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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.
[1] [2] They are widely used for restoring the primary anterior teeth (e.g. due to early childhood caries) and discolored teeth. These crowns are aesthetic, affordable, and conservative, requiring minimal enamel removal. [1] [2] However, they are technique sensitive to place, and are more likely to fail if oral hygiene is inadequate. [2]
Dental caries are the most significant cause of health problems among babies. The meta analysis of dental caries in children, a sample size of 80,405 was 46.2% (95% CI: 41.6–50.8%), and the prevalence of dental caries in permanent teeth in children in the world with a sample size of 1,454,871 was 53.8% (95% CI: 50–57.5%). [6]
High-risk children typically need more intensive treatment. This may include early restorative work to repair and address any existing decay to prevent further deterioration of the teeth. Since ECC affects children under the age of 5 years, dental treatments under general anesthesia may be necessary in select cases. [14]
In order to obtain permission from patient for extraction of tooth, the dentist should explain that other treatment options are available, what is involved in the dental extraction procedure, the potential risks of the procedure and the benefits of the procedure. [2] The process of gaining consent should be documented in clinical notes. [2]
It could save your child's life. Doctors are urging all parents to hold on to their kid's baby teeth after the tooth fairy comes to visit -- and not for sentimental reasons.
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