<p>Caries Color, Extent, and Preoperative Pain as Predictors of Pulp Status in Primary Teeth</p>

Abstract

This study aimed to assess the relationship between preoperative pain status, caries extent, and caries color and the ability to achieve hemostasis at the canal orifices during pulp therapy access in primary teeth. Study Design: Eighty primary molar teeth with extremely deep caries extending to the pulp (based on bitewing radiography) were investigated in 66 children. The teeth with clear radiographic and clinical signs indicating the involvement of the radicular pulp were excluded. The history of preoperative pain status, the color of dental caries by visual inspection, and the extent of caries lesion measured in bitewing radiographs were recorded. After preparing the access cavities, the hemostasis achievement at the canal orifices was assessed and considered as the final factor in determining the type of treatment (pulpotomy or pulpectomy). The data were analyzed using Fisher's exact test, the independent t-test, and Cohen's unweighted kappa statistic. P<0.05 was considered statistically significant. Results: Hemostasis was achieved in 78.1% of the teeth with black dental caries, whereas in most of the teeth with light brown dental caries (64.3%), hemostasis was not achieved (p=0.015). The extent of dental caries in the teeth needing pulpotomy was statistically significantly lower than that of those needing pulpectomy (p=0.024). Mesial side dental caries was more related to the irreversible pulpitis compared to the distal one (p=0.01). In 78.1% of the teeth without pain, hemostasis was achieved, and in most of the teeth with nocturnal pain (64.3%), hemostasis did not occur (p=0.034). Conclusion: The caries color, caries extent, and preoperative pain have the potential to be used as clinical diagnostic tools to determine the pulpal status in primary teeth.

Is clindamycin-modified triple antibiotic paste better than iodoform-based medicament for the treatment of non-vital primary molars using LSTR technique – A randomised clinical trial

“…This difference was significantly higher in Group 2. This was also observed in other studies using TAP in LSTR (Duanduan et al (2013), [29] Hossain et al (2020) [30] Doneria et al (2017), [31] Grewal et al (2018) [32] ) [Table 3]. No radiographic pathology was associated with the primary or underlying permanent tooth germ.…”

“…In the present study, 60 children in the age group of 3-8 years were selected according to inclusion criteria after screening 95 patients. These patients were randomly allocated into Group 1 (30) and Group 2 (30). At the end of 12 months, 26 and 25 patients were left and analysed in Groups 1 and 2, respectively [Figure 4].…”

Primary Teeth Stains and Discoloration: A Review

“…An active caries tends to be light yellow/beige, whereas slowly progressing or arrested caries lesions are usually darker. 63…”

Assessment of Mineralization, Oxidative Stress, and Inflammation Mechanisms in the Pulp of Primary Teeth

“…We chose to study the levels of different biomarkers in the irreversible acute and chronic pulpal pathology of primary teeth because the reversible stages of pulpal inflammation in primary dentition are short in time and are not usually diagnosed due to the rapid evolution of the inflammation of irreversible pathology, and due to the late presentation of the patient at the dental clinic. Reversible stages of pulp inflammation are, in general, symptomless, or they are characterized by less intense and shorter episodes of pain, which can lead a patient to not seek immediate dental treatment [11].…”