不可复性牙髓炎恒牙的活髓保存治疗

doi:10.7518/hxkq.2023.2023193

华西口腔医学杂志 ›› 2023, Vol. 41 ›› Issue (6): 622-627.doi: 10.7518/hxkq.2023.2023193

不可复性牙髓炎恒牙的活髓保存治疗

汪俊()

上海交通大学医学院附属第九人民医院儿童口腔科，上海交通大学口腔医学院，国家口腔医学中心，国家口腔疾病临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所，上海 200011

收稿日期:2023-06-20 修回日期:2023-08-30 出版日期:2023-12-01 发布日期:2023-11-27
通讯作者: 汪俊 E-mail:wangjun202@126.com
作者简介:汪俊，主任医师，博士，E-mail：wangjun202@126.com
基金资助:
上海市科学自然基金项目(23ZR1437800);上海交通大学医学院附属第九人民医院、上海交通大学口腔医学院研究型学科基金项目(KQYJXK2021)

Vital pulp therapy of permanent teeth with irreversible pulpitis

Wang Jun.()

Dept. of Pediatric Dentistry, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine & College of Stomatology, Shanghai Jiao Tong University & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011, China

Received:2023-06-20 Revised:2023-08-30 Online:2023-12-01 Published:2023-11-27
Contact: Wang Jun. E-mail:wangjun202@126.com
Supported by:
Shanghai Municipal Natural Science Foundation(23ZR1437800);Research Discipline Fund from Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, and College of Stomatology, Shanghai Jiao Tong University(KQYJXK2021);Correspondence: Wang Jun, E-mail: wangjun202@126.com

摘要/Abstract

摘要：

传统观点认为，活髓保存治疗（VPT）主要用于年轻恒牙的牙髓治疗，但近些年来，VPT治疗也越来越多地应用于发育完全的恒牙。此外，以往只有牙髓正常或可复性牙髓炎的患牙才能进行VPT，但越来越多的证据显示不可复性牙髓炎或根尖周炎患牙VPT成功。哪些不可复性牙髓炎或根尖周炎患牙可以尝试进行VPT、临床如何评估和操作，本文拟对这些问题进行阐述。

关键词: 活髓保存, 不可复性牙髓炎, 根尖周炎

Abstract:

Traditionally, vital pulp therapy (VPT) is mainly indicated for young permanent teeth. However, in recent years, VPT has been increasingly applied to mature permanent teeth. VPT was previously thought to be effective only for teeth with normal pulp or reversible pulpitis. However, an increasing body of evidence has demonstrated that VPT can successfully manage permanent teeth with irreversible pulpitis or apical periodontitis. This work discusses which teeth with irreversible pulpitis or apical periodontitis are suitable for VPT, the recommended method to evaluate and select this kind of case, and the clinical procedure involved to operate such a case.

Key words: vital pulp therapy, irreversible pulpitis, apical periodontitis

中图分类号:

R 781.05

汪俊. 不可复性牙髓炎恒牙的活髓保存治疗[J]. 华西口腔医学杂志, 2023, 41(6): 622-627.

Wang Jun.. Vital pulp therapy of permanent teeth with irreversible pulpitis[J]. West China Journal of Stomatology, 2023, 41(6): 622-627.

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不可复性牙髓炎恒牙的活髓保存治疗

Vital pulp therapy of permanent teeth with irreversible pulpitis

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