摘要
本文系统阐述了与正畸治疗相关的牙体牙髓病学基础知识,提出（1）天然牙齿表层釉质与健康的牙髓是防止疾病入侵机体的重要防线,正畸治疗应该严格有创操作的应用范围,并制定相应的规范.（2）成年人牙根尖已经成熟,随年龄增加根尖孔变小.不适当的外力容易导致牙髓缺血缺氧,导致系列牙髓和根尖周的问题,临床需要密切关注正畸过程对牙髓的短期与长期影响.（3）正畸治疗装置增加牙表面清洁的难度,龋病与牙周病的防控应成为正畸治疗的要件.治疗前必须进行系统风险评估,治疗方案中应该包括对龋病、牙周病的防护措施,并在治疗中要持续评估龋病、牙周病的防范效果,在最终治疗效果评价中也要强调对龋病、牙周病的控制情况.
Basic dental and endodontic knowledge related to orthodontic treatment are interpreted in this article.Essentials for orthodontists to consider during treatment include：1） natural surface enamel and healthy pulp tissue are two resistance lines to foreign invasions to the body.Therefore,any operation damaging the two lines should be carefully balanced,and related guidelines are needed.2） In fully developed teeth,the apical foramen becomes smaller with age.Orthodontic force could induce pulp pathosis.Close observation of pulp reaction in orthodontic treatment is necessary.3） Orthodontic appliances increase the difficulty of tooth cleaning.Therefore,prevention and control of dental caries and periodontal problems should be essential tasks in orthodontic treatment.Risk assessment,measures for prevention and control,outcome of controlling dental caries and periodontal problems should be integrated in orthodontic treatments.
出处
《中华口腔正畸学杂志》
2016年第3期167-170,共4页
Chinese Journal of Orthodontics
关键词
表层釉质
龋病风险
牙发育成熟
正畸治疗与牙髓治疗
Surface enamel
Caries risk
Maturation of tooth
Orthodontic treatment and endodontic treatment
