Kratunova Evelina, Silva Daniela
Gen Dent. 2018 Nov-Dec;66(6):30-38.
Pulp therapy for pediatric patients aims to alleviate pulpal infection, relieve associated symptoms, and, ultimately, preserve the tooth. Primary teeth adequately retain space for their successors and have been described as "the best space maintainers." Therefore, the decision to extract a primary tooth should take into consideration occlusal growth and development as well as the potential outcome of pulp therapy. Maintaining pulpal vitality in young permanent teeth is essential for continued root formation; if vitality is lost, the root will cease growth and remain at an unfavorable length. A systematic approach to diagnosis and treatment planning is imperative, and a good history of signs and symptoms and a detailed evaluation of radiographs are prerequisites to accurate diagnosis. The purpose of this review is to aid dental professionals in correctly establishing a pulpal diagnosis and selecting the appropriate method of pulp therapy to achieve a successful outcome. The article discusses contemporary views on indications and pulp medicaments and presents step-by-step descriptions of pulp treatments for both primary and immature permanent teeth.
儿童患者的牙髓治疗旨在减轻牙髓感染、缓解相关症状，并最终保留患牙。乳牙能为恒牙充分保留间隙，被称为“最佳间隙保持器”。因此，拔除乳牙的决定应考虑咬合的生长发育以及牙髓治疗的潜在结果。保持年轻恒牙的牙髓活力对于牙根的持续发育至关重要；如果牙髓活力丧失，牙根将停止生长并保持在不利的长度。必须采用系统的诊断和治疗计划方法，详细的症状体征病史和X线片的仔细评估是准确诊断的前提。本综述的目的是帮助牙科专业人员正确地做出牙髓诊断，并选择合适的牙髓治疗方法以获得成功的治疗效果。本文讨论了关于适应证和牙髓药物的当代观点，并逐步介绍了乳牙和未成熟恒牙的牙髓治疗方法。
