Roeykens H, De Moor R
Dept. of Restorative Dentistry and Endodontology, University of Ghent, Ghent, Belgium.
Eur Arch Paediatr Dent. 2011 Apr;12(2):85-9. doi: 10.1007/BF03262784.
An early determination of pulpal vitality is crucial with respect to a correct differential diagnosis of revascularisation or necrosis and its treatment.
Sensibility tests (cold, heat, electrical pulp test) in combination with radiographs are commonly promoted. However these tests are arbitrary, based on sensations and therefore not always reliable. In such situations registration of pulpal blood flow will be advantageous. The most studied and well documented method for registration of blood circulation is laser Doppler flowmetry (LDF) which is typified as a non-invasive technique with direct and objective registrations. In this article blood flow, LDF and its characteristics, the advantages and disadvantages of the methods and the latest developments regarding LDF is described.
Despite there being a low implementation of LDF in dentistry to date, this should become one of the basic techniques for clinical use in paediatric dentistry.
早期确定牙髓活力对于正确鉴别牙髓血运重建或坏死及其治疗至关重要。
通常提倡将感觉测试(冷、热、牙髓电活力测试)与X线片相结合。然而,这些测试是主观的,基于感觉,因此并不总是可靠的。在这种情况下,记录牙髓血流将是有益的。研究最多且记录最完善的血液循环记录方法是激光多普勒血流仪(LDF),它是一种典型的非侵入性技术,具有直接和客观的记录。本文描述了血流、LDF及其特性、该方法的优缺点以及LDF的最新进展。
尽管迄今为止LDF在牙科领域的应用较少,但它应成为儿童牙科临床使用的基本技术之一。