How do I manage pain accompanied with dental caries in primary teeth?
May 28, 2013
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
Resources
- American Academy of Pediatric Dentistry Reference Manual. Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent. 2011; 33(6):212-9.
- Coll JA. Indirect pulp capping and primary teeth: Is the primary tooth pulpotomy out of date? Pediatr Dent. 2008;30(3):230-6.
- Coll J, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996;18(1):57-63.
- 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.
- 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.
- American Academy of Pediatric Dentistry Reference Manual. Guideline on pediatric restorative dentistry. Pediatr Dent. 2011;33(6):205-11.
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what is the current recommedations on using formacresol for pulpotomies?
Hello a.s., thank you for your question. We will seek a response and get back to you.
JCDA Oasis Team
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