CHRONIC FORMS OF PULPITIS. PATHOLOGICAL ANATOMY, CLINICAL MANIFESTATIONS, DIAGNOSIS, DIFFERENTIAL DIAGNOSIS. FEATURES OF THE COURSE AND TREATMENT IN CHILDREN
Keywords:
chronic pulpitis, pediatric dentistry, pulp pathology, pathological anatomy, clinical manifestations, diagnosis, differential diagnosis, treatment methods, complication prevention.Abstract
This scientific article is devoted to a comprehensive analysis of chronic forms of pulpitis in pediatric patients, which remain a significant issue in modern therapeutic dentistry. The study examines etiological factors and pathogenetic mechanisms of chronic pulpitis development, as well as morphological and functional changes in the dental pulp from the perspective of pathological anatomy. Special attention is given to the clinical features of chronic fibrous, hypertrophic, and gangrenous pulpitis, along with age-related characteristics of the disease course in children. The article highlights modern diagnostic approaches, including clinical examination, radiographic assessment, electric pulp testing, and differential diagnostic algorithms. Clear criteria for distinguishing chronic pulpitis from deep caries, periodontitis, and other pulp-periapical pathologies are provided. The treatment section analyzes conservative and surgical methods adapted for pediatric patients, evaluating their indications, effectiveness, and potential complications. The findings contribute to improving early diagnosis and optimizing individualized treatment strategies in pediatric therapeutic dentistry.
References
Inoyatov A.A., Rakhmonov B.S. Children's therapeutic dentistry. – Tashkent: Ibn Sino Publishing House, 2020. – 320 p.
Saidov U.K., Qodirov D.R. Propaedeutics of dental diseases. – Tashkent: Science and technology, 2019. – 280 p.
Pinkham J.R., Casamassimo P.S., McTigue D.J. Pediatric Dentistry: Infancy through Adolescence. 6th ed. – St. Louis: Elsevier, 2018. – 832 p.
Ingle J.I., Buckland L.K., Baumgartner J.C. Ingle’s Endodontics. 7th ed. – Hamilton: BC Decker, 2019. – 1350 p.
Cohen S., Hargreaves K.M. Pathways of the Pulp. 11th ed. - St. Louis: Elsevier, 2021. – 928 p.
Rodd HD, Waterhouse PJ, Fuchs AB. Pulp therapy for primary and immature permanent teeth. International Journal of Pediatric Dentistry, 2020; 30(2): 200–213.
American Academy of Pediatric Dentistry (AAPD). Guideline on Pulp Therapy for Primary and Immature Permanent Teeth. Pediatric Dentistry, 2022; 44(6): 343–351.
Torabinejad M., White S.N. Endodontic treatment and materials in pediatric dentistry. Journal of Endodontics, 2019; 45(9): 1025–1034.
Fuchs A.B. Vital pulp therapy with new materials for primary teeth: new directions and treatment perspectives. Pediatric Dentistry, 2018; 40(3): 211–219.
Glickman G.N., Dumsha T.C. Diagnosis and management of pulp disease in children. Dental Clinics of North America, 2020; 64(1): 45–62.