急性牙髓炎应急处理 急性尖周炎应急处理（Acute periapical periodontitis emergency treatment emergent treatment of acute pulpitis）.docVIP

急性牙髓炎应急处理 急性尖周炎应急处理（Acute periapical periodontitis emergency treatment emergent treatment of acute pulpitis） Emergency treatment of acute pulpitis of acute periapical periodontitis with dexamethasone in the treatment of emergency treatment of periapical periodontitis Emergency treatment of acute pulpitis Emergency treatment of acute pulpitis, the traditional method is often open and drainage, recent reports, the other treatments, for patients with acute pulpitis, and take emergency treatment for different pulp condition is different, can receive better effect. The defects of the traditional method The current research situation The recommended method Open and drainage method of the defect of traditional Open and drainage method: under local anesthesia, the pulp, the phenocamphor cotton / clove oil on cotton pulp hole, 2-4 days after the referral Acute pulpitis pain mechanism can be divided into two aspects: exogenous and endogenous, acute pulpitis, due to the increase of vascular permeability, intravascular fluid, plasma protein and neutrophil extravasation into tissue, causing local swelling, thus the local compression of nerve fibers and cause pain, which is caused by exogenous factors of pain. On the other hand, there are many local inflammatory inflammatory mediators such as histamine, serotonin, bradykinin, prostaglandin 5, these inflammatory mediators directly stimulate the nerve endings caused by pain, which is caused by endogenous factors of pain. Acute pulpitis when open and drainage operation can reduce intramedullary pressure and relieve pain, but the pulp physical stimulation, accelerate the process of pulp tissue injury pulpitis; after open cavity bacteria directly into the dental pulp tissue aggravating infection; although open drainage, but failed to get rid of bad death or purulent coronal pulp tissue and pulp in inflammatory mediators, pulpitis under control and to develop in depth, sometimes make the pain worse in some patients after surgery. In re