West China Journal of Stomatology ›› 2018, Vol. 36 ›› Issue (4): 435-440.doi: 10.7518/hxkq.2018.04.015

• Orginal Article • Previous Articles     Next Articles

Indirect pulp therapy for deciduous teeth with deep caries lesions

Si Wu1(), Yingling Liu1, Jing Zou1, Xuedong Zhou2, Liwei Zheng1()   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Pedia-tric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Conservative Dentistry and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2017-06-26 Revised:2018-05-10 Online:2018-08-01 Published:2018-08-01
  • Supported by:
    The National Natural Science Foundation of China (81470711);National Key Clinical Specialist Construction Program of China, Pediatric Dentistry (0040305401313).

Abstract:

Deciduous teeth are the first dentition of humans and play an important role in children’s physical and mental development. Dental caries are one of the most common oral diseases in children. According to the data of the World Health Organization, 60%-90% of school children worldwide develop dental caries. In China, dental caries of primary teeth feature high incidence and low rate of visits. Without timely treatment, the deep caries lesions of primary teeth can lead to teeth defect, pulpitis, apical periodontitis, and maxillofacial space infection. Moreover, the premature loss of deciduous teeth can cause malocclusion and eruption disorder of subsequent permanent teeth. These conditions all cause considerable effects on children’s oral health and physical and mental development. Performing active and effective measures to treat deciduous teeth with deep caries lesions is important to maintain the integrity and normal physiological function of dentition and facilitate normal eruption of permanent teeth. The current situation of indirect pulp therapy in China was studied in this paper. Basic concepts, including indirect pulp capping, interim therapeutic restoration, partial caries removal, stepwise caries removal, and atraumatic restorative therapy, have been defined by consulting domestic and foreign literature. A theoretical basis for improving the clinical pathway of deciduous teeth with deep caries lesions is provided by explaining the technical connotation and therapeutic im-portance of indirect pulp therapy in primary teeth.

Key words: deciduous teeth with deep caries lesions, indirect pulp therapy, indirect pulp capping, interim therapeutic restorations, atraumatic restorative therapy

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