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中华口腔医学研究杂志(电子版)

中华口腔医学研究杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 133 -137. doi: 10.3877/cma.j.issn.1674-1366.2020.03.001

所属专题： 口腔医学； 文献；

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微创牙髓病学理念及微创髓腔预备方式
王晓1, 倪龙兴1,†(), 田宇1   
  1. 1. 军事口腔口腔医学重点实验室，口腔疾病国家临床医学研究中心，陕西省口腔医学重点实验室，第四军医大学口腔医院牙体牙髓病科，西安　710032
  • 收稿日期:2019-12-26 出版日期:2020-06-01
  • 通信作者: 倪龙兴

The concept and research progress in endodontic cavities of minimal invasive endodontics

Xiao Wang1, Longxing Ni1,†(), Yu Tian1   

  1. 1. State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Stomatology, Department of Endodontics, School of Stomatology, The Fourth Military Medical University, Xi′an 710032, China
  • Received:2019-12-26 Published:2020-06-01
  • Corresponding author: Longxing Ni
  • About author:
    Corresponding author: Ni Longxing, Email:
  • Supported by:
    Science and Technology Plan Project of Shaanxi(2019ZDLSF01-08)
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王晓, 倪龙兴, 田宇. 微创牙髓病学理念及微创髓腔预备方式[J]. 中华口腔医学研究杂志(电子版), 2020, 14(03): 133-137.

Xiao Wang, Longxing Ni, Yu Tian. The concept and research progress in endodontic cavities of minimal invasive endodontics[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2020, 14(03): 133-137.

牙髓及根尖周疾病是牙体牙髓病科临床实践中最常见的疾病，根管治疗是治疗不可逆性牙髓炎及根尖周病首选的治疗方法。近年来，随着根管治疗器械及材料的不断发展，以及治疗手段的进步，微创牙髓病学（MIE）理念出现。MIE理念下的微创根管治疗不仅要求能控制感染，而且强调保留更多健康的牙体硬组织，追求提高牙齿长期留存率和正常功能的保存。其中，微创的髓腔预备方式对提高根管治疗后牙齿抗力起到十分重要的作用。

关键词: 牙髓病学，微创, 颈周牙本质, 抗折力, 髓腔制备

Pulpitis and periapical lesion are the most common diseases in clinical practice of endodontics. Root canal therapy is the preferred treatment for irreversible pulpitis and periapical diseases. Recent years, with the development of dental equipments and materials, the improvement of treatment modality, the concept of minimal invasive endodontics (MIE) is rising gradually. Root canal therapy of the MIE, not only requires the infection control, but also emphasizes retaining as much healthy hard tissues as possible and seeks to improve the long-term retention of teeth and the preservation of normal functions. The design of endodontic cavity accesses plays a very important role in improving the resistance to fracture of endodontic treated tooth. This article summarized the concept of MIE, the concept of peri-cervical dentin (PCD) and its significance, as well as the progress in endodontic access cavities.

Key words: Endodontics, minimally invasive, Peri-cervical dentin, Resistance to fracture, Dental cavity preparation
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[1] 王文铄, 蔡艳玲, 蒋宏伟, 韦曦. 锥形束CT与导板引导微创开髓精确性的体外研究[J]. 中华口腔医学研究杂志(电子版), 2019, 13(03): 158-165.
[2] 孟庆飞, 张甲第, 孟箭. 模拟牙冠延长术联合牙本质肩领设计对斜折残根抗折力的影响[J]. 中华口腔医学研究杂志(电子版), 2018, 12(01): 26-30.
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