scholarly journals Pulpotomías en Dientes Deciduos con MTA Reporte de caso

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Rossmary Navarro-Betetta

Resumen La terapia pulpar en dientes deciduos es un procedimiento que acarrea muchas controversias en la Odontología pediátrica, especialmente si se trata de una pulpa dental viva; ya que el formocresol ha sido en los últimos 70 años el material más utilizado para tratamientos de pulpotomias. A pesar de los buenos resultados clínicos y radiográficos que encontramos con el formocresol; es un tema de discusión la toxicidad y el potencial mutagénico de este material. Por lo tanto, la introducción de biomateriales en tratamientos pulpares como el MTA; que es un material totalmente biocompatible y con una alta tasa de éxito en tratamientos pulpares con pulpa vital, se debe tomar en cuenta para futuros protocolos. Muchos estudios demuestran que tiene mejor rendimiento que el formocresol, hidróxido de calcio y sulfato férrico. Por todas estas cualidades el MTA puede ser el agente preferido en el futuro. El presente estudio muestra reportes de casos de tratamientos pulpares con MTA en pacientes que son atendidos en el servicio de odontopediatría de la Clínica Odontológica de la Universidad Científica del Sur. Palabras Clave: Pulpotomía, MTA, RPD. Abstract Pulp therapy in primary teeth is one of the most controversial areas in pediatric dentistry. Especially the vital pulp treatment, where formocresol has been, for the last 70 years, the most widely use substance. Even with the acceptable clinical and radiographic results, some concerns about formocresol¨s toxicity and potencial mutagenicity from sistemic contamination are raised by some authors. Therefore the use of biomaterials in pulp therapy like MTA; which is a material with high biocompatibility and success must be considered in future protocols. Many studies support MTA and in comparison with formocresol, calcium hydroxyde and fecrric sulfate for pulpotomy treatments MTA has high rates clinically and radiographic The present study is a Case Reports of two children whoo are treated in the pediatric dentistry service of the Clinica Odontológica Científica del Sur. The diagnostic process and the treatment given to patients is described. Keywords: Pulpotomy, MTA, DPC

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


Author(s):  
Mashael Monzer Tayeb ◽  
AlHanouf Ali AlSaif ◽  
Alaa Eidan AlZahrani ◽  
Buthayna Abdullah AlJuhani ◽  
Shahzeb Hasan Ansari

Background: Some parents believe that it’s not worth to treat and spend money on this tooth because they will shed after all. Many of them are not aware that primary dentition should be maintained in the dental arch in a healthy state for the overall health of the child.Methods: The survey included questions related to demographics, such as gender and educational level. Further investigative questions included the need of pulp therapy in primary teeth, knowledge about pulp treatment, importance of pulp treatment, number of dental visits, reason of dental visit, filling of carious tooth and preference of pulp therapy.Results: The total number of questionnaires filled by participants was n=736. Out of which, 104 (14%) were males and 632 (86%) females. As far as the educational levels were concerned, 81 (11%) had completed primary school, 110 (15%) had completed high school and 545 (74%) were graduates from university.Conclusions: Overall there was no statistically significant difference between the subgroups of gender and educational level.


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 .


2016 ◽  
Vol 73 (3) ◽  
pp. 253
Author(s):  
Nashalie Andrade de Alencar ◽  
Tatiana Kelly da Silva Fidalgo ◽  
Jacckeline Barros ◽  
Maria da Encarnação P. Requejo da Costa ◽  
Lucianne Cople Maia

Objective: This case reports the management of late healing complications in primary teeth after dental trauma. Case Report: A 6-year-old girl was referred to the pediatric dentistry clinic with a huge swelling associated with her anterior maxillary left-side region as a main complaint. Her mother reported a traumatic injury in the affected tooth one year before. The clinical exam revealed a noncomplicated fracture and an extensive abscess, both radiographically associated with the left maxillary central incisor. Additionally, pulp obliteration in its homologous tooth was observed. The abscessed tooth was extracted and the homologous tooth was maintained, the child was followed up for three years. No crown or root pathological alterations were observed in either erupted permanent successors. Conclusion: Traumatic injury in the primary teeth may show no initial healing complication however, the follow up and treatment of acute healing complications is essential until the eruption of the permanent tooth.


