Treatment efficiencyof chronic forms of pulpitis in primary molars by various methods and drugs

Relevance. The tendency to increase the intensity of dental caries and its complications in deciduous teeth is noted by many native authors.As a result, the problem of caries and its complications treatment is relevant. Aim. This study aimed to evaluate the immediate and long-term treatmentoutcome of chronic forms of pulpitis in primary molars. Materials and methods. In the treatment of primary molars, we used methods of vital pulpotomy with the following drugs: «Pulpotec» (PD), «Biodentine» (Septodont), «Zinc oxide eugenol paste» (Omegadent) and vital pulpectomy with the drugs «Metapex»(METABiomed), «Zinc oxide eugenol paste» (Omegadent).All patients were under dispensary observationafter treatment. Results. As a result of the treatment of 289 teeth, 3.3% of complications were detected. The complications occurred in 4% of cases when we used the Pulpotec (PD), in 1.3%-Biodentine (Septodont), and wasn't in-dentified when we employed «Zinc oxide eugenol paste» (Omegadent).When we used «Metapex» (META Biomed) complications were detected in 11.5% of cases, «Zinc oxide eugenol paste» (Omegadent) -6.7%.Complications in teeth with carious cavities in class I on Black were detected in 23.8 % of cases, in class II- 76.2%. Medicines Biodentine (Septodont) and «Zinc oxide eugenol paste» (Omegadent) showed favorable results. The results of treatment of primary molars, which have completed the formation, by Pulpotec (PD) were clinically and radiologically favorable, but the use of Pulpotec (PD) in deciduous unformed molars was not effective enough.The method of vital pulpectomy with the drug «Zinc oxide eugenol paste» (Omegadent) showed a better long-term result than with «Metapex» (METABiomed).As a result of the study, it was found that the localization of the carious cavity also affects the outcome of treatment. Conclusions. Based on the obtained results, we can conclude that additional methods of diagnosis: dental volumetric computed tomography, electroodontodiagnosis, microbiological study of the tooth pulp, carried out before the treatment can affect the choice of treatment and its prognosis.

необратимый пульпит, временные моляры, пульпотомия, пульпэктомия