RESUMO
OBJECTIVE: To describe the teaching practical guidelines in pulp therapy for primary teeth in Colombian dental schools, based on Primosch et al. survey (1997). METHODS: A 27-question survey was sent to 31 dental schools. A total of 68 surveys were obtained for analysis of the results, in which pediatric dentists answered 48 surveys, 11 surveys by general practitioners, and 9 were answered but were not identified in any of these groups. RESULTS: Indirect pulp treatment (IPT) is taught by pediatric dentists (83%) and general practitioners (90%). Calcium hydroxide and glass ionomer were the preferred materials in this treatment. Pulpotomy is the most commonly procedure used. There was no different percentage in the use of medicaments: cresatin, glutaraldehyde, calcium hydroxide, formocresol. Pulpectomy is taught by general practitioners (73%) and pediatric dentists (96%). The preferred filler material, used by general practitioners (73%) and pediatric dentists (94%), was zinc oxide and eugenol. CONCLUSIONS: There is a discrepancy in the choice of treatment and medications for pulp therapy primary teeth between general practitioners and pediatric dentists. The recommendations given in American Academy of Pediatric Dentistry (AAPD) guidelines 2012 for pulp therapy in primary and young permanent teeth are being followed in the majority instances.
Assuntos
Odontopediatria/educação , Guias de Prática Clínica como Assunto , Padrões de Prática Odontológica/estatística & dados numéricos , Pulpectomia/normas , Pulpotomia/normas , Colômbia , Preparo da Cavidade Dentária/normas , Educação em Odontologia , Humanos , Materiais Restauradores do Canal Radicular/uso terapêutico , Faculdades de Odontologia , Dente DecíduoRESUMO
OBJECTIVE: The aim of this study was to compare the duration of instrumentation and obturation times and quality of root canal filling between rotary and manual instrumentation techniques in primary teeth. STUDY DESIGN: A randomized, controlled clinical trial was performed that included deciduous teeth with pulp necrotic. Forty necrotic teeth were included; 20 were instrumented with a rotary technique (experimental group) and 20 with a manual technique (control group). The time taken for instrumentation and for obturation were recorded in minutes, and the quality of the root canal filling was recorded as optimal, under-filled, or overfilled. RESULTS: The use of the rotary technique diminished the time of instrumentation to 63% and time of obturation to 68%, and it improved the quality of the root canalfilling. CONCLUSION: The use of rotary instruments in the pulpectomy of primary molars represents a promising technique; the time is significantly reduced.
Assuntos
Equipamentos Odontológicos , Necrose da Polpa Dentária/terapia , Pulpectomia/instrumentação , Preparo de Canal Radicular/instrumentação , Distribuição de Qui-Quadrado , Criança , Pré-Escolar , Método Duplo-Cego , Feminino , Humanos , Masculino , Pulpectomia/normas , Obturação do Canal Radicular/métodos , Estatísticas não Paramétricas , Fatores de Tempo , Dente DecíduoRESUMO
El odontólogo debe considerar las condiciones biológicas, sistémicas, psicológicas, socioeconómicas y culturales que presentan los adultos mayores para poder ofrecerles las mejores estrategias para su atención. La terapia endodóntica de este grupo etario presenta algunas diferencias con el tratamiento de los pacientes jóvenes. Como ejemplo de esas diferencias se puede señalar que su sintomatología es menos severa, atípica y vaga. Del mismo modo, en cada etapa del tratamiento se producen diferencias específicas que se deben conocer, para poder orecer a estas personas una terapia endodóntica adecuada.