Pulp Calcification in Traumatized Primary Teeth – Classification, Clinical And Radiographic Aspects

Mello‐Moura, Anna Carolina Volpi; Santos, Ana Maria Antunes; Bonini, Gabriela Cunha; Zardetto, Cristina Giovannetti Del Conte; Moura-Netto, Cacio; Wanderley, Márcia Turolla

doi:10.17796/1053-4628-41.6.9

Cited by 10 publications

(8 citation statements)

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“…While the risk of pulp necrosis and subsequent infection of the root canal system for the yellow teeth was same as that for teeth with normal color, an eight times higher risk of pulp canal obliteration was observed in the former. The impact of these findings for clinical practice is that yellow teeth have a high probability of maintaining a normal pulp and non‐invasive procedures are indicated in such cases . The pulp canal obliteration may be a result of damage to the neurovascular supply coupled with ischemia followed by necrosis or revascularization.…”

Section: Discussionmentioning

confidence: 99%

Incidence and prognosis of crown discoloration in traumatized primary teeth: A retrospective cohort study

Goettems

Thurow

Noronha

et al. 2020

Dental Traumatology

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Background/Aim Knowledge of factors influencing the occurrence of crown discoloration following traumatic dental injuries in primary teeth and understanding its possible consequences can help dentists to provide appropriate care. The aim of this retrospective cohort study was to investigate the incidence of crown discoloration following trauma in primary teeth. This study also estimated the risk of pulp necrosis with subsequent infection of the root canal system and pulp canal obliteration in discolored teeth. Material and Methods Records of children treated at the specialized trauma center of the Federal University of Pelotas during a period of 10 years were analyzed. Patient details including the type of injury, presence of crown discoloration, pulp necrosis, and pulp canal obliteration were collected. Photographs of teeth with crown discoloration were assessed to evaluate the color presented (yellow or dark). Chi‐square tests and Poisson regression were used for data analyses (P < .05). Results A total of 355 children with 628 traumatized teeth were included in the study. The incidence of crown discoloration was 27.9%, and 20.5% of the teeth were affected. Discoloration was higher in children whose age at the time of trauma was 2‐4 years (P = .020), and it was associated with the type of injury (P = .019). Discolored teeth had a twofold risk of pulp necrosis and subsequent infection of the root canal system (RR 1.98 95% CI 1.42‐276; P < .001) and a higher risk of pulp canal obliteration (RR 8.47; 95% CI 4.95‐14.51; P < .001) than did teeth without discoloration. Teeth with dark and yellow discoloration were significantly associated with pulp necrosis and pulp canal obliteration, respectively (P < .001). Conclusions This study demonstrates the importance of monitoring traumatized primary teeth with crown discoloration, particularly those appearing darker, owing to their higher risk of pulp necrosis and subsequent infection of the root canal system.

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Section: Discussionmentioning

confidence: 99%

Incidence and prognosis of crown discoloration in traumatized primary teeth: A retrospective cohort study

Goettems

Thurow

Noronha

et al. 2020

Dental Traumatology

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“…26,27 For Silva et al, 28 manual instrumentation of root canals, despite being the most widely accepted and used method for canal debridement and modeling, is time consuming and may result in iatrogenic errors. Optimization of the traditional endodontic technique with the use of rotating mechanical and apex locators has advantages such as reduced clinical time, increased patient comfort, and less need for behavioral cooperation of children; 29,30 however, it increased the costs due to the need to purchase necessary equipment for its accomplishment.…”

Section: Discussionmentioning

confidence: 99%

Cost analysis of endodontic treatment in primary teeth: results from a randomized clinical trial

et al. 2021

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This study compared the cost of endodontic treatment in primary teeth involving a technique that does not require root canal instrumentation using antibiotic paste (CTZ) with that of the instrumented technique using iodoform paste (GP). This study is part of a randomized, controlled, parallel arm, noninferiority, 1:1 allocation, blinded (patient) multioperator study of 52 primary incisors of children aged 3 to 6 years with caries lesion and pulp involvement. Each technique was performed according to the creators' descriptions. The cost was assessed by analyzing the costs of capital, dental supplies, and professional labor according to the time taken to perform the procedure and the CHEERS guidelines were used to report the cost assessment. Endodontic treatment with CTZ had a 58.33% lower execution cost than GP (US$6.73 and US$16.15, respectively). The t-test showed significant differences between groups regarding treatment time and total cost (p < 0.0001). The CTZ technique seems to be more economically viable than GP for endodontic treatment of primary teeth, requiring a shorter treatment time and lower costs.

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“…Sendo assim, podem ser encontrados diversos tipos de classificações sobre as calcificações pulpares, dentre estas, pode-se citar a classificação imposta por (SATHEESHKUMAN et al, 2013), que aponta vários tipos e subtipos citados a seguir: tipo I (calculo único na câmara pulpar), tipo IA (cálculos múltiplos na câmara pulpar); tipo II (cálculo único no canal radicular) tipo IIA (cálculos múltiplos no canal radicular) tipo IIB (cálculos pulpares na câmara e no canal radicular); tipo III (cálculo que se estende continuamente da câmara pulpar para o canal radicular). Outra classificação, citada por Mello-Moura et al(2017), divide os tipos de calcificações em coronal, radicular ou ambas, apresentando dois subtipos baseados na extensão: parcial ou total.…”

Section: Classificaçãounclassified

O uso do endoguide no planejamento e tratamento de dentes permanentes calcificados / The use of endoguide in the planning and treatment of calcified permanent teeth

Ramalho¹,

Oliveira²,

Vasconcelos³

et al. 2021

Braz. J. Hea. Rev.

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A localização e a manipulação dos canais calcificados são fatores que tornam o tratamento endodôntico bastante desafiador, capazes de comprometer o processo de desinfecção dos condutos radiculares. Atualmente vários recursos clínicos têm sido utilizados para auxiliar este tratamento, sendo o Endoguide uma nova abordagem terapêutica para a resolução desses casos complexos. Dessa forma ,este estudo tem como objetivo descrever a aplicação clínica do Endoguide em tratamento de canais calcificados incluindo a descrição da técnica, indicações, contraindicações, vantagens, desvantagens, e alguns relatos de casos clínicos encontrados na literatura. Foi empregado como método de

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Pulp Calcification in Traumatized Primary Teeth – Classification, Clinical And Radiographic Aspects

Abstract: Since PC is a general term, it is important to classify it and correlate it to clinical and radiographic changes, in order to establish the correct diagnosis, treatment and prognosis of each case.

Cited by 10 publications

References 0 publications

Incidence and prognosis of crown discoloration in traumatized primary teeth: A retrospective cohort study

Incidence and prognosis of crown discoloration in traumatized primary teeth: A retrospective cohort study

Cost analysis of endodontic treatment in primary teeth: results from a randomized clinical trial

O uso do endoguide no planejamento e tratamento de dentes permanentes calcificados / The use of endoguide in the planning and treatment of calcified permanent teeth

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