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Pediatric Dentistry

How do I manage pain accompanied with dental caries in primary teeth?

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This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Alan Milnes. It is also available on Oasis Help

Definition

Pain usually associated with a carious lesion that is obvious clinically or radiographically

Presentation 1

Investigation

Investigation 2

Diagnosis

Treatment

Treatment 2

Treatment 3

Resources

  1. American Academy of Pediatric Dentistry Reference Manual. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2011; 33(6):212-9.
  2. Coll JA. Indirect pulp capping and primary teeth: Is the primary tooth pulpotomy out of date? Pediatr Dent. 2008;30(3):230-6.
  3. Coll J, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996;18(1):57-63.
  4. Huth K, Paschos E, Hajik-Al-Khatar N, Hollweck R, Crispin A, et al. Effectiveness of 4 pulpotomy techniques: randomized controlled trial. J Dent Res. 2005;84(12):1144-8.
  5. Ozalp N, Saroglu I, Sönmez H. Evaluation of various root canal filling materials in primary molar pulpectomies. Amer J Dent. 2005;18(6):347-50.
  6. American Academy of Pediatric Dentistry Reference Manual. Guideline on pediatric restorative dentistry. Pediatr Dent. 2011;33(6):205-11.

Do you need further information on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca

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3 Comments

  1. a.s. June 5, 2013

    what is the current recommedations on using formacresol for pulpotomies?

    Reply
    1. JCDA Oasis June 5, 2013

      Hello a.s., thank you for your question. We will seek a response and get back to you.
      JCDA Oasis Team

  2. Alan Milnes June 5, 2013

    Formocresol is still recommended for use for primary tooth pulpotomy and is the standard against which all other medicaments are compared. Go to: American Academy of Pediatric Dentistry Reference Manual. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2012; 34(6) at http://www.aapd.org and you will find this guideline under the header Policies and Guidelines. Also check out Milnes AR, Persuasive Evidence that Formocresol Use in Pediatric Dentistry Is Safe at http://www.cda-adc.ca/jcda • April 2006, Vol. 72, No. 3

    Reply

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