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Pulpitis of infant teeth in children: modern treatment and diagnostic measures

To remove or treat pulpitis of infant teeth in children: tactics of modern treatment

Somehow, some families still have the opinion that a change in bite, or rather, milk teeth, is a phenomenon that arrives and that they do not threaten caries and pulpitis, and, consequently, treat them as indigenous in adults. follows. But these arguments are fundamentally wrong and jeopardize the healthy smile of the baby in the future. Why? Let’s try to figure it out together.

By pulpitis is meant an inflammatory process that takes place in the pulp of the tooth. It is the main structural unit of the dental organ, located in its cavity. It is predominantly accumulation of nerve, and then of collagen fibers, different cellular elements (odontoblasts, fibroblasts). The whole pulp can be divided into coronal and root.

Pulp is the life and nutrition of the tooth. In other words, just what happens to it (inflammation), as a whole chewing organ can not fulfill its direct purpose, and not getting enough nutrients perishes, like herself and the tooth.

It should be noted that the lesion of the pulp in children occurs several times more often than in adult patients. This is due to the peculiarities of the structure, both pulp and tooth in general in childhood.


Among other things, the purulent form is characterized by:

  • Appearance of signs of intoxication (high fever, headache, general weakness);

  • Discomfort during chewing;

  • Impossibility to touch the sick tooth and gums around it;

  • Occurrence of lymphadenitis (increase and soreness of lymph nodes in response to inflammatory phenomena in the body);

  • Periodicity, and in the people - flux.

    However, children can complain about:

  • Painful character;

  • Discomfort in the tooth after eating, inhaling frosty air, after drinking cold drinks;

  • Blood in the oral cavity (with hypertrophic form).

    In addition, it can be noted that the child tries to eat only one side of the jaw, in order to reduce pain. On the side, which the kid ignores, the teeth will be dominated by soft plaque and gingival inflammation.

    With gangrenous flow, a small patient will complain about taking hot food.

    Of course, a small patient can not fully tell what to bother him, like an adult. And of course, only an expert can conduct differential diagnosis of pulpitis with other diseases. However, too much depends on the parents. Firstly, only they can notice the presence of a carious cavity from their child in time and take him to the dentist.


    Treatment of pulpitis of both dairy and permanent teeth in children takes place in several stages. A dentist can help your child by applying the following therapeutic manipulations:

    This removal of only the coronal part of the pulp (partial) or the entire pulp (and the crown part, and the root) - complete pulpectomy.

    This procedure is carried out under anesthesia in 1 or 2 visits. However, the extirpation is carried out in only those teeth in which the roots are already formed. Pulpotomy and pulpoectomy belong to the vital methods of treating pulpitis.

    It occurs in the acute course of the disease, as well as in fibrous pulpitis. With gangrenous form this method is contraindicated. During the operation, a small amount of devitalizing paste (Devit-ARS) is placed in the pulp chamber. The active substance of this agent is arsenic.

    Manipulation is performed under local anesthesia, using a solution of 3% dicaine. In the teeth with one root, the medicine is placed for 24 hours, and with several roots - for 2 days.

    Through the necessary period The paste is removed from the tooth and the dead pulp is removed. The resorcinol-formalin liquid is placed in the pulp chamber. This substance does not damage the root growth zone and gives normal formation to the roots.

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