Dhar V, Marghalani AA, Crystal YO, et al. Formocresol may be superior to calcium hydroxide in terms of clinical and radiological failure, but because of toxic effects associated with formocresol, safer alternatives should be evaluated. In recent years, … Pulp therapy in primary teeth As pediatric dentists’ our primary goal is to perform treatment in a child efficiently and effectively, so that the child does not develop fear towards dentistry. Failures occurred after the first year of follow-up, and were detected by radiographic evaluation. MTA also appeared to reduce radiological failure at six, 12 and 24 months (four trials, 150 participants) (low-quality evidence). Protective liner. 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. 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. 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). Use of Vital Pulp Therapies in Primary Teeth with Deep Caries Lesions. Yacobi R, Kenny DJ, Judd PL, Johnston DH. Primary teeth Vital pulp therapy for primary teeth diagnosed with a normal pulp or reversible pulpitis Protective liner. 1.Test of equality of survival distributions for the different levels of group (P= 0.514). Pulpotomy treatment is a very common form of vital pulp therapy. Ozalp N, Saroğlu I, Sönmez H. Evaluation of various root canal filling materials in primary molar pulpectomies: an in vivo study. We performed data synthesis with pair-wise meta-analyses using fixed-effect models. Though primary teeth are eventually shed, they are needed for speech production, proper chewing, and to guide the proper alignment and spacing of permanent teeth. Pinto AS, de Araújo FB, Franzon R, et al. After treatment, the cavity is filled with a medicament. 1.Test of equality of survival distributions for the different levels of group (P= 0.514). Module Outline: You can succeed without pulp treatment. Pulpless primary teeth in hemophiliacs. Tissue changes induced by the absorption of formocresol from pulpotomy sites in dogs. Pulp interventions are indicated for extensive tooth decay. This chapter discusses contemporary pediatric endodontic concepts and definitive indications and contraindications for primary tooth pulp therapy. The main aim of primary tooth pulp therapy is to maintain arch length and integrity by preserving the pulpally involved tooth as a natural space maintainer. In case of symptoms referring to irreversible pulpitis, such as unprovoked pain, vital pulp techniques are associated with poor clinical outcomes. St. Louis, MO: Elsevier; 2013. p. 340–4. For other comparisons, the quality of the evidence is low or very low, which means we cannot be certain about the findings. (endodontic) treatment for exposed, infected, and/or necrotic teeth to eliminate pulpal and periradicular infection. The two major procedures used to perform pulp therapy in primary teeth, pulpotomy and pulpectomy, have evolved over the years. St. Louis, MO: Elsevier; 2011. p. 808–56. 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