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再生性牙髓治疗程序的临床考量

Clinical considerations for regenerative endodontic procedures.

作者信息

Geisler Todd M

机构信息

BioMatRx, LLC, 5775 Wayzata Boulevard, Suite 700, Minneapolis, MN 55416, USA.

出版信息

Dent Clin North Am. 2012 Jul;56(3):603-26. doi: 10.1016/j.cden.2012.05.010.

DOI:10.1016/j.cden.2012.05.010
PMID:22835541
Abstract

The management of a tooth with incomplete root maturation and a necrotic pulp is an endodontic and a restorative challenge. Apexification procedures alone leave the tooth in a weakened state and at risk for reinfection. Regenerative endodontic procedures potentially offer advantages, including the possibility of hard tissue deposition and continued root development. Case studies have reported regeneration of human pulplike tissues in vivo, but there is no protocol that reliably regenerates pulplike tissue. This article summarizes historical, current, and future regenerative treatment approaches.

摘要

对牙根发育不全且牙髓坏死的牙齿进行治疗是牙髓病学和修复学面临的一项挑战。单纯的根尖诱导成形术会使牙齿处于脆弱状态,且有再次感染的风险。牙髓再生治疗可能具有优势,包括硬组织沉积和牙根持续发育的可能性。病例研究报告了在体内人类牙髓样组织的再生,但尚无可靠地使牙髓样组织再生的方案。本文总结了过去、当前和未来的再生治疗方法。

相似文献

1
Clinical considerations for regenerative endodontic procedures.再生性牙髓治疗程序的临床考量
Dent Clin North Am. 2012 Jul;56(3):603-26. doi: 10.1016/j.cden.2012.05.010.
2
Treatment options: biological basis of regenerative endodontic procedures.治疗选择:再生性牙髓治疗程序的生物学基础
Pediatr Dent. 2013 Mar-Apr;35(2):129-40.
3
Is pulp regeneration necessary for root maturation?牙髓再生对于牙根成熟是否必要?
J Endod. 2013 Oct;39(10):1291-5. doi: 10.1016/j.joen.2013.06.019. Epub 2013 Aug 27.
4
Considerations for regeneration procedures.再生程序的注意事项。
Pediatr Dent. 2013 Mar-Apr;35(2):141-52.
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Recommendations for using regenerative endodontic procedures in permanent immature traumatized teeth.关于在恒牙未成熟受创牙中应用牙髓再生术的建议。
Dent Traumatol. 2012 Feb;28(1):33-41. doi: 10.1111/j.1600-9657.2011.01044.x. Epub 2011 Jul 27.
6
Responses of immature permanent teeth with infected necrotic pulp tissue and apical periodontitis/abscess to revascularization procedures.感染性坏死牙髓组织和根尖周炎/脓肿的未成熟恒牙对血管再生活性治疗的反应。
Int Endod J. 2012 Mar;45(3):294-305. doi: 10.1111/j.1365-2591.2011.01978.x. Epub 2011 Nov 14.
7
Considerations for regeneration procedures.再生程序的注意事项。
J Endod. 2013 Mar;39(3 Suppl):S44-56. doi: 10.1016/j.joen.2012.11.019.
8
Pulp revascularization of immature teeth with apical periodontitis: a clinical study.根尖周炎未成熟恒牙的牙髓血运重建:一项临床研究。
J Endod. 2009 May;35(5):745-9. doi: 10.1016/j.joen.2009.02.009.
9
Revitalization of tooth with necrotic pulp and open apex by using platelet-rich plasma: a case report.富血小板血浆在牙髓坏死伴开放根尖的牙齿再生中的应用:一例报告。
J Endod. 2011 Feb;37(2):265-8. doi: 10.1016/j.joen.2010.11.004.
10
Treatment options: apexogenesis and apexification.治疗选择:根尖诱导成形术和根尖屏障术。
Pediatr Dent. 2013 Mar-Apr;35(2):125-8.

引用本文的文献

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Root development of immature necrotic permanent teeth following regenerative endodontic process: Case series.再生牙髓治疗后未成熟坏死恒牙的牙根发育:病例系列
Dent Res J (Isfahan). 2025 Jul 24;22:28. doi: 10.4103/drj.drj_1_25. eCollection 2025.
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Bioactive peptides in Endodontic infections: The Good, The Bad, and The Ugly.牙髓感染中的生物活性肽:有益的、有害的和丑陋的。
Probiotics Antimicrob Proteins. 2025 Jul 21. doi: 10.1007/s12602-025-10577-4.
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Regenerative endodontic therapy option for immature traumatized maxillary permanent incisor: A case report.
年轻恒牙外伤后未成熟的上颌恒切牙的牙髓再生治疗方案:一例报告
Bioinformation. 2025 Apr 30;21(4):675-678. doi: 10.6026/973206300210675. eCollection 2025.
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Comparative Evaluation of Autologous Platelet Aggregates Versus Blood Clot On The Outcome Of Regenerative Endodontic Therapy: A Systematic Review and Meta-Analysis.自体血小板聚集体与血凝块对牙髓再生治疗效果的比较评价:一项系统评价与Meta分析
J Clin Exp Dent. 2025 Apr 1;17(4):e447-e460. doi: 10.4317/jced.62508. eCollection 2025 Apr.
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Effect of orthodontic treatment on traumatized teeth treated by regenerative endodontic procedure.正畸治疗对采用牙髓再生术治疗的创伤牙的影响。
Angle Orthod. 2025 Mar 1;95(2):173-178. doi: 10.2319/030924-197.1.
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Clinical and radiographic evaluation of two different apexification protocols in traumatized immature permanent incisors.两种不同根尖诱导成形术方案用于外伤后未成熟恒切牙的临床及影像学评估
Ulus Travma Acil Cerrahi Derg. 2025 Jan;31(1):23-31. doi: 10.14744/tjtes.2024.31532.
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Regenerative Endodontic Procedures in Teeth with Root Resorption: A Systematic Review.有根吸收的牙齿的再生牙髓治疗:系统评价。
Eur Endod J. 2023 May;8(3):170-186. doi: 10.14744/eej.2023.77486.
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Different interventions and outcomes in four teeth with regenerative endodontic procedures in the same patient: A case report with 7‑year follow‑up.同一患者四颗牙齿行牙髓再生治疗的不同干预措施及结果:一项7年随访的病例报告
Exp Ther Med. 2023 Mar 10;25(4):182. doi: 10.3892/etm.2023.11881. eCollection 2023 Apr.
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The Effect of General Anesthesia on the Outcome of Root Canal Treatment in Pediatric Patients-A Retrospective Cohort Study.全身麻醉对小儿患者根管治疗效果的影响——一项回顾性队列研究
Children (Basel). 2023 Mar 7;10(3):520. doi: 10.3390/children10030520.
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Regenerative endodontic therapy for external inflammatory lateral resorption following traumatic dental injuries: Evidence assessment of best practices.牙髓再生治疗在创伤性牙外伤后外部炎症性侧方吸收中的应用:最佳实践的证据评估。
Int Endod J. 2022 Nov;55(11):1165-1176. doi: 10.1111/iej.13811. Epub 2022 Sep 27.