Cox C F, Hafez A A
Department of Comprehensive Care, Endodontics, and Pulp Biology, University of Alabama at Birmingham School of Dentistry, Birmingham, Alabama, USA.
Dent Clin North Am. 2001 Jan;45(1):31-48; v.
Dentistry has experienced exponential growth in the biologic and physiologic knowledge of enamel, dentin, and pulp tissues. In one decade, material development has exceeded clinical testing limits, allowing their arrival to the commercial market without proper validation. This article clarifies the enigma of acid etching; explaining and clarifying the diverse opinions and issues of material toxicity between in vitro and in vivo usage test perspectives. This article also demystifies the biology of pulp healing regarding calcium hydroxide and adhesive systems to promote dentin bridge formation. Lastly, this article provides biologically lucid pulp exposure treatment regimens with agents such as NaOCl, allowing clinicians to increase their long-term clinical success.
牙科在牙釉质、牙本质和牙髓组织的生物学和生理学知识方面经历了指数级增长。在十年间，材料的发展超出了临床试验的极限，使得它们在没有经过适当验证的情况下就进入了商业市场。本文阐明了酸蚀的谜团；从体外和体内使用测试的角度解释并澄清了关于材料毒性的各种观点和问题。本文还揭开了关于氢氧化钙和促进牙本质桥形成的粘结系统的牙髓愈合生物学的神秘面纱。最后，本文提供了使用诸如次氯酸钠等药剂的具有生物学明晰性的牙髓暴露治疗方案，使临床医生能够提高他们的长期临床成功率。
