Treatment of pulpitis of deciduous teeth in children, periodontitis in a child
Pulpitis is inflammation of the tissue under the tooth. The disease occurs due to the time of unbaked cavities, and also due to injury. Pulpitis in children develops more often and much faster than adults. And all because the connective tissue of the baby teeth are still loose, the root canals are wide, and the mineralized dentin is not enough. Another reason of children’s exposure to pulp – is not fully formed immune system.
Signs of pulpitis
The symptoms of pulpitis of deciduous teeth in children does not always correspond to the known stages of this disease. The pathological process is faster, and some of its manifestations are not available to external gaze.
Inflammation with pulpitis in children occur in particular:
- they can begin even in the teeth with recent dental caries;
- the pathological process occurs quickly;
- the acute course of the disease is fast becoming chronic;
- symptoms of pulpitis are determined by the stage of development;
- common reaction of neighboring tissues;
- often there is a rise in body temperature, lack of alertness, headaches, increased ESR and symptoms of leukocytosis.
The complexity of diagnosis and early detection of pulpitis in primary teeth is that more than half of the cases the disease occurs without causing any pain. The disease most often affects the incisors have kids in 2 years, of chewing in children from 3 to 8 years. Periodontitis in children may develop as a complication of pulpitis, it is a more deep spread of the inflammatory process. The periodontium is the tissue located between the root system and the jaw bone.
Features of treatment
The correct treatment of pulpitis in children preserves the integrity of milk teeth. The main goal is to remove the inflamed tissue. And the difficulty of achieving that without harming the dentist is able to remove only the coronal part of the pulp. Deep part can be removed when the roots are developed to the end, but even in this case, it is likely to hurt the rudiments of the permanent teeth and damage tissues nearby.
As the mechanical action on the pulp quite painful, the treatment is conducted under anesthesia. The type of selected individually, depending on the health of the child, his emotional state and age.
Pulpitis baby tooth can be treated conservatively or surgically. Conservative methods aimed at preserving the tissues affected by inflammation. In the surgical treatment removes all the pulp or part of it.
Conservative treatment of pulpitis of deciduous teeth used in the early stage of the disease in the acute form of the flow with partial inflammation of the tissues, and when the exposure of the arch of the dental cavity as a result of injury. In the process of treatment, the doctor cleans a cavity of dead tissue. After that, he treats her with antiseptic solutions (furatsilina, chlorhexidine), imposes a medicated paste. Filling the cavity is performed using a high-tech fillers and safe and designed for children.
After the primary stage of treatment the doctor prescribes a course of physical therapy consisting of sessions electrophoresis. During the procedure introduced into the body in the medicinal substance with the help of impact shock. Electrophoresis involves the use of special drugs that are able to decompose into ions and purposefully accumulate in requiring treatment of the body. This procedure is recommended not only for treatment of pulpitis, but for the treatment of periodontitis of deciduous teeth in children, caries, alveolitis, etc.
Electrophoresis is a painless procedure that allows to effectively remove the inflammation, bactericidal influence of the tissues, preventing the development of infection. Drugs aktiviziruyutsya directly in the hearth of the disease, it significantly accelerates the healing process.
Contraindications to electrophoresis are heart disease and blood vessels, bronchial asthma, allergic to some drugs.
When the inflammation penetrates deep into the tissue, for removal of infectious focus used surgery. It can be of two types: with amputation pulp is cut out partially, and hysterectomy.
The doctor performs the following algorithm:
- enters anesthesia and devitalized pulp;
- reveals and dissects a cavity;
- conducting amputation or extirpation of the pulp
- applies antiseptic preparations for processing textiles;
- uses medical drug;
- sealed tubules;
- sealing the tooth.
When the formation of the root system is complete, most often for the treatment of pulpitis of primary teeth used by vital extirpation. The pulp is completely removed and the canals are filled with resorbable sealing compound.
Dentists have always focused on the healthy development of the rudiments of permanent teeth. Therefore, they try to leave the pulp in the viable state, because it connects blood vessels and nerve fibers to the tooth. Vital and devital partial removal techniques that maintain pulp.
Vital amputation is the removal of inflamed pulp under the crown, and the preservation of its root base. Due to this, the tooth can develop. The method considered optimal for treatment of the disease during the development of the roots. The pulp remains functional, despite the removal of the coronal part. Then the wound will be sutured treatment paste. The doctor’s visit is recommended within 4 months after surgery. And then every six months.
Necrotization pulp and imposing on it a special ARSENICAL paste operating for about two days, called devital amputation. The entire pulp is removed and the cavity is filled with a therapeutic paste, mummifying the remains of the fabric. This blocks the possible development of bacteria. This treatment is widely used in pediatric dentistry, because deleting nekrotizirovannah pulp painless and does not cause the child unnecessary emotions.
Periodontitis in children have not develops after devital amputation, but this method complicates the eruption of permanent teeth. For this reason, a dairy with a sealed tubules after some time to remove. Devital amputation is used with pulpitis of permanent teeth in case of problems with the introduction of an anesthetic, and in those situations when you need to quickly eliminate the inflammation and acute pain.
Inflammation of the pulp, the child is not an indication for tooth extraction. But it is important to timely identify the disease and seek medical help. At unskilled approach to treatment, you can lose a tooth or worse still, cause the destruction of a germ molar. Prevention of pulpitis is regular visits to the dentist, treatment of caries in the early stages, the hygiene of the oral cavity.
Modern medicine can offer several methods of treatment of pulpitis, but universal among them.
Only a qualified dentist will select the best option given the course of the disease and characteristics of the child.