[Endodontic treatment of primary teeth. Pulp exposure and pulp necrosis].
With management of the deep caries in primary teeth we have to take account into the coping strategies of the patient and the state of the development of the dentition. That's why in most cases a root canal treatment of primary incisors or even a pulpotomy is not indicated. Often Intellectual Decision Not To Restore is a good alternative for treatment of deep caries in primary incisors. In deep caries lesions of primary canines and molars preferably minimal invasive techniques as indirect pulp capping are performed. In case of a exposure, the dentist can choose between several types of treatment. Improved techniques have lead to clinical satisfying results of the calcium hydroxide pulpotomy. A partial pulpotomy is if possible the treatment of choice. A resin modified glass ionomer cement is used to cover the pulp wound because it has good sealing properties and it is easy to handle. To limit the burden in young children a root canal treatment in primary teeth is seldom indicated. Overfilling with calcium hydroxide in root canal treatment of primary teeth never causes problems.
Gruythuysen
R J M
RJ
Cariologie Endodontologie Pedodontologie van het Academisch Centrum Tandheelkunde Amsterdam. r.gruythuysen@acta.nl
D002648:Child; D003731:Dental Caries / Q000517:prevention & control* / Q000628:therapy; D003737:Dental Cavity Preparation / Q000379:methods*; D003785:Dental Pulp Capping; D003789:Dental Pulp Exposure / Q000628:therapy; D003793:Dental Restoration, Permanent / Q000379:methods; D005899:Glass Ionomer Cements; D006801:Humans; D011672:Pulpotomy; D012387:Root Canal Filling Materials / Q000627:therapeutic use; D014094:Tooth, Deciduous / Q000473:pathology*; D016896:Treatment Outcome
D005899:Glass Ionomer Cements; D012387:Root Canal Filling Materials