Pulp involvement in deciduous teeth in pediatric patients under ten years of age

Authors

DOI:

https://doi.org/10.5281/zenodo.7884422

Keywords:

Dental Pulp Diseases, Dental Pulp, Therapeutics, Oral Hygiene.

Abstract

Introduction: Current dentistry prioritizes preventive measures as an effective way of reducing the main diseases that affect the oral cavity. Any alteration of the dentin-pulp complex, if not treated, can act as an irritant and trigger a pulp inflammatory process. 

Objective: to determine the main causes and treatment of dental pulp disorders in patients under ten years of age.

Methods: a cross-sectional descriptive observational research was carried out. The universe consisted of 30 pediatric patients, working with all of them. Individual non-digitized medical records were used to obtain the information. Descriptive statistics were used for data analysis by calculating absolute and relative percentage frequencies. The ethical standards set forth in the II Declaration of Helsinki were respected.

Results: it was found that 60 % of them were caused by dental caries, followed by iatrogenic medical causes (27 %) and trauma with 13 % of the total sample. Regarding the treatment carried out before the pulp affection, it was observed that 42 % of the patients underwent exodontia, followed by pulpotomy (32 %) and pulpectomy (26 %) respectively.

Conclusions: It is concluded that the main cause of dental pulp affections are caries and the main treatment used in these cases is exodontia; therefore, it is necessary to strengthen preventive measures to raise awareness about the care of teeth and oral hygiene.

Downloads

Download data is not yet available.

References

1. Bordoni N, Escobar A, Mercado RC. Odontologia pediatrica / Pediatric Dentistry: La salud bucal del nino y el adolescente en el mundo actual / The Oral Health of Children and Adolescents in Today’s World. Ed. Médica Panamericana; 2010.

2. Costello MJ, Nieto O, Ferraris ME. Aspectos estructurales de los dientes primarios. Estudio al M.O. Y M.E.B. Rev Fac Odontol Univ Nac (Cordoba) [Internet]. 1997 [Citado 23/02/2023]; 61–9. Disponible en: https://revistas.unc.edu.ar/index.php/RevFacOdonto/article/view/17006

3. Bhaskar SN. Histologia e embriologia oral de Orban. In: Histologia e embriologia oral de Orban. 1989. p. 501–501.

4. Gloria DA. Redalyc.org. [cited 2023 Feb 23]. Disponible en: https://www.redalyc.org/pdf/1800/180020304023.pdf

5. del Perpetuo Socorro Mendiburu Zavala CE, Medina-Peralta S, Chi Castillo SD. Enfermedades pulpares y periapicales en pacientes sistémicamente comprometidos en el Centro de Salud de Uayma, Yucatán, México. Rev Cubana Estomatol [Internet]. 2016 [Citado 23/02/2023]; 53(4):198–209. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=s0034-75072016000400003

6. López C, Pablo J. Prevalencia de las enfermedades pulpares en piezas dentales con caries no tratadas mediante el índice PUFA en escolares de 12 años de la parroquia “Hermano Miguel” Cuenca Ecuador, 2016. 2018.

7. Awawdeh LA, Lundy FT, Linden GJ, Shaw C, Kennedy JG, Lamey P-J. Quantitative analysis of substance P, neurokinin A and calcitonin gene-related peptide in gingival crevicular fluid associated with painful human teeth: Neuropeptides in GCF. Eur J Oral Sci [Internet]. 2002 [Citado 23/02/2023]; 110(3):185–91. Disponible en: http://dx.doi.org/10.1034/j.1600-0447.2002.21236.x

8. Nusstein JM, Beck M. Comparison of preoperative pain and medication use in emergency patients presenting with irreversible pulpitis or teeth with necrotic pulps. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2003[Citado 23/02/2023]; 96(2):207–14. Disponible en: https://www.sciencedirect.com/science/article/pii/S1079210402917324

9. Fuks AB. Current concepts in vital primary pulp therapy. Eur J Paediatr Dent [Internet]. 2002 [Citado 23/02/2023]; 3(3):115–20. Disponible en: https://web.archive.org/web/20170713034042id_/http://admin.ejpd.eu:80/download/2002-03-02.pdf

10. Coll JA. Indirect pulp capping and primary teeth: is the primary tooth pulpotomy out of date? J Endod [Internet]. 2008 [Citado 23/02/2023]; 34(7 Suppl):S34-9. Disponible en: https://www.sciencedirect.com/science/article/pii/S0099239908001969

11. Vaz MM, Lopes LG, Cardoso PC, Souza JB de, Batista AC, Costa NL, et al. Inflammatory response of human dental pulp to at-home and in-office tooth bleaching. J Appl Oral Sci [Internet]. 2016 [Citado 23/02/2023]; 24(5):509–17. Disponible en: https://www.scielo.br/j/jaos/a/6WFNHP9KtHLsPN7WcHkjpgb/abstract/?lang=en

12. Janani K, Palanivelu A, Sandhya R. Diagnostic accuracy of dental pulse oximeter with customized sensor holder, thermal test and electric pulp test for the evaluation of pulp vitality: an in vivo study. Braz Dent Sci [Internet]. 2020 [Citado 23/02/2023]; 23(1):8 p.-8 p. Disponible en: https://ojs.ict.unesp.br/index.php/cob/article/view/1805

13. Corona-Tabares MG, Rosales-Quintero M, Flores-Orozco E, López-Corona AG, Diaz-Peña R. Analysis of the internal anatomy of the first premolar root less and its relationship with split root mesial. Oral [Internet]. 2018 [Citado 23/02/2023]; 18(56):1435–40. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDREVISTA=214&IDARTICULO=78114&IDPUBLICACION=7556

Published

2023-04-24

How to Cite

1.
Moreno García SE, Armijos Moreta JF, Gavilánez Villamarín SM. Pulp involvement in deciduous teeth in pediatric patients under ten years of age. Univ. Méd. Pinareña [Internet]. 2023 Apr. 24 [cited 2025 Apr. 19];19:e950. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/950

Most read articles by the same author(s)