EFFICACY OF PULPITIS TREATMENT IN PRIMARY TEETH USING CALCIUM-CONTAINING MEDICATIONS

  • I.V. Chyzhevskyi Donetsk National Medical University n.a. M.Gorkii, Krasnyi Lyman
  • V.S. Stulikova Donetsk National Medical University n.a. M.Gorkii, Krasnyi Lyman
Keywords: pulp inflammation, primary teeth, efficaly treatment

Abstract

According to some authors pulp inflammation of primary and permanent teeth of children comprises 40-79%. Among other things, caries in temporary molar teeth is complicated by pulpitis in 36.5% cases. Such a wide prevalence of pulpitis in early age causes relevance of searching for efficient treatment methods. Currently the vital pulp amputation in primary teeth becomes an alternative for devital methods in most cases. Method of formocresol pulpotomy has become widespread within the last decades. In the modern context, it is possible to use for pulp covering the MTA agent which passed sufficient clinical investigation and received positive approval. The authors developed pulpitis treatment methodology in primary teeth using “Trioksident” (VladMiVa) material, which is similar to MTA material thanks to its characteristics. Basic stages of pulpitis treatment include anesthetics, dental cavitation, and disclosure of pulp cavity. Further, the amputation of crown pulp is performed using sterile bur. Hemostasis is performed using sterile cotton walls, soaked with distilled water. After drying tooth canal orifice, the pulp is coated with paste made of “Trioksident” powder, mixed with distilled water. Paste is covered with capping of photo-solidifying material (glass ionomer). As a result, tooth crown is restored. After treatment, all children received anti-inflammatory drug “Nurofen” as per age-specific dosage. Patients are at dispensary observation with regular examinations in a week, a month, and later in every 3 months after treatment. The method described above was used to treat 58 primary teeth of 23 children aged from 4 to 6. During the control check in a month, the depressurizing of restoration in two primary teeth was revealed. There were no pathologic changes in other teeth. Radiological inspection did not show the pathologic changes as well. Thus, in a month after treatment its efficiency comprised 96.5%. After three-month inspection the treatment efficacy comprised 93.1%. It is necessary to admit, that even after three-month inspection the reason of negative results in treatment was not the inappropriate choice of treatment method or defect in the process, but breakdown of marginal restoration seal. Conclusion: the suggested method of pulpitis treatment of primary teeth of children contributes to the preservation of pulp and teeth in dentition before its exfoliation. Thus, it helps to provide integration of dentition in the temporary occlusion.

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Published
2017-03-21
How to Cite
Chyzhevskyi, I., & Stulikova, V. (2017). EFFICACY OF PULPITIS TREATMENT IN PRIMARY TEETH USING CALCIUM-CONTAINING MEDICATIONS. The Medical and Ecological Problems, 19(1-2), 30-32. Retrieved from https://ecomed-journal.org/index.php/journal/article/view/39