口腔疾病防治Issue(3)：229-234,6.DOI:10.12016/j.issn.2096-1456.2024.03.010
乳牙直接盖髓术的研究进展
Research progress on direct pulp capping of primary teeth
摘要
Abstract
The timely treatment of dental caries and pulp disease in primary teeth holds significant importance for maintaining children's oral health.Direct pulp capping(DPC)is a vital pulp treatment that involves covering the ex-posed pulp with bioactive materials to promote dentin bridge formation.DPC is commonly used in primary teeth with vi-tal pulp and mechanical pulp exposure not exceeding 1 mm.DPC offers advantages such as minimal invasiveness,com-fort,simplicity of operation and short chair-side time,making it suitable for pediatric dental clinical practice.Early stud-ies suggested negative treatment outcomes for DPC in primary teeth with carious pulp exposure.Over the years,there have been advancements in materials and technology demonstrating positive outcomes in the clinical research of prima-ry teeth with deep caries.However,due to the limited quality of related studies,DPC has not been widely recommended for the treatment of primary teeth with carious pulp exposure,and its widespread use needs further support by more high-quality evidence-based medical research.The success rate of DPC in primary teeth is influenced by factors including pulp status,clinical operations(such as isolation and caries removal),pulp capping material,cavity type,tooth position,coronal sealing,and dental fear.In clinical operation,dentists should accurately assess pulp status and minimize bacte-rial contamination.Mineral trioxide aggregate(MTA)is a DPC agent with relatively sufficient evidence and good thera-peutic effects,and the crown should be tightly sealed after pulp capping.Additionally,the effects of novel biocompati-ble materials such as iRoot BP Plus used in DPC of primary teeth,and the influence of other factors like hemostatic methods on the prognosis of affected teeth,need further exploration.关键词
乳牙/龋病/露髓/直接盖髓术/盖髓剂/三氧化矿物凝聚体/iRoot BP Plus/牙髓病/牙髓治疗/牙髓切断术Key words
primary teeth/caries/pulp exposure/direct pulp capping/pulp capping material/mineral tri-oxide aggregate(MTA)/iRoot BP Plus/pulpitis/pulp therapy/pulpotomy分类
医药卫生引用本文复制引用
余锦锦,朱健慧,吴志芳..乳牙直接盖髓术的研究进展[J].口腔疾病防治,2024,(3):229-234,6.基金项目
This study was supported by the grants from National Key R&D Program of China(No.2022YFC2405900) （No.2022YFC2405900）
General Sci-entific Research Program of Education Department of Zhejiang Province(No.Y202147203).国家重点研发项目(2022YFC2405900) （No.Y202147203）
浙江省教育厅一般科研项目(自然科学类)(Y202147203) （自然科学类）
