Treatment options: biological basis of regenerative endodontic procedures.
Treatment options: biological basis of regenerative endodontic procedures.
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DOI：
10.1016/j.joen.2012.11.025
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发表时间：
2013-03
影响因子：
4.2
通讯作者：
Teixeira FB
中科院分区：
文献类型：
--
作者：
Hargreaves KM;Diogenes A;Teixeira FB
牙齿创伤经常发生在儿童，往往会导致牙髓坏死。在恒牙但未成熟的牙齿中发生牙髓坏死代表了一种具有挑战性的临床情况，因为薄且通常较短的牙根增加了随后骨折的风险。目前治疗外伤性未成熟牙牙髓坏死的方法不能可靠地达到预期的临床效果，包括根尖牙周炎的愈合，促进牙根的持续发育和牙髓组织功能的恢复。再生功能性牙髓组织是治疗牙髓坏死的未成熟恒牙的最佳方法。本文综述了目前的文献支持的生物学原理，考虑再生根管治疗程序在治疗未成熟恒牙牙髓坏死。
Dental trauma occurs frequently in children and often can lead to pulpal necrosis. The occurrence of pulpal necrosis in the permanent but immature tooth represents a challenging clinical situation since the thin and often short roots increase the risk of subsequent fracture. Current approaches for treating the traumatized immature tooth with pulpal necrosis do not reliably achieve the desired clinical outcomes, consisting of healing of apical periodontitis, promotion of continued root development and restoration of the functional competence of pulpal tissue. An optimal approach for treating the immature permanent tooth with a necrotic pulp would be to regenerate functional pulpal tissue. This review summarizes the current literature supporting a biological rationale for considering regenerative endodontic treatment procedures in treating the immature permanent tooth with pulp necrosis.
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