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Journal articles on the topic 'Pulpectomia'
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Orellana Centeno, Jose Eduardo, and Roxana Nayeli Guerrero Sotelo. "Pulpectomia o pulpotomía en el tratamiento de dientes temporales: Revisión." Salud Uninorte 39, no. 01 (2023): 189–205. http://dx.doi.org/10.14482/sun.39.01.613.007.
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Objetivo: Identificar a las terapias pulpares en pacientes con caries vital en dientes temporales según la evidencia en la literatura. Metodología: Revisión bibliográfica en la literatura científica, en las siguientes bases de datos: PUBMED, MEDLINE, BVS, BBO Odontología, IBECS y Web of Science. Los descriptores seleccionados fueron: pulpotomía y pulpectomia, combinados en la siguiente estrategia de búsqueda: (pulpotomía) AND (pulpectomía). Resultados: Fueron encontrados 65 artículos seleccionando por título y resumen. Después de una lectura minuciosa solamente 23 artículos cumplieron con el criterio de inclusión que fuera un ensayo clínico, estudio longitudinal (cuasi experimental o cohorte), no se excluyeron artículos duplicados y 13 que no tenían relación directa con el tema. La muestra final totalizó 10 artículos para la revisión integradora. La evidencia es limitada por el número de estudios que cumplieron con los criterios. Conclusiones: La pulpotomia y la pulpectomía tienen un comportamiento similar en resultados de fracaso clínico-radiografico, presenta una tendencia de ser la pulpotomia la terapia con mejores resultados, aunque estadisiticamente hablando no se presentan diferencias entre ambos tratamientos.
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Costa, F. M. S., F. Wanderley, F. F. F. Silva, et al. "Vantagens e Desvantagens do Cimento de Óxido de Zinco e Eugenol Usado para Pulpectomia em Dentes Decíduos: Revisão de Literatura." Journal of Health Sciences 19, no. 5 (2018): 82. http://dx.doi.org/10.17921/2447-8938.2017v19n5p82.
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O Cimento de Óxido de Zinco e Eugenol (OZE) tem sido comumente utilizado como material obturador de canais radiculares na dentição decídua, sendo o pioneiro em sua categoria, mesmo não cumprindo todos os requisitos ideais de um bom material obturador. Possui propriedades anti-inflamatórias, analgésicas e ação antimicrobiana, que reforçam a indicação de seu uso. Entretanto, sua reabsorção é mais lenta do que a de outros materiais, podendo irritar os tecidos periapicais e desviar o trajeto de erupção do dente sucessor. O objetivo deste trabalho é apontar as vantagens e desvantagens do uso de OZE para obturação de canais radiculares de dentes decíduos. Realizou-se, assim, uma revisão de literatura na base de dados PubMed, utilizando as seguintes palavras-chave combinadas entre si: “pulpectomy” “tooth deciduous”, e “zinc oxide-eugenol cement”. Foram obtidos 44 artigos entre 2006 e 2016, dos quais 11 foram selecionados, utilizando-se como critérios de inclusão casos clínicos, estudos in vivo e revisões de literatura sobre o uso de OZE para pulpectomia em dentes decíduos e como critérios de exclusão estudos que não possuíam grupo controle e que não apresentaram resultados conclusivos. Observou-se vantagens no uso do OZE como pasta endodôntica devido a sua ação analgésica e anti-inflamatória, e que, apesar das suas desvantagens, promove certa eficácia nos casos de pulpectomia quando comparada a outras pastas menos acessíveis.Palavras-chave: Pulpectomy. Tooth Deciduous. Zinc Oxide-Eugenol Cement.
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Leal, Victória Rafaela Sant'Anna, Lara Correia Pereira, Gabriela Botelho Martins, and Luisa Soares Santino Correia. "Avaliação da prescrição de antimicrobianos para tratamento de urgência endodôntica." Journal of Dentistry & Public Health 9, no. 3 (2018): 187–94. http://dx.doi.org/10.17267/2596-3368dentistry.v9i3.2042.
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Introdução: O uso de medicamentos em Odontologia tem por finalidade cessar a dor e prevenir a instalação ou a disseminação do processo infeccioso e inflamatório do paciente. Objetivo: Avaliar a prescrição de antimicrobianos para os casos mais comuns de urgência endodôntica. Materiais e métodos: Trata-se de um estudo de corte transversal, com amostra constituida de 209 cirurgiões-dentistas atuantes na cidade de Vitória da Conquista. Utilizou-se um questionário que abordou o tratamento de urgência endodôntica e informações sobre o uso de medicamentos nesses casos. Os dados foram tabulados e analisados no IBM SPPP Statistics para Windows, e comparados pelo teste qui-quadrado e teste exato de Fisher. Resultados: A maior parte da amostra possui atividade profissional entre 5 e 10 anos. Destes, 49,3% responderam que para casos de pulpite aguda indicaria pulpectomia associada à medicação intracanal. A pulpectomia associada a analgésicos e antibióticos para casos de periodontite apical aguda seria indicada por 35,9%. Nos casos de tratamento de abcesso apical agudo, 70,8% indicariam drenagem e antibióticos. Ainda, 56% dos entrevistados responderam que o tratamento do canal radicular seria o mais indicado para dentes com lesão periapical. Conclusão: A prescrição de antimicrobianos por parte dos profissionais entrevistados diante de casos de urgências endodônticas foi elevada, ocorrendo
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Jagadheeswari, Ramamoorthy, and Manisha. "Prevalence and etiology of anterior teeth pulpectomy in children less than 6 years of age – A retrospective study." International Journal of Pedodontic Rehabilitation 8, no. 2 (2023): 67–74. http://dx.doi.org/10.56501/intjpedorehab.v8i2.1003.
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BACKGROUND When there is significant caries or trauma to the maxillary anterior teeth, pulp therapy procedures are frequently recommended as the best-case selection for the child's overall health. AIM To study the prevalence and etiology of anterior teeth pulpectomy in children less than 6 years of age Materials and Method The data of children who had undergone pulpectomy were retrieved from dental OPD information retrieved from the Department of Pedodontics Archiving Software. The collected data was tabulated in SPSS version 23.0 for statistical analysis. Results In this study, 22.34% of patients who underwent anterior pulpectomy were 3 years of age, 40.60% of patients were 4 years of age and 37.06% of patients were 5 years of age. 87.06% of anterior pulpectomy was done in the upper anterior. 57.89% of patients who had undergone anterior pulpectomy were males and 42.11% were females. The prevalence of anterior pulpectomy was more in males than females. The most common cause of anterior pulpectomy was Trauma, with a prevalence of 58.6% followed by caries, with a prevalence of 41.4%. Conclusion Children 4 and older had the highest frequency of anterior tooth pulpectomies. Compared to lower anterior teeth, children's upper anterior teeth had seen a higher number of pulpectomies. Compared to females, male children underwent more pulpectomies on their anterior teeth. Among both age groups, trauma was found to be the most frequent cause of anterior teeth pulpectomy, followed by dental caries.
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Donadel, Guilherme, Diogo Fernandes Giovanelli, Alison Henrique da Silva, et al. "Osteossíntese de sínfise mandibular e tratamento endodôntico em um gato – relato de caso." Peer Review 5, no. 7 (2023): 316–30. http://dx.doi.org/10.53660/402.prw1005.
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Foi atendido em um hospital universitário, um gato macho, um ano de idade, sem raça definida, pesando 4,3 kg, não castrado, que possui acesso à rua. Durante anamnese a proprietária relatou sialorréia intermitente, tremores mandibulares, e vocalização. Ao exame clínico foi diagnósticado fratura de sínfise mandibular simples e fratura de dentes caninos. Para correção da sínfise mandibular foi empregada a técnica de cerclagem simples. O procedimento odontológico escolhido para os caninos fraturados foi o tratamento endodôntico aplicando a técnica de pulpectomia parcial seguida de restauração coronal. O objetivo do trabalho é relatar um caso de fratura de síntese mandibular associada a fratura de dentes caninos. Conclui-se que as técnicas empregadas foram plenamente satisfatórias, possibilitando recuperação rápida do paciente.
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Hinostroza-Izaguirre, María Cristina, Johanna Georgettee Pineda-García, Jocelyn G. Lugo-Varillas, María Solis-Espinoza, Catherine Sharlot Alarcón-Calle, and Evelyn Alvarez-Vidigal. "Pasta de hidróxido de calcio/yodoformo en pulpectomías de dientes deciduos: Reporte de caso con seguimiento de seis meses." Odontología Vital 2, no. 33 (2020): 63–72. http://dx.doi.org/10.59334/rov.v2i33.403.
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Introducción: Las pastas de obturación a base de hidróxido de calcio/yodoformo han demostrado buenosresultados en pulpectomías de dientes primarios. Objetivos: describir el desempeño de una pasta de hidróxidode calcio/yodoformo (Calplus®) mediante la evaluación clínica y radiográfica en pulpectomias durante 6meses. Metodología: Un paciente de sexo masculino de 2 años de edad acudió a la Clínica Odontológica dela Universidad Científica del Sur, Lima-Perú. Durante la evaluación clínica se diagnosticó caries de infanciatemprana. Tratamientos preventivos y restauradores fueron realizados. Las pulpectomias fueron obturadas con(Calplus®). Para evaluar el desempeño, las pulpectomías fueron acompañadas durante 1, 3 y 6 meses medianteexámenes clínicos y radiográficos examinando dolor, movilidad patológica, alteraciones de tejido blando,rarefacción ósea, y reabsorción radicular patológica. Al tercer mes de seguimiento solo se observó contornogingival alterado. Conclusiones: La pasta a base de hidróxido de calcio/yodoformo (Calplus®) demostró buendesempeño en pulpectomías de dientes primarios considerando aspectos clínicos y radiográficos después de 6meses de seguimiento.
