摘要准确评估牙髓状态对制订患牙的治疗策略至关重要。传统的评估方法包括患者主观症状、临床检查和影像学表现，但其诊断准确性存在争议。近年来，新的技术如牙髓血流测试、牙髓炎症生物学标志物检测及人工智能辅助诊断等被引入，为牙髓状态评估提供了更为客观和精确的手段。本文系统回顾了现有的牙髓状态评估方法，探讨其临床诊断的有效性及局限性，并论述了现有的牙髓炎诊断系统，以期优化牙髓疾病诊疗流程，探讨未来研究方向和技术进展。

abstractsAccurate assessment of pulp status is crucial for formulating treatment strategies for affected teeth. Traditional assessment methods include subjective symptoms, clinical examination, and imaging findings, despite their diagnostic accuracy is controversial. In recent years, new technologies such as pulp blood flow testing, pulp inflammation biomarkers and artificial intelligence-assisted diagnosis have been introduced, providing more objective and precise diagnostic tools. This review systematically examines pulp status assessment methods now available, explores their clinical diagnostic effectiveness and limitations, and reviews current pulpitis diagnosis systems to optimize the treatment process for pulp diseases and explore future research directions and technological advancements.