Zhang Lu, Lin Chen, Chen Zhuo, Yue Lin, Yu Qing, Hou Benxiang, Ling Junqi, Liang Jingping, Wei Xi, Chen Wenxia, Qiu Lihong, Li Jiyao, Niu Yumei, Lin Zhengmei, Cheng Lei, He Wenxi, Wang Xiaoyan, Huang Dingming, Huang Zhengwei, Niu Weidong, Zhang Qi, Zhang Chen, Yang Deqin, Yu Jinhua, Zhao Jin, Pan Yihuai, Ma Jingzhi, Deng Shuli, Xie Xiaoli, Meng Xiuping, Yang Jian, Zhou Xuedong, Chen Zhi
Department of Cariology and Endodontics, Wuhan University & State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China.
Department of Endodontics, Stomatological Hospital of Xiamen Medical College, Xiamen, China.
Int J Oral Sci. 2025 Jan 7;17(1):4. doi: 10.1038/s41368-024-00333-9.
Pulpotomy, which belongs to vital pulp therapy, has become a strategy for managing pulpitis in recent decades. This minimally invasive treatment reflects the recognition of preserving healthy dental pulp and optimizing long-term patient-centered outcomes. Pulpotomy is categorized into partial pulpotomy (PP), the removal of a partial segment of the coronal pulp tissue, and full pulpotomy (FP), the removal of whole coronal pulp, which is followed by applying the biomaterials onto the remaining pulp tissue and ultimately restoring the tooth. Procedural decisions for the amount of pulp tissue removal or retention depend on the diagnostic of pulp vitality, the overall treatment plan, the patient's general health status, and pulp inflammation reassessment during operation. This statement represents the consensus of an expert committee convened by the Society of Cariology and Endodontics, Chinese Stomatological Association. It addresses the current evidence to support the application of pulpotomy as a potential alternative to root canal treatment (RCT) on mature permanent teeth with pulpitis from a biological basis, the development of capping biomaterial, and the diagnostic considerations to evidence-based medicine. This expert statement intends to provide a clinical protocol of pulpotomy, which facilitates practitioners in choosing the optimal procedure and increasing their confidence in this rapidly evolving field.
活髓切断术属于牙髓保存治疗，在近几十年已成为治疗牙髓炎的一种策略。这种微创治疗体现了对保留健康牙髓以及优化以患者为中心的长期治疗效果的重视。活髓切断术分为部分活髓切断术（PP），即切除冠髓组织的一部分，以及完全活髓切断术（FP），即切除整个冠髓，然后将生物材料应用于剩余的牙髓组织，最终修复牙齿。关于牙髓组织切除或保留量的手术决策取决于牙髓活力的诊断、整体治疗计划、患者的一般健康状况以及手术过程中对牙髓炎症的重新评估。本声明代表了中华口腔医学会牙体牙髓病学专业委员会召集的专家委员会的共识。它从生物学基础、盖髓生物材料的发展以及基于循证医学的诊断考虑等方面阐述了支持活髓切断术作为牙髓炎成熟恒牙根管治疗（RCT）潜在替代方法应用的现有证据。本专家声明旨在提供活髓切断术的临床方案，以帮助从业者选择最佳手术方法，并增强他们在这个快速发展领域的信心。
