scholarly journals Histological evaluation of bone response to pediatric endodontic pastes: an experimental study in guinea pig

2012 ◽  
Vol 23 (6) ◽  
pp. 635-644 ◽  
Author(s):  
Andréa Mara Lacativa ◽  
Adriano M Loyola ◽  
Cassio José Alves Sousa

This study aimed to evaluate by the intra-osseous implant technique the most commonly used materials for pulp therapy in pediatric dentistry: calcium hydroxide (CH), Guedes Pinto paste and CTZ paste, according to FDI (1980) and ANSI/ADA (1982) recommendations. Thirty guinea pigs, 10 for each material, divided into experimental periods of 4 and 12 weeks received one implant on each side of the lower jaw symphysis. The external lateral tube wall served as control for the technique. At the end of the observation periods, the animals were euthanized and specimens were prepared for routine histological examination. It was observed that CH and CTZ paste induced severe inflammation, a large amount of necrotic tissue, lymphocytes, foreign body cells and bone resorption, while Guedes Pinto Paste induced little or no inflammation in the 4-week observation period. After 12 weeks, the reactions to CH and Guedes Pinto paste were also absent/mild, presenting a general pattern of replacement by recently formed bone tissue while a moderate to severe inflammatory response was observed with CTZ paste. Guedes Pinto paste presented acceptable biocompatibility levels in both analyzed periods; CH only showed acceptable biocompatibility in the 12-week period while CTZ paste showed no biocompatibility in both periods. Among the tested materials, only Guedes Pinto paste presented an acceptable biocompatibility.

2005 ◽  
Vol 55 (5-6) ◽  
pp. 461-470 ◽  
Author(s):  
Krsljak Elena ◽  
Danilovic Vesna ◽  
Teodorovic Nevenka

2008 ◽  
Vol 34 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Carlo Mangano ◽  
Vittoria Perrotti ◽  
Giovanna Iezzi ◽  
Antonio Scarano ◽  
Francesco Mangano ◽  
...  

Biomaterials ◽  
2003 ◽  
Vol 24 (6) ◽  
pp. 989-1000 ◽  
Author(s):  
E.M Ooms ◽  
J.G.C Wolke ◽  
M.T van de Heuvel ◽  
B Jeschke ◽  
J.A Jansen

2014 ◽  
Vol 71 (8) ◽  
pp. 730-734 ◽  
Author(s):  
Svjetlana Jankovic ◽  
Mirjana Ivanovic ◽  
Bojana Davidovic ◽  
Jelena Lecic

Background/Aim. Developmental disorders of teeth are the problems that are becoming more present in pediatric dentistry, especially on first permanent molars and incisors. Molar Incisor Hypomineralization (MIH) is proposed term for this phenomenon. The aim of this study was to establish the MIH prevalence in children living in the Foca municipality (Bosnia and Herzegovina) as well as to assess characteristics and expression of hypomineralization within the tested population. Methods. A total of 141 children from the Foca municipality, 8 years of age, were included in this study. Criteria according to Weerhejm have been used for diagnosis of hypomineralization: demarcated opacity (DO), post-eruptive breakdown (PEB), atypical restoration (AR), extracted molars due to MIH (E-MIH) and unerupted tooth (UT). Level and the prominence of color changes have been determined for patients with DO, PEB and AR. Results. MIH in this area was present in 12.8% of children. The prevalence of MIH changes expressed in percentages was as follows: DO was at 9.2%, PEB in 3.5%, AR in 5.6%, while E-MIH was 5.6%. A total of 9.9% of the examinees had mild, 5.6% moderate, and 7.8% severe form of MIH. White form of MIH defects was found in 9.9% of the examinees, white-yellow one in 5.6% and yellow-brown color in 3.5% of the examined children. These changes were more often present in the lower jaw (60.3%). In total, 6.4% of children had these changes present only on molars, while 6.4% of them both on molars and incisors simultaneously. Conclusion. A total of 12.8% of the examinees with MIH is not to be disregarded. With timely diagnosis, prevention and therapy complications could be avoided or mitigated.


