Progression of the treatment of deep caries in deciduous teeth

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1 R A DOI /j. cnki. chin. j. conserv. dent Progression of the treatment of deep caries in deciduous teeth ZHANG Bai-ze * XU Yong WU Li-zheng GE Xin WANG Xiao-jing * State Key Laboratory of Military Stomatology Department of Pediatric Dentistry School of Stomatology The Fourth Military Medical University Xi'an China Abstract Caries in deciduous teeth is easily developed to deep caries due to the characteristics of the anatomy structure of the deciduous teeth and the habits of oral health and diet. Deep caries in deciduous teeth may affect the development of the successional teeth and the establishment of nomal occlusion even the physical and psychological health in children. It is very important to take active and effective measures to treat the deciduous teeth with deep caries. This review mainly concludes the therapeutic approaches of the deep caries and the relative materials. Key words deep caries in deciduous teeth early pulpitis indirect pulp capping pulpotomy pulpectomy Chinese Journal of Conservative Dentistry % E - mail wxjing@ fmmu. edu. cn

2 56 Hall direct pulp capping DPC DPC 1 mm % indirect pulp capping IPC IPC X 1. 3 pulpotomy American Academy of Pediatric Dentistry AAPD 2011 Maltz M 7 1 mm 16 Innes % ~ 100% % Orhan AI 9 23 Howley % 33% 34. 7% FC Vitapex 0. 5% FC 21. 9% 11 89% Vitapex 2 73% P > pulpectomy 12 Aminabadi NA Hall Santamaria 13

3 % 95. 6% % P < % AAPD FC FS MTA FC - MTA X Subramaniam 33 MTA FC 1 Caicedo 34 MTA DPC MTA FC FS MTA MTA 2 FC 70% ~ 97% 18 FS 42% ~ 97% 19 CH 46. 1% ~ 87. 5% MTA 93% ~ 97% CH FC X Dycal 36 Dycal ZOE RC FILL Vitapex Metapex Milnes 31 FC 1973 FS Subramaniam 37 5 ~ 9 45 FC

4 58 RC FILL Metapex Endoflas 3 Endoflas RC FILL 93. 3% Metapex 100% Asokan ZOE Vitapex Metapex ZOE 84% Metapex 88% Vitapex 95% Metapex Vitapex Metapex Vitapex meta-analysis J. J Am Dent Assoc 2014 meta-analysis J. Int Endod J J. 20 Sonmez D Sari S Cetinbas T. A Comparison of four pulpotomy techniques in primary molars a long - term follow - up J. J 2. M. 4. Endod Kirzioglu Z Gungor OE Ciftci ZZ. Evaluation of the restoration 3 Leroy R Cecere S Lesaffre E et al. Caries experience in pri- success of endodontic therapy of the primary molars J. Eur J mary molars and its impact on the variability in permanent tooth emergence sequences J. J Dent Ramos-Jorge J Pordeus IA Ramos-Jorge ML et al. Impact of untreated dental caries on quality of life of preschool children different stages and activity J. Community Dent Oral Epidemiol Dogan S Duruturk L Orhan AI et al. Determining treatibility of primary teeth with pulpal exposure J. J Clin Pediatr Dent Bjorndal L Kidd EA. The treatment of deep dentine caries lesions J. Dent Update Maltz M Alves LS. Incomplete caries removal significantly reduces the risk of pulp exposure and post-operative pulpal symptoms J. J Evid Based Dent Pract Innes NP Evans DJ. Modern approaches to caries management of the primary dentition J. Br Dent J Orhan AI Oz FT Orhan K. Pulp exposure occurrence and outcomes after 1 - or 2 - visit indirect pulp therapy vs complete caries removal in primary and permanent molars J. Pediatr Dent Thompson V Craig RG Curro FA et al. Treatment of deep carious lesions by complete excavation or partial removal a critical review J. J Am Dent Assoc Ricketts D Lamont T Innes NP et al. Operative caries management in adults and children J. Cochrane Database Syst Rev D Opal S Garg S Dhindsa A et al. Minimally invasive clinical approach in indirect pulp therapy and healing of deep carious lesions J. J Clin Pediatr Dent Santamaria RM Innes NP Machiulskiene V et al. Acceptability of different caries management methods for primary molars in a RCT J. Int J Paediatr Dent Dean JA Avery DR Mcdonald RE. McDonald Dentistry for Child and Adolescent M. 9th ed. St Louis CV Mosby Inc Fuks AB. Vital pulp therapy with new materials for primary teeth new directions and treatment perspectives J. J Endod S18 - S American Academy Of Pediatric Dentistry. Guideline on pulp therapy for primary and immature permanent teeth M. Pediatr Dent 17 Pinkham JR. Pediatric Dentistry Infancy Through Adolescence M. St. Louis Mo Elsevier Saunders Marghalani AA Omar S Chen JW. Clinical and radiographic success of mineral trioxide aggregate compared with formocresol as a pulpotomy treatment in primary molars a systematic review and Peng L Ye L Guo X et al. Evaluation of formocresol versus ferric sulphate primary molar pulpotomy a systematic review and Dent Trairatvorakul C Koothiratrakarn A. Calcium hydroxide partial pulpotomy is an alternative to formocresol pulpotomy based on a 3-year randomized trial J. Int J Paediatr Dent M Howley B Seale NS Mcwhorter AG et al. Pulpotomy versus pulpectomy for carious vital primary incisors randomized controlled trial J. Pediatr Dent Aminabadi NA Farahani RM Gajan EB. A clinical study of formocresol pulpotomy versus root canal therapy of vital primary incisors J. J Clin Pediatr Dent M J J Block RM Lewis RD Sheats JB et al. Antibody formation to dog pulp tissue altered by formocresol uithin the root canal J. Oral Surg Oral Med Oral Pathol Zarzar PA Rosenblatt A Takahashi CS et al. Formocresol mutagenicity following primary tooth pulp therapy an in vivo

