ROTARY ENDODONTICS IN PEDIATRIC DENTISTRY- A COMPREHENSIVE REVIEW

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 .

Author(s):  
Lucía Caeiro-Villasenín ◽  
Clara Serna-Muñoz ◽  
Amparo Pérez-Silva ◽  
Ascensión Vicente-Hernández ◽  
Andrea Poza-Pascual ◽  
...  

The objective was to determine whether trauma in primary dentition causes alterations in the development of permanent dentition. Searches were made in May 2020 using PubMed, MEDLINE, MEDES, Scopus, Lilacs, and Embase. Papers in English, German, and Spanish, without restrictions in the year of publication, were included. The quality of the studies was analyzed using the NOS Scale. The search retrieved 537 references, and seven studies were included for a qualitative analysis. The results showed that trauma to a deciduous tooth can damage the bud of the permanent tooth. Enamel discoloration and/or hypoplasia were the most common sequelae in the permanent teeth after trauma to the primary predecessor. The type and severity of sequelae in the permanent tooth are associated with the development phase of the bud. Children with trauma of their primary teeth should receive checkups until the eruption of the permanent teeth for the early diagnosis and treatment of possible sequelae. Intrusion of the primary tooth was the trauma that caused the most damage and enamel alterations the most frequent sequelae.


2005 ◽  
Vol 29 (1) ◽  
pp. 27-31 ◽  
Author(s):  
Enrique Bimstein ◽  
Michael McIlwain ◽  
Joseph Katz ◽  
Greg Jerrell ◽  
Robert Primosch

The present case, of a child with an idiopathic immune deficiency and aggressive periodontitis in the primary dentition, serves as an example for the treatment considerations in these cases. Extraction of all the primary teeth proved to be the most adequate treatment. It allowed the child to eat properly and prevented unwanted infections that could endanger the life of the child. The newly erupted permanent teeth have been subjected to careful oral hygiene, clorhexidine topical applications, and have mild gingival inflammation and no attachment loss.


2021 ◽  
Vol 6 (4) ◽  
pp. 105-110
Author(s):  
Nadia Irshad Wani ◽  
Navneet Kour ◽  
Manju Verma

Background: the main idea behind the pulpotomy of a primary tooth is to remove the infected or inflamed coronal pulp tissues and cover the pulp with a suitable medicament or dressing which promotes healing and preserve the vitality of the teeth especially in young permanent teeth. A medicament should be biologically compatible, have healing capabilities, should be non cytotoxic, or mutagenic and with no carcinogenic potential. Aim: the main aim of the study was to compare and evaluate the efficacy of commonly used two medicaments i.e. formocresol and sodium hypochlorite in pulpotomy of mandibular primary teeth. Material and methodology: a randomized controlled single blinded clinical trial was done on 50 subjects of age ranging from 3 to 6 years with bilateral mandibular first or second molar requiring pulpotomy. The subjects were randomly divided into two groups with 25 subjects in each. Group I, consisted of subjects on which formocresol medicament was used after extirpation of coronal pulp while in Group II, 3% sodium hypochlorite was used. Clinical along with the radiographic signs and symptoms were blindly recorded at an interval of 1, 3, 6 and 12 months respectively. Results: Statistically significant results were obtained in group II, when patients treated with 3% sodium hypochlorite. There was no major difference between the two medicaments used, but to the various adverse effects of formocresol, its usage has been limited. Conclusion: within the limitation of the study, it was concluded that sodium hypochlorite medicament proved to have better prognosis and can be suggested as a pulpotomy agent for primary teeth. Although formocresol was found to have similar significant results can also be used as a medicament. Keywords: Formocresol, Pulpotomy, Primary Teeth, Sodium Hypochlorite


2017 ◽  
Vol 41 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Elena Bardellini ◽  
Francesca Amadori ◽  
Stefania Pasini ◽  
Alessandra Majorana

