儿童牙医经典教学：Pulp Treatment七年制 (2017）1.pptxVIP

Pediatric Endondontics Ling Zheng- yuPedo Department Guanghua Colledge of Stomatology Sun Yat-Sen University The Endondontics Treatment in Primary and Young Permanent TeethGoals of pulp therapyDiagnosisIndications and types of pulp treatment for primary and young permanent teethProcedure of pulp treatmentsGoals of Pulp TherapyAllowing the tooth to remain in the mouth in a nonpathologic stateMaintenance of arch length and tooth spaceRestoration of comfort with the ability to chewPrevention of speech abnormalities and abnormal habitsDiagnosis of Primary Teeth Several diagnostic considerations should be evaluatedthe length of time the tooth in question the health of the patientthe status of the remaining dentitionthe restorability of the tooth in questionpatient and parent cooperationClinical assessmentRadiographic assessmentClinical AssessmentPain history Spontaneous discomfort at night Is the tooth influenced by thermal or chemical stimuli or percussion? Have no pain history Time Frequency Pain intensity Pain locationAre soft tissue swelling or a fistulous tract present ?Is the tooth Excessively mobile?Pulpal exposure and hemorrhageVitalometer tests are very unreliableRadiographic AssessmentThe depth of carious process related to pulpal tissueThe presence of the calcified bodies in the pulpal tissue indicates chronic inflammationInvolvement of the bifurcation and trifurcation regions of the primary molarsRadiographic AssessmentPathologic external root and bone resorptionThe presence of internal root resorption in the coronal or apical portion of the involved toothThe development of the dental budThe inflammation may influence dental sac Indications and types of pulp treatment for primary teethDirect pulp capping It is the placement of pulp-cap on a small, mechanically induced pulpal exposure. Its use should be limited to permanent teeth.Indications and types of pulp treatment for primary teethIndirect pulp therapy It is indicated when a deep carious lesion is