Degree in dental medicine – FCS-UFP Porto
Master in Paediatric Dentistry – University of Barcelona
PhD student at the University of Barcelona
Treasurer of the Portuguese Society of Pediatric Dentistry – SPOP
Exclusive private practice in Paediatric Dentistry
Summary of the presentation
Maintaining a healthy primary dentition until the normal period of exfoliation is one of the main objectives of Paediatric Dentistry.
Currently, due to the high incidence of dental caries, although the effectiveness of preventive measures, and the high prevalence of trauma in anterior teeth, the early loss of teeth is often temporary, and may have detrimental effect on the development of permanent teeth and stomatognathic the child.
So when the deciduous teeth show signs of irreversible pulp inflammation or pulp necrosis and is capable of being maintained in the dental pulp therapy is indicated.
The success of endodontic treatment in primary dentition requires knowledge of the morphology of the pulp, root formation and the problems associated with resorption.
The pulpectomy and obturation of root canals of deciduous teeth were targets of much controversy.
The fear of damaging the seeds of permanent teeth, developing, and the fact that the canals of primary teeth can not be properly prepared and filled, leading to unnecessary removal of many teeth with pulp involvement.
In fact, despite the feasibility and results of endodontic treatment in primary teeth being questioned, it is known that it is perfectly possible to do it successfully.
The aim is thus to update the knowledge of the characteristics of temporary teeth according to the endodontic treatment and analyze the factors to make a correct diagnosis of treatment covering the basics in dental pulp temporary.