5 59 study J. J Dent Milnes AR. Persuasive evidence that formocresol use in pediatric dentistry is safe J. J Can Dent Assoc Al-Haj AS Al-Jundi SH Ditto DJ. In vitro toxicity of formocresol ferric sulphate and grey MTA on human periodontal ligament fibroblasts J. Eur Arch Paediatr Dent Subramaniam P Konde S Mathew S et al. Mineral trioxide aggregate as pulp capping agent for primary teeth pulpotomy 2 year follow up study J. J Clin Pediatr Dent Caicedo R Abbott PV Alongi DJ et al. Clinical radiographic and histological analysis of the effects of mineral trioxide aggregate used in direct pulp capping and pulpotomies of primary teeth J. Aust Dent J Asian - Gonzalez E Pereira-Maestre M Conde-Fernandez D et al. Dentigerous cyst associated with a formocresol pulpotomized deciduous molar J. J Endod Ramar K Mungara J. Clinical and radiographic evaluation of pulpectomies using three root canal filling materials an in - vivo study J. J Indian Soc Pedod Prev Dent Subramaniam P Gilhotra K. Endoflas zinc oxide eugenol and metapex as root canal filling materials in primary molars - a comparative clinical study J. J Clin Pediatr Dent Asokan S Sooriaprakas C Raghu V et al. Volumetric analysis of root canal fillings in primary teeth using spiral computed tomography an in vitro study J. J Dent Child Chic Gupta S Das G. Clinical and radiographic evaluation of zinc oxide eugenol and metapex in root canal treatment of primary teeth J. J Indian Soc Pedod Prev Dent R D DOI /j. cnki. chin. j. conserv. dent ~ 2 3 supernumerary teeth 1% Gardner Fardi A Kondylidou - Sidira A Bachour Z et al. Incidence of impacted and supernumerary teeth - a radiographic study in a North Greek population J. Med Oral Cir Bucal Yassin OM Hamori E. Characteristics clinical features and treatment of supernumerary teeth. J. Clin Pediatr Dent Rajab LD Hamdan MA. Supernumerary teeth review of the literature and a survey of 152 cases. Int J. Paediatr Dent Yusof WZ. Non - syndrome multiple supernumerary teeth literature review. J. Can Dent Assoc Khalaf K Robinson DL Elcock C et al. Tooth size in patients with supernumerary teeth and a control group measured by image analysis system. J. Arch Oral Biol

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