成熟恒牙不可复性牙髓炎牙髓切断术活髓保存治疗的临床应用与展望  

Clinical application and prospect of vital pulp therapy in irreversible pulpitis of mature permanent teeth

作　　者：王明浩 朱小苗 何文喜 WANG Ming-hao;ZHU Xiao-miao;HE Wen-xi(不详;State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Operative Dentistry and Endodontics,School of Stomatology,the Fourth Military Medical University,Xi'an 710032,China)

机构地区：[1]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,第四军医大学口腔医院牙体牙髓病科,陕西西安710032 [2]空军特色医学中心口腔科,北京100142

出　　处：《中国实用口腔科杂志》2024年第3期265-270,共6页Chinese Journal of Practical Stomatology

基　　金：北京市自然科学基金面上项目(7242140);国家自然科学基金(81970932);陕西省自然科学基础研究计划(2022JZ-42)。

摘　　要：健康牙髓是保留天然牙并维持其正常功能的关键。近年来研究发现,牙髓切断术活髓保存治疗在成熟恒牙不可复性牙髓炎的临床治疗中具有良好的应用前景,与根管治疗相比,牙髓切断术活髓保存治疗后的患牙具有相似的成功率,可能具有更好的预后。文章对成熟恒牙不可复性牙髓炎牙髓切断术活髓保存治疗的适应证、生物学基础、治疗难点及影响其成功率的因素做一综述。Healthy pulp is the key to preserve natural teeth and maintain their normal function.In recent years,studies have found that vital pulp therapy has a good application prospect in the clinical treatment of irreversible pulpitis of mature permanent teeth.Compared with root canal therapy,vital pulp therapy may have a better prognosis for affected teeth.This article reviews the indications,biological basis,treatment challenges and the factors affecting the success rate of vital pulp therapy.

关 键 词：活髓保存 牙髓切断术 不可复性牙髓炎 成熟恒牙 

分 类 号：R78[医药卫生—口腔医学]