Stomatology ›› 2025, Vol. 45 ›› Issue (7): 481-487.doi: 10.13591/j.cnki.kqyx.2025.07.001

• Review and Commentary •     Next Articles

Overview of technical advances in the diagnosis and treatment of pulp and periapical diseases

LI Mengyuan1, LIU Jie2, ZHANG Yuerong1, JIANG Fei1, ZHANG Guangdong1()   

  1. Department of General Dentistry, The Affiliated Stomatological Hospital of Nanjing Medical University; State Key Laboratory Cultivation Base of Research, Prevention and Treatment for Oral Diseases; Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing 210029, China
  • Received:2025-04-26 Online:2025-07-28 Published:2025-07-24

Abstract:

As a critical component of oral diseases, the management of pulp and periapical diseases is undergoing a transformation toward personalized, precise, and minimally invasive therapies, driven by advancements in diagnostic and treatment technologies. These innovations have significantly improved the success rate of pulp preservation and tooth retention. The application of multimodal imaging, artificial intelligence, and molecular biology detection technologies has introduced new dimensions to the diagnosis and treatment of pulp diseases. The integration of dental microscopes with static/dynamic guided endodontics systems has enhanced root canal debridement efficiency. Breakthroughs in bioactive material development have achieved dual progress in infection control and tissue regeneration for pulp and periapical lesions. Furthermore, tissue engineering strategies combining stem cell delivery with biomimetic scaffold materials offer novel approaches for regenerating the pulp-dentin complex. This review summarizes recent technological advances to provide a scientific basis for optimizing clinical diagnosis and treatment.

Key words: dental pulp diseases, periapical diseases, diagnosis, treatment

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