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Primo, Laura Salignac de Souza Guimarães, Andrea Vaz Braga Pinto, Michelle Jenné Allegretto, et al. "PROTOCOLO DE PULPECTOMIA PARA DENTES DECÍDUOS: UM GUIA CLÍNICO E PRÁTICO BASEADO EM EVIDÊNCIAS CIENTÍFICAS." Revista Científica do CRO-RJ (Rio de Janeiro Dental Journal) 6, no. 3 (2021): 38–46. http://dx.doi.org/10.29327/244963.6.3-5.
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Solano Altamirano, Denisse Carolina, and Alejandra Cabrera. "Terapía pulpar radical con sistemas rotatorios en dentición decidua." Revista Ecuatoriana de Pediatría 25, no. 2 (2024): 29–45. https://doi.org/10.52011/revsepec/e299.
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La terapia pulpar es un procedimiento dental destinado a abordar lesiones cariosas profundas. En el caso de pacientes pediátricos con dentición decidua que presenten pulpitis o necrosis pulpar, la opción más recomendada es llevar a cabo una pulpectomía o terapia pulpar radical. A lo largo de los años, este procedimiento se ha realizado manualmente, pero con los avances tecnológicos, ahora es posible llevarlo a cabo utilizando sistemas rotatorios. El propósito de este estudio es describir, a través de la revisión de la literatura, el uso de sistemas rotatorios en comparación con instrumentos manuales en el tratamiento de pulpectomías en dentición decidua. Se han evaluado los ensayos clínicos aleatorizados realizados en los últimos 10 años. La intención es contribuir a un mejor entendimiento de las técnicas de pulpectomía más efectivas y menos traumáticas, especialmente en la población pediátrica. Este análisis busca una visión más completa y actualizada sobre las opciones disponibles, aprovechando los beneficios de las tecnologías modernas para mejorar la eficacia y la comodidad en el tratamiento de pulpectomías en niños con dentición decidua.
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E Diogo, Ana Tereza Silva, Géssica Dayane Dias, Gracielle Lopes Fonseca, et al. "TERAPIA ENDODONTICA EM DENTES DECÍDUOS POR ODONTOPEDIATRAS EM MONTES CLAROS – MG." REVISTA FOCO 16, no. 12 (2023): e3825. http://dx.doi.org/10.54751/revistafoco.v16n12-018.
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A pulpectomia em dentes decíduos é de suma importância, visto que, deve ser realizada em dentes decíduos com características clínicas e radiográficas de pulpite irreversível, necrose e em elementos que já foram realizadas a pulpotomia, entretanto o remanescente pulpar não correspondeu bem ao tratamento, apresentando necrose ou hemorragia excessiva. A terapia pulpar em dentes decíduos pretende restabelecer a homeostasia, diminuir e/ou eliminar o foco de infecção perirradicular. Podendo ser fragmentada em terapia conservadora ou tratamento radical. O objetivo do estudo foi identificar a conduta dos odontopediatras da cidade de Montes Claros-MG, quanto ao procedimento realizado por eles em elementos dentários decíduos cariados e com comprometimento pulpar. Estes foram avaliados por um questionário estruturado e validado, ao final da pesquisa conclui-se que existem vários tipos de protocolos clínicos com diferentes produtos utilizados. O projeto foi submetido ao Comitê de Ética da Associação Educativa do Brasil – SOEBRAS onde foi aprovado para realização do estudo.
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Cruz, Alessandro Ítalo, Joanna Rodrigues da Silva Ferreira, Joedy Maria Costa Santa Rosa, Laís de Andrade França, Lucas Mariz de Menezes Torres, and Marielly dos Anjos Ferreira da Silva. "Protocolo de tratamento conservador em fraturas radiculares horizontais de terço cervical – Relato de caso." Research, Society and Development 9, no. 11 (2020): e379119514. http://dx.doi.org/10.33448/rsd-v9i11.9514.
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Os traumas dentais possuem uma significante ocorrência na odontologia. As fraturas radiculares podem ser consideradas como politraumatismos por envolverem diferentes tipos de tecido: dentina, cemento, polpa e periodonto. Objetivo: mostrar uma opção de protocolo terapêutico conservador no tratamento de fraturas radiculares horizontais a fim de preservar a estrutura dental levando em consideração a condição socioeconômica do paciente. Relato de caso: paciente do sexo masculino, 15 anos, procurou a clínica de Odontologia da Universidade Federal de Alagoas onde procurou atendimento após sofrer um trauma. Ao exame clínico, observou-se que o incisivo central superior (11) apresentava fratura radicular horizontal cervical e discreto deslocamento palatino. Optou-se pela instalação de contenção semirrígida como tratamento imediato. Posteriormente uma pulpectomia do segmento coronal até a linha de fratura foi realizada com medicação intracanal composta por hidróxido de cálcio e clorexidina gel a 2%. Após 2 semanas foi realizada obturação do canal com MTA. Conclusão: O tratamento endodôntico foi realizado com sucesso, seu prognóstico depende do tipo de reparo tecidual na linha de fratura e saúde dos tecidos periodontais.
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Nogueira, Paula Lima, Filipe de Oliveira Lima, Thallita Alves dos Santos, et al. "Correlação entre o bruxismo e a dor de origem endodôntica: um relato de caso." Research, Society and Development 9, no. 6 (2020): e126963563. http://dx.doi.org/10.33448/rsd-v9i6.3563.
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O objetivo foi relatar um caso de tratamento endodôntico em um paciente diagnosticado com pulpite irreversível apresentando como fator causador e agravante um bruxismo severo. Paciente G. L. A., gênero masculino, 55 anos, policial militar, compareceu à clínica se queixando de “dor de dente”, caracterizada por ser localizada, de longa duração, intensidade moderada e causada por estímulos térmico e mastigatório. Na anamnese, o paciente relatou ser alérgico à dipirona sódica e ser hipertenso, fazendo uso de Captopril®. Durante o exame físico intra-oral, observou-se que a queixa era referente ao elemento 34, o qual não apresentava fístula. O paciente era portador de um bruxismo severo, apresentando extensos desgastes na superfície oclusal de todos os elementos dentários e fazia uso de placa miorrelaxante. Foram realizados os testes de percussão e vitalidade pulpar chegando ao diagnóstico final de pulpite irreversível, fazendo-se necessário a pulpectomia convencional como tratamento. O tratamento endodôntico realizado atendeu às necessidades do paciente com sucesso, a partir do alívio da dor e, para que o sistema estomatognático fosse também restabelecido, o mesmo foi encaminhado para a clínica de reabilitação oral.
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Rosa, Jucely Aparecida da, Marcelo Sousa Gomes, Fernando Koibuchi Sakane, and Cinthia Gonçalves Barbosa de Castro Piau. "Tratamento endodôntico em dentes decíduos com a técnica de esterilização de lesões e reparo tecidual (LSTR)." Revista Ciências da Saúde CEUMA 1, no. 1 (2023): 88–102. http://dx.doi.org/10.61695/rcs.v1i1.7.
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Este trabalho é uma revisão narrativa da literatura sobre o tratamento endodôntico em dentes decíduos utilizando a técnica de esterilização de lesões e reparo tecidual (LSTR). O objetivo foi analisar a eficácia clínica e radiográfica dessa abordagem, suas indicações, contraindicações, materiais utilizados e possíveis complicações. Foram selecionados 18 artigos em inglês publicados a partir de 2011 até o presente, obtidos nas bases de dados PubMed e EBSCOhost. A técnica LSTR mostrou ser uma alternativa viável à pulpectomia convencional, especialmente considerando os desafios do tratamento de molares decíduos devido a fatores anatômicos, fisiológicos e a falta de cooperação dos pacientes jovens. Após um acompanhamento de 6 meses, houve uma tendência de aumento de falhas clínicas e radiográficas em dentes decíduos submetidos tanto ao tratamento LSTR quanto ao convencional. No entanto, ao considerar os resultados clínicos e radiográficos em diferentes períodos de acompanhamento (6, 12 e 18 meses), não foram encontradas diferenças significativas entre os dois tratamentos. Conclui-se que a técnica LSTR oferece uma opção interessante para o tratamento endodôntico em dentes decíduos com necrose pulpar, mas é importante considerar cuidadosamente as vantagens, desvantagens e a necessidade de evidências mais robustas para sua utilização clínica de forma ampla e consistente.
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Brustolin, Juliane Priscila, Adriela Azevedo Souza Mariath, Thiago Machado Ardenghi, and Luciano Casagrande. "Survival and Factors Associated with Failure of Pulpectomies Performed in Primary Teeth by Dental Students." Brazilian Dental Journal 28, no. 1 (2016): 121–28. http://dx.doi.org/10.1590/0103-6440201601009.