2020 ◽  
Vol 25 (3) ◽  
pp. 161
Author(s):  
José A. Piqueras ◽  
Mariola García-Olcina ◽  
María Rivera-Riquelme ◽  
David Pineda

Evidence of diagnostic validity of the DetectaWeb-Distress ScaleAbstract: The DetectaWeb-Distress Scale is a web-based scale for screening and detecting internalizing disorder symptoms (anxiety, depression, posttraumatic stress, obsessions and compulsions, and suicidality) in children and adolescents. Previous studies examined the validity and reliability of the scale, however, there are no data on its diagnostic validity. The objective of this study was to examine the evidence of diagnostic validity of the DetectaWeb-Distress scale in a sample of 244 children and adolescents from clinical (n = 51) and community (n = 193) settings, all of them with the diagnostic process completed. The results indicated that the DetectaWeb-Distress scale is a useful measure from a diagnostic point of view, as it discriminates between people with emotional disorders such as anxiety and depressive disorders and suicidality, and those without, presenting ROC values of approximately .80 and good sensitivity and specificity for detecting the main emotional disorders. The DetectaWeb-Distress Scale is a valid measure and diagnostically useful for detecting and identifying children and adolescents with anxiety disorders, depression and suicidality, with the advantage that it is a short measure, specifically developed for Internet use, especially relevant in the era of COVID-19.Keywords: DetectaWeb-Distress; assessment, anxiety, depression, children, adolescents.Evidencias de Validez Diagnóstica de la Escala Detectaweb-Malestar Resumen: La Escala DetectaWeb-Malestar es una escala de detección del malestar emocional a través de internet que evalúa síntomas de trastornos interiorizados (ansiedad, depresión, estrés postraumático, obsesiones y compulsiones y suicidalidad) en niños y adolescentes. Estudios anteriores han examinado la validez y fiabilidad de la escala, sin embargo, no cuenta con datos relativos a su validez diagnóstica. El objetivo de este estudio es examinar las evidencias de validez diagnóstica de la escala DetectaWeb-Malestar en una muestra de 244 niños y adolescentes procedentes de contextos clínico (n = 51) y comunitario (n = 193), todos con un proceso diagnóstico completado. Los resultados indicaron que la escala DetectaWeb-Malestar es una medida útil desde el punto de vista diagnóstico, ya que discrimina entre personas con trastornos de emocionales, como son los de ansiedad, depresión y suicidalidad y los que no lo padecen, presentando valores ROC en torno a .80 y adecuada sensibilidad y especificidad para detectar los principales trastornos emocionales. La escala DetectaWeb-Malestar es una medida válida y útil desde el punto de vista diagnóstico para detectar e identificar niños y adolescentes con problemas de ansiedad, depresión y suicidalidad, con la ventaja de que es una medida breve y desarrollada específicamente para su uso a través de Internet, especialmente relevante en la era de la COVID-19.Palabras clave: DetectaWeb-Malestar; evaluación; ansiedad; depresión; niños y adolescentes.


2020 ◽  
Vol 8 (3) ◽  
pp. 62
Author(s):  
Marion Taormina ◽  
Sylvie Montal ◽  
Yoann Maitre ◽  
Paul Tramini ◽  
Estelle Moulis

Background: Despite extensive prevention programs, dental hygiene remains inadequate, particularly among children under the age of six, and early childhood caries (ECC) are still a concern. Oral hygiene behavior and preventive practices seem difficult to change at a family level. Aim. The present study aimed to better understand the reasons behind this behavior and to identify the different barriers to the implementation of adequate preventive measures. Methods: A qualitative study was conducted in the pediatric dentistry service of the Montpellier University Hospital (France) in 2019. A thematic analysis concerning three domains was performed: family environment, dental literacy, and oral hygiene. Results. The main barriers encountered by the parents were, respectively, (1) a weakness in the organization of familial life, together with a low-medium family income and a lack of authority, (2) ignorance of the necessity of treating carious primary teeth, and (3) a lack of time for brushing or supervising their children’s teeth. Conclusion: These results showed that oral hygiene and primary teeth care could not be easily achieved in the family environment of the participants, and oral health strategies should be focused not only on children but also on their parents.


Author(s):  
Violaine Smaïl-Faugeron ◽  
Anne-Marie Glenny ◽  
Frédéric Courson ◽  
Pierre Durieux ◽  
Michele Muller-Bolla ◽  
...  
Keyword(s):  

2017 ◽  
Vol 11 (03) ◽  
pp. 376-379 ◽  
Author(s):  
Lavanya Govindaraju ◽  
Ganesh Jeevanandan ◽  
E. M. G. Subramanian

ABSTRACT Objective: In permanent dentition, different rotary systems are used for canal cleaning and shaping. Rotary instrumentation in pediatric dentistry is an emerging concept. A very few studies have compared the efficiency of rotary instrumentation for canal preparation in primary teeth. Hence, this study was performed to compare the obturation quality and instrumentation time of two rotary files systems – Protaper, Mtwo with hand files in primary molars. Materials and Methods: Forty-five primary mandibular molars were randomly allotted to one of the three groups. Instrumentation was done using K-files in Group 1; Protaper in Group 2; and Mtwo in Group 3. Instrumentation time was recorded. The canal filling quality was assessed as underfill, optimal fill, and overfill. Statistical analysis was done using Chi-square, ANOVA, and post hoc Tukey test. Results: No significant difference was observed in the quality of obturation among three groups. Intergroup comparison of the instrumentation time showed a statistically significant difference between the three groups.Conclusion: The use of rotary instrumentation in primary teeth results in marked reduction in the instrumentation time and improves the quality of obturation.


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.


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