牙髓钙化的病因、诊断和治疗策略  

Causes,diagnosis and treatment strategies for dental pulp calcification

作　　者：史瑞棠[1] 侯本祥[2] Shi Ruitang;Hou Benxiang(Department of Endodontics,Capital Medical University School of Stomatology,Beijing 100050,China;Center for Microscope Enhanced Dentistry,Capital Medical University School of Stomatology,Beijing 100162,China)

机构地区：[1]首都医科大学口腔医学院牙体牙髓科,北京100050 [2]首都医科大学口腔医学院口腔显微诊疗中心,北京100162

出　　处：《中华口腔医学杂志》2022年第3期220-226,共7页Chinese Journal of Stomatology

基　　金：北京市科学技术委员会科技计划(Z191100006619037)。

摘　　要：牙髓钙化可造成根管狭窄或阻塞,当患牙需要做根管治疗时,其根管难以疏通,易发生根管治疗并发症。牙髓钙化的病因复杂,诊断和治疗上均需要细致、谨慎,权衡利弊,选择合适的治疗方案。本文通过文献回顾,结合作者的临床经验,对牙髓钙化的病因、发病机制、诊断和治疗策略进行系统阐述,为口腔医师正确诊断和治疗牙髓钙化提供参考。Dental pulp calcification can lead to root canal stenosis or obliteration.It is usually difficult to negotiate the root canal if the affected tooth needs to be treated and intraoperative complications are easily brought about during the root canal treatment.The etiologies of dental pulp calcification are complicated and careful considerations should be given to the diagnosis and treatment.Only by weighing the advantages and disadvantages can appropriate treatment plan be chosen.Based on the literature and authors′clinical experiences,the present article summarizes the causes,pathogenesis,diagnosis and treatment strategies of dental pulp calcification,in order to provide some references in diagnosis and treatment for the dental clinicians.

关 键 词：牙髓钙化 根管疗法 锥束计算机体层摄影术 数字化导板 动态导航系统 

分 类 号：R781[医药卫生—口腔医学]