Suresh Balaji, Jeevanandan Ganesh, Ravindran Vignesh
Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Department of Pediatric and Preventive Dentistry, Saveetha Dental College and hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus. 2024 Jul 22;16(7):e65147. doi: 10.7759/cureus.65147. eCollection 2024 Jul.
A 4.5-year-old female child presented to the Department of Pediatric Dentistry with the chief complaints of sharp, localized pain in her lower left and right back teeth persisting for a week, indicative of irreversible pulpitis in teeth 74, 75, and 85. A single-visit pulpectomy was planned for all affected teeth, followed by full coronal restoration in two separate visits. Before the procedure, informed digital consent was taken from the parents. A topical anesthetic agent and inferior alveolar nerve block were administered for effective anesthesia. Rubber dam isolation was performed to ensure aseptic conditions, and access cavity preparation was carried out using appropriate burs. Biomechanical preparation (BMP) was performed using Kedo S Square (Kedo Dental, Chennai, India) in tooth 74, Kedo S Plus (Kedo Dental) in tooth 75, and Kedo Nano Plus (Kedo Dental) in tooth 85, with specific instrumentation techniques as per literature guidelines. The root canals were thoroughly cleaned and shaped to facilitate optimal disinfection and obturation. This case demonstrates the successful management of irreversible pulpitis in the lower primary molar using single-visit pulpectomy with Kedo single filing systems, highlighting the importance of effective BMP in pediatric endodontics.
一名4.5岁女童因左下和右下后牙尖锐的局部疼痛持续一周，前往儿童牙科就诊，这表明74、75和85号牙患有不可逆性牙髓炎。计划对所有患牙进行一次性牙髓摘除术，随后分两次进行全冠修复。在手术前，已获得家长的知情数字同意。使用局部麻醉剂并进行下牙槽神经阻滞以实现有效麻醉。进行橡皮障隔离以确保无菌条件，并使用合适的车针制备进入窝洞。在74号牙使用Kedo S Square（印度钦奈Kedo Dental公司）、75号牙使用Kedo S Plus（Kedo Dental公司）、85号牙使用Kedo Nano Plus（Kedo Dental公司）进行生物力学预备（BMP），并按照文献指南采用特定的器械操作技术。对根管进行彻底清洁和塑形，以利于最佳消毒和充填。本病例展示了使用Kedo单根管锉系统进行一次性牙髓摘除术成功治疗下颌乳磨牙不可逆性牙髓炎，突出了有效BMP在儿童牙髓病学中的重要性。
