《牙体牙髓病学》课程教学资源（教案）八、Biology of pulp and periradicular tissues,etiology&diagnosis

该页由授课教师填写，并在授课前两周交教研室主任审核。 周次第周，第次课 2011年10月日授课教师皮根莉 职称讲师 第九章牙髓及根尖周组织生理学特点 备注 名称 第平9满及波ysoy of he中andPr Chapter 10 Etiology of Pulpal and Periradicular Diseases 第十一章检查和诊断方法 ation and Diagnostic Techniques 授课 教学时数2学时 方式 Aims 教学 (1)To know what are pathogenic factors of pulpal and periradicular diseases and how these diseases developed. (2)To teach the how to examine the patients and make diagnosis of pulpal and 及要求 (1)了解牙髓根尖周病的致病因素及发病机制 (2) 讲授牙髓根尖周病的检查和诊断方法。 Requests of the lecture (1Master the four aspects of the pathogenic factors of pulpal and periradicula (2)Master the diagnostic techniques of pulpal diseases and periapical diseases, especially how to determine the pulp vitality. (3)Be familiar with the histological and physiological characteristics of the pulp and periradicular tissue the mechanism of pain produced in the pulp 教学要求 (1） 掌握牙髓根尖周病的4类致病因素。 (2)学握牙髓根尖周病的诊断方法，重点是如何判晰牙髓活力。 (3)熟悉牙髓根尖周组织的组织学及生理学特点。 (4)了解牙箭依痛的产生机制。 教学主要内容

该页由授课教师填写，并在授课前两周交教研室主任审核。 周次 第 周，第 次课 2011 年 10 月 日 授课教师 皮根莉 职称 讲师 章 节 名 称 第九章 牙髓及根尖周组织生理学特点 Chapter 9 Histology and Physiology of the Pulp and Periradicular Tissue 第十章 病因及发病机制 Chapter 10 Etiology of Pulpal and Periradicular Diseases 第十一章 检查和诊断方法 Chapter 11 Examination and Diagnostic Techniques 备 注 授 课 方 式 理论课（√）；实践课（）；实习（ ） 教学时数 2 学时 教 学 目 的 及 要 求 Aims： (1) To know what are pathogenic factors of pulpal and periradicular diseases and how these diseases developed. (2) To teach the how to examine the patients and make diagnosis of pulpal and periradicular diseases. 教学目的： （1） 了解牙髓根尖周病的致病因素及发病机制。 （2） 讲授牙髓根尖周病的检查和诊断方法。 Requests of the lecture: (1) Master the four aspects of the pathogenic factors of pulpal and periradicular diseases (2) Master the diagnostic techniques of pulpal diseases and periapical diseases, especially how to determine the pulp vitality. (3) Be familiar with the histological and physiological characteristics of the pulp and periradicular tissue (4) Know the mechanism of pain produced in the pulp. 教学要求： （1） 掌握牙髓根尖周病的 4 类致病因素。 （2） 掌握牙髓根尖周病的诊断方法，重点是如何判断牙髓活力。 （3） 熟悉牙髓根尖周组织的组织学及生理学特点。 （4） 了解牙髓疼痛的产生机制。 教 学 主 要 内 容 时 间 分 配

Histology and Physiology of the Pulp and Periradicular Tissue 1.Histology of the pup 3min Functions of the pulp 5min (1)Dentine formation (2)Nutrition (3)Sense of pain:hypothesis of pulp pain production (④Defense 3.Aging changes of the pulp 3min 4.Physiological characteristics of the periradicular tissue 4min II Etiology of the Pulpal and Periradicular Diseases 1.Bacterial factors (Main pathogenic bacteria (2)Pathways of infection of the pulp (3)Pathogenic mechanism of the bacteria (4)Host reaction to the infection 2min 2 Physical factors Chemical factors ors Examination and Diagnosis Techniques 1.Collection of medical history 10min (1)Chief complaint (2)Present history ()History of systematic diseases 2.Clinical examination (1)Thermal tests of the pulp 4min (2)Electronic test of the pulp vitality 6min (3)Biting examination 2min (4)Dyeing examination (5)Transillumination (6)Selective anesthesia (7)Cavity preparation 2min (8)X-ray examination 10min Emphasis in the lecture: 教学重 1.Bacterial factors and their pathogenic mechanism ofthe diseases 2.Diagnostic technique for the endodontic clinic 教学重点： 1.牙髓根尖周病的细菌致病因素及其致病机制。 2.牙髓根尖周病的临床诊断方法 难 Difficult points in the lecture: Mechanism of the pain production in the pulp Result explanation for the diagnostic techniques 教学难点 1. 牙髓疼痛的机制 2. 各种检查诊断方法结果的解释

