根管治疗术还是牙髓切断术？

doi:10.13701/j.cnki.kqyxyj.2023.01.001

摘要/Abstract

摘要： 牙体牙髓病学经过数百年的发展,根管治疗技术日臻成熟。同时也认识到保存活髓的重要性,逐渐形成了活髓保存的理念。新的生物活性材料的出现,让许多年轻恒牙的牙髓得以保存,成熟恒牙是否也可以保存活髓？不可复性牙髓炎常规使用根管治疗术,是否可以尝试牙髓切断术以保存部分活髓？越来越多的临床研究和循证医学证据证实牙髓切断术治疗成熟恒牙不可复性牙髓炎,具有和根管治疗术相同的成功率。牙髓切断术是否可以够作为根管治疗术的替代方案,用于治疗成熟恒牙不可复性牙髓炎吗？

关键词: 牙髓切断术, 根管治疗术, 成熟恒牙, 不可复性牙髓炎

Abstract: After hundreds of years of development, root canal therapy (RCT) has been considered as a standard technique in Endodontics. At the meantime, the importance of preserving vital pulp has been realized and the concept of vital pulp therapy (VPT) gradually formed. The continuous emergence of new technologies and bioactive materials has enabled many immature permanent teeth to maintain their pulp vitality. So, could mature permanent teeth also preserve pulp vitality via pulpotomy? More and more clinical trials and evidence-based medicine have demonstrated that pulpotomy have had the same success rate for irreversible pulpitis of mature permanent teeth as RCT. Is it actually possible to utilize pulpotomy as an alternative to root canal treatment for irreversible pulpitis treatment?

Key words: pulpotomy, root cannel therapy, mature permanent teeth, irreversible pulpitis

陈智, 周林芳. 根管治疗术还是牙髓切断术？[J]. 口腔医学研究, 2023, 39(1): 1-10.

CHEN Zhi, ZHOU Linfang. Root Canal Therapy or Pulpotomy?[J]. Journal of Oral Science Research, 2023, 39(1): 1-10.

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