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teeth
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Permanent young teeth
Definition- permanent teeth with incompletly formed
apices are called young permanent teeth.
Features-
1.pulpchamber anatomy approximates
surface shape of the crown more closely than in
permanent teeth.
3. Roots of primary molar flare outward from the cervical part of tooth to greater degree than permanent teeth.
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Paediatric pulp therapy
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INDIRECT PULP CAPPING
• Objectives-
1. To avoid pulp exposure
2. Stimulate the pulp to generate reparative
dentin
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Advantages:
1. arrest of caries progression
2. preservation of vitality of non exposed pulp
3.One or two sitting procedures
Response to treatment:
Clinical examination:
1. large carious lesion
2. absence of lymphadenopathy
3. normal colour of tooth
Radiographs:
1. large carious lesion in close proximity to pulp
2. normal lamina dura
3. normal periodontal ligament space
4. no interradicular or periapical radiolucency
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contraindications
o History :
1. sharp penetrating pain that persists after withdrawing
stimulus
2. prolonged spontaneous pain
o Clinical examination:
1. excessive tooth mobility
2. tooth discolouration
3. non responsiveness to pulp testing technique
o Radiographic examination
1. large carious lesion with apparent pulp exposure
2. interupped or broken lamina dura
3. widened periodontal ligament space
4. radiolucency at the root apices or furcation areas
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Direct pulp capping
Definition:
It is a placement of a
biocompatible that has be
inadvertently exposed from
caries excavation or traumatic
injury.
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objectives
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contraindications
• Spontaneous and nocturnal tooth aches
• Excessive tooth mobility
• Thickening of periodontal ligament
• Radiographic evidence of furcal and periradicular degeneration
• Uncontrollable hemorrhage at the time of exposure
• Purulent or serous exudate from the exposure
Note: Direct pulp capping tends to be more successful in young
permanent teeth
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Pulpotomy
Definition:
surgical removal of entire coronal pulp
leaving intact the vital radicular pulp.
Objectives:
1. to preserve the vitality of tooth
2. relief of pain in pts with acute pulpagia
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Indications
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Contraindications
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Calcium hydroxide
pulpotomy
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Types of pulpotomy
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Formocresol pulpotomy
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Pulpectomy
• Definition:
Removal of necrotic pulp tissue followed by
filling the root canals with a resorbable cement
• Objectives:
1. maintains tooth free of infection
2. biomechanically cleanse and obturate the root
canals
3. promote physiologic root resorption
4. hold the space for erupting permanent teeth
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