牙髓损伤的活髓保存治疗  

Vital pulp therapy of damaged dental pulp

作　　者：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 朱林[8] 李艳红[9] 李继遥[1] 

机构地区：[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

出　　处：《华西口腔医学杂志》2017年第4期339-347,共9页West China Journal of Stomatology

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。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 modem technologies of diagnosis and treatment as means.

关 键 词：牙髓损伤 活髓保存治疗术 治疗 

分 类 号：R781.3[医药卫生—口腔医学]