Clinical and Radiographic Characteristics of the Primary Teeth Indicated For Pulpectomy: A Cross-Sectional Analysis

  • Rahul Morankar
  • Ashima Goyal
Keywords: Clinical and radiographic symptoms, Pulpectomy, Primary teeth


Introduction- Although difficult to achieve but an accurate diagnosis of pulp status is important for the success of pulp therapy in primary teeth. Clinical signs and symptoms, as well as radiographic characteristics, are important in this regard. Material and methods- This cross-sectional analysis evaluated the clinical and radiographic characteristics in 60 decayed primary mandibular second molars from children aged 4-8 years indicated for single visit pulpectomy treatment based on their history, clinical examination and radiographic examination. Results- Pain was present in 60% of cases followed by tenderness on percussion (1.7%) and sinus tract (1.7%). Evaluation of duration of onset of pulpal involvement revealed 86.7% cases had chronic involvement whereas 13.3% cases showed an acute exacerbation of chronic involvement. Irreversible pulpitis was present in 68.3% cases followed by pulp necrosis in 28.3%. Only 7 out of 60 cases indicated for pulpectomy showed radiographic involvement in periapical or furcation areas. Conclusion- Pain was the most common symptom. Majority of cases had chronic involvement and irreversible pulpitis was the most common indication for pulpectomy followed by pulp necrosis. Only a few cases indicated for pulpectomy in the present study had radiographic involvement present.


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Cohen S, Burns RC. Pediatric Endodontics: Endodontic Treatment for the Primary and Young Permanent Dentition. Pathway of the pulp. 10th ed. St. Louis: Mosby Inc 2011;808.

Mc Donald RE, Avery DR. Dentistry for the child and adolescent. 7th ed. St. Louis: Mosby; Inc 2004.

Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC (eds). Pathways of the pulp. 8th ed. St. Louis: Mosby; Inc 2002;231-292.

Glickman GN, Dumsha TC. Problems in canal cleaning and shaping. In: Gutmann JL, Dumsha TC, Lovdahl PE, Hovland EJ (eds). Problem solving in endodontics: prevention, identification, and management. 3th ed. St. Louise: Mosby; Inc 1997;91-121.

Eli I. Dental anxiety: A cause for possible misdiagnosis of tooth vitality. Int Endod J 1993:26: 251-53.

Finn SB. Child management in the dental office. In: Finn SB, editor. Clinical pedodontics.Philadelphia.WB saunders.1998.p.39.

Finn SB. Morphology of primary teeth. In clinical pedodontics. 4th Edition WB Saunders


Saravanan S, Madivanan I, Subashini B, Felix JW. Prevalence pattern of dental caries in the primary dentition among the school children.Indian Jour of Dent Res. 2005; 16:140-146.

Sathe PV. A textbook of Community Dentistry .1st edition Hyderabad, Paras medical publisher,1998.84-94.

Tewari A, Chawla HS. A study of prevalence of dental caries in an urban area of India-Chandigarh. JIDA.1997; 49:231-237.

Jawdekar SL, Dandare MP, Maya Nato, Jawdekar SS. Dental caries susceptibility pattern. JIDA.1989; 60:200-203.

Chawla HS. Mani SA. Tewari A, Goyal A. Calcium hydroxide as a root canal filling material in primary teeth - a pilot study. J Indian Soc Pedo Prev Dent 1998; 6:3.

Chawla HS, Mathur VP, Gauba K, Goyal A. A mixture of Ca(OH)2 paste and ZnO powder as a root canal filling material for primary teeth: a preliminary study. J Indian Soc Pedo Prev Dent. 2001; 19:3. 107-109.

Rifkin A. A simple effective, safe technique for the root canal treatment of abscessed teeth. J Dent Child 1980; 47:435-441.

Nadkarni U, Damle S G. Comparative evaluation of calcium hydroxide and zinc oxide eugenol as root canal filling materials for primary molars: a clinical and radiographic study. J Indian Soc Pedod Prev Dent 2000;18:110.

Damle SG, Nadkarni UM. Calcium Hydroxide and Zinc Oxide Eugenol as root canal filling materials in primary molars: A comparative study. Aus Endo Journal. 2005; 3 (3).

Morabito A, Difabianis P. A SEM investigation on pulpal periodontal connections in primary teeth. J Dent Child 1992;59:53-57.

Wrabs KT, Kielbassa AM, Hellwig E. Microscopic studies of accessary canals in primary molars furcations. J Dent Child 1997;64:118-122.

DOI: 10.26440/ihrj.v2i9.182
Published: 2018-12-23
How to Cite
Rahul Morankar, Ashima Goyal. Clinical and Radiographic Characteristics of the Primary Teeth Indicated For Pulpectomy: A Cross-Sectional Analysis. IHRJ [Internet]. 2018Dec.23 [cited 2023Dec.2];2(9):223-8. Available from: