Jiang H W
Department of Operative Dentistry and Endodontics, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2016 Aug;51(8):460-4. doi: 10.3760/cma.j.issn.1002-0098.2016.08.004.
The primary goal of modern endodontic therapy is to achieve the long-term retention of a functional tooth by preventing or treating pulpitis or apical periodontitis is. The long-term retention of endodontically treated tooth is correlated with the remaining amount of tooth tissue and the quality of the restoration after root canal filling. In recent years, there has been rapid progress and development in the basic research of endodontic biology, instrument and applied materials, making treatment procedures safer, more accurate, and more efficient. Thus, minimally invasive endodontics(MIE)has received increasing attention at present. MIE aims to preserve the maximum of tooth structure during root canal therapy, and the concept covers the whole process of diagnosis and treatment of teeth. This review article focuses on describing the minimally invasive concepts and operating essentials in endodontics, from diagnosis and treatment planning to the access opening, pulp cavity finishing, root canal cleaning and shaping, 3-dimensional root canal filling and restoration after root canal treatment.
现代牙髓治疗的主要目标是通过预防或治疗牙髓炎或根尖周炎来实现患牙的长期保留。根管治疗后牙齿的长期保留与剩余牙体组织量以及根管充填后的修复质量相关。近年来,牙髓生物学、器械及应用材料的基础研究取得了快速进展与发展,使治疗程序更安全、更精确、更高效。因此,微创牙髓治疗(MIE)目前受到了越来越多的关注。MIE旨在在根管治疗过程中最大限度地保留牙齿结构,这一概念涵盖了牙齿诊断和治疗的全过程。本文综述着重描述牙髓治疗中的微创概念和操作要点,从诊断和治疗计划到开髓、髓腔预备、根管清理和成形、三维根管充填以及根管治疗后的修复。