When Should Direct Pulp Capping or Pulpotomy Be Preferred In Deciduous Teeth?

Yıl 2024, Cilt: 6 Sayı: 2, 232 - 240, 30.08.2024

Melek Belevcikli , Edanur Çakır

https://doi.org/10.51122/neudentj.2024.107

Öz

Dental caries is a serious health problem with too high prevalence among children. It can affect the pulp and lead to infection, fistulas, abscesses, and premature tooth loss. The main purpose of pulp treatment in the primary teeth is to maintain health of teeth and oral tissues, thus, preserving functions of orofacial complex, such as chewing, speaking, and to keep primary teeth in position to maintain the arch size until the permanent teeth erupt. Contemporary pediatric dentistry seeks new materials and strategies to stimulate the regenerative ability of dental tissues. Dentists must be aware of the most suitable treatment choices to keep pulp tissue vitality. Vital pulp therapies (VPT) consist of indirect pulp capping, direct pulp capping, and pulpotomy for the treatment of deep carious lesions in teeth without a history of pain or with reversible pulpitis. VPT is used to treat reversible pulpal inflammation and maintain vitality and functionality of the pulp. Due to its high internal resorption and failure rate, direct pulp capping is still a controversial treatment choice for deep carious lesions. In this review, studies on direct pulp capping and pulpotomy treatments of VPT in primary teeth are presented together.

Anahtar Kelimeler

Vital pulp therapy, Direct pulp capping, Pulpotomy

Direkt Pulpa Kuafajı Mı Yoksa Pulpotomi Mi: Süt Dişlerindeki Derin Çürük Lezyonlarının Tedavisinde Hangisi Daha İyidir?

Öz

Diş çürüğü, pulpa canlılığını etkileyebilen ve sonuçta enfeksiyona, apselere, fistüllere ve bununla birlikte erken diş kayıplarına yol açabilen, çocuklar arasında çok yüksek bir yaygınlık sergileyen, önemli bir sağlık sorunudur. Süt dişlenme döneminde pulpa tedavisinin temel amacı, oro-fasiyal kompleksin çiğneme, konuşma, estetik gibi fonksiyonlarını sürdürmek için dişlerin ve onları destekleyen dokuların sağlığını sürdürmek ve süt dişlerini daimi dişler sürene kadar ark boyutunun korunması için mevcut konumlarında tutmaktır. Modern pediatrik diş hekimliği, diş dokularının rejeneratif kapasitesini uyarmak için yeni stratejiler ve materyaller arar. Diş hekimleri pulpa dokusunun canlılığını korumak için en uygun tedavi seçeneklerini bilmelidir. Vital pulpa tedavileri (VPT), ağrı öyküsü olmayan veya reversibl pulpitisli dişlerdeki derin çürük lezyonlarının tedavisine yönelik indirekt pulpa kuafajı, direkt pulpa kuafajı ve pulpotomiden oluşur. VPT'nin amacı, geri dönüşümlü pulpal inflamasyonu tedavi etmek, pulpa canlılığını ve fonksiyonlarını korumaktır. Süt dişlerinde derin çürük lezyonlarının tedavisinde direkt pulpa kuafajı yüksek internal rezorbsiyon ve başarısızlık oranı nedeniyle hala tartışmalı bir tedavi seçeneğidir. Bu derlemede, süt dişlerinde vital pulpa tedavilerinden direkt pulpa kuafajı ve pulpotomi tedavileri ile ilgili araştırmalar bir arada sunulmuştur.

Anahtar Kelimeler

Vital pulpa tedavileri, Direkt pulpa kuafajı, Pulpotomi

Kaynakça

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