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保存牙髓活力:第二部分 - 活髓治疗。

Preserving pulp vitality: part two - vital pulp therapies.

机构信息

Restorative Dentistry (Endodontics), Newcastle Dental Hospital, Richardson Road, NE2 4AZ, Newcastle upon Tyne, UK.

Restorative Dentistry, School of Dental Sciences, Framlington Place, NE2 4BW, Newcastle upon Tyne, UK.

出版信息

Br Dent J. 2021 Feb;230(3):148-155. doi: 10.1038/s41415-020-2599-y. Epub 2021 Feb 12.

Abstract

Vital pulp therapies (VPTs) aim to preserve the vitality of the pulp. The European Society of Endodontology have begun a campaign to raise awareness on the efficacy of VPTs following on from the publication of their 2019 position statement, aimed at both specialists and general dental practitioners. This review examines the current evidence surrounding VPTs and provides a rational approach to the management of the exposed pulp with the aid of case studies. Success lies in accurate diagnosis and case selection, along with well-executed treatment and appropriate follow-up protocols. The introduction of calcium silicate cements has made these treatments more predictable.

摘要

牙髓治疗旨在保留牙髓的活力。在发布 2019 年立场声明后,欧洲牙髓病学会(ESE)开始开展一项提高人们对牙髓治疗疗效认识的活动,该声明针对的是专科医生和普通牙科医生。本文回顾了目前有关牙髓治疗的证据,并通过病例研究为暴露牙髓的处理提供了合理的方法。成功取决于准确的诊断和病例选择,以及执行良好的治疗和适当的随访方案。硅酸钙水泥的引入使这些治疗更加可预测。

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