10 years pt come with necrotic pulp in upper central with root apex not close yet best treatment:
- a. calcium hydroxide.
- b. calcific barrier..
- c. apexfication with gutta percha filling.
- d. gutta percha filling.
The most likely treatment option for a 10-year-old patient with necrotic pulp in the upper central incisor with an immature apex (not closed yet) is:
a) Calcium hydroxide.
Here's why:
- Necrotic pulp:
The dead pulp tissue needs to be removed to prevent further infection and complications.
- Immature apex:
Since the root apex hasn't fully formed, it's not ready for conventional root canal filling with gutta-percha.
- Calcium hydroxide:
This medication is placed inside the cleaned canal to stimulate the formation of a hard, calcified barrier at the apex, mimicking the natural closure process. This barrier helps prevent the spread of infection and allows for future root canal treatment once the apex matures.
Breakdown of the Other Choices:
While other options might be considered in specific situations, here's a breakdown of the other choices and why they're less likely:
b) Calcific barrier:
This is essentially the same as calcium hydroxide therapy, just a different way of describing the desired outcome.
c) Apexification with gutta percha filling:
This option might be considered in some cases, but it's generally not recommended for young patients with immature apices. The gutta percha filling can hinder the natural root development and potentially lead to future complications.
d) Gutta percha filling:
This is the standard material for root canal fillings in mature teeth, but it's not suitable for immature apices due to the reasons mentioned above.
Therefore, calcium hydroxide therapy remains the preferred treatment for a 10-year-old patient with necrotic pulp and an immature apex in the upper central incisor. This approach promotes natural root development, prevents further infection, and allows for future root canal treatment when the apex is mature.
Additional factors to consider:
- The specific radiographic findings and condition of the tooth.
- The patient's overall health and medical history.
- The expertise and recommendations of the treating dentist.
It's important to remember that this information is for general educational purposes and should not be used as a substitute for professional medical advice. Always consult with a qualified dentist for diagnosis and treatment recommendations for specific dental conditions.
