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. 2018 Aug 1;36(4):435-440.
doi: 10.7518/hxkq.2018.04.015.

[Indirect pulp therapy for deciduous teeth with deep caries lesions]

[Article in Chinese]
Si Wu  1 , Ying-Ling Liu  1 , Jing Zou  1 , Xue-Dong Zhou  2 , Li-Wei Zheng  1
Affiliations

[Indirect pulp therapy for deciduous teeth with deep caries lesions]

[Article in Chinese]
Si Wu et al. Hua Xi Kou Qiang Yi Xue Za Zhi. .

Abstract
in English, Chinese

Deciduous teeth are the first dentition of humans and play an important role in children's physical and mental development. Dental caries are one of the most common oral diseases in children. According to the data of the World Health Organization, 60%-90% of school children worldwide develop dental caries. In China, dental caries of primary teeth feature high incidence and low rate of visits. Without timely treatment, the deep caries lesions of primary teeth can lead to teeth defect, pulpitis, apical periodontitis, and maxillofacial space infection. Moreover, the premature loss of deciduous teeth can cause malocclusion and eruption disorder of subsequent permanent teeth. These conditions all cause considerable effects on children's oral health and physical and mental development. Performing active and effective measures to treat deciduous teeth with deep caries lesions is important to maintain the integrity and normal physiological function of dentition and facilitate normal eruption of permanent teeth. The current situation of indirect pulp therapy in China was studied in this paper. Basic concepts, including indirect pulp capping, interim therapeutic restoration, partial caries removal, stepwise caries removal, and atraumatic restorative therapy, have been defined by consulting domestic and foreign literature. A theoretical basis for improving the clinical pathway of deciduous teeth with deep caries lesions is provided by explaining the technical connotation and therapeutic importance of indirect pulp therapy in primary teeth.

乳牙是人类的第一副牙齿，其正常萌出建并行使生理功能对儿童的身心发育具有重要意义。乳牙龋病是儿童慢性疾病之首，是儿童口腔医学临床最常见的疾病之一。根据世界卫生组织调查数据显示，世界范围内60%~ 90%的学龄儿童患有龋病。乳牙龋病在我国具有患龋率高，就诊率低下的特点，如不及时治疗，可导致牙体组织缺损、生理间隙丢失、牙髓和根尖周病变及颌面间隙感染，严重者可致乳牙早失并伴发牙列畸形及后续恒牙萌出障碍等不良结果，影响儿童口腔健康及身心发育。因此，对深龋乳牙采取积极有效的治疗措施对保存必要乳牙及其牙髓活力，恢复正常生理功能，维持牙列完整性，诱导后续恒牙正常萌出建具有重要意义。本文从目前深龋乳牙间接牙髓治疗的研究认识现状出发，通过文献资料收集整理，对间接牙髓治疗、间接盖髓术、暂时性保髓充填、部分去龋法、分步去龋法和非创伤性修复治疗等相关概念进行了对比分析，阐明了乳牙间接牙髓治疗的技术内涵和治疗意义，对乳牙深龋的临床治疗路径完善提供了理论依据。.

Keywords: atraumatic restorative therapy; deciduous teeth with deep caries lesions; indirect pulp capping; indirect pulp therapy; interim therapeutic restorations.

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Figures

图 1
图 1. 部分去龋法操作示意图及治疗一段时间后患牙情况
Fig 1 Partial caries removal and the condition of teeth after treatment for a period of time
图 2
图 2. 分步去龋法操作示意图及治疗一段时间后患牙情况
Fig 2 Stepwise caries removal and the condition of teeth after treatment for a period of time
图 3
图 3. IPC操作示意图及治疗一段时间后患牙情况
Fig 3 IPC and the condition of teeth after treatment for a period of time
图 4
图 4. ITR操作示意图及治疗一段时间后患牙情况
Fig 4 ITR and the condition of teeth after treatment for a period of time
See this image and copyright information in PMC

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