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Abstract Although endodontic treatment is widely recommended for compromised dental pulp, there is no information regarding the factors associated with failures in primary teeth. The aim of this study was to evaluate the survival and factors associated with failure of pulpectomies performed in primary teeth by dental students. The sample comprised patients treated at a University Dental Service and required endodontic treatment in primary teeth. The study investigated treatment-related variables and patient factors potentially associated with treatment failure. Pulpectomy survival was analyzed by Kaplan-Meier estimator followed by log-rank test (p<0.05). The analysis included 81 pulpectomies performed in 62 children (5.6±1.5 years). The survival reached 62.9% up to 12 months follow-up. Most failures occurred in the first 3 months (p<0.001). Teeth with carious lesions at the start of treatment presented more failures than those with restorations or history of trauma (p=0.002). The survival of endodontically treated teeth restored with composite was higher than the ones filled with GIC (p=0.006). Pulpectomy performed in two or more sessions resulted in more failures (p=0.028). Patients presenting gingivitis had more failures in the endodontic treatment (p=0.022). The failures of root canal treatment in primary teeth were more prone to occur in a short time and when the treatment was performed in teeth presenting carious lesions. The use of composite instead of GIC increased the survival of pulpectomies. Repeated sessions for endodontic treatment and lack of oral hygiene habits had a negative effect on the results.
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Ferrer, Gabriela Machado, Jade Monteiro de Sousa, Karla Shangela da Silva Alves Cabral, Elisa Gurgel Simas de Oliveira, and Grace Sampaio Teles da Rocha. "O IMPACTO ENTRE A EQUIPE ODONTOLÓGICA E O CUIDADOR COM DEFICIÊNCIA SENSORIAL AUDITIVA NA ODONTOPEDIATRIA: RELATO DE EXPERIÊNCIA." Brazilian Journal of Case Reports 4, Suppl.11 (2024): 33. http://dx.doi.org/10.52600/2763-583x.bjcr.2024.4.suppl.11.33.
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Introdução: Os pais são importantes para o crescimento e desenvolvimento dos filhos, e, no período infantil, é importante que os profissionais de saúde expliquem o plano de tratamento proposto e as orientações aos responsáveis para ter um bom sucesso terapêutico. Objetivo: Apresentar um relato de experiência de uma vivência na Disciplina de Clínica Infantil II do Curso de Odontologia da Universidade de Fortaleza, tendo como característica relevante o aspecto singular da mãe da criança, que apresenta deficiência sensorial auditiva. Metodologia: Realizou-se anamnese detalhada, exame clínico e radiografias para elaborar um plano de tratamento personalizado. A equipe odontológica formada por um professor orientador e dois alunos implementou estratégias visuais e táteis, incluindo material educativo visualmente atrativo e comunicação clara, com auxílio do aplicativo “Hand talk”. Relato de experiência: Paciente, A.G.M.S, normosistêmica, sexo feminino, 6 anos de idade, revelou altorisco de cárie no exame clínico inicial, indicando a necessidade de intervenção preventiva e educacional. O tratamento incluiu a aplicação de selantes, exodontia, pulpectomia, profilaxia regular, remoção de cárie, restaurações e educação sobre hábitos alimentares e de higiene bucal. Considerações finais: As consultas periódicas são essenciais para monitorar o progresso da saúde bucal da criança, porém o resultado efetivo e duradouro ocorre quando se estabelece uma boa comunicação equipe odontologica e família. No presente caso, a abordagem diferenciada com a mãe culminou em aprendizados específicos.
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Leal, Soraya Coelho, Ana Cristina Barreto Bezerra, and Orlando Ayrton De Toledo. "Therapeutic guidance given at the Brazilian specialization courses on pedodontics for the severe early childhood caries." Revista da ABENO 4, no. 1 (2004): 57–62. http://dx.doi.org/10.30979/rev.abeno.v4i1.1502.
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Avaliaram-se as condutas clínicas freqüentemente preconizadas pelos cursos de especialização em Odontopediaria no Brasil frente à cárie severa da primeira infância (CS). Todos os cursos registrados no Conselho Federal de Odontologia (46) no início do ano de 2003 receberam um questionário contendo oito questões referentes à filosofia de tratamento da CS. Foram respondidos 24 questionários, perfazendo 52,17% do total enviado. Os dados foram avaliados e representados em gráficos. Os resultados mostraram que a contenção física é preconizada em 83,3% dos cursos, e que 58,3% dos cursos de especialização empregam o cariostático. A pulpotomia é indicada em 100% dos cursos, sendo o material mais utilizado o formocresol diluído (62,5%). A pulpectomia é preconizada por 92% dos cursos. A solução irrigadora mais utilizada é o hipoclorito de sódio a 0,05% (Dakin 62,5%) e uma pasta contendo corticosteróide, paramonoclorofenol canforado e iodofórmio, como material obturador (45,8%). A utilização de fluoretos é rotina em 91,6% dos cursos embora, a forma e o veículo para administração sejam variados. O controle da dieta é realizado com base no diário alimentar recordatório em 54,2%. Concluiu-se que as medidas terapêuticas da CS necessitam melhor discussão entre os responsáveis pelo ensino de especialização em Odontopediatria no Brasil, pois, embora as técnicas empregadas sejam similares, existe uma diversidade considerável quanto aos materiais utilizados. Seria interessante o estudo para elaboração de um protocolo único para facilitar o emprego de técnicas adequadas para a solução e prevenção da CS.
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Silva, Letícia Barbosa Gomes da, Wesley Viana de Sousa, and Jeynife Rafaella Bezerra de Oliveira. "Tratamento endodôntico de pré-molar superior com três condutos radiculares – relato de caso." Research, Society and Development 12, no. 11 (2023): e101121143821. http://dx.doi.org/10.33448/rsd-v12i11.43821.
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A endodontia tem como propósito, conter as alterações da polpa e periápice, através do preparo biomecânico, que com instrumentais e soluções irrigadoras, desinfecta os condutos radiculares. Esse trabalho tem como propósito descrever um caso clínico de um tratamento endodôntico em um primeiro pré-molar superior com três condutos radiculares. Paciente compareceu a clínica queixando-se de dores espontâneas na região do dente 24. No exame clínico e radiográfico, constatou-se uma restauração insatisfatória e a existência de infiltração. Após a realização do teste térmico e de percussão, levou-se ao diagnóstico de pulpite irreversível sintomática. Na primeira sessão houve a realização do acesso coronário, expondo todos os canais e podendo observar o terceiro canal. Depois da neutralização da câmara pulpar, colocou-se uma medicação intracanal e provisório. Na segunda sessão, teve a instrumentação dos canais radiculares, obtendo como instrumento de memória dos canais vestibulares a lima #35, e #40 no palatino, como também a obturação de todos os condutos. A existência de três canais radiculares no primeiro pré-molar superior tem pouca predominância, mas é importante que o profissional saiba sobre as prováveis alterações na anatomia, mesmo essas não sendo constantes, já que podem alterar o êxito da pulpectomia. A maneira eficiente de condução desse caso é designada a um conhecimento prévio da anatomia interna dos dentes e suas possíveis alterações, seguidas de um assertivo acesso coronário e forma de contorno/conveniência, permitindo a localização dos canais presentes.
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Venugopal, Reddy, Vasanthi Done, Sadhana Jukanti, Sumanya Narahari, Daneswari Velegala, and Ajay Reddy. "clinical comparison of instrumentation time, obturation time and radiographic quality of obturation using the rotary and manual file system for pulpectomy in primary molars." International Journal of Pedodontic Rehabilitation 9, no. 1 (2023): 70–80. http://dx.doi.org/10.56501/intjpedorehab.v9i1.1089.
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Aim: To evaluate and compare instrumentation time, obturation time, and radiographic quality of obturation using rotary file system and manual file system in primary molar pulpectomy. Materials and Methods: Forty-five primary molars from 42 children aged 5-7 were selected, and divided into 2 Groups : Group I (K-files), Group II (Pro AF Baby Gold Files). Single-visit pulpectomy was performed, instrumentation time and obturation time were recorded during the procedure. Immediate postoperative radiographs were taken and evaluated for obturation quality. The results were tabulated and subjected to statistical analysis. Results: Pro AF Baby Gold Files (Group II) required least instrumentation time, obturation time and showed superior quality of obturation than K-files (Group I). Conclusion: Pediatric rotary files resulted in superior quality of obturation with minimal chair‐side time, hence they form an integral part of pediatric dentist’s armamentarium and can be considered as the standard of care in primary molar pulpectomies.
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Manani-Cori, Vilma. "TÉCNICAS ROTATORIA Y CONVENCIONAL PARA PULPECTOMIAS Y SU EFECTO EN EL TIEMPO OPERATORIO Y ANSIEDAD DE PREESCOLARES." Odontología Activa Revista Científica 3, no. 3 (2018): 5–8. http://dx.doi.org/10.31984/oactiva.v3i3.268.
