Symptoms, causes, treatment methods and basic measures for the prevention of pulpitis in children

  • Symptoms, causes, treatment methods and basic measures for the prevention of pulpitis in children

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    Pulpitis is a dangerous pathology characterized by the presence of severe inflammation of the connective tissue of the tooth pulp. Pulpitis in children affects both temporary and permanent teeth. Infection is formed in the intercorn zone much more often than with the growth of permanent teeth.

    Pulpitis in children can develop in younger preschool years, and in early childhood.

    In children under the age of three, most often the pulp of the front teeth becomes inflamed. Children of secondary school age suffer from pulpit incisors.

    Classification of pulpitis of infant teeth

    The pulpitis of infant teeth is divided into three main groups:

    1. Acute.
    2. Chronic.
    3. Chronic recurrent.

    The main problem of pulpitis of infant teeth is considered to be that it proceeds absolutely painlessly. It is for this reason that timely diagnosis is difficult.

    Pulpit of permanent teeth

    Poorly formed root distinguishes the children's form of the disease of permanent teeth from a similar pathology in adults. This type of dangerous dental disease is also divided into three main "subspecies":

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    1. Acute focal( mild pain syndrome can occur spontaneously, for no specific reason).
    2. Acute diffuse( pain is intense and worries a young sufferer at night).
    3. Chronic( the "life" of the disease lasts longer, the pathology manifests with acute pain).

    Often, a permanent painful syndrome often transfers into the infraorbital or occipital zone.

    Dangerous signs

    Pulpitis in children is often characterized by the presence of pronounced signs. Sometimes the signs of this dental pathology are quite obscure, and it is for this reason that parents are slow to show their child to a child dentist.

    Specific signs of the disease should be considered:

    • painful syndrome( character paroxysmal), increasing from contact with food irritants;
    • swelling of tissues in the affected area;
    • progression of lymphadenitis;
    • general condition deterioration.

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    Diagnosis It is quite difficult to establish a correct diagnosis for a small child. This is explained by the fact that young patients, firstly, do not care about the examination in the dental office, and secondly, they may misjudge their own painful syndrome.

    Children of school age suffer from a pronounced painful syndrome. By analogy with the course of "adult" pulpitis, the disease proceeds longer and sharper.

    The main mistake of parents is that they are not in a hurry to visit a children's dentist. It should be remembered that the short phase of acute partial pathology is converted into acute phase during the whole couple of hours.

    The actions of the dentist

    The question of how to treat pulpitis in children, worries all parents who have faced this dangerous dental pathology. Modern dentistry knows many methods of treatment. On what exactly the choice of dentist will stop, will depend on the results of the examination.

    In the presence of acute pain syndrome, the examination is performed under local anesthesia, which involves the use of only safe and hypoallergenic drugs.

    The aim of the treatment is to stop the spread of the infection, as well as to preserve the undamaged area of ​​the pulp. Modern dentists share the following treatment methods:

    • Biological.
    • Vital amp-tion.
    • Vital exstration.
    • Devital amp-tion.
    • Devital extiration.

    Biological method

    Treatment of pulpitis in children in this case assumes that the dentist will try to save the "life" of the damaged area. This is relevant when the lesion has a chronic fibrous, or acute partial nature.

    The pathological cavity is exposed under local anesthesia. Then the dentist thoroughly cleans this site of pathological accumulations. The next stage - the treatment of the affected area with solutions of antiseptics and application of medicinal preparations. Intended use:

    • Biocalex;
    • Calcite;
    • Calcipulp.

    This method is very popular due to the economic justification for excluding the risks of complications.

    Vital amputation

    This method of treating pulpitis in children involves saving only a viable part of the affected pulp. The dentist liquidates only the deceased site.

    The method is relevant in the case of diagnosis of partial or fibrous pathology. The procedure is as follows:

    • the dentist neatly opens the diseased tooth and eliminates the pulp from the canals and crowns( the root remains of the pulp);
    • then on the actual area the doctor applies a special paste, stopping the spread of bacteria.

    This method is contraindicated in case of thinning of the tooth roots.

    Vital extirpation of

    This method of treating pulpitis in children is not so widely used. This is because the method assumes a large number of painful manipulations. In this regard, it is relevant for adolescents, when there is a complete formation of dental root canals.

    Devital amputation

    The method is used to treat all teeth without exception. Manipulation of the dentist looks like this:

    • neat tooth opening;
    • application of arsenic paste;
    • pulp removal;
    • establishment of a temporary seal and drug "ampoule";
    • application of a specific paste;
    • establishing a permanent seal.

    Devital Extirpation

    This, considered the most reliable method is relevant in the case of a real risk of progression of periodontitis. With the help of devital extirpation, temporary and permanent teeth are treated.


    It is important to monitor compliance with hygiene requirements. So, it is recommended to take care of the oral cavity correctly and to timely treat the carious process. In the diet recommended to include solid foods rich in vitamins. It is important to visit the children's dentist regularly, which will tell the most correct strategy of preventive measures.

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