Review Article
Volume 19 Issue 2 - 2020
Pulp Treatment in Deciduous Teeth
Ahmed Safaa Waly1*, Fahad Abdulghani Althobaiti2, Abduljalil Mahmoud Alim2, Mohammed Mastour Alharthi2, Mohammed Zaid Alotaibi2, Bader Ashaq Alotaibi2, Abdullah Owaidh Alotaibi2, Abdulraheem Mohammed Alghamdi2, Hezam Ali Alotaibi2, Ziad Ali Alghamdi3, Ashwaq Hussain Mohammad Hakami4
1AlFaraby Dental and Nursing College, Saudi Arabia
2Taif University, Saudi Arabia
3King Abdulaziz University, Saudi Arabia
4Ministry of Health, Saudi Arabia
*Corresponding Author: Ahmed Safaa Waly, AlFaraby Dental and Nursing College, Saudi Arabia.
Received: January 04, 2020; Published: January 22, 2020




Abstract

Retaining deciduous teeth in function until their natural exfoliation is absolutely necessary. Premature loss of milk teeth might lead to short-term effects like problems in eating and speaking and long-term effects like misalignment of permanent teeth and increased risk of malocclusion later on. Pulp injuries in primary teeth due to caries and trauma may threaten pulp vitality, so appropriate treatment such as Vital Pulp Therapy or Root Canal Treatment may be required. Vital pulp therapy (VPT) is a method of conserving deciduous teeth. Vital Pulp Therapy includes three therapeutic approaches: Indirect pulp capping (IPC) for teeth with cavities limited to the dentin and reversible pulpitis; direct pulp capping (DPC) for healthy vital teeth with pinpoint mechanical or traumatic pulp exposure and pulpotomy which too is considered in cases with pinpoint pulp exposure in a vital tooth [1].

Aim of Work: In this review, we aim to review the various therapeutic approaches that can be used as a part of vital pulp therapy in primary teeth to preserve their healthy pulp tissues, their indications, objectives, and the biocompatible materials that can be used for these procedures.

Methodology: This review is using a comprehensive search of PUBMED from 1981 to 2016.

Conclusion: We can conclude that Indirect Pulp Capping is a successful and favorable procedure for treating primary teeth with deep caries that have no exposure of pulp, provided the pulp is healthy or has reversible pulpitis. It is a low-cost procedure with good long-term success and is better at retaining the primary teeth until their natural exfoliation. Direct Pulp capping is still a controversial technique for primary teeth. However, the introduction of new biomaterials has challenged this theory, but the long-term evaluation is still required. A pulpotomy is the most common treatment for pulp exposure in symptom-free primary molars with a healthy pulp and appears to have good success rates [1,7,12].

Keywords: Vital Pulp Therapy; Indirect Pulp Capping; Direct Pulp Capping; Pulpotomy

References

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  24. Asián-González E., et al. “Dentigerous cyst associated with a formocresol pulpotomized deciduous molar”. Journal of Endodontics 33.4 (2007): 488-492.

 

Citation: Ahmed Safaa Waly., et al. “Pulp Treatment in Deciduous Teeth”. EC Dental Science 19.2 (2020): 01-07.

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