Pulp chamber access alternative in pulpectomies in a child with Wolff‐Parkinson‐White syndrome. A case report

Abstract

Background: Wolff-Parkinson-White syndrome is a congenital abnormality of the heart. Patients with this syndrome and multiple dental caries with pulp exposure may require comprehensive dental treatment under general anesthesia. Pulpectomy is performed in primary teeth with pulp expose. This treatment in anterior teeth requires palatal access and the majority there is no good visibility, requiring more time to perform. Therefore, this case aimed to demonstrate a pulp chamber opening alternative in pulpectomies in a child with Wolff-Parkinson-White syndrome.Case Presentation: A 3-year-old female patient with Wolff-Parkinson-White syndrome and multiple dental caries with reversible pulpitis in anterior upper teeth. The dental treatment was performed under general anesthesia. Due to abundant hemorrhage in anterior upper teeth, pulpectomies were performed, which pulp chamber openings were modified by labial and the treatment itself was completed. After, these teeth were rehabilitated with direct restorative veneers using light-curing composite resin. The follow-up at 12 months showed an absence of evidence clinic and radiographic. Conclusion: This case demonstrated the pulp chamber opening performed by labial in pulpectomy is an effective and viable alternative to reduce operative time and improve visibility in pulpotomies in a child with Wolff-Parkinson-White syndrome.

Prefabricated Zirconia Crowns and Preformed Metal Crowns in the Treatment of Severely Childhood Caries and Anterior Crossbite in a Child with Autistic Spectrum Disorder

“…A 2-millimeter layer of iRoot BP Plus (Innovative BioCeramix, Vancouver, BC) was pressed on a pulp surface gently. The teeth were then built up with core materials (GlasIonomer FX Ultra, SHOFU INC, Japan) [ 20 , 21 ]. Finally, the molars were restored with preformed metal crowns [ 22 ] (Shinhung Co., Ltd., Jung-gu, Seoul, Korea), and prefabricated zirconia crowns [ 23 ](NuSmile®, Houston, TX, USA) were applied to the maxillary anterior teeth.…”