Objective: This retrospective study aims to evaluate the prevalence of dental anomalies in permanent teeth as a result of a trauma concerning the predecessor primary teeth. Study design: A total of 241 records of children (118 males and 123 females, mean age 3.62 ± 1.40) affected by trauma on primary teeth were analyzed. All patients were recalled to evaluate the status of the permanent successor teeth by clinical and radiographic investigations. Results: Out of 241 patients, 106 patients (for a total of 179 traumatized primary teeth) presented at the recall. Dental anomalies on successor permanent teeth were detected in 21 patients (19.8%), for a total of 26 teeth (14.5%) and 28 anomalies. Anomalies of the eruptive process were the most observed disturbances (60.7%), followed by enamel hypoplasia (25%) and white spots (14.3%). A higher percentage of anomalies on permanent teeth was observed when trauma occurred at an age less than 36 months (38.5% of cases). Intrusive and extrusive luxation were related with the most cases of clinical disturbances in the successor permanent teeth. Conclusions: The results of this study highlight the risk of dental anomalies after a trauma in primary dentition, especially in early-aged children and in case of intrusive luxation.


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


2021 ◽  
Vol 11 (1) ◽  
pp. 106-109
Author(s):  
Saleh Ali AlKlayb ◽  
Darshan Devang Divakar

Fusion is a congenital disturbance affecting primary dentition mostly during morpho differentiation of the primary tooth germs. Fusion leads to the union of two or more primary teeth by the enamel and dentin while the pulp and roots remain separate. These abnormalities may be unilateral or bilateral. Prompt diagnosis and a treatment plan in such anomalies may help to overcome problems concerning aesthetics, caries susceptibility and space management. This report describes a case of unilateral fusion of the primary mandibular lateral incisor and canine and aims to evaluate any associated pathology.


2011 ◽  
Vol 1 (2) ◽  
pp. 27-32
Author(s):  
Shrirang Sevekar ◽  
Poonam Shingare ◽  
Vivek Jogani ◽  
Mihir Jha ◽  
Sonal D. Patil

Abstract Pulp therapy helps in preserving a pulpally involved primary tooth by eliminating bacteria and their products and ensures hermetic seal of the root canals so that the primary tooth can complete its function without harming the successor or affecting the health of the patient. A thorough understanding of the pulp morphology and root formation and resorption in primary teeth as well as different materials and techniques used is imperative for a successful pulp therapy. One of the major areas of continued research is in the area of finding obturating materials to suit the specific properties of these teeth. This article seeks to present a review of the major obturating materials and techniques with their modifications as well as their advantages and disadvantages.


Author(s):  
David A. Mitchell ◽  
Laura Mitchell ◽  
Lorna McCaul

Contents. Principal sources and further reading. The child patient. Treatment planning for children. The anxious child. The child with toothache. Abnormalities of tooth eruption and exfoliation. Abnormalities of tooth number. Abnormalities of tooth structure. Abnormalities of tooth form. Abnormalities of tooth colour. Anatomy of primary teeth (& relevance to cavity design). Extraction versus restoration of primary teeth. Local analgesia for children. Restoration of carious primary teeth. Plastic restoration in primary molars. Stainless steel crowns. Class III, IV, and V in primary teeth. Severe early childhood caries. Primary molar pulp therapy. Pulp therapy techniques. Dental trauma. Safeguarding children. Injuries to primary teeth. Injuries to permanent teeth—crown fractures. Root fractures. Luxation, subluxation, intrusion, and extrusion. Splinting. Management of the avulsed tooth. Pulpal sequelae following trauma. Management of missing incisors. Common childhood ailments affecting the mouth. Sugar-free medications.


2005 ◽  
Vol 84 (3) ◽  
pp. 260-264 ◽  
Author(s):  
J.M. Broadbent ◽  
W.M. Thomson ◽  
S.M. Williams

The notion that caries in primary teeth causes developmental defects of enamel in permanent teeth has been recently revived. The research objective was to test this hypothesis through analysis of data from the Dunedin Multidisciplinary Health and Development Study, a longstanding prospective cohort study. The maxillary incisors of 663 children were assessed for existing restorations and dental caries at age five and for developmental defects of enamel at age nine. Where a primary tooth had been carious, the permanent successor was more likely to have a demarcated opacity after adjustment for gender, family socio-economic status, years of exposure to water fluoridation, trauma to primary teeth, and early loss of primary teeth (unadjusted OR = 2.3, 95% CI 1.3, 4.1; adjusted OR = 2.2, 95% CI 1.1, 4.3). These findings support a time-ordered association between dental caries in primary maxillary incisors and demarcated opacities in their permanent successors.


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.


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