口腔医学研究 ›› 2021, Vol. 37 ›› Issue (3): 195-199.DOI: 10.13701/j.cnki.kqyxyj.2021.03.003

• 综述 • 上一篇    下一篇

对牙髓活力测试方法的介绍与评价

杨靖翚, 袁国华*   

  1. 武汉大学口腔生物医学教育部重点实验室,武汉大学口腔医学院 武汉大学口腔医院儿童口腔科 湖北 武汉 430079
  • 收稿日期:2020-04-26 发布日期:2021-03-19
  • 通讯作者: *袁国华,E-mail:yuanguohua@whu.edu.cn
  • 作者简介:杨靖翚(1996~ ),男,湖北武汉人,本科,博士在读,研究方向:儿童的活髓保存治疗。
  • 基金资助:
    国家自然科学基金面上项目(编号:81670952)

Introduction and Assessment of Dental Pulp Vitality Test

YANG Jinghui, YUAN Guohua*   

  1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, Department of Pediatric Dentistry, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2020-04-26 Published:2021-03-19

摘要: 牙髓活力判断是牙体牙髓疾病诊疗的基础。目前冷测试、热测试和电活力测试已被广泛应用于临床的诊疗过程中,它们统称为牙髓感觉测试。但目前口腔医师发现感觉测试存在诸多不足,尤其在年轻恒牙上表现出极高的误诊率。为了提升诊断精度,牙髓血流测试应运而生,大幅减小了漏诊率和误诊率,但由于技术尚兴起不久,并没有在临床上得到广泛应用。除此之外,磁共振影像学辅助检查和分子生物学生物标记物定量检验从理论上来说也可用于判断牙髓活力。本文对判断牙髓活力的几种方法作简要介绍并对各种方法的优缺点进行归纳性总结。

关键词: 牙髓活力, 牙髓感觉测试, 牙髓血流测试, 激光多普勒仪, 磁共振

Abstract: Pulp vitality is the basis of the diagnosis and treatment of dental pulp disease. Cold pulp test, hot pulp test, and electric pulp test are widely applied to clinical diagnosis, and they are collectively known as pulp sensitivity test. But at present, stomatologists find that there are many deficiencies in sensitivity test, and in some cases such as young permanent teeth show high misdiagnosis rate. In order to improve the diagnostic accuracy, the dental pulp blood flow test is proposed, greatly reducing the rate of misdiagnosis. However, it is not widely used in clinic. In addition, magnetic resonance imaging and quantitative test of biomarkers are also considered to judge the pulp vitality in theoretical aspect. This paper briefly introduces several methods to judge the pulp vitality and the advantages and disadvantages of them.

Key words: pulp vitality, pulp sensitivity test, pulp blood flow test, laser doppler flowmetry, magnetic resonance imaging