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OBJETIVO: El propósito de este estudio fue comparar dos técnicas de instrumentación para pulpectomías, denominadas rotatoria y convencional,sobre el tiempo operatorio y ansiedad de preescolares. MATERIALES Y MÉTODOS: El estudio fue cuasiexperimental, de corte longitudinal. Se seleccionaron 2 grupos de estudio, con 20 pre escolares cada uno, quienes contaron con consentimiento y asentimiento informado. Para establacer posibles diferencias entre los valores obtenidos, se utilizaron las pruebas T de Student y Chi Cuadrado de Mc Nemar. RESULTADOS: El tiempo operatorio en las pulpectomias de molares deciduos fue de 31,95 min ( 1,54) para la instrumentación rotatoria, y de 48,35 min (2,48) para la instrumencaión convencional. La frecuencia cardíaca de los preescolares varió de 70,65 latidos por minutos (LPM) (3,36); durante la instrumentación rotatoria, a 85,30 ( 3,94); durante la instrumentación convencional. Por otro lado, la saturación de oxígenos delos niños no varió significativamente siendo de 91,55%( 0,89) durante la instrumentación rotatoria y de 91,70%(1,26) durante la instrumentación convencional.CONCLUSIÓN: Las diferencias registradas en relación con el tiempo opereatorio y la ansiedad de preescolares sometidos a dos tipos de técnicas de instrumentación ( rotatoria y convencional), para pulpectomías de molare deciduos, son estadísticamente significactivas ( IC del 95%; p<0,001).
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Sebourn, S., Q. Yu, and P. Ritwik. "Pulpectomy versus Extraction for the Treatment of Nonvital Primary Second Molars: A Retrospective Chart Review." Journal of Clinical Pediatric Dentistry 44, no. 5 (2020): 302–6. http://dx.doi.org/10.17796/1053-4625-44.5.3.
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Objectives: The current investigation evaluated parameters leading to the utilization of pulpectomy versus extraction for treatment of nonvital primary second molars. Study design: This retrospective chart review identified patients up to 8-years of age with primary second molars treated by pulpectomy or extraction. Patients in the extraction group were age and gender-matched to the pulpectomy group. Demographic, clinical, radiographic and behavioral data were extracted for comparison. Chi-square, Fisher and T-test were performed for statistical analysis. Results: There were 23 patients in each group, with a mean age of 5 years (ranging 3–8 years, ±1.5 for pulpectomy and ±1.3 for extraction). Significantly more pulpectomies were performed in the mandible (p=0.002), specifically on the left side (p=0.0035). Internal and external root resorption were significantly higher in the extraction group (p=0.033 and p=0.007 respectively). Restorability was significantly lower in the extraction group (p&lt;0.0001). Pre-procedural pain was reported by 76.5 percent of all patients, but pharmacologically treated in 15.2 percent. Nitrous oxide was administered to 73.9 percent of patients for behavior guidance. Conclusion: Pathologic root resorption and non-restorability were significantly higher in the extraction group. Behavior and pathologic bone resorption did not influence treatment choice. A higher proportion of children reported pre-treatment pain and needed adjunctive behavior guidance than children who did not have pre-treatment pain or did not need adjunctive behavior guidance.
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Gadallah, Lamia, Mahmoud Hamdy, Adel El Bardissy, and Mohamed Abou El Yazeed. "Pulpotomy versus pulpectomy in the treatment of vital pulp exposure in primary incisors. A systematic review and meta-analysis." F1000Research 7 (December 20, 2018): 1560. http://dx.doi.org/10.12688/f1000research.16142.2.
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Background: Early childhood caries is a serious public health problem in both developing and industrialized countries. When caries extend to involve the pulp, various forms of pulp treatment are tried to stimulate tooth repair. Although pulpotomy is the treatment of choice for vital primary tooth pulp exposure but there is a trend among many dentists to perform pulpectomies for pulp treatment of vital primary anterior teeth. This study aimed to assess the effect of pulpotomy and pulpecomy in treatment of carious vital pulp exposure in primary incisors. Methods: We searched Pubmed and Cochrane library databases up to March, 2018, OpenGrey for grey literature and ClinicalTrials.gov for ongoing trials. Randomized controlled trials comparing between pulpotomy and pulpectomy in treatment of vital pulp exposure in primary incisors were included. Primary outcomes were clinical failure and radiological failure. Results: Four trials were identified for qualitative assessment, only three trials were included in meta-analysis after exclusion of one trial due to its high risk of bias. The pooled results of the longest follow up period for clinical failure showed no statistically significant difference between pulpotomy and pulpectomy. The relative risk (RR) was e 2.69, 95% CI 0.76 to 9.58 for clinical failure. For radiographic failure, the sensitivity analysis showed RR 0.45, 95% CI 0.25 to 0.83 with a higher risk for radiographic failure in pulpectomy. The evidence was limited by the small number of trials included in the meta-analysis. Conclusions: Both pulpotomy and pulpectomy can be used successfully in the treatment of vital pulp exposure in primary incisors. Further high quality studies comparing between pulpotomy and pulpectomy in primary incisors with longer follow up period till exfoliation time are needed.
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Figueiredo Carvalho, Ismênia, Matheus Da Silva Ribeiro, Giovanna Bomfim Bendocchi Alves, and Joana Dourado Martins Cerqueira. "TRATAMENTO ENDODÔNTICO EM DENTES COM REABSORÇÃO RADICULAR APICAL EXTERNA: RELATO DE CASO." Diálogos & Ciência 2, no. 2 (2022): 55–67. http://dx.doi.org/10.7447/1678-0493.2022v2n2p55-67.
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Introdução: A reabsorção radicular consiste na perda de estrutura dentária nos diferentes terços da raiz. Objetivo: Relatar um caso clínico de tratamento endodôntico em dentes anteriores com reabsorção radicular apical externa. Material e método: Trata-se de um relato de caso de uma paciente do sexo feminino, 53 anos, compareceu à clínica-escola de Odontologia da UNEF queixando-se de dor em região do dente 13. Na anamnese, a paciente relatou ter realizado tratamento ortodôntico há cinco anos. Com base na avaliação clínica e nos exames de imagem, identificou-se a presença de Reabsorção Radicular Apical Externa (RRAE) nos dentes anteriores, e devido a restaurações insatisfatórias já existentes, foi possível diagnosticar a unidade 13 como Necrose Pulpar associada à Periodontite Apical Crônica, e a unidade 23, como Pulpite Irreversível Sintomática, sendo proposto o tratamento endodôntico para ambas unidades. Os demais dentes não apresentavam comprometimento pulpar. Resultados: Após 18 meses, observou se a cicatrização da lesão periodontal na unidade 13, e que as demais unidades apresentavam-se com boa resposta ao teste de vitalidade pulpar, com exceção da unidade 22, que já possuía uma restauração insatisfatória, e apresentou uma resposta de baixa intensidade e com declínio lento, característico de uma pulpite irreversível assintomática em transição para necrose pulpar, na qual foi proposto a pulpectomia como tratamento. Conclusão: No acompanhamento de 17 meses, os dentes anteriores apresentavam-se livres de sinais e sintomas, sem progressão da reabsorção, e radiograficamente, as superfícies radiculares encontravam-se íntegras, havendo o reparo da lesão na unidade 13.
 PALAVRAS-CHAVE: Reabsorção da raiz; Endodontia; Diagnóstico.
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Santos, Carolina Nader, Érica Luiza S. M. Sousa, Kássio Henrique Sousa, Renato Piai Pereira, and Rogério Vieira Silva. "Reimplante tardio com acompanhamento de seis anos: relato de caso." Dental Press Endodontics 13, no. 1 (2023): 35–44. http://dx.doi.org/10.14436/2358-2545.13.1.035-044.oar.
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Introdução: A avulsão dentária é um problema de saúde pública e tem alta prevalência. A mais previsível conduta a ser seguida é o reimplante imediato. Objetivo: Relatar um caso clínico de avulsão dentária do dente #21 com reimplante tardio no período de 24 horas. Descrição: Paciente do sexo feminino, nove anos de idade, procurou avaliação odontológica. A mãe informou que a criança havia sofrido uma queda e que estava com o dente acondicionado em soro fisiológico. Ela ainda informou que levou a criança ao hospital; porém, nenhuma conduta foi realizada em relação ao dente avulsionado. Após 24h do traumatismo dentário, antes do reimplante, realizou-se o acesso coronário e pulpectomia em meio extra-alveolar. Realizou-se o reimplante e contenção semirrígida com fio ortodôntico de aço 0,2 mm fixado com resina composta da região dos dentes #22 a #12. O dente foi instrumentado pela técnica crown-down até o comprimento de trabalho (CT) com a lima tipo K #55, medicação intracanal com Downs-Calen por 21 dias e obturação do canal radicular pela técnica termoplastificada, associada ao cimento endodôntico AH Plus. O dente foi restaurado com resina composta fotopolimerizável. Os acompanhamentos clínicos e radiográficos foram semestrais. Resultados: O protocolo de tratamento proposto foi eficaz. Constatou- se ausência de sinais e sintomas, com tecidos moles dentro dos padrões de normalidade. Conclusão: O dente encontra-se com anquilose e reabsorção por substituição; porém, não há mobilidade nem doença periodontal, e a paciente encontra-se em acompanhamento clínico e radiográfico em um período de seis anos em condições satisfatórias.
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Gadallah, Lamia, Mahmoud Hamdy, Adel El Bardissy, and Mohamed Abou El Yazeed. "Pulpotomy versus pulpectomy in the treatment of vital pulp exposure in primary incisors. A systematic review and meta-analysis." F1000Research 7 (June 25, 2019): 1560. http://dx.doi.org/10.12688/f1000research.16142.3.
