Grossman L I
J Am Dent Assoc. 1976 Jul;93(1):78-87. doi: 10.14219/jada.archive.1976.0606.
During 200 years of progress in endodontics, various sciences have contributed to our understanding of the physiology and pathology of the dental pulp. Early treatment included cauterization of the pulp, the use of poultices or leeches, and tooth transplantation or replantation. Various methods of pulp devitalization are reviewed. Near the turn of the century, the discovery of X rays made diagnosis more accurate and the discovery of local anesthetics eliminated pain during endodontic treatment. Although the focal infection theory slowed the acceptance of endodontic treatment in this century, the biomechanical concept of treatment and research have recently opened new avenues for treatment and have initiated improvements in medicaments and filling materials.
在牙髓病学发展的200年里，多门学科推动了我们对牙髓生理和病理的认识。早期治疗方法包括牙髓烧灼术、使用泥敷剂或水蛭，以及牙齿移植或再植。本文回顾了各种牙髓失活方法。在世纪之交，X射线的发现使诊断更加准确，局部麻醉剂的发现消除了牙髓治疗过程中的疼痛。尽管病灶感染理论在本世纪减缓了牙髓治疗的接受度，但治疗和研究的生物力学概念最近为治疗开辟了新途径，并推动了药物和填充材料的改进。
