全身麻醉下年轻恒牙疾病的治疗策略

doi:10.7518/hxkq.2025.2025220

华西口腔医学杂志 ›› 2025, Vol. 43 ›› Issue (4): 462-468.doi: 10.7518/hxkq.2025.2025220

• 儿童口腔医学诊疗新进展 • 上一篇下一篇

全身麻醉下年轻恒牙疾病的治疗策略

李莹(), 冯晓宇, 贾瑞芝, 王勇, 尚佳健()

首都医科大学附属北京口腔医院儿童口腔科，北京 100070

收稿日期:2025-05-26 修回日期:2025-06-24 出版日期:2025-08-01 发布日期:2025-09-02
通讯作者: 尚佳健 E-mail:qisenrong@163.com;shangjiajian@yeah.net
作者简介:李莹，硕士，首都医科大学附属北京口腔医院儿童口腔科副主任医师。兼任北京口腔医学会儿童口腔专业委员会委员。从事儿童口腔医疗工作25年，擅长全身麻醉下儿童牙病治疗、低龄儿童龋病的早期管理、儿童咬合诱导等。参编教材2部。|李莹，副主任医师，硕士，E-mail：qisenrong@163.com|尚佳健，博士，首都医科大学附属北京口腔医院儿童口腔科主任医师、教授、研究生导师，儿科教研室主任。兼任中华口腔医学会儿童口腔医学专业委员会副主任委员，北京口腔医学会第三届儿童口腔医学专业委员会主任委员，北京口腔医学会镇静镇痛专业委员会副主任委员、预防专业委员会常务委员，北京医师协会青春期健康与医学医师分会理事，国家医学考试中心审命题专家，《北京口腔医学》编委，首都卫生发展科研专项评审专家，北京市自然科学基金评审专家。参编本科生教材4部，中华口腔医学会指南及专家共识7项。
基金资助:
北京市医院管理中心儿科学科协同发展中心儿科专项(XTYB201830)

Treatment strategies for immature permanent teeth under general anesthesia

Li Ying(), Feng Xiaoyu, Jia Ruizhi, Wang Yong, Shang Jiajian()

Dept. of Pediatric Dentistry, Beijing Stomatological Hospital, Capital Medical University, Beijing 100070, China

Received:2025-05-26 Revised:2025-06-24 Online:2025-08-01 Published:2025-09-02
Contact: Shang Jiajian E-mail:qisenrong@163.com;shangjiajian@yeah.net
Supported by:
Special Fund of the Pediatric Medical Coordinated Development Center of Beijing Hospitals Authority(XTYB201830)

摘要/Abstract

摘要：

年轻恒牙是指已萌出但在形态和结构上尚未形成和成熟的恒牙，其疾病的发病情况和治疗方法有其自身特点。由于特殊卫生保健需求儿童不能配合常规的牙科门诊治疗，大多选择在全身麻醉下进行。随着社会发展，儿童牙科全身麻醉技术的需求越来越大，本文探讨全身麻醉下年轻恒牙疾病的治疗策略，包括龋病、牙髓病根尖周疾病等的诊断、治疗原则及治疗方法等。

关键词: 年轻恒牙, 特殊卫生保健需求儿童, 牙科全麻技术, 龋病, 牙髓病根尖周病

Abstract:

Immature permanent teeth refer to those that have erupted but have not yet formed and matured in terms of shape and structure. The characteristics of their disease onset and treatment methods are different from those of ordinary permanent teeth. Children with special healthcare needs often lack the capacity to cooperate during routine dental procedures, making treatment under general anesthesia (GA) the preferred option. With social advancements, the demand for pediatric dental GA has considerably increased. This study discuss the treatment strategies for immature permanent teeth under GA, including diagnosis, therapeutic principles, key considerations, and clinical approaches for dental caries, pulpitis periapical periodontitis, etc.

Key words: immature permanent teeth, children with special health care needs, dental general anesthesia, caries, pulpitis periapical periodontitis

中图分类号:

R788

李莹, 冯晓宇, 贾瑞芝, 王勇, 尚佳健. 全身麻醉下年轻恒牙疾病的治疗策略[J]. 华西口腔医学杂志, 2025, 43(4): 462-468.

Li Ying, Feng Xiaoyu, Jia Ruizhi, Wang Yong, Shang Jiajian. Treatment strategies for immature permanent teeth under general anesthesia[J]. West China Journal of Stomatology, 2025, 43(4): 462-468.

图/表 2

参考文献 33

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全身麻醉下年轻恒牙疾病的治疗策略

Treatment strategies for immature permanent teeth under general anesthesia

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