DOI:

10.37988/1811-153X_2024_4_30

The efficiency of the vital pulp therapy in primary teeth in children under sedation

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Authors

  • E.N. Arjenovskaya 1, postgraduate at the Pediatric dentistry Department
    ORCID: 0000-0001-5300-6498
  • T.N. Kamennova 1, PhD in Medical Sciences, associate professor of the Pediatric dentistry Department
    ORCID: 0000-0002-1641-8159
  • E.E. Maslak 1, Doctor of Science in Medicine, full professor of the Pediatric dentistry Department
    ORCID: 0000-0003-2011-9714
  • 1 Volgograd State Medical University, 400131, Volgograd, Russia

Abstract

When providing dental care to children, priority should be given to minimal intervention using vital pulpitis therapy. The aim was to study the results of vital pulp therapy which was carried out in primary molars in children under sedation with preserved consciousness.
Materials and methods.
Vital pulp therapy (indirect pulp capping with a preparation based on calcium silicate) was carried out in 120 primary molars (58 first and 62 second molars) in 60 children aged 3—6 years under nitrous oxide — oxygen sedation. Clinical and radiological assessment of the condition of the cured teeth was carried out for 2 years. The efficiency of pulpitis treatment was assessed by the criterion of dental survival after treatment.
Results.
During 24 months after the treatment 5% teeth were extracted due to periodontitis; vital pulpotomy was performed in 2.5% cases due to pulpitis exacerbation; filling defects were repaired in 15.8% cases; the survival rate of teeth was 95%.
Conclusions.
The obtained data show the promise of vital pulp therapy in primary molars in children under sedation, and also actualize the follow-up need after the treatment.

Key words:

children, primary molars, pulpitis, vital therapy, sedation

For Citation

[1]
Arjenovskaya E.N., Kamennova T.N., Maslak E.E. The efficiency of the vital pulp therapy in primary teeth in children under sedation. Clinical Dentistry (Russia).  2024; 27 (4): 30—33. DOI: 10.37988/1811-153X_2024_4_30

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Received

January 4, 2024

Accepted

October 20, 2024

Published on

December 17, 2024