Classic to Classy-Refinement in Pediatric Endodontics –A Review.
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2019, Vol 2, Issue 1
Abstract
Despite the extensive progress that has been achieved in prevention of dental caries worldwide, and the variety of treatment modalities to treat inflamed and/or infected pulp, a remarkable number of complications of untreated or poorly treated primary teeth and/or young immature permanent teeth are still encountered. This demands exact diagnosis, thorough knowledge of pulpal conditions and therapies, and also the value of the individual tooth for the occlusal development. Hence, pediatric endodontics has its own characteristics and includes the pulpal treatment of primary and young immature permanent teeth. Pulpectomy of primary molar teeth is considered as a reasonable treatment approach to ensure either normal shedding or a long-term survival in instances of retention. Despite being a more conservative treatment option than extraction, efficient pulpectomy of bizarre and tortuous root canals encased in roots programmed for physiologic resorption that show close proximity to developing permanent tooth buds presents a critical endodontic challenge. Various factors such as instrumentation technique, obturating materials, irrigants, root canal morphology, root resorption, and follow up period also plays an important role in deciding whether the endodontic treatment is successful or not. Recently various newer technologies like nickel–titanium (Ni–Ti) rotary files systems, use of the endodontic microscope and various newer irrigation systems and newer obturating materials have been developed for use in pediatric endodontics. As pediatric dentists are gaining more interest in the newer modalities, and for better understanding and evidences favouring it, this article reviews the use of nickel–titanium rotary files & newer irrigating systems vs conventional root canal preparation systems along with various newer obturating materials used in primary teeth.
Authors and Affiliations
Dr. Heena Kagdi
Keywords
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