ĐẶC ĐIỂM LÂM SÀNG CỦA BỆNH NHÂN CÓ RĂNG HÀM SỮA CẦN ĐIỀU TRỊ LẤY TUỶ BUỒNG

Abstract

Pulp pathology is among the common conditions in pediatric dentistry, yet diagnosing pulp pathology in children poses a significant challenge. In this regard, we conducted a cross-sectional study to provide clinicians with an overview of the distribution of pulp pathology in deciduous molars that require pulpotomy. The study included 173 children between 4 and 8 years of age with caries in their primary teeth requiring pulpotomy. The results indicated that the first primary molars had a higher prevalence of pulp pathology (38.4%) than the second primary molars (35.0%). The prevalence of pulp pathology was higher in the mandibular teeth (40.1%) than in the maxillary teeth (33.2%). In children under 6 years of age, the proportion of teeth with reversible pulpitis was 7.8%, while in the over-6-years-old group, it was 2.9%. The proportion of children with irreversible pulpitis was 9.2% in the under-6-years-old group and 21.6% in the over-6-years-old group. In conclusion, the first primary molars are more prone to pulp pathology than the second primary molars, and the mandibular teeth are more likely to be affected than the maxillary teeth. Age is a factor that is related to reversible and irreversible pulpitis.