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English (UK) 
Schuster L, Dammaschke T:
PRACA POGLĄDOWA
ART DENT
Tom/Volumne 23; Numer/Number 1 (87)/2025: 18-31
E-ISSN 2392-2818
ISSN 2081-4798
Zachowanie żywotności miazgi – krótko i na temat. Przegląd wskazań do zabiegów mających na celu zachowanie żywotności miazgi i zaleceń terapeutycznych
Pulp Vitality Preservation – Brief and to the Point: A Review of Indications for Pulp Vitality Preservation Procedures and Therapeutic Recommendations
Laurentia Schuster1,E,F, Till Dammaschke1,E,F
1 Universität Münster Poliklinik für Parodontologie und Zahnerhaltung, Münster, Niemcy
Authors’ Contribution: A - Study Design, B - Data Collection, C - Statistical Analysis, D - Data Interpretation, E - Manuscript Preparation, F - Literature Search, G - Funds Collection
Konflikt interesów: Autorzy oświadczają, że nie występuje konflikt interesów związany z publikacją niniejszego artykułu.
Finansowanie: Autorzy oświadczają, że praca nie była finansowana ze źródeł zewnętrznych.
Received: 12.12.2024. Accepted: 14.01.2025. Published: 19.02.2025
Prawa autorskie udzielone Wydawnictwu AS MEDIA
Kontakt z autorem: Dr. Laurentia Schuster, Universität Münster Poliklinik für Parodontologie und Zahnerhaltung, Waldeyerstraße 30, 48149 Münster,
Cytowanie: należy cytować pierwotną, elektroniczną wersję artykułu: Schuster L, Dammaschke T: Zachowanie żywotności miazgi – krótko i na temat; Art Dent 2025;87(1): 18-31.
STRESZCZENIE
Celem opracowania jest przedstawienie współczesnych metod postępowania ukierunkowanych na zachowanie żywotności miazgi po jej przypadkowym obnażeniu w następstwie urazu zęba lub podczas opracowywania głębokich ubytków próchnicowych. Omówiono bezpośrednie i pośrednie pokrycie miazgi oraz częściową i całkowitą pulpotomię. Podkreślono znaczenie prawidłowej oceny stanu miazgi, prowadzenia zabiegu w warunkach aseptycznych, z zastosowaniem koferdamu, oraz odpowiedniego zaopatrzenia zęba. Szczególną uwagę zwrócono na materiały stosowane do pokrycia miazgi, w tym hydrauliczne cementy na bazie krzemianu wapnia, które w opracowaniu przedstawiono jako materiały o wysokim potencjale klinicznym. Podkreślono, że powodzenie leczenia zależy od prawidłowej kwalifikacji pacjenta, właściwego przebiegu procedury oraz odpowiedniego materiału stosowanego do kontaktu z miazgą.
SŁOWA KLUCZOWE:
endodoncja; miazga zębowa; pokrycie miazgi zęba; pulpotomia; zapalenie miazgi; zachowanie żywotności miazgi
SUMMARY
As a result of tooth trauma or during excavation of deep caries, the pulp may be accidentally exposed. After a thorough assessment of its condition, procedures aimed at preserving vitality can be undertaken. Here, we can distinguish direct and indirect pulp capping, as well as partial and total pulpotomy. The success of these procedures is determined by the correct performance of the entire procedure in aseptic conditions (rubber dam) and the selection of the appropriate covering material. The best percentage of success is characterized by hydraulic cements based on calcium silicate, which is why these materials are considered the gold standard in this indication. Light-cured or dual-cured materials should not be used for pulp capping, because they are not biocompatible and are not able to induce pulp healing.
KEY WORDS:
Endodontics; Dental Pulp; Dental Pulp Capping; Pulpotomy; Pulpitis; Vital Pulp Therapy
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