Pulpitis of milk teeth is very common in children, diagnosis and treatment

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Dang Tien Dat - Doctor of Odonto-Stomatology - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International General Hospital.
Children who eat a lot of sweets and sweets and do not clean their teeth properly are very susceptible to tooth decay. If not treated in time, it is easy to cause pulpitis in milk teeth.

1. Inflammation of the tooth pulp in children

Baby tooth pulpitis is a disease that occurs when there is an inflammatory reaction of the pulp tissue of the milk teeth, increasing blood perfusion leading to increased intrapulmonary pressure, compressing nerves and causing pain.
Common causes of pulpitis in milk teeth are tooth decay, tooth trauma.
The progression of caries in primary teeth is similar to that in permanent teeth, but at a faster rate. The beginning of the caries lesion is a white stain on the enamel surface. If not treated, the damage to tooth decay will continue to destroy the enamel layer (enamel decay), then to the dentin layer, this stage develops faster than enamel caries and caries will spread.
Level 1: enamel is attacked by acid and destroyed, the enamel surface has white spots and turns black. Enamel worms have no sensation and no pain. Depth 2: dentin is destroyed, children will have sensitivity when eating cold and sour foods. Depth 3: if the tooth has a cavity that is not filled immediately, the tooth decay gradually reaches the pulp, the pain is more sensitive. At this stage, the child's teeth are in severe pain, which is acute pulpitis. Grade 4: pulpitis if not treated (tooth extraction), the tooth will die for a long time, the pulp will rot and the infection will go into the bone and can cause pus to cause abscesses at the roots, cellulitis and can cause osteoarthritis.

2. Diagnosis of pulpitis of milk teeth

2.1. Pulpitis of milk teeth is reversible

Mild, transient pain, pain upon stimulation, pain relief after cessation of stimulation. There is damage to the hard tissue of the tooth. Teeth do not change color. Vertical typing is painless.

2.2. Irreversible pulpitis of milk teeth

Intermittent pain, severe pain at night, pain when stimulated, pain does not go away after the stimulus stops. There is damage to the hard tissue of the tooth. Teeth do not change color. Vertical typing hurts.

3. Treatment of pulpitis in milk teeth in children

3.1. Pulpitis of milk teeth is reversible

Clean the hole deeply, do not remove all the reactive dentin. Fill with one of the following options: Calcium Hydroxide, MTA, dentin bonding. Restorative filling with GIC: immediately after filling.

3.2. Irreversible pulpitis of milk teeth

Anesthetize. Open the marrow. Pumping and cleaning the root canal. Dry the root canal. Fill the canal with Eugenate. Filling ends with GIC.

4. Prevention of pulpitis in milk teeth in children

Must keep good oral hygiene for children after meals and take care of children's teeth properly. Practice for children the habit of rinsing their mouth many times with white water or physiological saline after eating. Use a damp gauze to clean the child's teeth after eating, for young children who do not know how to brush their teeth. Limit children's eating foods with a lot of sugar such as candy, soft drinks and stay away from soft foods with high stickiness such as: marshmallows, raisins, dried fruits... Active bacteria secrete a lot of acids that are harmful to teeth. Get your child into the habit of flossing. Flossing helps you get rid of bacteria that grow between your teeth. Brushing is not effective enough, flossing twice a day is recommended. For children to rinse their mouth with antibacterial water suitable for children to avoid killing even beneficial bacteria, change the child's oral environment after brushing once or twice a day to eliminate plaque on the surface. tooth. Parents need to detect and treat children's decayed teeth early, thus reducing the risk of pulpitis. It is recommended to take your child to a regular dental check-up every 6 months to promptly detect abnormal signs at an early stage. Do not wait until the tooth has pulpitis or toothache to go to the dentist.

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