IMMUNOHISTOCHEMICAL ANALISIS OF PRIMARY TEETH PULP IN THE DIAGNOSIS OF PULPITIS
Pulpotomy is a widely used method of treatment of pulpitis in primary teeth all over the world. The dentist leaves the root pulp in the root canals untreated. An important task of the dentist is to correctly assess the condition of the root pulp. Accepted endodontic therapy for teeth can be divided into two main methods: vital pulp therapy and root canal treatment. Pulpotomy is one of the most widely accepted clinical procedures for treating cariously exposed pulps in symptom - free primary teeth. The most important factors in success of VPT are the early diagnosis of pulp. The research purpose was to estimate the correspondence of the clinical evidences with the data of the pathohistological study of asymptomatic pulpitis of temporary teeth. Materials and methods: root pulps of 26 temporary teeth, diagnosis: chronic pulpitis, ICD - 10 K04.03, morphological, immunohistochemically method used. Results: minimal and moderate (reversible) pulp inflammation detected in 50% of teeth in all root canals; reversible and irreversible pulp inflammation in different root canals was detected in 42.3% of teeth; in 7.7%, irreversible pulp inflammation was detected in all root canals. In general, moderate inflammation prevailed. Immunohistochemical study showed the prevalence of chronic inflammation over acute in 69%, in 2/3 of the studied biopsies. Clinical diagnostic signs of root pulp viability are: asymptomatic pulpitis, duration of bleeding after amputation no more than 1 minute, "closed" cavity on one surface, communication with the tooth cavity is detected under a relatively dense dentin.