Pulpitis is an inflammation of the pulp. Occurs most often due to improper treatment. In children, it occurs mainly due to undertreated or neglected caries. So what is a pulpitis baby teeth in a child?
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What is pulpit milk teeth
Pulpitis in a child is more common than in an adult. This is explained by the fact that the enamel of milk teeth is much thinner than that of permanent teeth. Wherein the pulp cavity is large. Also, in children's teeth, because of the wide dentinal tubules, the infection easily penetrates the pulp. The outflow of fluid from the pulp is also due to the tubules. As a result, the pain may be minor, and in some cases, inflammation may not be noticed. Because of this, they often miss the onset of the disease.
In addition, in children, the immune system is not yet fully formed, so inflammatory processes develop so often. Another reason why this disease is diagnosed late is the small sensitivity of milk teeth pulp.
Forms of pulpitis
Pulpitis in children can be:
- Sharp
- Chronic.
The acute form of pulpitis is characterized by pain that occurs periodically, without exposure to any stimulus. Often the child’s pain occurs at night.
Acute pulpitis in children has the following characteristics:
- The stage of focal pulpitis proceeds very quickly.
- Inflammation from the coronal pulp to the root spreads very quickly.
- The acute form quickly becomes chronic.
- Inflammation extends to the periodontium.
- The body of the child may show signs of intoxication. There is a headache, the body temperature begins to rise.
Chronic form smoothly flows from acute. But it may also happen that such a form comes first.
In baby teeth fibrous pulpitis may develop, passing subsequently into gangrenous. In the latter case, the pain arises from the hot, from the mouth begins to smell of rot, it seems that the tooth has increased in size. Periodontal inflammation occurs, edema develops, and sensing is characterized by painful sensations.
This chronic form reveals the dentist during the reception. He easily notices a carious cavity with softened dentin.
Treatment of pulpitis in milk teeth in children
Pulpitis baby teeth need to be treated to reduce inflammation, protect periodontal, create a comfortable environment for the formation of permanent teeth. Dentistry aims to provide treatment teeth in children quickly and easily, delivering a minimum of pain.
Treatment of pulpitis in a child can be performed in two ways:
- Conservative.
- Surgical.
Chronic fibrous pulpitis of milk teeth is treated with a conservative method. First, open the inflamed cavity of the tooth. Then the pulp and the bottom of the cavity is closed with calcemin or a paste consisting of artificial dentine powder and Shostakovsky balm. After drying, put a seal of sildonta with fluorine-cement gasket or from phosphate cement.
Many doctors perceive this method ambiguously. A positive thing is considered preserving pulp, thanks to which the tops of the tooth roots in a child are formed correctly. A negative point of the conservative method of treatment are the numerous complications arising after this procedure.
Surgical treatment involves the complete or partial removal of the pulp.
Pulp removal is performed by two methods.:
- Vital.
- Devital
The vital method is to remove the coronal portion of the pulp, while maintaining the viability of the root portion.
If, as a result of improper treatment, the infected part is not removed, then the likelihood of complications is high. Root pulp does not allow microbes to penetrate into the periapical tissues. The vital method of treatment is carried out in one or two doses.
In order to prevent the penetration of the infection into the deep-seated layers of dentin, when opening the pulp cavity, change burs as often as possible. The cavity is washed with antiseptic, and in the area of the mouth of the channel cut pulp.
Bleeding is stopped with adrenaline solution. If it does not stop, then the inflammatory process continues in the root pulp. In this case, the entire pulp is removed under anesthesia.
The devital method is considered the most common treatment for pulp of milk teeth. It is used if the child has developed an acute or chronic fibrous form.
This method is strictly prohibited for exacerbation of chronic pulpitis and chronic gangrenous pulpitis.
With devital method arsenic paste is usedwhich is applied after removal of the pulp and overgrown granulation tissue. This method is used in chronic hypertrophic form under application anesthesia.
If pulpitis is gangrenous or fibrous with unformed roots, arsenic is contraindicated. It is replaced by a mixture of phenol and formalin in combination with anesthetic drugs, which is applied to the swab and applied to the sore spot.
Arsenic superimposed on the day or two, depending on the number of tooth roots. Too long use of the paste can destroy the periodontium. In the next visit, the pulp is removed, and a tampon with resorcinol-formalin liquid is placed in the dental cavity and left for several days. The third visit is characterized by the application of resorcin-formalin paste, gasket and the installation of a seal.
The devital method has a positive point - there is no need to use local anesthesia.
Thus, it is necessary to instill in your child the proper oral hygiene, because disease prevention is better than any treatment.
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