NEW ANSWERS FOR AN OLD QUESTION: CAN WE SAVE ABSCESSED PRIMARY TEETH?
AHMED FAWZY RADY
Dr. Ahmed Fawzy earned his Bachelor of Dental Science degree from Alexandria University
in 2000. He then completed his residency program in Pediatric dentistry at Cairo University
from where he got a Master degree (MSc.) in pediatric dentistry in 2005. Later, he earned the
Doctorate degree (Ph.D.) in Pediatric Dentistry in from SCU, Egypt. He worked as a Consultant
Pediatric Dentist and the head of dental department, MAGRABI Dental Centers , Saudi Arabia,
for more than 15 years. Currently, He is a lecturer at Pediatric Dentistry Department , faculty
of Dentistry, ERU, Cairo. He is practicing pediatric dentistry in his own pediatric dental office
in Cairo. Dr. Fawzy is a Board member and the elected Secretary General of the Egyptian
Society of Pediatric Dentistry and Children with Special Needs (ESPSN). Dr. Fawzy had
lectured in many international Congresses in the field of Pediatric Dentistry, at The AAPD
2017,USA; IAPD 2018, Turkey; Aeedec 2019, UAE; DLS 2019,Bahrain; BIDM 2019,
Lebanon; Saudi Board, Saudi Arabia, ESPSN’21, Cairo; EDSIC 2018 and 2021, Egypt; and
IDEX 2021 and IDEX 2022.
One of the most common challenges faced daily by the pediatric dentists in the clinic is when trying to save and manage carious primary teeth with severe coronal destruction and non-vital pulps with an abscess. Treating those primary teeth is a debatable issue between dentists over years. Many dentists follow the old myths in the practice suggest that such badly decayed and abscessed primary teeth should be prematurely lost and extracted. However, due to improvements and new levels of innovations in dentistry, new facts and realities has raised in the practice aimed to save and restore those teeth to its previous function and esthetics. Many authors have reported the clinical success of non-vital primary pulp therapy Techniques. The success of a pulpectomy procedure mainly depends upon proper cleaning and removal of necrotic tissues by mechanical preparation of the root canal systems and chemical irrigation. The unpredictability and difficulty of root canal morphology adds to a clinician’s challenge. The introduction of rotary endodontics in pediatric dentistry now adays allows faster procedures with more predictable uniformed results.