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Treatment options: Biological basis of regenerative endodontic procedures

机译:治疗选择:牙髓再生术的生物学基础

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摘要

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 because 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.
机译:儿童经常发生牙齿外伤,并经常导致牙髓坏死。永久但未成熟的牙齿中发生牙髓坏死代表了具有挑战性的临床情况,因为稀薄且通常较短的根部增加了随后骨折的风险。当前治疗牙髓坏死的未成熟牙齿的方法不能可靠地实现所需的临床结果,包括治愈根尖周炎,促进持续的牙根发育以及恢复牙髓组织的功能。用坏死牙髓治疗未成熟恒牙的最佳方法是再生功能性牙髓组织。这篇综述总结了目前支持生物学原理的文献,这些文献考虑了牙髓坏死治疗未成熟恒牙的再生牙髓治疗程序。

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