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Background: Early childhood caries is a serious public health problem. When caries extend to involve the pulp, various forms of pulp treatment are tried to stimulate tooth repair. Although pulpotomy is the treatment of choice for vital primary tooth pulp exposure but there is a trend among many dentists to perform pulpectomies in vital primary incisors. This study aimed to assess the effect of pulpotomy and pulpecomy in treatment of carious vital pulp exposure in primary incisors. Methods: We searched Pubmed and Cochrane library databases up to March, 2018, OpenGrey for grey literature and ClinicalTrials.gov for ongoing trials. Randomized controlled trials were included and assessed with Cochrane risk of bias tool . Primary outcomes were clinical failure and radiological failure. The effect sizes were calculated as risk ratios with 95%CI using the Mantel-Haenszel method. Results: Four trials were identified for qualitative assessment, only three trials were included in meta-analysis after exclusion of one trial due to its high risk of bias. The pooled results of the longest follow up period for clinical failure showed no statistically significant difference between pulpotomy and pulpectomy. The relative risk (RR) was e 2.69, 95% CI 0.76 to 9.58 for clinical failure. For radiographic failure, the sensitivity analysis showed RR 0.45, 95% CI 0.25 to 0.83 with a higher risk for radiographic failure in pulpectomy. The evidence was limited by the small number of trials included in the meta-analysis. Conclusions: Both pulpotomy and pulpectomy can be used successfully in the treatment of vital pulp exposure in primary incisors. Further high quality studies comparing between pulpotomy and pulpectomy in primary incisors with longer follow up period till exfoliation time are needed.
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Gadallah, Lamia, Mahmoud Hamdy, Adel El Bardissy, and Mohamed Abou El Yazeed. "Pulpotomy versus pulpectomy in the treatment of vital pulp exposure in primary incisors. A systematic review and meta-analysis." F1000Research 7 (September 26, 2018): 1560. http://dx.doi.org/10.12688/f1000research.16142.1.
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Background: Early childhood caries is a serious public health problem in both developing and industrialized countries. When caries extend to involve the pulp, various forms of pulp treatment are tried to stimulate tooth repair. The choice of proper technique is as important as choosing between different pharmacotherapeutic agents used in treatment of primary teeth. Although pulpotomy is the treatment of choice for vital primary tooth pulp exposure but there is a trend among many dentists to perform pulpectomies for pulp treatment of vital primary anterior teeth. This study aimed to assess the effect of pulpotomy and pulpecomy in treatment of carious vital pulp exposure in primary incisors. Methods: We searched Pubmed and Cochrane library databases up to March, 2018, OpenGrey for grey literature and ClinicalTrials.gov for ongoing trials. Randomized controlled trials comparing between pulpotomy and pulpectomy in treatment of vital pulp exposure in primary incisors were included. Primary outcomes were clinical failure and radiological failure. Data synthesis was performed with a pair wise meta-analysis using fixed-effect models. Results: Four trials were identified for qualitative assessment, only three trials were included in meta-analysis after exclusion of one trial due to its high risk of bias. The pooled results of the longest follow up period for clinical and radiographic failure showed no statistically significant difference between pulpotomy and pulpectomy. The relative risk (RR) was 0.74 with 95% CI 0.46 to 1.21 for radiographic failure and RR 2.69, 95% CI 0.76 to 9.58 for clinical failure. The evidence was limited by the small number of trials included in the meta-analysis. Conclusions: Both pulpotomy and pulpectomy can be used successfully in the treatment of vital pulp exposure in primary incisors. Further high quality studies comparing between pulpotomy and pulpectomy in primary incisors with longer follow up period till exfoliation time.
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Barcelos, R., MPA Santos, LG Primo, RR Luiz, and LC Maia. "ZOE Paste Pulpectomies Outcome in Primary Teeth: A Systematic Review." Journal of Clinical Pediatric Dentistry 35, no. 3 (2011): 241–48. http://dx.doi.org/10.17796/jcpd.35.3.y777187463255n34.
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Objective: To perform a systematic review in which the clinical research question for primary teeth with irreversible pulpal pathosis was "how pulpectomies with zinc oxide eugenol (ZOE) paste performed compared to other materials in their clinical and radiographic outcomes after twelve months or more follow-up period.Study design: A literature survey of the electronic database (1950-2010) used the Medical Subject Headings and free text terms. Forty three references were retrieved and inclusion criteria were applied; 15 articles remained for full-text evaluation. From these, two were selected for data extraction regarding quality characteristics and results. Results: Selected studies showed moderate or high risk of bias. The overall success of pulpectomy was 80.0% (Calcicur), 60.0% (Sealapex) and varied from 85.0% to 100.0% (ZOE) and 89.0% to 100.0% (Vitapex). Solely Calcicur presented success rate significantly lower when compared to ZOE and Vitapex. These pastes lead to overfilled canals and particles of extruded ZOE were still evident even after the evaluation period. Resorption of Vitapex, Calcicur and Sealapex within the root canal was also reported. Conclusions: In primary teeth with irreversible pulpal changes ZOE pulpectomies yielded similar outcome than Vitapex and Sealapex, although there was no agreement with regard to filling materials' resorption.
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Farhadian, Arash, Mayce Arreem Issa, Karl Kingsley, and Victoria Sullivan. "Analysis of Pediatric Pulpotomy, Pulpectomy, and Extractions in Primary Teeth Revealed No Significant Association with Subsequent Root Canal Therapy and Extractions in Permanent Teeth: A Retrospective Study." Pediatric Reports 16, no. 2 (2024): 438–50. http://dx.doi.org/10.3390/pediatric16020038.
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Recent evidence suggests that an ever-growing number of pediatric patients require invasive treatments such as root canal therapy (RCT) in their permanent dentition, albeit with little information about risk factors such as prior invasive treatments of pulpotomy or pulpectomy in their primary dentition. Therefore, the primary objectives of this study were to determine the number of pediatric patients who have had any type of invasive treatment in their primary teeth, to assess their association with any subsequent invasive treatment (root canal therapy, extractions) in their permanent dentition, and to assess these trends over time. This retrospective study utilized summary data from a clinical pediatric patient pool (ages 0–17) over the period of 2013–2022. This analysis revealed that pediatric patients requiring pulpotomies and pulpectomies in primary dentition declined between 2013 (n = 417, n = 156) and 2022 (n = 250, n = 12), while root canal therapy (RCT) in permanent dentition increased six-fold from n = 54 to n = 330. In addition, few (7.8%) patients with RCT had a previous history of pulpotomy or pulpectomy, which suggests that invasive treatments performed in primary dentition have no direct association with the subsequent need for invasive treatments in permanent dentition, although more research is needed to determine the explanations for these observations.
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Perona, G., and Sabina Mungi. "Tratamiento Endodóntico no Instrumentado en dientes deciduos." Revista de Odontopediatría Latinoamericana 4, no. 1 (2021): 12. http://dx.doi.org/10.47990/alop.v4i1.33.
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Teniendo en cuenta la complejidad del tratamiento pulpar en una pieza decidua y diversos factores que determinan el éxito clínico como son la anatomía de una pieza decidua, el proceso de reabsorción ya sea de origen fisiológico o por una infección odontogénica, la conducta del paciente, la técnica empleada y la pericia del operador; es de suma importancia que en la práctica odontopediátrica se tenga en cuenta ciertos procedimientos que aseguren la presencia del diente en boca hasta su exfoliación fisiológica, es de esta manera que la Técnica de Endodoncia no Instrumentadas en dientes deciduos es un tema muy importante a tener presente en cuanto a terapia pulpar se refiere. Las pulpectomías no instrumentadas (NIET); termino mal empleado para este procedimiento, ya que la técnica no consiste en realizar una pulpectomía propiamente dicha; en su lugar emplean diversas pastas que tienen por objetivo la desinfección de los conductos radiculares mediante el empleo de sustancias bacteriostáticas y bactericidas y de esta manera permitirán la reparación del los tejidos dañados. El propósito de este artículo fue hacer una revisión de la literatura de todo lo concerniente a Terapia Endodóntica no Instrumentada en dentición decidua. En conclusión se puede decir que dadas las características de la dentición temporal, la cual impide una completa manipulación de los conductos radiculares, el éxito de la pulpectomía depende de la reducción o eliminación de las bacterias no solo dentro del conducto sino también en lugares donde la preparación química y mecánica sea difícil de acceder, en la técnica NIET se utiliza una mezcla de antibióticos para esterilizar el conducto radicular en vez de usar la técnica de instrumentación, las pastas obturadoras asumen un papel fundamental para que la reparación de los elementos dentarios se desenvuelva de acuerdo a los patrones biológicos normales.
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Fonseca, Ricardo, Rafael Lopes Quadros da Silva, Carlos Eduardo Vieira da Silva Gomes, and Felipe Rezende de Albuquerque. "Transplante dentário autógeno em dente inferior." Brazilian Journal of Implantology and Health Sciences 5, no. 1 (2023): 55–65. http://dx.doi.org/10.36557/2674-8169.2023v5n1p55-65.
