Direct pulp capping in permanent teeth in children – tertiary dentin formation, materials used. Part II

M. Kolasa, J. Szczepanska
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引用次数: 1

Abstract

Direct pulp capping involves placing therapeutic material on mechanically or traumatically exposed pulp. The most essential requirement of therapeutic success is clinical state of the pulp which should be healthy or in reversible pulpitis. The method is particularly recommended for young permanent teeth due to the high regenerative potential of dental pulp. The mechanisms underlying these repair processes involve the ability of odontoblasts to form dentin bridges via tertiary dentin deposition. If pulp exposure occurs, a layer of odontoblasts is killed and must be replaced with a new odontoblastic population, which differentiates from pulpal stem cells under the influence of a therapeutic agent applied on the pulp. In addition to odontotropic properties and the ability to stimulate production of qualitatively satisfying dentinal bridge, the substance used for pulp capping should be biocompatible, not stain dental tissues, exhibit good adhesion to them, and insolubility in dentin tubule fluid or water. So far an agent which meets all the requirements mentioned above has not been invented. It is crucial to continue research to develop a substance that will yield the best effects in direct pulp capping.
儿童恒牙直接盖髓。第三牙本质形成,所用材料。第二部分
直接髓盖包括在机械或外伤暴露的髓上放置治疗材料。治疗成功最基本的要求是牙髓的临床状态,牙髓应是健康的或可逆性的牙髓炎。由于牙髓具有较高的再生潜力,特别推荐用于年轻的恒牙。这些修复过程的机制涉及成牙本质细胞通过三级牙本质沉积形成牙本质桥的能力。如果发生牙髓暴露,一层成牙髓细胞被杀死,必须用新的成牙髓细胞群取代,在牙髓上施加治疗剂的影响下,成牙髓细胞与牙髓干细胞不同。除了具有牙向性和刺激产生质量满意的牙本质桥的能力外,用于牙髓盖盖的物质应具有生物相容性,不染色牙组织,与牙本质组织具有良好的粘附性,并且在牙本质小管液体或水中不溶解。到目前为止,还没有发明一种满足上述所有要求的药剂。关键是要继续研究开发一种能在直接盖髓中产生最佳效果的物质。
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