中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (1): 3-6.DOI: 10.12337/zgkqjxjyzz.2025.01.002

• 综述 • 上一篇    下一篇

活髓保存治疗的感染控制策略

林芳汝1,2, 朱文昊1,*   

  1. 1北京大学口腔医学院·口腔医院综合科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心;
    2滨州医学院附属烟台口腔医院·口腔综合科;
  • 发布日期:2025-08-15
  • 通讯作者: *朱文昊,联系方式:010-82195586,Email:zhweha@163.com,通讯地址:北京市海淀区中关村南大街22号,100081

Infection Control Strategy Of Vital Pulp Therapy

Fangru Lin1,2, Wenhao Zhu2,*   

  1. 1Department of general dentistry, the Affiliated Yantai Stomatological Hospital, Binzhou Medical University,;
    2Department of general dentistry Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices Beijing
  • Published:2025-08-15
  • Contact: Wenhao Zhu. Tel: 010-82195586. Email: zhweha@163.com. Address: No. 22, Zhongguancun South Street, Haidian District, Beijing 100081, P.R. China.

摘要: 微创治疗、最大限度保存牙髓活力,延长牙齿使用寿命是当代牙髓治疗的重要发展趋势。近年来学者们致力于活髓保存的生物学基础、临床操作规范以及新型盖髓材料等方面的进展研究,活髓保存治疗临床成功率已显著提高。临床操作中“感染控制”是治疗的重点环节,是保证其成功率的最关键因素。本文基于最新研究和指南,从术前诊断、术中操作和术后修复三方面对活髓保存治疗中的感染控制要点进行综述,以期为临床开展活髓保存治疗以及今后该领域的发展提供参考。

关键词: 慢性牙髓炎, 活髓保存, 感染控制, 牙髓治疗, 生物活性材料

Abstract: Minimally invasive treatment, maximum preservation of pulp vitality and prolonging tooth life are important development trends in contemporary endodontic treatment. In recent years, scholars have devoted themselves to the biological basis of living pulp preservation, clinical operation specifications and new types of pulp capping materials, and the clinical success rate of vital pulp therapy(VPT) has been significantly improved. In clinical operation, infection control is the key link of treatment and the most critical factor to ensure its success rate. Based on the latest research and guidelines, this paper summarizes the key points of infection control in the treatment of vital pulp therapy, from the aspects of preoperative diagnosis, intraoperative operation and postoperative repair, in order to provide references for clinical development of vital pulp therapy and future development in this field.

Key words: chronic pulpitis, vital pulp therapy, infection control, endodontic treatment, bioactive material