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Introdução:O transplante dentário autógeno (TDA) é definido como a substituição de um elemento dentário comprometido ou condenado, sendo geralmente, o terceiro molar, o dente de escolha a ser transplantado devido a proximidade com a região e semelhança anoatômica, a técnica consiste em após extrair o dente afetado deve-se realizar a exodontia seletiva de um terceiro molar hígido que será destinado ao alvéolo pré-existente ou cirurgicamente preparado para adequação das raízes.Objetivos:O objetivo desse trabalho é relatar sobre a técnica de transplante autógeno realizada em dentes inferiores do hemiarco direito. Relato de Caso: Paciente 20 anos, gênero masculino, sem comprometimentos médicos prévios compareceu ao consultório odontológico particular na cidade de Belém, norte do Brasil com indicação de exodontia do elemento 46. Ao exame clínico, observou-se que a estrutura coronária estava avariado por lesão cariosa extensa. O exame radiológico periapical evidenciou a extensão da lesão até região de furca e devido ao paciente não ter condições econômicas para realizar o tratamento de pulpectomia e posterior colocação de restauração indireta, bem como imediata instalação de implante dentário para reabilitação, logo, optou-se pela exodontia. Ainda durante o exame clínico observou-se a presença do elemento 48 parcialmente erupcionado e hígido, sendo idealizado o TDA. No ato cirúrgico paciente recebeu anestesia local de articaína 4% e adrenalina 1.100,000 em seguida realizou-se a divulsão mucoperiosteal de ambos os dentes e consequentemente luxação minimamente traumática do dente 46 e após a exodontia o alvéolo foi curetado para limpeza da cavidade e irrigada com clorexidina 0,12%, em seguida a exodontia do dente 48 seguiu o mesmo padrão minimamente traumático do elemento anterior e após completa luxação foi imediatamente implantado no alvéolo do dente e membranas de concentrados plaquetários (L-PRF) e sutura foi feita com fio de nylon 4.0. Conclusão: A partir do caso relatado, podemos concluir que a TDA, apesar de ser uma via de tratamento pouco habitual, é um promissor tratamento reabilitador, pela sua viabilidade econômica, por ser criteriosa quanto a proservação, princípios biológicos e por proporcionar uma harmonia no aspecto estético-funcional.
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Palomino Ríos, Ethel Violeta, Gilmer Torres Ramos, and Marya Barzola Loayza. "Pulpectomía de una periodontitis periapical aguda realizada en una sola cita en un paciente infante. Reporte de caso." REVISTA ODONTOLOGÍA PEDIÁTRICA 20, no. 2 (2022): 46–52. http://dx.doi.org/10.33738/spo.v20i2.181.
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El uso de las pastas medicadas en el tratamiento de los abscesos dentales mediante el procedimiento de la pulpectomía ayuda a mantener las piezas dentales primarias afectadas. El objetivo de realizar este tratamiento fue evaluar el éxito clínico y radiográfico de la modificación del mecanismo de obturación intracanal de la pulpectomía realizada en una sola cita. Se presenta el reporte de caso clínico de un paciente de 2 años 10 meses de género masculino, con diagnóstico periodontitis apical aguda, donde se realizó pulpectomía en una sola cita. En la evaluación clínica a los 7 días se observó silencio clínico y ausencia del absceso dental. Al mes y a los 4 meses, también hubo ausencia del absceso dental y de la sintomatología. A los 12 meses, en una nueva evaluación clínica, se mantuvo el silencio clínico y radiográficamente, se observó ausencia de imagen radiolúcida patológica interradicular o periapical y se evidenció regeneración ósea. La pulpectomía realizada en una sola cita puede considerarse un tratamiento eficaz para mantener la integridad de la pieza primaria afectada, pero se requieren más estudios y seguimientos a largo plazo que evalúen esta modificación de obturación utilizada en este tipo de pulpectomía.
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Estacio Gallegos, Adriam Ivan, Catherine Sharlot Alarcón-Calle, and Rossmary Navarro-Betetta. "Desempeño de la pasta Tri-Antibiótica en un tratamiento de Pulpectomía Convencional." REVISTA ODONTOLOGÍA PEDIÁTRICA 23, no. 1 (2024): 45–64. http://dx.doi.org/10.33738/spo.v23i1.269.
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Objetivo: Describir el desempeño de la pasta tri-antibiótica mediante la evaluación clínica y radiográfica en una pulpectomía convencional durante 14 meses. Reporte de caso: Paciente de sexo femenino de 5 años 10 meses acudió a la Clínica Odontológica de la Universidad Científica del Sur, Lima-Perú, junto a su madre, la cual solicitó una evaluación general. Al examen clínico, se observaron múltiples lesiones de caries dental y se diagnosticó pulpitis irreversible en la pieza 75. El plan de tratamiento integral incluyó una pulpectomía convencional en dos citas debido al comportamiento negativo de la paciente. Sin embargo, en la última cita, se optó por realizar la pulpectomía mediante la colocación de la pasta tri-antibiótica solo en la entrada de los conductos y piso de la cámara pulpar de la pieza 75, que ya había sido parcialmente instrumentada. Luego, la pieza 75 fue restaurada con una corona de acero. Posteriormente, la paciente tuvo controles periódicos, y después de 14 meses de seguimiento, la pieza 75, clínicamente no presentó sintomatología y radiográficamente se observó la conservación de los tejidos radiculares. Conclusiones: La utilización de la pasta tri-antibiótica aplicada solo la entrada de los conductos y piso de la cámara pulpar en el tratamiento de pulpectomía convencional demostró buen desempeño clínico y radiográfico a los 14 meses de seguimiento en un paciente de 5 años.
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Forrai, Judit, and Andrew I. Spielman. "History of Pulpectomy." Kaleidoscope history 14, no. 28 (2024): 431–32. http://dx.doi.org/10.17107/kh.2024.28.36.
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Jafarzadeh, Hamid, Rasoul Sahebalam, Alireza Sarraf, Mojtaba Abdollahi, and Hamidreza Rajati. "Evaluation of the Effect of using Electrosurgery in Pulpectomy of Deciduous Teeth on Succedaneous Teeth: An Animal Study." Journal of Contemporary Dental Practice 16, no. 3 (2015): 183–86. http://dx.doi.org/10.5005/jp-journals-10024-1658.
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ABSTRACT Objectives The aim of this study was to determine the probable side effects of electrosurgery in pulpectomy of deciduous teeth on succedaneous teeth in dogs. Materials and methods In this animal study, all maxillary and mandibular teeth at one side of five puppies’ mouths were treated employing electrosurgical pulpectomy and were then compared with those of the other side treated using the conventional method. The electrosurgical dental electrode was placed in canals to the point of working length for the experimental group. After pulpectomy, the canals were filled with zinc oxide eugenol paste and the access cavity was restored with amalgam. The dogs remained under care until their successor teeth erupted and clinical examination was performed. Results The teeth treated employing electrosurgical pulpectomy presented natural appearance with no observable defects including enamel hypoplasia, diffuse opacities of enamel, demarcated opacities, and enamel discoloration. Conclusion Electrosurgical pulpectomy can be considered as an option for pulpectomy of deciduous teeth. How to cite this article Sahebalam R, Sarraf A, Abdollahi M, Jafarzadeh H, Rajati H, Patil SG. Evaluation of the Effect of using Electrosurgery in Pulpectomy of Deciduous Teeth on Succedaneous Teeth: An Animal Study. J Contemp Dent Pract 2015;16(3):183-186.
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Gonzales Román, Alan, Martín Quintana del Solar, Carlos Matta Morales, and María de las Mercedes Maldonado Mendoza. "Frecuencia de diagnósticos y tratamientos pulpares según indicadores de la demanda realizados en una clínica dental universitaria." Revista Estomatológica Herediana 15, no. 2 (2014): 150. http://dx.doi.org/10.20453/reh.v15i2.1951.
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Los diagnósticos y tratamientos pulpares que fueron realizados en los pacientes del pregrado dela Clínica Estomatológica Central de la Facultad de Estomatología Roberto Beltrán Neira de laUniversidad Peruana Cayetano Heredia durante el período 2003 al 2004, se relacionaron segúnlos indicadores de la demanda. Se encontró que la mayor frecuencia de tratamientos pulparesfueron las pulpectomías anteriores (50,2%), seguidas de las pulpectomías en molares (24,8%) ypor ultimo las pulpectomías en premolares (24,7%). Los diagnósticos pulpares mas frecuentementehallados correspondieron a pulpitis aguda (45,1%), pulpa vital (27,4%), encontrándose mayortratamiento en el sexo femenino.
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Sancho - Cano, Isabel Luz, and Carol Magaly Cárdenas - Flores. "Espigos de fibra de vidrio en el tratamiento rehabilitador de dientes deciduos tratados con pulpectomía. Reporte de caso." REVISTA ODONTOLOGÍA PEDIÁTRICA 18, no. 1 (2019): 32–40. http://dx.doi.org/10.33738/spo.v18i1.283.
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Los espigos de fibra de vidrio sirven de anclaje para la reconstrucción del muñón dentario perdido. Proporcionando elasticidad comparable a la dentina, al recibir cargas oclusales en diferentes direcciones, este se flexiona. Esta conducta disminuye el riesgo de estrés interno en el conducto evitando así fracturas y facilitando la rehabilitación total de los dientes tratados con pulpectomía.
 El presente caso tuvo como objetivo mantener la integridad de los dientes deciduos tratados con pulpectomía mediante el uso del espigo de fibra de vidrio como una buena opción en Odontopediatría por su sencilla técnica de manejo, su módulo de elasticidad y los resultados estéticos que se obtienen.
