J Korean Acad Pediatr Dent.  2023 Feb;50(1):24-34. 10.5933/JKAPD.2023.50.1.24.

A Retrospective Study on the Effect of Pulp Treatment on the Exfoliation of Primary Teeth

• Bang S
• Han M
• Kim J
• Lee J
• Kim J
• Shin J

• KMID: 2539894
• DOI: http://doi.org/10.5933/JKAPD.2023.50.1.24

Abstract

The aim of this study was to retrospectively analyze the effects of pulp treatment on exfoliation of primary teeth and its related factors. In this study, 167 teeth of 97 patients aged 6 months to 12 years who were treated with pulp treatment at Dankook Dental Hospital were selected, and information related to pulp treatment and tooth loss was collected. The included subjects were 72 primary anterior teeth (43.1%) and 95 primary posterior teeth (56.9%), of which 56 were males (57.7%) and 41 females (42.3%). The mean follow-up period was 106.1 ± 38.7 months, and the mean age at pulp treatment was 34.8 ± 15.4 months for primary anterior teeth and 69.1 ± 25.1 months for primary posterior teeth. Unilaterally pulpectomized teeth were significantly exfoliated earlier than the same tooth on the opposite side (p < 0.05). Also, in the case of teeth with periapical lesions, despite pulp treatment, the probability of extraction due to infection has been increased on primary anterior teeth (p < 0.05), but not on posterior teeth (p > 0.05). Pulpectomized teeth were lost earlier, an average of 7.8 months for primary anterior teeth and 8.5 months for primary posterior teeth. Early loss of the primary tooth can lead to space loss and premature eruption of the successor, so this can be considered when planning or performing treatment of the primary tooth.

Keyword

Pulp treatment; Pulpectomy; Periapical infection; Tooth exfoliation; Primary tooth