[Pulp treatment in pedodontics].
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Experimental technics are described for a quick isolation of the dental incisor pulp in rodents, and for the wrapping of the pulp in a sheet of guinea pig muscle as a prerequisit for cryostat sectioning.
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A total of 432 patients aged 34 to 60 were examined, 226 of them aged 31 to 59 were admitted for treatment. Out of 1980 examined cermet crowns fixed on depulped teeth complications were detected round 412 (20.88%). Inflammations of the gingiva were found near 218 crowns, apical chronic periodontitis in 98 cases, functional over-exercise of the periodontium in 61, ceramic fracture in 18, failure of cement fixation in 17 cases. When all prophylactic measures are taken, apical periodontitis was properly treated, and dental channels filled during pulp removal, if indicated, complications develop almost three times less frequently, occurring in 7.4% of cases.
No recent data is available on the number of patients treated for root canal therapy in Switzerland. The aim of this study was to determine, by means of questionnaires, how many and which teeth were root canal treated in Switzerland by private practitioners. One questionnaire concerned the frequency of certain endodontic treatments performed during 10 consecutive working days. 30.1% of the posted questionnaires were correctly completed, returned and evaluated. Per dental practitioner, a total of 4.4 root canal treatments were begun during the 10 consecutive working days. A further 2.2 antiseptic dressings per practitioner were changed during the 10 days. Each dentist completed a root canal therapy on 5.3 teeth, 0.7 re-treatments and 0.1 pulpotomies during the 10 consecutive working days. 40% of all root canal treated teeth were molars which is rather high when compared to data available from other countries. Extrapolating the results to the entire Swiss population, 12.1 patients have a root canal therapy or a re-treatment per year. A similar result (12.9 patients) was recorded for the USA in 1979.