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Khadilkar, Ankeeta Satish, Aditi Kapur, Ashima Goyal, Krishan Gauba, and Sanjeev Kumar Singh. "Comparison of clinical performance of obturating materials in pulpectomies: A randomized clinical trial." Journal of Indian Society of Pedodontics and Preventive Dentistry 42, no. 1 (2024): 28–36. http://dx.doi.org/10.4103/jisppd.jisppd_516_23.
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Background: Chemomechanical debridement is insufficient to disinfect all bacteria from the root canals of primary teeth, and obturation of canals with an appropriate material thus acquires excellent importance and remains a critical step in the ultimate success of pulpectomy. Aim: The aim of the study was to compare and evaluate Endoflas, Metapex, and a mixture of calcium hydroxide (CH) and zinc oxide (ZnO) as obturating materials (OMs) in primary mandibular second molars. Materials and Methods: Seventy-five mandibular second primary molars requiring pulpectomies were identified in children aged 4–8 years. They were randomly allocated to the three treatment groups according to the type of OM received using the block randomization technique. After the completion of chemomechanical debridement, the canals were filled with Endoflas, Metapex, and CH-ZnO mixture, respectively. The intergroup clinical and radiographic comparison was made based on Coll and Sadrian criteria to decipher their clinical performance at 1, 3, and 6 months. Results: No statistically significant differences between the groups were observed at any evaluation time interval (P > 0.05). At 6 months, the clinical success rates were 95.2% in Endoflas, 96% in Metapex, and 95.8% in the CH and ZnO mixture groups, respectively. The materials, however, behaved differently in different clinical situations. Conclusion: Based on the observations, all three OMs showed similar clinical success in maintaining tooth functioning, but their use can be restricted to indications. However, prospective studies with longer follow-ups with more stringent eligibility criteria are required to reach more definitive conclusions.
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He, Shu-yang, Jin-yi Li, Shan-shan Dai, et al. "Survival Analysis and Risk Factors of Pulpectomy among Children with Severe Early Childhood Caries Treated under General Anesthesia: A Retrospective Study." International Journal of Environmental Research and Public Health 20, no. 2 (2023): 1191. http://dx.doi.org/10.3390/ijerph20021191.
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Objectives: This study aims to retrospectively evaluate the survival rate of pulpectomy performed under dental general anesthesia (DGA) through long-term follow-up and to explore the risk factors associated with treatment failure. Methods: The medical records of the children who were diagnosed with S-ECC and received pulpectomy treatment under general anesthesia (GA) from 1 August 2014 to 1 December 2019, in the Stomatological Hospital of Xi’an Jiaotong University, were collected. Two dentistry postgraduates extracted the necessary information and filled in a predesigned excel form. Survival analysis was performed using the Kaplan‒Meier method. The shared frailty model was used to explore possible factors affecting the success rate of pulpectomy in primary teeth. Results: A total of 381 children (mean age 3.49 ± 0.90) with S-ECC and 1220 teeth were included in the study, including 590 primary anterior teeth and 630 primary molars. The overall 35-month survival rate was 38.5%, which was 52.9% for anterior teeth and 31.1% for molars. The overall median survival time was 31 months, in which anterior teeth were 35 months and molars were 26 months. The older the children were, the greater the risk of treatment failure (HR 1.56, 95% CI 1.09, 2.24). The risk of pulpectomy failure of primary molars was 1.9 times that of primary anterior teeth (95% CI 1.36, 2.65) and the teeth with abnormal radiological findings before treatment was 1.41 times higher than that of teeth without imaging abnormalities (95% CI 1.74, 3.36). Conclusion: The survival rate of primary tooth pulpectomy is acceptable but decreased gradually with time. The failure rate of pulpectomy in primary molars is higher than that of primary anterior teeth. When the primary caries has extended to the pulp and resulted in a nonvital lesion, pulpectomy could be an option for maximum retention of the primary tooth.
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Rinki, Susan, and Syam Shilpa. "Pain Management in Pediatric Pulpectomy: A Retrospective Analysis of Analgesic Prescriptions for 6-12 Year Olds." International Journal of Pedodontic Rehabilitation 9, no. 1 (2024): 60–69. http://dx.doi.org/10.56501/intjpedorehab.v9i1.1017.
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Background: Pain is a common sign that follows the majority of pulpectomy treatments. NSAIDs (non-steroidal anti-inflammatory medications) are among the analgesics used most frequently to treat pain. They give long-lasting analgesia with a brief onset. Furthermore, it is advised to finish endodontic procedures in a single visit because this lowers the likelihood of leakage through the temporary cement and flare-up rates. Aim: To evaluate the most often recommended analgesics for children aged 6 to 12 following a pulpectomy procedure Materials and Methods: A total of 1066 patient records, ranging in age from 6 to 12 years, undergoing pulpectomy procedures were gathered from the OPD data of a Private Dental College and were entered into an excel spreadsheet. The data was assessed based on the patients' age and gender using a SPSS software for the analysis, and results were formulated Result: Of the 1066 records evaluated, it was noted that dentists preferred to prescribe Ibugesic Plus to 20.20% of children under the age of six. 37.50% of children in the age of 6 years got a single visit primary pulpectomy procedure. Furthermore, 30.34% of the girls took Ibugesic Plus, and 39.04% of total children had a single primary pulpectomy. Conclusion: Analgesics that are typically chosen for people in the 6–12 age range are Ibugesic Plus. Furthermore, the primary pulpectomy single-visit operation is the most commonly suggested treatment for these age groups.
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GESI, ANDREA, and GUNNAR BERGENHOLTZ. "Pulpectomy - studies on outcome." Endodontic Topics 5, no. 1 (2003): 57–70. http://dx.doi.org/10.1111/j.1601-1546.2003.00020.x.
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Lim, Yeo Won, Yong Kwon Chae, Ko Eun Lee, et al. "Iatrogenic Incidents in Primary Molar Pulpectomy: A Case Series Report and Literature Review." Applied Sciences 13, no. 19 (2023): 11008. http://dx.doi.org/10.3390/app131911008.
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Pulpectomy is a common treatment for severe carious lesions in primary molars. Care should be taken during pulpectomy of the primary teeth for successive permanent teeth. This case series report aimed to describe the cases of three patients who experienced excessive extrusion of canal filling materials and file separation during primary molar pulpectomy. The presence of separated files or excessive overfilling materials observed around successive permanent tooth germs leads to underdevelopment and may trigger cystic changes owing to abscess formation. The most important aspect is to preserve the unerupted successive developing permanent tooth. Therefore, clinicians should consider the anatomy of the primary molars prior to endodontic treatment, be careful when manipulating instruments during pulpectomy, provide appropriate treatment if iatrogenic incidents occur during endodontic treatment, and perform close follow-up to ensure the successful development and eruption of subsequent permanent teeth.
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Moataz, Amine, Reda Sentissi, Aissam Goultaiene, et al. "Eviscération scrotale: complication rare de la pulpectomie." African Journal of Urology 22, no. 4 (2016): 333–34. http://dx.doi.org/10.1016/j.afju.2016.03.006.
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Neha, Sharma, and J. Trophimus. "Pulpotomy v/s pulpectomy in 6 to 9 years old children." International Journal of Pedodontic Rehabilitation 8, no. 2 (2023): 75–83. http://dx.doi.org/10.56501/intjpedorehab.v8i2.1004.
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Background: The main goal of pulp treatment is to preserve the health and integrity of the oral tissues. Early primary tooth loss can result in malocclusion and temporary or permanent issues with appearance, phonetics, and function. While it is desirable to try to maintain pulp vitality wherever possible, the pulp can be completely removed without seriously impairing the tooth's ability to function. Aim: To compare the prevalence of pulpectomy and pulpotomy procedures done in 6 to 9 years old children Materials and method: The study was a retrospective cross-sectional analysis, evaluating dental outpatient records and analyzing data from 86,000 patients between June 2020 and April 2021 to collect case records of 6 to 9-year-old children undergoing pulpectomy and pulpotomy procedures. We selected children between the ages of 6 and 9 who underwent pulpectomy and pulpotomy procedures. Using the SPSS software, the data was compiled followed by statistical analysis. Results: Of the total number of children screened, about 96% of the patients between 6-9 years of age underwent pulpectomy whereas the remaining 4% underwent pulpotomy. Of these patients, 56% of them were males and about 44% of them were females. About 75% of these pulpectomy procedures were performed in posterior teeth whereas only 25% of them were done in anterior teeth Conclusion: From this study it can be concluded that in a university setting, pulpectomy was most predominantly performed in children of 6-9 years of age and the most commonly involved teeth were the posteriors.
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Akshaya K, Vignesh Ravindran та Senthil Murugan Pandurangan. "Pediatric dentists’ preference on usage of hand ϑiles or rotary ϑiles for pulpectomy of primary molars - A retrospective study". International Journal of Research in Pharmaceutical Sciences 11, SPL3 (2020): 1500–1505. http://dx.doi.org/10.26452/ijrps.v11ispl3.3460.
