Vital pulp therapy of pulp inflammation of permanent teeth
10.12016/j.issn.2096-1456.2021.07.001
- Author:
WU Buling
1
;
LUO Yifei
2
;
XU Wenan
3
;
TONG Zhongchun
4
Author Information
1. 1.Department of Cariology and Endodontics, Shenzhen Stomatology Hospital (Pingshan), Southern Medical University 2.College of Stomatology, Southern Medical University
2. 1.College of Stomatology, Southern Medical University 2. Department of Stomatology, Nanfang Hospital, Southern Medical University
3. Department of Cariology and Endodontics, Shenzhen Stomatology Hospital (Pingshan), Southern Medical University
4. Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Sun Yat-sen University
- Publication Type:Journal Article
- Keywords:
pulpitis;
permanent teeth;
vital pulp therapy;
direct pulp capping;
pulpotomy;
indication;
prognosis;
defease reaction;
repair reaction;
laser doppler flowmetry;
tissue oxygen monitor;
magnetic resonance imaging;
pulp capping material
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2021;29(7):433-441
- CountryChina
- Language:Chinese
-
Abstract:
Vital pulp therapy aims to maintain healthy pulp tissue as much as possible to improve the long-term survival of teeth. It has limited indications and uncertain curative effects. The pathological changes in inflamed pulp are the histological basis for the determination of treatment strategies and the treatment outcome; however, pulp sensitivity testing cannot reflect the actual histological status of the pulp. With the development of basic and clinical research on vital pulp therapy, the innovation of modern diagnostic and therapeutic technology and capping material, vital pulp therapy can be used as a treatment of teeth on which it was previously thought pulpectomy was necessary. Based on the evidence-based literature, this paper analyzes and summarizes the pathological changes of pulpitis and clinical research on the treatment of pulpitis. Vital pulp therapy can be a treatment for mature teeth with carious exposure and symptoms of irreversible pulpitis if comprehensive applications, including laser Doppler flowmetry, tissue oxygen monitoring, magnetic resonance imaging and microscopy, are used to determine the degree of pulp retention and if infection control and the use of biocompatible capping material are emphasized. In the future, it will be necessary to improve the success rate of vital pulp therapy for the treatment of pulpitis through research on the mechanism of pulp repair and regeneration, the precise diagnosis of pulpitis, and the development of pulp capping materials.
- Full text:恒牙牙髓炎的活髓保存治疗.pdf
