Pulpotomie - Ein Überblick
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Die Pulpotomie ist das am meisten akzeptierte Verfahren zur Behandlung von Milchz�hnen und jungen bleibenden Z�hnen mit kari�sen oder traumatisch bedingten Pulpafreilegungen. Die Pulpotomie als Verfahren wurde 1930 von Sweet beschrieben und von verschiedenen anderen Forschern weiterentwickelt. Trotz unz�hliger Materialien, Methoden und Studien ist die ideale Pulpotomie nach wie vor ein Wunschtraum, doch wurden schrittweise Fortschritte auf dem Weg zum Erfolg dokumentiert. Es hat einen Wandel in der Technik und den bei der Pulpotomie verwendeten Medikamenten gegeben, weg von der empirischen �ra hin zur biologischen �ra. Die Entwicklung der Materialwissenschaften - angefangen beim �u erst erfolgreichen, aber allgegenw�rtigen Formokresol �ber das r�tselhafte und fast schon wundersame Calciumhydroxid bis hin zu Alternativen wie Eisensulfat und Glutaraldehyd, den nicht-chemischen Verfahren der Elektrochirurgie und Laser sowie den modernen Wunderwerken der Forschung und Genetik wie knochenmorphogenetischen Proteinen, MTA und Haftvermittlern - verspricht, dass es f�r diese Behandlungsmethode nur einen Weg gibt: nach vorne. Eine korrekte Diagnose, eine angemessene Planung, eine gr�ndliche Vorbereitung und eine ideale Durchf�hrung erm�glichen es, die Pulpotomie als sinnvolle Option bei der Behandlung kari�ser oder traumatisierter Z�hne einzusetzen.
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