Citation Information :
Aldhelai TA. Diagnostic Strategies and Techniques for Pulpal Pathology in Primary Dentition: A Comprehensive Review. World J Dent 2023; 14 (11):1013-1018.
Aim: The aim of this review was to examine the different methods used for diagnosing pulpal pathologies in primary teeth.
Background: Accurate diagnosis of pulpal pathologies in primary teeth is essential as it not only facilitates early identification and treatment of dental pathologies but also plays a crucial role in guiding the proper development of permanent teeth. A comprehensive evaluation involving various diagnostic methods is necessary to ensure appropriate treatment decisions and optimal care for pediatric patients.
Review results: The present study findings indicate the use of various diagnostic techniques, including visual-tactile examination, radiographic assessment, evaluation of pain characteristics, mechanical tests, examination of soft tissues, operative diagnosis, and sensitivity/vitality tests. These methods play a significant role in determining the condition of the dental pulp.
Conclusion: Based on the study findings, it is clear that employing a comprehensive approach that incorporates these diagnostic tools is essential for achieving an accurate diagnosis. This, in turn, enables appropriate treatment decisions for addressing pulpal pathology in primary teeth.
Clinical significance: Understanding and utilizing a wide range of diagnostic methods for pulpal pathologies in primary teeth enables clinicians to make informed treatment decisions and provide optimal care, ensuring proper dental development and long-term oral health for pediatric patients.
Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 2002;18(6):287–98. DOI: 10.1034/j.1600-9657.2002.00153.x
Roberts JF. Treatment of vital and non-vital primary molar teeth by one-stage formocresol pulpotomy: clinical success and effect upon age at exfoliation. Int J Paediatr Dent 1996;6(2):111–5. DOI: 10.1111/j.1365-263x.1996.tb00222.x
Gulabivala K, Ng YL. Endodontics. Elsevier Health Sciences; 2014.
Lygidakis NA, Garot E, Somani C, et al. Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document. Eur Arch Paediatr Dent 2022;23(1):3–21. DOI: 10.1007/s40368-021-00668-5
Shah S. Paediatric dentistry- novel evolvement. Ann Med Surg (Lond) 2018;25:21–29. DOI: 10.1016/j.amsu.2017.12.005
Goldberg M, Zhi C, Arana-Chavez V. Indirect and direct pulp capping, apexogenesis and apexification. J Oral Health Dent Res 2023;3(1):1–11. DOI: 2583-522X
Murray PE. Review of guidance for the selection of regenerative endodontics, apexogenesis, apexification, pulpotomy, and other endodontic treatments for immature permanent teeth. Int Endod J 2023;56 (Suppl 2):188–199. DOI: 10.1111/iej.13809
Coll JA, Vargas K, Marghalani AA, et al. A systematic review and meta-analysis of nonvital pulp therapy for primary teeth. Pediatr Dent 2020;42(4):256–461.
Kharchi AS, Tagiyeva-Milne N, Kanagasingam S. Regenerative endodontic procedures, disinfectants and outcomes: a systematic review. Prim Dent J 2020;9(4):65–84. DOI: 10.1177/2050168420963302
Chai HH, Chen KJ, Duangthip D, et al. Parental perspectives on the use of silver diamine fluoride therapy to arrest early childhood caries in kindergarten outreach dental services: a qualitative study. J Dent 2022;125:104250. DOI: 10.1016/j.jdent.2022.104250
Black GV. A work on special dental pathology. Рипол Классик; 1924.
Goodman JE, McGrath PJ. The epidemiology of pain in children and adolescents: a review. Pain 1991;46(3):247–264. DOI: 10.1016/0304-3959(91)90108-A
Shah SA, Saller J. Evaluation and diagnosis of back pain in children and adolescents. J Am Acad Orthop Surg 2016;24(1):37–45. DOI: 10.5435/JAAOS-D-14-00130
Snell S, Bontempo D, Celine G, et al. Assessment of medical practitioners’ knowledge about paediatric oral diagnosis and gaze patterns using eye tracking technology. Int J Paediatr Dent 2021;31(6):810–816. DOI: 10.1111/ipd.12763
Belfer ML, Kaban LB. Temporomandibular joint dysfunction with facial pain in children. Pediatrics 1982;69(5):564–567.
Al-Khotani A, Naimi-Akbar A, Björnsson O, et al. Professional knowledge among Swedish and Saudi healthcare practitioners regarding oro-facial pain in children and adolescents. J Oral Rehabil 2016;43(1):1–9. DOI: 10.1111/joor.12330
Shukla B, Panda A, Budakoti V, et al. Effect of an Indian percussion music instrument on the oral health, motor skills and social skills of children with autism. Int J Indian Psychol 2022;10(1):1470–1488. DOI: 10.25215/1001.151
Franzon R, Casagrande L, Pinto AS, et al. Clinical and radiographic evaluation of indirect pulp treatment in primary molars: 36 months follow-up. Am J Dent 2007;20(3):189–192.
Borsatto MC, Corona SA, de Araújo FP, et al. Effect of Er: YAG laser on tensile bond strength of sealants in primary teeth. J Dent Child 2007;74(2):104–8.
