pulp treatment in primary teeth

Diagnosis, pulp, pulp capping, pulpotomy D iagnosis in primary and young, permanent, immature teeth varies greatly from that in fully formed permanent teeth. Pulpotomy and pulpectomy, the two major procedures used to perform pulp therapy in primary teeth, have evolved over the years. In addition to these, in primary teeth it is important to preserve the tooth until its natural exfoliation time, thus preserving arch integrity(2) . 2005;18(6):347–50. When the pulp has become irreversibly infected or necrotic, a root canal treatment is indicated [2, 3]. Review authors working with Cochrane Oral Health carried out this review of randomised controlled trials. Eur Arch Paediatr Dent. In case of symptoms referring to irreversible pulpitis, such as unprovoked pain, vital pulp techniques are associated with poor clinical outcomes. Protective liner. Dhar V, Marghalani AA, Crystal YO, et al. Treatment is necessary if cavity removal results in exposure of the pulp or in a primary tooth with reversible pulpitis, which means the tooth can still be saved. This is an update of a Cochrane review first published in 2003. Pulpotomy treatment is a very common form of vital pulp therapy. The primary objective of pulp therapy is to maintain the integ- rity and health of the teeth and their supporting tissues. Contemporary Treatment Techniques in Pediatric Dentistry, https://doi.org/10.1007/s00784-018-2472-4, https://doi.org/10.1007/s40368-015-0174-z, https://doi.org/10.1007/s00784-018-2616-6, https://doi.org/10.1002/14651858.CD003220, MCODS Mangalore, Manipal Academy of Higher Education, https://doi.org/10.1007/978-3-030-11860-0_3. 2018; Vargas KG, Fuks AB, Peretz B. Pulpotomy techniques: cervical (traditional) and partial. Pulp interventions are indicated for extensive tooth decay. Pulpitis is inflammation of the dental pulp. 4 5. Prevent the Need for Pulp Capping Pediatric dentistry: infancy through adolescence. In many trials, there were either no clinical failures or no radiographic failures in either study arm. The trials were published between 1989 and 2017 and provided 125 comparisons of different treatment options. This chapter discusses contemporary pediatric endodontic concepts and definitive … Pulp interventions are indicated for extensive tooth decay. 2011;44(5):402–6. Dentists often have to perform one of three pulp treatment techniques: direct pulp capping (where a healing agent is placed directly over the exposed pulp), pulpotomy (removal of a portion of the pulp) or pulpectomy (removal of all of the pulp in the pulp chamber and root canal of a tooth). Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? The primary goal of pulp therapy is to treat, restore, and save the affected tooth. All trials were assessed at unclear or high risk of bias. Hutcheson C, Seale NS, McWhorter A, Kerins C, Wright J. Multi-surface composite vs stainless steel crown restorations after mineral trioxide aggregate pulpotomy: a randomized controlled trial. Yacobi R, Kenny DJ, Judd PL, Johnston DH. We included 40 new trials bringing the total to 87 included trials (7140 randomised teeth) for this update. 4. traumatized primary incisors with pulp exposures or acute or chronic abscesses. 1.Test of equality of survival distributions for the different levels of group (P= 0.514). In: Fuks AB, Peretz B, editors. Indirect pulp treatment in primary teeth 35 Fig. Also termed indirect pulp therapy, this involves placing a lining onto deep, softened dentine in order to eliminate microbes and stimulate reparative secondary dentine and maintain pulp vitality. Many included trials had no clinical or radiological failures in either trial arm, and the overall proportion of failures was low. Pediatric dentists perform pulp therapy on both primary (baby) teeth and permanent teeth. To assess the effects of different pulp treatment techniques and associated medicaments for the treatment of extensive decay in primary teeth. Your teeth are made up of a hard outer layer of enamel, which covers a softer, bulky material called dentin. A recent systematic review and meta-analysis on primary tooth vital pulp therapy 74 demonstrated that the “highest level of success and quality of evidence supported IPT and the pulpotomy techniques of MTA and FC for the treatment of deep caries in primary teeth after 24 months. Materials commonly used include mineral trioxide aggregate (MTA), calcium hydroxide, formocresol or ferric sulphate. Indirect pulp treatment is a procedure performed in a tooth with a deep carious lesion... ITR). One trial appeared to favour formocresol over calcium hydroxide; however, there are safety concerns about formocresol. 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