Ⅰ Histology and Physiology of the Pulp and Periradicular Tissue 1. Histology of the pulp 2. Functions of the pulp (1) Dentine formation (2) Nutrition (3) Sense of pain: hypothesis of pulp pain production (4) Defense 3. Aging changes of the pulp 4. Physiological characteristics of the periradicular tissue Ⅱ Etiology of the Pulpal and Periradicular Diseases 1. Bacterial factors (1) Main pathogenic bacteria (2) Pathways of infection of the pulp (3) Pathogenic mechanism of the bacteria (4) Host reaction to the infection 2. Physical factors 3. Chemical factors 4. Immunological factors Ⅲ Examination and Diagnosis Techniques 1. Collection of medical history (1) Chief complaint (2) Present history (3) History of systematic diseases 2. Clinical examination (1) Thermal tests of the pulp (2) Electronic test of the pulp vitality (3) Biting examination (4) Dyeing examination (5) Transillumination (6) Selective anesthesia (7) Cavity preparation (8) X-ray examination 3min 5min 3min 4min 5min 6min 3min 2min 5min 2min 2min 10min 4min 6min 2min 2min 2min 2min 2min 10min 教 学 重 点 与 难 点 Emphasis in the lecture: 1. Bacterial factors and their pathogenic mechanism of the diseases 2. Diagnostic technique for the endodontic clinic 教学重点： 1. 牙髓根尖周病的细菌致病因素及其致病机制。 2. 牙髓根尖周病的临床诊断方法 Difficult points in the lecture: 1. Mechanism of the pain production in the pulp 2. Result explanation for the diagnostic techniques 教学难点： 1. 牙髓疼痛的机制 2. 各种检查诊断方法结果的解释

Endodontics:Pulpal Disease:Periradicular Disease:Odontoblast:Fibroblast 语要求 Collagen Fiher Ground Substance;Cementum; Periodontal Ligament (Periodontium):Alveolar. Etiology,Retrograde Pulpitis;Anachoresis 教学手 Explanation and cal Discussion of the typical cases 《牙体牙髓病学》，王嘉德，高学军主编，北京大学医学出版社，2006年第1版 《实用牙体牙髓病治疗学》，周学东，岳松龄主编，人民卫生出版社，2004年 资料 第1版 Principles and Practice of Endodontics,edited by Richard E.Walton&Mahmouc Torabinejad,published by W.B.Saunders Company,3dedition in 2002 课 To master the pathways of bacteria invading the pulp. To master the procedures of thermal tests and electric pulp test 室主任意

外 语 要 求 Endodontics; Pulpal Disease; Periradicular Disease; Odontoblast; Fibroblast ; Collagen Fiber; Ground Substance; Cementum; Periodontal Ligament (Periodontium); Alveolar; Etiology; Retrograde Pulpitis; Anachoresis; 教 学 手 段 Explanation and CAI Discussion of the typical cases 参 考 资 料 《牙体牙髓病学》，王嘉德，高学军主编，北京大学医学出版社，2006 年第 1 版 《实用牙体牙髓病治疗学》，周学东，岳松龄主编，人民卫生出版社，2004 年 第 1 版 Principles and Practice of Endodontics, edited by Richard E. Walton & Mahmoud Torabinejad, published by W. B. Saunders Company, 3rd edition in 2002 课 后 要 求 To master the pathways of bacteria invading the pulp. To master the procedures of thermal tests and electric pulp test. 教 研 室 主 任 意 见