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Deciduous teeth or primary teeth, ... DPC, pulpotomy, pulpectomy) is the most effective, as there are no studies directly comparing these treatment options. The ...
Visual of tooth decay. Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive caries but without evidence of root pathology. [1] The minimally invasive, endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of pulp tissues to heal and regenerate plus the availability of advanced endodontic materials.
Ankylosis of deciduous teeth may rarely occur. The most commonly affected tooth is the mandibular (lower) second deciduous molar. Partial root resorption first occurs and then the tooth fuses to the bone. This prevents normal exfoliation of the deciduous tooth and typically causes impaction of the permanent successor tooth.
Invasive environmental factors potentially affect tooth development and positioning leading to hypodontia and impaction. Examples include jaw fractures, surgical procedures and extraction of the preceding deciduous tooth. [13] Treatment such as irradiation has been shown to have severe effects on developing teeth.
Pre-eruption guidance is an orthodontic treatment method that allows for expansion of existing erupting teeth long before they appear in the mouth. The use off pre-eruption guidance appliances and the timing of extractions of certain deciduous teeth aligns the teeth naturally as opposed to orthodontic mechanical movement of permanent teeth into alignment after they have erupted.
Once the first permanent tooth erupts into the mouth, the teeth that are visible are in the mixed (or transitional) dentition stage. After the last primary tooth is shed or exfoliates out of the mouth, the teeth are in the permanent dentition stage. Each patient should be assigned a dentition period to allow for effective dental treatment. [10]
Avulsions of primary teeth are more common in young children as they learn to move independently (walk and run) and also from child abuse. Avulsed deciduous (primary) teeth should not be replanted. Deciduous teeth are not replanted because of the risk of damaging the developing permanent tooth germ. Pulp necrosis with draining fistula, crown ...
Treatment time is prolonged as the treatment is carried out in stages spread over 2–3 years; Patient has a tendency to develop tongue thrust, due to creation of extraction spaces that close gradually; Extraction of posterior teeth may lead to deepening of bite; There is a risk of arch length reduction because of mesial migration of the buccal ...
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