Aps JKM, Lim LZ, Tong HJ, et al. Diagnostic efficacy of and indications for intraoral radiographs in pediatric dentistry: a systematic review. Eur Arch Paediatr Dent 2020;21(4):429–462. DOI: 10.1007/s40368-020-00532-y
Seow WK. Diagnosis and management of unusual dental abscesses in children. Aust Dent J 2003;48(3):156–68. DOI: 10.1111/j.1834-7819.2003.tb00026.x
Aminabadi NA, Parto M, Emamverdizadeh P, et al. Pulp bleeding color is an indicator of clinical and histohematologic status of primary teeth. Clin Oral Investig 2017;21(5):1831–1841. DOI: 10.1007/s00784-017-2098-y
Tyldesley WR. Oral diagnosis: a handbook of modern diagnostic techniques used to investigate clinical problems in dentistry. Elsevier; 2014.
Glick M, Greenberg MS, Lockhart PB, et al. Introduction to oral medicine and oral diagnosis: patient evaluation. Burket's Oral Medicine. 2021. pp. 1–8.
Almotairy N, Kumar A, Grigoriadis A. Effect of food hardness on chewing behavior in children. Clin Oral Investig 2021;25(3):1203–1216. DOI: 10.1007/s00784-020-03425-y
Serel Arslan S, Demir N, Barak Dolgun A, et al. Development of a new instrument for determining the level of chewing function in children. J Oral Rehabil 2016;43(7):488–95. DOI: 10.1111/joor.12399
Ikeda R, Utsumi A, Ishizaki A, et al. Investigation of the mechanism of chewing movement in children with developmental insufficiency of oral function. Pediatr Dent J 2023;33(1):61–8. DOI: 10.1016/j.pdj.2023.02.001
Fuks AB, Kupietzky AR, Guelmann M. Pulp therapy for the primary dentition. Pediatric Dentistry. Elsevier; 2019. pp. 329–351.
Mohammad G, Jerin F, Jebin S. Pulpal diagnosis of primary teeth: guidelines for clinical practice. Bangladesh J Dent Res Educ 2012;2(2):65–68. DOI: 10.3329/bjdre.v2i2.16248
Soares TR, Silva LP, Andrade Risso PD, et al. Management of a permanent maxillary lateral incisor with vital pulp and necrotic dens invaginatus type III. J Dent Child 2017;84(3):149–151.
Hasler JE, Mitchell DF. Painless pulpitis. J Am Dent Assoc 1970;81(3):671–7. DOI: 10.14219/jada.archive.1970.0293
Halal F, Raslan N. Prevalence of hypomineralised second primary molars (HSPM) in Syrian preschool children. Eur Arch Paediatr Dent 2020;21(6):711–717. DOI: 10.1007/s40368-020-00520-2
Ratanajirasut R, Panichuttra A, Panmekiate S. A Cone-beam computed tomographic study of root and canal morphology of maxillary first and second permanent molars in a thai population. J Endod 2018;44(1):56–61. DOI: 10.1016/j.joen.2017.08.020
Ludlow JB, Timothy R, Walker C, et al. Effective dose of dental CBCT-a meta analysis of published data and additional data for nine CBCT units. Dentomaxillofac Radiol 2015;44(1):20140197. DOI: 10.1259/dmfr.20140197
Simyan R. The effect of mothers’ oral health related knowledge, attitude and behavior on the oral health of their 6-7 year old children in Yerevan, Armenia (Doctoral dissertation).
O’Connell AC, Puck JM, Grimbacher B, et al. Delayed eruption of permanent teeth in hyperimmunoglobulinemia E recurrent infection syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89(2):177–85. DOI: 10.1067/moe.2000.103129
Kuremoto K, Okawa R, Matayoshi S, et al. Estimation of dental age based on the developmental stages of permanent teeth in Japanese children and adolescents. Sci Rep 2022;12(1):3345. DOI: 10.1038/s41598-022-07304-2
You W, Hao A, Li S, et al. Deep learning-based dental plaque detection on primary teeth: a comparison with clinical assessments. BMC Oral Health 2020;20(1):141. DOI: 10.1186/s12903-020-01114-6
Davis GR, Fearne JM, Sabel N, et al. Microscopic study of dental hard tissues in primary teeth with dentinogenesis imperfecta type II: correlation of 3D imaging using X-ray microtomography and polarising microscopy. Arch Oral Biol 2015;60(7):1013–20. DOI: 10.1016/j.archoralbio.2015.03.010
Bessa CF, Santos PJ, Aguiar MC, et al. Prevalence of oral mucosal alterations in children from 0 to 12 years old. J Oral Pathol Med 2004;33(1):17–22.
Santamaría RM, Abudrya MH, Gül G, et al. How to intervene in the caries process: dentin caries in primary teeth. Caries Res 2020;54(4):306–323. DOI: 10.1159/000508899
O’Dell JM. Endodontics and pulpal diagnosis. Oral Diagnosis: Minimally Invasive Imaging Approaches. 2020. pp. 29–57.
Arun A, Mythri H, Chachapan D. Pulp vitality tests-an overview on comparison of sensitivity and vitality. Indian J Oral Sci 2015;6(2):41.
Webster JG. Design of Pulse Oximeters. CRC Press; 1997.
Chen E, Abbott PV. Dental pulp testing: a review. Int J Dent 2009;2009:365785. DOI: 10.1155/2009/365785