Pulp Therapy in Primary Teeth
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Questions and Answers

How is internal resorption usually detected?

  • By the appearance of visible holes in the tooth
  • As an incidental finding on radiographic examination (correct)
  • Through visual inspection of the tooth surface
  • By the presence of severe pain
  • What is the main cause of internal resorption in dentine?

  • Bacterial infection
  • Chronic inflammation and activity of giant cells (correct)
  • Chemical erosion from acidic foods
  • Physical trauma to the tooth
  • What should internal resorption be considered as?

  • A form of dental caries
  • A form of irreversible pulpitis (correct)
  • An indication of healthy pulp
  • An early stage of reversible pulpitis
  • What is the main aim of describing the techniques to manage vital, pulpally involved primary teeth?

    <p>To manage vital, pulpally involved primary teeth</p> Signup and view all the answers

    What is the main objective of evaluating different methods for managing the vital pulp of primary molars?

    <p>To apply the methods where appropriate</p> Signup and view all the answers

    Where can students find additional relevant teaching material?

    <p>In the first year teaching materials</p> Signup and view all the answers

    What is the principal goal of paediatric operative dentistry?

    <p>To prevent the extension of dental disease and restore damaged teeth to healthy function</p> Signup and view all the answers

    What are the reasons for pulp exposures in primary teeth?

    <p>Caries, cavity preparation, and crown fracture</p> Signup and view all the answers

    What should any treatment plan for carious primary molars be based on?

    <p>Thorough history, examination, and appropriate investigations</p> Signup and view all the answers

    What is the most common cause of pulp exposure in primary teeth?

    <p>Caries</p> Signup and view all the answers

    What are the alternative to extraction for many pulpally compromised primary teeth?

    <p>Range of endodontic procedures</p> Signup and view all the answers

    What is the first treatment decision for a young patient with extensively carious primary molars?

    <p>Whether to retain or extract these teeth</p> Signup and view all the answers

    What indicates a poor prognosis for the treatment of primary teeth?

    <p>Spontaneous pain</p> Signup and view all the answers

    What is a significant difference between root canals of primary molars and permanent molars?

    <p>Root canals of primary molars have more lateral branching</p> Signup and view all the answers

    What is a key consideration for the assessment of pulpal health in primary teeth?

    <p>Extent of inflammation</p> Signup and view all the answers

    What is a consequence of loss of the marginal ridge in over 50% of primary molars?

    <p>Irreversible pulp inflammation</p> Signup and view all the answers

    What helps determine the condition of the pulp in primary teeth, with certain limitations in children?

    <p>Vitality tests</p> Signup and view all the answers

    When is extraction considered for primary teeth with inflamed pulp?

    <p>When there is still a good depth of dentine left after caries removal</p> Signup and view all the answers

    Which material is considered the gold standard for pulpotomy in primary teeth?

    <p>Ferric sulphate</p> Signup and view all the answers

    What is a concern associated with the use of ferric sulphate for pulpotomy in primary teeth?

    <p>Potentially hiding an inflamed radicular pulp</p> Signup and view all the answers

    Which material is known for its excellent sealing ability and high biocompatibility in regeneration-based pulp therapy for primary teeth?

    <p>MTA</p> Signup and view all the answers

    Which non-pharmacological action is used for pulp therapy in primary teeth?

    <p>Electrosurgery</p> Signup and view all the answers

    What material is traditionally used to fill the coronal pulp space after pulpotomy in primary teeth?

    <p>Zinc oxide–eugenol</p> Signup and view all the answers

    When is partial pulpectomy indicated for primary molars?

    <p>When there is vital coronal and radicular pulp</p> Signup and view all the answers

    Which pulp therapy option is not recommended in primary teeth due to inflamed pulp prior to exposure?

    <p>Direct pulp capping</p> Signup and view all the answers

    What is the composition of Buckley’s formocresol?

    <p>19% formalin, 35% cresol, glycerin, and distilled water</p> Signup and view all the answers

    What indicates an unfavorable condition during pulp therapy, leading to non-vital pulpectomy or extraction?

    <p>Excessive uncontrollable bleeding</p> Signup and view all the answers

    What is the technique for indirect pulp capping?

    <p>Clearing caries, gentle excavation, and covering with material followed by glass ionomer and composite resin</p> Signup and view all the answers

    What is the main concern over the use of formocresol and other medicaments?

    <p>Potential carcinogenic effects</p> Signup and view all the answers

    What is the primary factor to consider for pulp therapy?

    <p>Age of patient</p> Signup and view all the answers

    Study Notes

    Pulp Therapy in Primary Teeth: Indirect Pulp Capping, Direct Pulp Capping, and Vital Pulpotomy

    • Factors to consider for pulp therapy: age of patient, history of pain, clinical examination, and radiographic examination
    • Pulp therapy options for primary teeth: indirect pulp capping, direct pulp capping, pulpotomy, partial pulpectomy, and pulpectomy
    • Indirect pulp capping involves leaving softened dentine in deep carious lesions to avoid pulp exposure and covering it with materials like calcium hydroxide or MTA
    • Technique for indirect pulp capping: clearing caries, gentle excavation, and covering with material followed by glass ionomer and composite resin
    • Direct pulp capping is not recommended in primary teeth due to inflamed pulp prior to exposure, leading to poor success rates
    • Vital pulpotomy is the removal of coronal pulp tissue till the orifices, capping radicular pulp tissues, and placing a coronal restoration
    • Indications and technique for vital pulpotomy: wide pulp exposure, slight controlled bleeding, normal pulp and radiographic signs, and specific steps for the procedure
    • Pulpotomy techniques are based on devitalization, involving the use of Formcresol as a fixative and antimicrobial agent
    • Composition of Buckly’s formocresol: 19% formalin, 35% cresol, glycerin, and distilled water
    • Concerns over the use of formocresol and other medicaments due to their potential carcinogenic effects
    • Excessive uncontrollable bleeding during pulp therapy indicates an unfavorable condition, leading to non-vital pulpectomy or extraction
    • Careful diagnosis is crucial for determining the level of therapy based on the extent of injury or disease in primary teeth

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    Description

    Test your knowledge of pulp therapy in primary teeth with this quiz. Explore the factors to consider, various pulp therapy options, and specific techniques for procedures like indirect pulp capping and vital pulpotomy. Understand the indications and concerns related to medicaments used in pulp therapy.

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