Dingming Huang, Qian Lu, Qian Liao, Ling Ye, Xuedong Zhou
State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Jun 1;35(3):227-231. doi: 10.7518/hxkq.2017.03.001.
Dental pulp tissue plays a role in forming dentin, providing nutrition, conducting pain, and generating protective responses to environmental stimuli. Bacterial infection is the main cause of pulp disease, where histopathological changes are the histological basis for determining the choice of treatment and the evaluation of therapeutic effect. Thus, particular attention should be given to eliminate infection, as well as preserve and maintain pulpal health in teeth that show reversible or limited pulpal injuries. Vital pulp therapy, especially its indications and prognostic factors, has been a research hotspot that often causes confusion among clinicians. In this paper, we briefly introduce the confusion and solution for vital pulp therapy in terms of indications, pulp condition assessment, infection elimination, and capping material selection. In addition, we develop a clinical pathway and an operation normalization of vital pulp therapy to better perform the therapy.
牙髓组织在牙本质形成、提供营养、传导疼痛以及对环境刺激产生保护反应中发挥作用。细菌感染是牙髓疾病的主要原因，其中组织病理学变化是确定治疗选择和评估治疗效果的组织学基础。因此，对于表现出可逆性或局限性牙髓损伤的牙齿，应特别注意消除感染以及保存和维持牙髓健康。活髓治疗，尤其是其适应证和预后因素，一直是一个研究热点，常常使临床医生感到困惑。在本文中，我们从适应证、牙髓状况评估、感染消除和盖髓材料选择等方面简要介绍活髓治疗的困惑与解决方案。此外，我们制定了活髓治疗的临床路径和操作规范，以更好地实施该治疗。
