活髓保存治疗之惑及解决之道

发布时间：2018-02-11 16:09

  本文关键词： 活髓保存治疗 适应证 预后因素 激光多普勒血流检测仪　出处：《华西口腔医学杂志》2017年03期 　论文类型：期刊论文

【摘要】：牙髓组织具有形成牙本质、提供营养、传导痛觉和对外界刺激产生保护性反应的功能。牙髓组织病理学改变性质是决定牙齿治疗方案的选择和治疗效果评估的组织学基础。当牙髓病变可逆或局限时,应消除感染,保存活髓,维护牙髓的功能。长久以来,活髓保存治疗的临床诊治,特别是其适应证和预后因素,一直是临床医生争论的热点话题,且常常给很多医生造成困惑。本文从适应证、牙髓状态评估、感染消除、盖髓材料选择等方面对活髓保存治疗中存在的困惑以及解决方法进行介绍,同时提出了活髓保存治疗的临床路径和操作规范,以便临床上更好地开展活髓保存治疗。
[Abstract]:Pulp tissue has the ability to form dentin, provide nutrition, The function of conduction pain sensation and protective response to external stimuli. The nature of pathological changes in dental pulp is the histological basis for determining the choice of dental treatment options and evaluation of therapeutic effects. When pulp lesions are reversible or limited, the infection should be eliminated. Preservation of living pulp and maintenance of dental pulp function. For a long time, the clinical diagnosis and treatment, especially its indications and prognostic factors, has been a hot topic of debate among clinicians. In this paper, we introduce the puzzles and solutions in the treatment of living pulp preservation from the aspects of indication, dental pulp status evaluation, infection elimination, pulp capping material selection, etc. At the same time, it puts forward the clinical path and operation criterion of the living pulp preservation therapy, so as to carry out the living pulp preservation therapy better in clinic.
【作者单位】： 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;
【分类号】：R781.05
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本文编号：1503460