The Clinical Case
CANAL CARE
ROOT CANAL TREATMENT OF DECIDUOUS TOOTH
Clinical:
Dr. Andrea Gerardi
INITIAL SITUATION
The child presents with continuous and widespread pain in various areas of the oral cavity.
Figure 1: Teeth Affected by Multiple Carious Lesions
OBJECTIVE
The radiographic examination using the bitewing technique reveals carious lesions on several primary teeth, highlighting poor oral hygiene and improper diet. The patient will need to be re-motivated and educated on the importance of proper nutrition and good oral hygiene practices.
Figure 2: Multiple Lesions on Primary Teeth 5.5, 5.4, 8.5, 6.5, 7.5, 7.4
TREATMENT
The treatment involves: removal of the caries, opening of the pulp chamber and removal of the pulp remnants from the root canals of the affected teeth.
Figure 3: Removal and Cleaning with Disinfectant of Pulp Remnants on Teeth 6.5 and 7.5
MEDICAL CONSIDERATIONS
Performing dental treatments on young patients who are already experiencing pain can be challenging for the practitioner and delicate and stressful for the child. Therefore, it is recommended to schedule the first visits with a pediatric dentist as early as 2 to 3 years old. This approach helps to prevent significant carious lesions and ensures a gradual and painless experience for the child.
Figure 4: Orthopantomogram Showing Root Canal Treatment on Teeth 7.5 and 5.5
