Pulp therapy in pediatric patients with congenital heart disease: Survey of American academy of pediatric dentistry members

Rachel M. Dunlop, Brian J. Sanders, James E. Jones, Laquia A. Walker, Randall L. Caldwell

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Purpose: The purpose of this study was to identify treatment options recommended by American Academy of Pediatric Dentistry (AAPD) members concerning pulp treatment in primary teeth in pediatric patients with congenital heart disease (CHD). Methods: A web-based survey was sent to all active members of the AAPD. The survey contained radiographs of pulpally involved primary teeth, a description of associated signs/symptoms, and a medical history of the patient who was positive for a type of CHD. Pediatric dentists were requested to report treatment recommendations. Results: Of the 6,590 surveys sent, 1,493 surveys (23%) were completed. Most respondents preferred to extract the tooth with the clinical presentation of irreversible pulpitis followed by distal shoe space maintenance when the patient presented with a negative medical history. By contrast, approximately half of the respondents elected to extract this tooth without space maintenance for all of the cardiac conditions. By contrast, most respondents elected to perform a pulpotomy in the case of reversible pulpitis regardless of the medical history. Indirect or direct pulp therapy were the least chosen options for both presentations. Conclusions: The presence of CHD affects treatment decisions in teeth exhibiting irreversible pulpitis with symptomatic apical periodontitis but not in teeth displaying reversible pulpitis with a normal periodontal status.

Original languageEnglish (US)
Pages (from-to)139-144
Number of pages6
JournalJournal of Dentistry for Children
Volume80
Issue number3
StatePublished - Sep 1 2013

Keywords

  • Congenital heart disease
  • Infection
  • Primary teeth
  • Pulp

ASJC Scopus subject areas

  • Dentistry(all)

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