Wiadomosci lekarskie (Warsaw, Poland : 1960) · 2024
Problems of diagnostic of the state of pulp and pulpal diagnoses in children.
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Kaskova Lyudmyla, Yanko Nataliia, Vashchenko Iryna, Khmil Olena
Аннотация
OBJECTIVE: Aim: To analyze diagnostic methods of the pulp status in children and align pulpal diagnoses with international and Ukrainian classifications.
PATIENTS AND METHODS: Materials and Methods: The authors searched for articles via Google using keywords such as «pulpitis classif i cation», «pulp diagnostic in children», «reversible pulpitis», «irreversible pulpitis», «pulp necrosis» combined with «primary teeth», «permanent immature teeth». Also evidence of primary data was evaluated by levels of evidence statements and grades of recommendations for questions relating to diagnosis.
RESULTS: Results: Level of evidence of primary data about methods of pulpal state diagnosis varies from 2 to expert opinion, grade of recommendation is C-D. Sensibility tests can be used for pulp diagnosing in primary and immature permanent teeth, in conjunction with other clinical diagnostic aids. Such conditions of pulp as complete pulp necrosis, pulpless and infected root canal system, previously treated pulpitis, and previously initiated therapy could be included in the Ukrainian classif i cation. Pulp hyperplasia only partially corresponds pulpitis chronica hypertrophica and may be associated with any form of reversible and irreversible pulpitis. In international classif i cations, partial pulp necrosis includes pulpitis chronica gangraenosa and pulpitis acuta purulenta from the Ukrainian variant.
CONCLUSION: Conclusions: Pulpal diagnosis in children relies on observation of clinical and periapical radiographic fi ndings. While the Ukrainian classif i cation covers various forms of pulpitis, it could be expanded to include pulp conditions, but only some of them completely correspond diagnoses of the Ukrainian classif i cation. Therefore, the development of new classif i cation of the status of the pulp in children is promising and challenging task.
PATIENTS AND METHODS: Materials and Methods: The authors searched for articles via Google using keywords such as «pulpitis classif i cation», «pulp diagnostic in children», «reversible pulpitis», «irreversible pulpitis», «pulp necrosis» combined with «primary teeth», «permanent immature teeth». Also evidence of primary data was evaluated by levels of evidence statements and grades of recommendations for questions relating to diagnosis.
RESULTS: Results: Level of evidence of primary data about methods of pulpal state diagnosis varies from 2 to expert opinion, grade of recommendation is C-D. Sensibility tests can be used for pulp diagnosing in primary and immature permanent teeth, in conjunction with other clinical diagnostic aids. Such conditions of pulp as complete pulp necrosis, pulpless and infected root canal system, previously treated pulpitis, and previously initiated therapy could be included in the Ukrainian classif i cation. Pulp hyperplasia only partially corresponds pulpitis chronica hypertrophica and may be associated with any form of reversible and irreversible pulpitis. In international classif i cations, partial pulp necrosis includes pulpitis chronica gangraenosa and pulpitis acuta purulenta from the Ukrainian variant.
CONCLUSION: Conclusions: Pulpal diagnosis in children relies on observation of clinical and periapical radiographic fi ndings. While the Ukrainian classif i cation covers various forms of pulpitis, it could be expanded to include pulp conditions, but only some of them completely correspond diagnoses of the Ukrainian classif i cation. Therefore, the development of new classif i cation of the status of the pulp in children is promising and challenging task.