Can direct pulp capping be done in primary teeth?

Direct pulp capping is usually indicated in a primary tooth with normal pulp (accidentally) exposed 1 mm or less. A medicament is then applied as a cap before a restoration is placed. The use of direct pulp capping in primary teeth is the subject of debate because of concern over poor success rates.

Is calcium hydroxide contraindicated in primary teeth?

However, the usage of calcium hydroxide is not routinely recommended for primary dentition because its application frequently results in the development of chronic pulpal inflammation and internal root resorption.

Can we use calcium hydroxide in primary teeth?

Introduction: The usage of Calcium hydroxide (CaH) has wide applications due to the property of osteo-inductive, protective, and antibacterial actions. However, it is not used in primary teeth, as it fails to form reparative dentin and the exact mechanism has not been explained.

Why is calcium hydroxide pulpotomy contraindicated in primary teeth?

The use of calcium hydroxide as a pulp dressing material after pulpotomy in primary teeth is expected to facilitate the formation of a dentine bridge (“barrier”) and promote the healing of the radicular pulp tissue.

Why is direct pulp capping highly recommended in immature permanent teeth?

Teeth with immature roots should show continued root development and apexogenesis. Indications: Direct pulp capping is indicated for a perma- nent tooth that has a small carious or mechanical exposure in a tooth with a normal pulp. Objectives: The tooth’s vitality should be maintained.

How is pulpectomy used in primary teeth?

A pulpectomy is complete removal of pulp from the crown and roots. The tooth is then filled with material that can be reabsorbed by the body. It’s usually performed on baby teeth. A root canal starts with a pulpectomy, but the tooth gets a permanent filling or crown.

When is Pulpectomy needed for primary teeth?

Pulpectomy of primary teeth is indicated when the pulp tissue is irreversibly infected or necrotic due to caries or trauma. The treatment consists of extirpation of the pulp tissue, removal of organic debris with filing, and obturation of the canals with a suitable material.

How is Pulpectomy used in primary teeth?

Pulpectomy can be performed in one visit with these basic steps:

1. X-rays are taken to look for signs of infection in surrounding areas and to get a look at the shape of the root canals.
2. A local anesthetic is used to numb the area.
3. A hole is drilled into the tooth.
4. Small dental instruments are used to remove all the pulp.

What is pulpotomy in primary teeth?

A pulpotomy is a dental procedure in which the pulp of the tooth in the crown (the crown is the part of the tooth that is visible) is removed and the pulp in the root canal is left intact. It is mainly performed on primary teeth (on children) and is used to treat tooth decay that has extended to the pulp.

What do you use a direct pulp cap for?

Calcium hydroxide remains the “gold standard” for direct pulp capping.

Why is there no direct pulp capping in primary teeth?

It is acknowledged that vital primary pulp tissue is capable of healing without resorting to complete pulpectomy, although statistically direct pulp capping has been found to be less successful in primary teeth than indirect pulp therapy or coronal amputation (pulpotomy).

When is pulpectomy needed for primary teeth?

What is the primary objective of pulp therapy?

The primary objective of pulp therapy is to maintain the integrity and health of the teeth and their supporting tissues. It is a treatment objective to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes.

When to use pulpal debridement in endodontics?

Pulpal Debridement (Pulpectomy) is indicated for the following:  A restorable permanent tooth with irreversible pulpitis or a necrotic pulp in which the root is apexified  The relief of acute pain prior to complete root canal therapy  A primary tooth, where there is a reasonable period of retention expected (approximately one year)

What’s the difference between d1351 and d3120 pulp cap?

D1351 Sealant application-per tooth:  A flowable acrylic that seals pits and fissures on teeth D1353 Sealant repair-per tooth: Repair of a previous sealant that has worn or has debonded Non-Surgical Endodontics: D3120 Pulp cap (indirect):  Removal of decay/site medication to heal pulp

How is pulp therapy used in pediatric dentistry?

The American Academy of Pediatric Dentistry ( AAPD) intends these recommendations to aid in the diagnosis of pulp health versus pathosis and to set forth the indications, objectives, and therapeutic interventions for pulp therapy in primary and immature permanent teeth.