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Pediatric Dentistry

How do I manage traumatic pulp exposure of primary tooth in very young children?

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This Urgent Care Scenario is presented by the JCDA Oasis Team in Collaboration with Dr. Sahza Hatibovic. It is also available on Oasis Help

Definition

  • Upper incisors missing mesial or distal corner of the tooth with pulp exposure.
  • Oral trauma is an unpredictable, painful, and stressful event for the child and family. Behaviour management is crucial: a calm soothing approach by the dental team can minimize stress for the entire family.
  • A child with oral trauma seeing a dentist for the very first time may be uncooperative and may need to see a pediatric dentist.

PE Presentation

PE Investigation

PE Diagnosis

PE Treatment 1

PE Treatment 2.

PE Treatment 3

Resources

  1. American Academy of Pediatric Dentistry. AAPD Reference Manual – Clinical guidelines. Guideline on pulp therapy for primary and immature permanent teeth. [Revised 2009; accessed 2012 Oct 17]. Available: www.aapd.org/media/Policies_Guidelines/G_Pulp.pdf.
  2. American Academy of Pediatric Dentistry. AAPD Reference Manual – Clinical guidelines. Guideline on management of acute dental trauma. [Revised 2011; accessed 2012 Oct 17]. Available: www.aapd.org/media/Policies_Guidelines/G_trauma.pdf.
  3. Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. Pulp therapy for primary molars.Int J Paediatr Dent. 2006;16(Suppl 1):15-23.
  4. Dummett CO Jr. Dental management of traumatic injuries to the primary dentition. J Calif Dent Assoc. 2000;28(11):838-45.
  5. Copenhagen University Hospital and the International Association of Dental Traumatology (IADT). The dental trauma guide. [Accessed 2012 Oct 17]. Available:www.dentaltraumaguide.org.

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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1 Comment

  1. Dr. Sahza Hatibovic is amazing! Thank you for the current refresher on traumatic pulp exposure in the very young.

    Reply

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