2013 ◽  
Vol 2 (2) ◽  
pp. 65-68 ◽  
Author(s):  
Golam Mohammad ◽  
Farjana Jerin ◽  
Suraya Jebin

Diagnosis of pulp status is an important clinical step to achieve success in pulp therapy technique or endodontic treatment in children. In pediatric dentistry, history of symptoms given by a child may not be reliable. Assessment of dental pulp status plays an important role. It is hoped that these guidelines will facilitate pulpal diagnosis, good decision-making and evidence-based practice for pediatric patients.DOI: http://doi.dx.org/10.3329/bjdre.v2i2.16248 Bangladesh Journal of Dental Research & Education Vol.2(2) 2012: 66-68


2018 ◽  
Vol 69 (6) ◽  
pp. 1524-1526
Author(s):  
Carmen Todea ◽  
Andreea Igna ◽  
Emilia Ogodescu ◽  
Irina Zetu ◽  
Alexandru Ogodescu

Vital pulp therapy is an expanding concept in pediatric dentistry today thanks to the potential exhibited by new biomaterials to stimulate regeneration of the pulp cells. Biocompatibility, bioactivity and dentin-like physical properties, as well as good handling, fast setting and the possibility to fill large cavities with a single material are some of the ideal properties of materials aimed to heal traumatized and inflamed dental pulps, given by a good balance of their chemical components.


2010 ◽  
Vol 35 (2) ◽  
pp. 191-195 ◽  
Author(s):  
Anieli Dossa Bergoli ◽  
Robert Eliot Primosch ◽  
Fernando Borba de Araujo ◽  
Thiago Machado Ardenghi ◽  
Luciano Casagrande

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.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
António H. S. Delgado ◽  
Hasan Jamal ◽  
Anne Young ◽  
Paul Ashley

Abstract Background Adhesive restorations allow a conservative approach to caries management and are increasingly used as a restorative option in pediatric dentistry. Placement can be difficult in children because of the cooperation required for multiple bonding steps. Due to this, it is vital to assess if novel, simpler strategies have been featured in clinical trials and if clinical trials are researching the different existing adhesive strategies. Methods This review followed Preferred Reporting Items for Systematic Reviews and Meta-analysis adapted for Scoping Reviews (PRISMA-ScR) guidelines. PubMed/Medline, Cochrane Central, Scopus and EMBASE were used for systematic search, using free keywords and controlled search terms. Clinical trials of children requiring a restorative intervention which featured adhesive strategies were included. Only peer-reviewed trials of primary teeth restored with resin composites, published in the last 10-year period were eligible. Data charting was accomplished independently by two reviewers, and studies were summarized according to their date, type, intervention, sample size, observation period, outcomes and conclusions. Quality assessment was performed using Cochrane’s Risk of Bias 2.0 tool. Results 700 potentially relevant references were found, which after a rigorous inclusion scheme, resulted in a total of 8 eligible clinical trials. Out of these, 7 were randomized clinical trials. Most trials featured a split-mouth design and the observation period ranged from 12 to 36 months. The trials evaluated interventions of two self-adhesive composites, two bulk-fill composites, two novel composites, one compomer and eight adhesives from different strategies. Most studies (4/8) included were judged to raise some concerns regarding risk of bias, while two were classified as high risk and two as low. Conclusion Few studies comparing adhesive strategies were found, especially adhesives in sound substrates. The existing studies do not reflect all current approaches that could be used in pediatric dentistry. Further studies addressing bioactive composites and contemporary adhesives are necessary.


2012 ◽  
Vol 3 (4) ◽  
pp. 367-370
Author(s):  
Mohammed Nadeem Ahmed Bijle ◽  
Swapnil H Mhatre

ABSTRACT Single visit vital pulp therapy using rotary endodontic systems could be definitely the future for pediatric dentistry. Thus, this case presents the clinical sequence of single visit pulpectomy using Sx Rotary ProTaper file in primary molar. How to cite this article Mhatre SH, Bijle MNA, Patil SG. A Single Visit Pulpectomy using Sx Rotary ProTaper File. World J Dent 2012;3(4):367-370.


2021 ◽  
pp. 9-11
Author(s):  
Thakur Anita ◽  
Thakur Seema

The goal of pulp therapy in the primary dentition is to retain the primary tooth as a fully functional part of the dentition, allowing at the same time for mastication, phonation, swallowing, and the preservation of the space required for the eruption of the permanent 1,2 tooth . The premature loss of primary teeth may cause changes in the chronology and sequence of eruption permanent teeth. Maintenance of primary teeth until physiological exfoliation prevents deleterious 3 habits in children .


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