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Pulp therapy in the primary dentition.

A B Fuks1, E Eidelman

  • 1Department of Pediatric Dentistry, Hadassah Faculty of Dental Medicine, Jerusalem.

Current Opinion in Dentistry
|October 1, 1991
PubMed
Summary
This summary is machine-generated.

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This review covers pulp therapy options for primary teeth, recommending conservative treatments for recoverable pulps and pulpectomy for severe inflammation or necrosis. It also explores alternative dressings and root filling materials, noting zinc oxide-eugenol

Area of Science:

  • Pediatric Dentistry
  • Endodontics
  • Dental Materials

Background:

  • Pulp therapy in primary teeth addresses various stages of pulp inflammation and necrosis.
  • Conservative treatments aim for pulp recovery, while pulpectomy is indicated for irreversible conditions.

Purpose of the Study:

  • To review current treatment options for pulp therapy in primary teeth.
  • To emphasize the importance of dentin permeability and microleakage in conservative treatments.
  • To discuss alternative materials for pulpotomy and root canal filling.

Main Methods:

  • Literature review of conservative treatments, indirect pulp treatment, pulpotomy, and pulpectomy.
  • Discussion of materials like glutaraldehyde, dentin matrix, bone morphogenetic protein, zinc oxide-eugenol, iodoform, and calcium hydroxide.

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  • Emphasis on the role of dentin permeability and microleakage.

    • Main Results:

    • Conservative treatments are recommended for primary teeth with potentially recoverable pulps.
    • Alternative pulpotomy dressings show promising results.
    • Zinc oxide-eugenol paste has a slow resorption rate, prompting the use of other materials like iodoform and calcium hydroxide in various regions.

    Conclusions:

    • Treatment selection for primary teeth pulp therapy depends on the degree of pulp inflammation and potential for recovery.
    • Material selection for pulpotomy and root filling should consider efficacy, biocompatibility, and resorption characteristics.