Pulp Therapy In Primary Teeth Research Articles

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Pulp therapy for primary teeth continues to havechallenge for dentists. The aim of the researches isto use the biocompatible material during and afterthe primary root canal treatment which has positiveeffects on treatment. The aim of this literatureupdate is to describe the advantages anddisadvantages of the filling materials for primaryteeth.

An Overview of Teaching of Pulp Therapy in Primary Teeth in Undergraduate Dental Courses

Objetivo: Verificar as abordagens terapeuticas endodonticas em dentes deciduos adotadas nas disciplinas de Odontopediatria dos cursos de graduacao em Odontologia no Brasil. Metodo: Foi realizado um estudo transversal, no qual foram enviados questionarios, por correio eletronico, aos coordenadores das disciplinas de Odontopediatria dos cursos de graduacao em Odontologia (N = 162), com questoes referentes as condutas terapeuticas adotadas nas pulpotomias e pulpectomias de dentes deciduos. Para analise dos dados, foram obtidas distribuicoes absolutas e percentuais, assim como tecnicas de estatistica descritiva. Resultados: Dos 162 questionarios enviados, 83 (51,2%) retornaram. Para a realizacao da tecnica da pulpotomia, o formocresol diluido foi o medicamento mais indicado (42,2%), o oxido de zinco e eugenol foi o material mais indicado como protecao do remanescente pulpar (54,2%) enquanto a resina composta foi o material restaurador escolhido para emprego definitivo em dentes anteriores (86,7%) e posteriores (77,1%). Para a realizacao da tecnica da pulpectomia, a solucao irrigadora mais usada foi o hipoclorito de sodio a 0,5% associado a outras substâncias (32,5%), a pasta Guedes-Pinto foi a substância mais usada como curativo de demora nos casos de biopulpectomia (24,1%) e o formocresol diluido nas necropulpectomias (28,9%). Para obturacao dos canais radiculares, a pasta Guedes-Pinto foi o material de escolha (55,6%). A guta-percha associada ao cimento de ionomero de vidro foi o material mais indicado (33,7%) como sub-base e base da cavidade apos obturacao dos canais radiculares. O emprego do isolamento absoluto para terapia endodontica e ensinado por 55 (66,2%) das instituicoes. Conclusao: A analise dos dados mostrou um consenso entre as condutas terapeuticas pulpares adotadas pelas instituicoes das diversas regioes, percebendo-se a tendencia na reducao do uso de medicamentos que agridem ao tecido pulpar e aumento do uso de substâncias biocompativeis.

Pulp Therapy in Primary Teeth - Profile of teaching in Brazilian Dental Schools

This study investigates the profile of teaching primary tooth pulp therapy practiced by Brazilian dental schools. A multiple-choice questionnaire was sent by e-mail to 191 dental schools in Brazil, addressed to the pediatric dentistry Chairperson. The two-part survey consisting of multiple-choice questions regarding specific materials and techniques on pulp therapies, moreover, hypothetical clinical scenarios were presented so that the respondents could guide the treatment approach. The questionnaires were returned by 46.5% of the dental schools. Ninety-five percent of surveyed schools teach IPT for the treatment of deep carious lesions in dentin and indicate the calcium hydroxide as capping material (59.3%). The direct pulp capping is taught by 68.7% of schools and calcium hydroxide (97%) was the capping material most indicated. Pulpotomy is taught in 98.7% of schools and formocresol (1:5 dilution) was the medicament of choice (50%). All schools taught pulpectomy and Iodoform paste was the filling material preferred (55%). The results showed a lack of consensus in certain modalities and techniques for primary tooth pulp therapy taught by Brazilian dental schools.

Current developments in pulp therapy for primary teeth

Premature loss of primary teeth can lead to malocclusion and/or to esthetic, phonetic, or functional problems. Maintaining the integrity and health of the oral tissues is the primary objective of pulp treatment. It is important to attempt to preserve pulp vitality whenever possible; however, when this is not feasible, the pulp can be entirely eliminated without significantly compromising the function of the tooth. This article provides a concise review of the normal histological characteristics of the primary pulp and briefly describes the dentinogenesis process and the factors affecting the dentin–pulp complex response to stimuli. Finally, the biological basis and rationale for the various modalities of pulpal treatment for the primary dentition are discussed and data on the success rates for the different treatment is presented.

A clinical guide to endodontics – update part 2

This second update paper aims to provide a review of changes and developments that have occurred within the field of pulp therapy for primary teeth since the publication of the BDJ's series and textbook A clinical guide to endodontics. The biological basis of pulp therapy is an area where much recent research has taken place, particularly linked to the healing capacity of pulp tissue. This has lead to the adoption of treatment techniques aimed at maintaining pulp vitality. Such techniques are introduced here as a more contemporary, biological approach to pulp management in the primary dentition.

Antimicrobial Action of a Filling Paste Used in Pulp Therapy in Primary Teeth under Different Storage Conditions.

Compare the antimicrobial effectiveness of common antimicrobial paste immediately after pulp therapy and in different storage conditions. Staphylococcus aureus, Staphylococcus epidermis, Streptococcus mutans, Streptococcus oralis, Enterococcus faecalis; Escherichia coli and Bacillus subtilis sample were used. The storage conditions utilized were: at room temperature--the paste was subjected to a natural aging process at room temperature for a 24-hour and 7, 14, 28, 60 and 90 day periods (GPRT). Refrigerator storage--the paste was placed to a natural aging process in a refrigerator at 4 degrees C for a 24 hour and 7.14, 28, 60 and 90 day periods (GPR). To perform the immediate effect analysis (GPi or zero time), of each mixture either at room or refrigerator temperature, the preparation procedure was similar, although GPR, iodoform, Rifocort and camphorated paramonochlorophenol were stored in the refrigerator and then taken out, dosed and manipulated, and had their immediate effect tested after a 1-week period at storage of 4 degrees C average temperature. The testing methodology was Dilution in Solid Medium-Agar. The Wilcoxon Test and Friedman variance analyses were used. The GP paste showed antimicrobial activity at all experimental times. The pastes presented antimicrobial effectiveness at all experimental times.

A Review Of Pulpotomy Therapy In The Primary Dentition

AbstractPulp therapy for primary teeth and the options for management remains a controversial and often confusing topic. The choice of pulpotomy medicaments, regimes and clinical techniques have sometimes been empirically based and vary considerably between different parts of the world. This paper will present an overview of the dental and clinical parameters useful in assessing pulpotomy therapy in primary teeth as well as a brief summary of the more commonly utilised pulpotomy medicaments available.

Root Canal Treatments For Primary Teeth

Although it appears that the majority of those teaching pulp therapy for primary teeth believe that there is not enough scientific evidence available to justify root canal treatments for primary teeth, a minority of teachers believe that there is not enough evidence reported to date to justify the extraction of these teeth, particularly if the teeth can be retained in an apparently healthy condition as best determined by clinical and radiographic examinations. This mode of treatment is important if the teeth are to be retained to satisfy the space management and esthetic requirements. It is really difficult at this time with the available evidence to say with absolute certainty which belief is correct. There are many influential, vociferous advocates quick to defend on both sides of the argument. If very careful selection (diagnostic) procedures are followed, it is worth the time and effort needed to treat these teeth. Until enough evidence is available which will support one school of thought, successful root canal treatments can be performed on carefully selected primary teeth.

Pulp therapy in primary teeth*

Pulp therapy in primary teeth*