关键词: apical periodontitis irreversible pulpitis vital pulp therapy

Mesh : Humans Pulpitis / therapy Dental Pulp Dentition, Permanent Periapical Periodontitis / therapy Dental Care Pulpotomy / methods

来  源:   DOI:10.7518/hxkq.2023.2023193   PDF(Pubmed)

Abstract:
Traditionally, vital pulp therapy (VPT) is mainly indicated for young permanent teeth. However, in recent years, VPT has been increasingly applied to mature permanent teeth. VPT was previously thought to be effective only for teeth with normal pulp or reversible pulpitis. However, an increasing body of evidence has demonstrated that VPT can successfully manage permanent teeth with irreversible pulpitis or apical periodontitis. This work discusses which teeth with irreversible pulpitis or apical periodontitis are suitable for VPT, the recommended method to evaluate and select this kind of case, and the clinical procedure involved to operate such a case.
摘要:
传统上,活髓疗法(VPT)主要用于年轻的恒牙。然而,近年来,VPT已越来越多地应用于成熟的恒牙。以前认为VPT仅对正常牙髓或可逆性牙髓炎的牙齿有效。然而,越来越多的证据表明,VPT可以成功治疗患有不可逆牙髓炎或根尖周炎的恒牙。这项工作讨论了哪些患有不可逆牙髓炎或根尖周炎的牙齿适合VPT,评估和选择这种情况的推荐方法,以及操作这种病例所涉及的临床程序。
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