Gudkina Jekaterina, Mindere Anda, Locane Gundega, Brinkmane Anda
Conservative Dentistry Department, Institute of Stomatology, Riga Stradins University, Riga, Latvia.
Stomatologija. 2012;14(3):71-80.
The decision to retain immature permanent tooth with pulp disease is problematical. Restoring the tooth would normally involve some form of pulp capping/pulpotomy procedure or a more radical pulpectomy and root canal treatment. Pulp capping/pulpotomy procedures, where all or part of the pulp is retained, relies upon an accurate assessment of the pulp condition, and the careful management of the remaining healthy tissue. Pulpectomy or root canal treatment is technically difficult as the root apex is open with the result that conventional preparation and filling techniques are compromised. On the other hand, the inappropriate extraction of immature teeth with pulp disease will result in immediate aesthetic and functional difficulties that may require the patient to have orthodontic or restorative care that will have potential life-long implications, e. g. removable or fixed prosthesis. The aim of this article is to provide an overview of the aetiology of pulp disease in immature teeth and to review current evidence of the outcome of conservative pulp treatment.
决定保留患有牙髓病的未成熟恒牙是个有问题的决策。修复这颗牙齿通常需要某种形式的牙髓盖髓术/牙髓切断术，或者更彻底的牙髓摘除术和根管治疗。牙髓盖髓术/牙髓切断术是保留全部或部分牙髓，这依赖于对牙髓状况的准确评估以及对剩余健康组织的精心处理。牙髓摘除术或根管治疗在技术上具有难度，因为根尖孔开放，导致传统的预备和充填技术受到影响。另一方面，不恰当地拔除患有牙髓病的未成熟牙齿会立即导致美观和功能方面的问题，这可能需要患者接受正畸或修复治疗，而这些治疗可能会产生潜在的终身影响，例如可摘或固定修复体。本文的目的是概述未成熟牙齿牙髓病的病因，并综述保守牙髓治疗结果的当前证据。
