases
Minimally invasive treatment
Vital pulp therapy
Preservation of tooth structure
