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Treatment of milk teeth
16-09-2009
If you have a milk tooth with extensive or multiple opening of the pulp, as well as with deep caries process of moving to the area of the pulp, the optimal way of healing is pulpotomy (vital amputation). In deciduous teeth with pulpotomy necessarily use the cofferdam.
Amputation wound covered with calcium hydroxide preparations. In the case of a suspension of calcium hydroxide, it is advisable to use the hardening agent or a calcium hydroxide cement, consisting of a mixture of zinc oxide with eugenol. Then hold a permanent filling or produce artificial crowns.
For the treatment of deciduous teeth with pulp inflammation recommend the use of drugs based on formaldehyde or glutaraldehyde, for example, formokrezol containing formaldehyde (19%) and cresol (35%).
Formokrezol, depending on the duration of exposure, resulting in partial or full mummification of the root pulp.
The most commonly used methods pulpotomy: - after amputation formokrezolom soaked cotton swab is placed on the wound and leave approximately five minutes, remove the tampon and amputating the wound is covered with cement, consisting of a mixture of zinc oxide with eugenol, in conclusion, are constantly filling; formokrezolom soaked cotton swab placed on amputating wound and leave for about a week after a temporary hermetic closure, then the swab is removed and further activities are similar to those described earlier. Despite the fact that these methods have proven successful in clinical practice, the attitude towards them in the scientific community is very ambiguous.
Mummification of pulp is the result of partial or complete devitalization pulp. The adjacent vital pulp tissue shows signs of chronic inflammation, which does not help cure or eliminate inflammation of the pulp.
With full devitalization pulp pulpotomy ineffective, should be devitalnuyu (mortalnuyu) amputation of the pulp.
As difficult to determine the depth of penetration of drugs, there is a danger of their impact on the surrounding healthy tissue and the appearance of the apical or between roots necrosis.
Applique formokrezola or similar drugs on the bare pulp contributes to the spread of formaldehyde beyond the apical area and throughout the body as a whole, which may cause allergic and other reactions. Therefore, exploring the potential for immunological, mutagenic, carcinogenic and other toxic effects after using formokrezola or similar drugs.
Due to these reasons, you must completely exclude the use of these drugs, or at least apply the solution formokrezola, diluted in a ratio of 1:5.
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