Pulp therapy in the primary dentition Flashcards

1
Q

What is the primary objective of pulp therapy in the primary dentition?

A
  • Prevent space loss and malocclusion
  • Aid in mastication
  • Preserve the primary tooth in the case of hypodontia
  • Prevent possible speech problems
  • Maintain esthetics
  • Prevent aberrant tongue habits
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2
Q

Lower first molars tend to do what?

A

-Tip over and drift

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3
Q

Upper first molars tend to do what?

A

-Drift a little more upright

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4
Q

What are pulp therapies in pediatric dentistry?

A
  • Protective liner
  • Indirect or direct pulp cap
  • Pulpotomy
  • Pulpectomy
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5
Q

T/F in relation to their crowns, the pulp of primary teeth are larger than permanent teeth

A

True

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6
Q

Are mesial or distal pulp horns closer to the outer surface of the teeth and can be readily exposed to caries or trauma?

A

-Mesial (especially in the 1st primary molar)

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7
Q

T/F Pulp horns under each cusp is longer than is suggested by external anatomy

A

True

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8
Q

T/F Maxillary molar chamber are bigger than mandibular molar chambers

A

False

-Opposite

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9
Q

Where is the first radiographic evidence of an infection in primary molars?

A

-The furcation

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10
Q

Where do accessory canals in the primary pulp chamber floor lead directly into ?

A

-The intra radicular furcation

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11
Q

T/F At cervical region the roots of primary molars flare outwards to a greater degree

A

True

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12
Q

What are the indications for a protective liner?

A

-In a tooth with a normal pulp when all caries is removed for a restoration, a protective liner may be placed in the deep areas of the preparation to minimize injury to the pulp

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13
Q

What are the objectives for a liner?

A
  • Preserve tooth’s vitality
  • Promote pulp tissue healing
  • tertiary dentin formation
  • minimize bacterial micro-leakage
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14
Q

What can you use for protective liners?

A
  • GLUMA
  • Glass Ionomers
  • RMGI
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15
Q

What are the indications for an indirect pulp cap?

A

-In a tooth with no pulpitis or with reversible pulpitis when the deepest carious dentin is not removed

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16
Q

What are the objectives in indirect pulp capping?

A
  • The restorative material should seal completely the involved dentin from the oral environment
  • Vitality preserved
17
Q

What materials can you use for and indirect pulp cap?

A
  • Calcium hydroxide
  • Zinc oxide and Eugenol
  • MTA
  • Resin modified GI
  • GI cement
18
Q

What can stimulate tertiary dentin?

A
  • Calcium hydroxide

- MTA

19
Q

What are the indications of a direct pulp cap?

A

-A small mechanical or traumatic exposure when conditions for a favorable response are optimal

20
Q

What materials do you use for a direct pulp cap?

A
  • Calcium hydroxide

- MTA

21
Q

What are the objectives in a pulpotomy?

A

-Radicular pulp should remain asymptomatic

22
Q

What materials do you use in a pulpotomy?

A
  • Formocresol
  • Preservation such as ferric sulfate
  • Regeneration such as MTA
  • ZOE (IRM)
23
Q

If you open up the pulp chamber and it doesn’t bleed or the bleeding doesn’t stop will you do a pulpotomy?

A

-No you will do a pulpectomy

24
Q

What materials do you use for a pulpectomy?

A
  • ZOE

- Iodoform paste

25
Q

What are the keys to success in pulp therapy in peds?

A
  • Diagnosis
  • Isolation
  • Technique
  • Seal
26
Q

What are contraindications to pulp therapy in primary tooth?

A
  • Internal or external root resorption
  • Close to exfoliation
  • Periapical abscess formation with swelling and drainage
  • Cellulitis
  • Unrestorable tooth
  • Medically complex