HOME - Clinical cases - Pediatric dentistry
 
 
23 October 2019

Endodontic treatment in deciduous teeth: How to reduce time

Alessandra Abbà


Dental pulp in deciduous teeth can be involved earlier than in permanent teeth in the progression of carious lesions. In addiction it is also known that traumatic injuries, especially in anterior teeth, occur frequently. When the deciduous pulp is compromised, endodontic treatment should be performed to preserve the integrity and function of the tooth until the physiological exfoliation. The instrumentation of the root canal may be performed with manual or mechanical tools.
Endodontic treatment with rotary systems can contribute significantly to reducing the duration of the procedure for pediatric patients. This study published on International Journal of Clinical Pediatric Dentistry in 2019 aims to demonstrate the potential applications of technological advances in endodontics in pediatric dentistry. 

Materials and Methods 
The sample comprised artificial deciduous teeth divided into three groups:
-  group I:  instrumented with a manual technique (G1), performed with the Kerr type files 1st series 21 mm.
-  group II: rotary technique (G2), performed Mtwo files of sizes 10/0.4, 15/0.5, 20/0.6, 25/0.6–21 mm
-  group III: reciprocating instrumented technique (G3), performed with RECIPROC file Reciproc 25/0.08.

Access to the root canal was performed by with a round bur, scouting of canal with a file Pilot # 10 0.2, 21 mm, to the working length (CT) without resistance, and widening the entrance of the conduits with Gates Glidden drills no. 2–4. A stopwatch was used to measure the instrumentation time in each root canal. 

Results
The comparisons between the groups showed that manual instrumentation, rotary and reciprocating systems techniques were efficacy in the shaping of the canals. The average time for the manual technique was 4.4 minutes, while for the rotary and reciprocating systems was 3.4 minutes.

Conclusions
Results showed that current systems can facilitate endodontic treatment in one session. Reducing treatment time is essential with pediatric patient. Rotary and reciprocating techniques had identical effects in reducing the treatment time.  Both techniques required significantly less time compared to manual instruments. Then rotary instrumentation offers several advantages as flexibility, cutting power, better maintenance of the original canal shape. However further statistical investigation are necessary to perform endodontic treatment in primary teeth.


For additional informations: Endodontic Treatment in Artificial Deciduous Teeth through Manual and Mechanical Instrumentation: A Pilot Study



Related articles

Dental caries are frequent and represent real oral health problems even in preschoolers and school children. It is a disease of the hard tissues of the tooth,...


Many dental procedures can be performed with local anesthesia. Nonetheless in certain clinical situation and especially with pediatric patients it can be...


Although caries is on the decline in most population groups, early childhood caries (ECC) prevalence continues to be high, especially in low socioeconomic...


In pediatric patients with deep carious permanent, soft tissue anesthesia doesn’t always assure pulpal anesthesia and this can lead to a painful and even...


The aim of the present study was to compare the long term clinical and radiographic success rates of Biodentine and MTA pulpotomies, performed on primary teeth...


Read more

Digital dentistry: scope and technologies in orthodontics Digital dentistry may refer to any dental technology or device that incorporates digital or computer-controlled components in contrast...


Manufacturers of dental supplies can make a huge difference when it comes to global warming by reducing greenhouse gases in their production. As a leading...


Oral pathology     06 November 2019

Multiple white lesions

Co-authors: F. Scotti, M. Mandaglio, S. Decani, E. Baruzzi

An 83-year-old female patient arrives in urgency complaining of noticeable exacerbation of the symptoms at the level of oral mucous. The patient, non-smoker...


Poor oral hygiene has been implicated in the development of aspiration pneumonia in frail patients. In fact inadequate oral care can cause colonisation of...


In specific types of cases, removal of one mandibular incisor can greatly facilitate orthodontic treatment. There are 2 primary indications: (1) severe...


 
 

Newsletter

 
 
 
 

Most popular

 
 

Events