Fuks A B, Eidelman E
Department of Pediatric Dentistry, Hadassah Faculty of Dental Medicine, Jerusalem.
Curr Opin Dent. 1991 Oct;1(5):556-63.
Several treatment options for pulp therapy in primary teeth are reviewed. Conservative treatments are recommended for primary teeth whose pulps have the potential to recover once the irritation has been removed. The role of dentin permeability and microleakage is emphasized when protective basis and indirect pulp treatment are discussed. Alternative dressings for formocresol pulpotomies such as 6.25% glutaraldehyde solution, antigen-extracted allogeneic dentin matrix, and crude bone morphogenetic protein are reported with promising results. Pulpectomy is recommended for teeth with evidence of chronic inflammation involving radicular pulp or pulp necrosis with and without periapical involvement. The main disadvantage of zinc oxide-eugenol paste, widely used for primary root fillings in the United States, is its slow resorption rate, frequently much slower than that of the root. Other root canal pastes containing iodoform, or a modification of this with the addition of calcium hydroxide, are being utilized in South America, Japan, and Europe.
本文综述了乳牙牙髓治疗的几种治疗选择。对于牙髓在刺激消除后有恢复潜力的乳牙，建议采用保守治疗。在讨论保护基底和间接盖髓治疗时，强调了牙本质通透性和微渗漏的作用。据报道，用于甲醛甲酚牙髓切断术的替代敷料，如6.25%戊二醛溶液、抗原提取的同种异体牙本质基质和粗制骨形态发生蛋白，取得了令人满意的结果。对于有证据表明存在涉及根髓的慢性炎症或牙髓坏死且伴有或不伴有根尖周受累的牙齿，建议进行牙髓摘除术。在美国广泛用于乳牙根管充填的氧化锌丁香油糊剂的主要缺点是其吸收速度缓慢，通常比牙根的吸收速度慢得多。南美洲、日本和欧洲正在使用其他含有碘仿或添加氢氧化钙的改良碘仿的根管糊剂。
