PREVALENCE OF PULPOTOMY AND PULPECTOMY TREATMENTS IN CLÍNICAS INTEGRALES DEL NIÑO AT SANTO TOMAS UNIVERSITY BETWEEN 2007 - 2011
DOI:
https://doi.org/10.15332/us.v12i1.1113Keywords:
Prevalence, Pulpotomy, Endodontic treatment, Dental caries, Primary teethAbstract
Objective: to establish the prevalence of pulpotomy and pulpectomy treatments recorded in the medical records of the Clínicas Integrales del Niño I, II and III of the Faculty of Dentistry at Santo Tomas University in Bucaramanga, in the period from 2007 to 2011.
Methods: a retrospective cross-sectional study was done with 3396 dental records. Those records with pulp treatments (pulpotomy, pulpectomy) in primary teeth with the final radiograph were included. Among the variables analyzed were type of pulp treatment, age, gender, county of residence, treatment-related diagnostic and year of completion. Proportions for qualitative variables, means and dispersion measures for quantitative ones were obtained. In bivariate analysis Chi2 test or Fisher exact test was performed. P value less than 0.05 was considered statistically significant.
Results: 2697 dental records were evaluated because 669 were not available. Of these, 751 (27.8%) had registered some type of pulp treatment, however, only 425 (56.6%) had final radiograph. Six hundred forty-nine teeth had pulp therapy, 497 (76.6%) had pulpotomy and 152 (23.4%) pulpectomy, the first lower molar was the one with the highest number of treatments with 233 (63.6% ).
Conclusion: the prevalence of pulpar treatment in primary dentition in the Clínicas Integrales del Niño I, II and III was 16.1% in the period 2007 to 2011. Dental caries was the more frequent diagnosis related to pulp treatment. In 2009, it was an increase in the performance of pulp treatments.
Downloads
References
Nahás MS. Odontopedatría en la Primera Infancia. Santos Edictora; 2009.
Betancourt M, Fernández M, Valcarcel J. Lesiones pulpares y periapicales en escolares del área de atención del policlínico Docente de Playa. Rev Haban Cienc Med La Habana. 2009; VIII: 1 - 5.
Setty JV, Srinivasan I. Awareness and attitude of patients’ parents toward pulp therapy of the primary teeth: A clinical survey. J Indian Soc Pedod Prev Dent. 2011; 29: 198 - 201.
Torres EA, Rodríguez MJ, Cañón OL. Manejo del comportamiento del paciente niño en la consulta odontológica. Ustasalud. 2002; 1: 49 - 56.
Martinez S, Galiana A. Determinación de la frecuencia de tratamientos pulpares realizados en piezas dentarias primarias en la Cátedra de Odontopediatría de la FOUNNE. Años 2002 - 2003. Universidad Nacional del Nordeste. 2005; URL disponible en: http://www.unne.edu.ar/unnevieja/Web/cyt/com2005/3-Medicina/M-094.pdf.
Barrios ZC, Carrero TI. Prevalencia de infecciones de origen pulpar en los niños atendidos en el servicio de odontopediatría del Instituto Autónomo Hospital Universitario de Los Andes, Mérida, Venezuela. Revista Odontológica de Los Andes. 2011; 6: 42 - 51.
Vij R, Coll JA, Shelton P, Farooq NS. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent. 2004; 26: 214 - 220.
Microsoft Corporation. Microsoft Excel. United States: 2010.
EpiData Association. Epidata Software 3.1. Denmark: 2004.
Stata Statistical Software. Stata Release 12.0. College Station. TX: Stata Corporation: 2011.
República de Colombia, Ministerio de Salud. Resolución 008430 de 4 de octubre de 1993.
Fuks AB. Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives. Pediatr Dent. 2008; 30: 211 - 219.
Escobar A. Características Clínicas de la Caries Dental. En: Cárdenas D. Odontología Pediátrica. Medellín: Corporación para Investigaciones Biológicas; 2009. p. 131 - 157.
Castillhos H, Chevitarese O. A comparative study of dentin thickness of primary human molars. J Clin Pediatr Dent. 2003; 27: 277 - 281.
Koutsi V, Nooman RG, Horner JA, Simpson MD, Matthew WG, Pashley DH. The effect of dentin depth on the permeability and ultraestructure of primary molars. Pediatr Dent. 1994; 16: 29 - 35.
Fejerskov O, Kidd EAM, Nyvad B, Baelum V. Defining the Disease: An Introduction. En: Fejerskov O, Kidd EAM. Dental Caries: Disease and its Clinical Management. 2008. p. 4 - 6.
Carrote P. Endodontic treatment for children. British Dent J. 2005; 198: 10 - 14.
Coll JA, Josell S, Nassof S, Shelton P, Richards MA. An evaluation of pulpal therapy in primary incisors. Pediatr Dent. 1988; 10: 178 - 184.
Rodd H, Waterhouse A, Fuks A, Moffat F. Pulp therapy for primary molars. Int J Paediatr Dent. 2006; 16: 15 - 23.
