牙髓(牙)
牙髓炎
牙科
医学
牙体牙髓科
牙髓切除术
牙髓切断术
牙髓治疗
盖髓
牙髓病学家
恒牙
根管
叙述性评论
牙本质
口腔正畸科
重症监护医学
作者
Louis M. Lin,Domenico Ricucci,Tarek Mohamed A. Saoud,Asgeir Sigurdsson,Bill Kahler
摘要
The American Association of Endodontists (AAE) Consensus Conference Recommended Diagnostic Terminology states that mature permanent teeth clinically diagnosed with irreversible pulpitis are treated with pulpectomy and root canal filling because inflamed vital pulp is not capable of healing. Histological studies have demonstrated that clinically diagnosed irreversible pulpitis does not involve the entire pulp. A recent International Endodontic Journal Editorial suggested clinical diagnosis of pulp disease should be reassessed because of the poor correlation between clinical symptoms and pulp sensibility testing and the actual histological status of the pulp. This review identified studies in a PubMed search that provide evidence for vital pulp therapy (VPT) of mature permanent teeth with irreversible pulpitis is predictable if correctly diagnosed and properly treated. A narrative review was undertaken to outline the correlation between the clinical symptoms/signs and pulp sensibility testing and the histological findings of the pulp. Treatment procedures for permanent teeth are outlined.
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