Camp Joe H
Department of Endodontics, University of North Carolina, Chapel Hill, North Carolina, USA.
J Endod. 2008 Jul;34(7 Suppl):S6-12. doi: 10.1016/j.joen.2008.03.020.
The literature is almost devoid of scientific studies of diagnosis of pulpal pathology in primary and permanent teeth with open apices. Most reports are empirical or retrospective studies without adequate prior knowledge of preexisting conditions or histologic findings leading to the necessity of pulpal procedures. Appropriate diagnostic tests and their effectiveness are documented for both groups. This article reviews the available literature and current techniques of indirect pulp therapy, pulp capping, and pulpotomy for primary teeth and permanent teeth with open apex. The apical barrier with mineral trioxide aggregate followed by root strengthening with bonded composite is reviewed.
关于开放根尖的乳牙和恒牙牙髓病变诊断的科学研究在文献中几乎没有。大多数报告是经验性或回顾性研究，对先前存在的情况或组织学发现缺乏足够的先验知识，从而导致牙髓治疗的必要性。两组均记录了适当的诊断测试及其有效性。本文综述了开放根尖乳牙和恒牙间接盖髓术、直接盖髓术和牙髓切断术的现有文献和当前技术。还综述了用三氧化矿物凝聚体形成根尖屏障，随后用粘结复合树脂强化牙根的方法。
