牙髓损伤的活髓保存治疗

doi:10.7518/hxkq.2017.04.001

华西口腔医学杂志 ›› 2017, Vol. 35 ›› Issue (4): 339-347.doi: 10.7518/hxkq.2017.04.001

• • 下一篇

牙髓损伤的活髓保存治疗

周学东¹(), 黄定明¹, 刘建国², 黄正蔚³, 魏昕⁴, 杨德琴⁵, 赵今⁶, 陈黎明⁷, 朱林⁸, 李艳红⁹, 李继遥¹

1.口腔疾病研究国家重点实验室,国家口腔疾病临床研究中心,四川大学华西口腔医院牙体牙髓病科,成都 610041
2.遵义医学院附属口腔医院牙体牙髓病科,遵义 563003
3.上海交通大学医学院附属第九人民医院牙体牙髓病科,上海 200011
4.南京医科大学附属口腔医院,南京 210029
5.重庆医科大学附属口腔医院牙体牙髓病科,重庆 401147
6.新疆医科大学第一附属医院牙体牙髓病科,乌鲁木齐 830054
7.贵阳市口腔医院,贵阳 550002
8.四川大学华西口腔医院西藏分院,拉萨 850000
9.昆明医科大学附属口腔医院,昆明 650199

收稿日期:2017-05-21 修回日期:2017-06-19 出版日期:2017-08-01 发布日期:2017-08-01
作者简介:
周学东,教授,博士,E-mail:zhouxd@scu.edu.cn

Vital pulp therapy of damaged dental pulp

Xuedong Zhou¹(), Dingming Huang¹, Jianguo Liu², Zhengwei Huang³, Xin Wei⁴, Deqin Yang⁵, Jin Zhao⁶, Liming Chen⁷, Lin Zhu⁸, Yanhong Li⁹, Jiyao Li¹

1. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Sto-matology, Sichuan University, Chengdu 610041, China
2. Dept. of Conservative Dentistry and Endodontics, Stomatological Hospital Affiliated to Zunyi Medical College, Zunyi 563003, China
3. Dept. of Conservative Dentistry and Endodontics, Shang-hai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
4. Hospital of Stomatology, Nanjing Medical University, Nanjing 210029, China
5. Dept. of Conservative Dentistry and Endodontics, Sto-matological Hospital of Chongqing Medical University, Chongqing 401147, China
6. Dept. of Conservative Dentistry and Endodontics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
7. Guiyang Hospital of Stomatology, Guiyang 550002, China
8. Tibet Branch of West China Hospital of Stomatology, Lasa 850000, China
9. Hospital of Stomatology, Kunming Medical University, Kunming 650199, China

Received:2017-05-21 Revised:2017-06-19 Online:2017-08-01 Published:2017-08-01

摘要/Abstract

摘要：

建立损伤牙髓保髓治疗的专家共识,对提高我国牙髓病治疗水平具有重要的现实指导意义。牙髓疾病是影响人类口腔健康的主要疾病,盖髓术和牙髓切断术是损伤牙髓保髓治疗的主要方法。随着微创牙科理念的发展,如何合理应用各种治疗技术和材料,最大限度地保存健康牙髓组织,延长患牙保存期,实现保髓治疗效果的最大化已成为口腔临床迫切需要解决的问题。笔者现将部分牙体牙髓病治疗学专家的经验与认识共同汇总,以牙髓损伤性质与途径、牙髓损伤程度为基础,以宿主的牙髓防御与自身修复能力为导向,以损伤牙髓现代诊治技术为手段,探讨形成了关于牙髓损伤的活髓保存临床诊治路径的共识,供大家在临床工作中参考和改进。

关键词: 牙髓损伤, 活髓保存治疗术, 治疗

Abstract:

The development of an expert consensus on vital pulp therapy can provide practical guidance for the improve-ment of pulp damage care in China. Dental pulp disease is a major type of illness that adversely affects human oral health. Pulp capping and pulpotomy are currently the main methods for vital pulp therapy. Along with the development of minimal invasion cosmetic dentistry, using different treatment tech-nologies and materials reasonably, preserving healthy tooth tissue, and extending tooth save time have become urgent problems that call for immediate solution in dental clinics. This paper summarizes the experiences and knowledge of endo-dontic experts. We develop a clinical path of vital pulp therapy for clinical work by utilizing the nature, approach, and degree of pulp damage as references, defense and self-repairing ability of pulp as guidance, and modern technologies of diagnosis and treatment as means.

Key words: dental pulp trauma, vital pulp therapy, treatment

中图分类号:

R781

周学东, 黄定明, 刘建国, 黄正蔚, 魏昕, 杨德琴, 赵今, 陈黎明, 朱林, 李艳红, 李继遥. 牙髓损伤的活髓保存治疗[J]. 华西口腔医学杂志, 2017, 35(4): 339-347.

Xuedong Zhou, Dingming Huang, Jianguo Liu, Zhengwei Huang, Xin Wei, Deqin Yang, Jin Zhao, Liming Chen, Lin Zhu, Yanhong Li, Jiyao Li. Vital pulp therapy of damaged dental pulp[J]. West China Journal of Stomatology, 2017, 35(4): 339-347.

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牙髓损伤的活髓保存治疗

Vital pulp therapy of damaged dental pulp

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