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Dental caries is the most prevalent chronic condition of the oral cavity. Excessive tooth decay can inflame pulp requiring pulpal intervention. One such endodontic procedure done to treat pulpitis is pulpectomy which is defined as complete removal of coronal and Radicular pulp. It can be done through hand or rotary filing techniques. A rotary filing system is better over hand filing that it gives more conical canal, reduces preparation time and thus enhances child cooperation. To analyse the preference of pediatric dentists in a private dental institution in using rotary and hand filing techniques during pulpectomy procedures in primary molars. All the cases reported between the month of June 2019 to March 2020 for pulpectomy in primary molars in paediatric patients were chosen for this study. Data of pediatric patients who underwent pulpectomy were shortlisted and the instrumentation techniques used were analyzed, tabulated and was subjected to statistical analysis. From the statistical analysis, it can be analysed that paediatric dentists had a higher preference towards rotary filing technique (85.7%), predominantly in male patients (57.2%) between the age group of 2 to 5 years (67%), primarily in mandibular molars (67.1%). Within the limitation of this study, the commonly preferred instrumentation technique by paediatric dentists for pulpectomy of primary molars is rotary over hand filing.
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Shmueli, Aviv, Marcio Guelmann, Nili Tickotsky, Rinat Ninio-Harush, Avia Fux Noy, and Moti Moskovitz. "Blood Gas Tension and Acidity Level of Caries Exposed Vital Pulps in Primary Molars." Journal of Clinical Pediatric Dentistry 44, no. 6 (2020): 418–22. http://dx.doi.org/10.17796/1053-4625-44.6.5.
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Objective: The purpose of this study was to determine if gas tension and acidity levels could serve as biomarkers of pulp inflammatory status in primary dentition. Study design: The present study evaluated acidity level and blood partial pressures of O2 and CO2 collected from vital pulp chambers of 84 primary molars with deep carious lesions encroaching the pulp. Teeth were treated with pulpotomy or pulpectomy based on clinical judgement. Pulpectomy was performed when symptoms of spontaneous pain, difficulty in obtaining hemostasis and/or dark purple blood were present. Using a glass capillary, pulp chamber bleeding was collected and within ten minutes a neonate Astrup test was performed to determine blood gas module pH, pCO2, and pO2. Results: Eighty-four children with one affected tooth participated in the study (37 girls and 47 boys). Age ranged between 3.5 to 9-years (average: 5.3 years). Seventy-one (84%) were treated with the aid of inhalation analgesia, conscious sedation or general anesthesia. Pulpotomy was performed on 58 teeth (69%). Teeth undergoing pulpectomy revealed significant higher level of CO2 partial pressure (P= 0.002). Acidity level values (pH) were also lower but none significantly in teeth with pulpectomy (P= 0.137). Conclusions: Higher pCO2 levels was found in pulps needing pulpectomy.
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Neto, Natalino Lourenço, Bianca Katsumata de Souza, Isabela do Carmo Custodio, Marco Antonio Hungaro Duarte, and Thais Marchini Oliveira. "Optimizing endodontic treatment in primary teeth: a literature review." Revista Fluminense de Odontologia 3, no. 62 (2023): 42–51. https://doi.org/10.22409/ijosd.v3i62.57456.
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Many factors influence the success and efficacy of endodontic treatment in primary teeth, such as unpredictability and the morphological complexity of the canals. Thus, the quality of the obturation materials should aim at decreasing the iatrogenic risks during pulpectomy to maintain primary teeth until their physiological exfoliation. Pulpectomy of primary teeth is challenging because longer chair-side time may negatively affect the behavioral management of the child. Considering that challenging approach, the professionals frequently search for technologies that optimize the treatment and improve root canal modeling and sanitization. To provide more comfort to the child during the treatment, recently, the advancements in permanent tooth endodontics have been employed in primary tooth pulpectomy such as apical locators, rotary instrumentation, and NiTi instruments. Therefore, this study aimed to review the use of these technologies and instruments in the endodontic treatment of primary teeth, emphasizing the relevant key factors for treatment success. Keywords: Tooth, Deciduous; Pulpectomy; Endodontics; Technology
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Moghal, Amna, Sheharyar Akhtar Khokhar, Anam Mirza, Iqra Dildar, and Adil Zaheer. "Effect of Occlusal Reduction on Alleviating Pain in Symptomatic Apical Periodontitis." Journal of the Pakistan Dental Association 32, no. 03 (2024): 91–94. http://dx.doi.org/10.25301/jpda.323.91.
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OBJECTIVE: To evaluate pain relief in response to occlusal reduction in teeth with symptomatic apical periodontitis METHODOLOGY:A randomized controlled trial was done at department of Operative Dentistry and Endodontics, PIMS Hospital, Islamabad, Pakistan 27th May 2019 to 30th May 2020 on 166 patients suffering from irreversible pulpitis with symptomatic apical periodontitis were included in the study. After consent, Visual Analogue Scale (VAS) was used to document preoperative pain levels. Pulpectomy was done and patients were randomly divided into Group A (without occlusal reduction) and Group B (with 1-1.5mm occlusal reduction). Mean pain scores of Group A and Group B were compared at 24hrs, 72 hours and seventh day using T-test RESULTS: There was a significant difference in mean pain score (p=0.0001) post-pulpectomy between the teeth with and without occlusal reduction. CONCLUSION: The teeth that underwent occlusal reduction after pulpectomy showed lower mean pain levels compared to the non-reduction group. KEYWORDS: Occlusal reduction, apical periodontitis, irreversible pulpitis, pulpectomy, root canal therapy
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Yengopal, Veerasamy. "What’s new for the clinician? Excerpts from and summaries of recently published papers." South African Dental Journal 76, no. 04 (2021): 219–28. http://dx.doi.org/10.17159/10.17159/2519-0105/2021/v76no4a6.
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Pulpectomy is a conservative treatment approach for preventing the premature loss of primary teeth that can result in loss of arch length, insufficient space for erupting permanent teeth, impaction of premolars, and mesial tipping of molar teeth adjacent to the lost primary molar. Pulpectomy is a procedure which involves removal of the roof of pulp chamber in order to gain access to the root canals which are debrided, shaped, disinfected, and obturated later with a resorbable material. As a result, the tooth can be maintained in the arch without vital pulp tissue, without compromising the function of the tooth. The most common complications associated with pulpectomy, post-operative pain (PP) and/or swelling, commence after treatment. These are always unpleasant experiences for both patients and clinicians. The apical extrusion of infected debris or irrigation solution during the canal preparation or irrigation procedure may worsen the inflammatory response and cause periradicular inflammation and postoperative pain. It is well-documented that the type of irrigation method affects the amount of apically extruded debris (AED) in permanent teeth. No study has evaluated the effect of different needle types on the intensity and duration of PP after pulpectomy in primary molars. Topçuoglu and colleagues reported on a trial that sought to compare the intensity and duration of postoperative pain after pulpectomy using open-ended needles (OEN) versus sidevented needles (SVNs) in primary upper molars.
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Rika Ridawanty, Naninda Berliana Pratidina, and Risti Saptarini Primarti. "Effectiveness ZnOE, Ca(OH)2 and Iodoform as Root Canal Filling Materials for Pulpectomy in Primary Teeth." DENTA 17, no. 2 (2023): 57–66. http://dx.doi.org/10.30649/denta.v17i2.3.
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Background: Dental caries is a disease that affects almost half of the world's population. A pulpectomy is an endodontic treatment by removing the entire pulp and filling the root canals of primary teeth using an appropriate root canal filling material. Root canal filling material becomes an indicator of the effectiveness of pulpectomy in primary teeth. Operators must comprehend various types of root canal filling materials available in primary dental pulpectomy treatments. Objective: This scoping review aims to obtain data on the effectiveness of ZnOE, Ca(OH)2, and Iodoform paste as root canal filling materials in pulpectomy treatment of primary teeth. Methods: This research was a scoping review. By using the PRISMA-ScR study, electronic database searches were conducted on PubMed, EBSCOhost, and Google Scholar. Results: A total of 89 articles were identified through a search on PubMed, 137 articles through EBSCOhost, 442 articles through GoogleScholar, and 48 articles through a search using Handsearching. The total number of articles identified through all the databases results in 716 articles. Using the PRISMA-ScR flow diagram to do the selection process, it results in seven articles that are eligible for review. Conclusion: As root canal filling materials in pulpectomy treatment for primary teeth, ZnOE, Ca(OH)2, and Iodoform paste were considered effective. The scoping review results in this study showed that Ca(OH)2 + Iodoform Paste (Metapex®) were better than ZnOE.
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Brusnitsyna, Elena, Taras Zakirov, Evgeniy Ioshenko, Maria Saipeeva, and Tatiana Stati. "Pulpectomy versus pulpotomy in the treatment primary molars with chronic pulpitis." BIO Web of Conferences 22 (2020): 02011. http://dx.doi.org/10.1051/bioconf/20202202011.
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The purpose of this study was to compare outcomes and survival of pulpectomy and pulpotomy in primary molars with chronic fibrous pulpitis. Significant differences in radiological failure rates were found among the groups of pulpectomy and pulpotomy (RR=2.00, 95% CI 1.30 to 3.07). No significant differences post-treatment survival were observed among the groups: 26.46±1.36 months and 25.76±1.47 (p=0.730).
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Holland, Graham Rex. "Periapical neural changes after pulpectomy." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 80, no. 6 (1995): 726–34. http://dx.doi.org/10.1016/s1079-2104(05)80258-6.
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Moos, Heidi L., J. Douglas Bramwell, and James O. Roahen. "A comparison of pulpectomy alone versus pulpectomy with trephination for the relief of pain." Journal of Endodontics 22, no. 8 (1996): 422–25. http://dx.doi.org/10.1016/s0099-2399(96)80244-5.
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