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Introduction. This article emphasizes the importance of the informed and careful practice in pediatric dentistry and endodontics to prevent iatrogenic events. It highlights critical need to select appropriate obturation materials, especially in deciduous teeth, and the use of diagnostic tools such as panoramic radiographs and computed tomography scans, to avoid complications. Case report. The case of a pediatric patient of 8 years and one month old is presented, with a pulpectomy in the OD 53 obturated with gutta-percha, which hindered the eruption of teeth 13 and 14. This case is rare due to the unusual difficulty in eruption caused by gutta-percha obturation in a deciduous tooth, not commonly reported in literature. Conclusions. Meticulous dental practice supported by clear protocols is essential to ensure successful and safe treatment in pediatric patients. Proper selection of obturation materials, particularly in deciduous dentition, is crucial. The findings underscore the relevance of diagnostic tools such as panoramic radiography and computed tomography. Specialized attention and the use of resorbable materials in deciduous dentition are critical to prevent future complications. [ABSTRACT FROM AUTHOR]

The aim of this clinical report case was to perform non-instrumental pulp therapy with CTZ in temporary dental organs in a patient with sickle cell disease (SCD). Female 5 years 7 months old, diagnosed with SCD was treated at Regional Hospital of High Speciality of the Child "Dr. Rodolfo Nieto Padrón" in the pediatric dentistry area. At the clinical observation presented tendons and conjunctival palidity, at the intraoral level presented mucous pallidity, hypomineralization, caries in various dental organs (DO), the results of blood biometry were a hemoglobin: 6.04 g/dl, erythrocytes: 1.82 g/dl, leukocytes: 15 450 x 103/µL. Dental diagnosis was early childhood caries and pulpar necrosis in temporary molars 64 and 85 the first with dentoalveolar abscess. Non-instrumental pulp therapy treatment was carried out with CTZ in both temporary molars with pulp necrosis and as temporary glass ionomer restoration and subsequently steel crowns, temporary obturations in different DO for caries lesions. Result of CTZ treatment was effective, showing clinical and radiographic improvements. Non-instrumental pulp therapy with CTZ is a viable, fast and safe effective treatment in patients with SCD, prevents bacterial spread to periodontal tissues and minimizes systemic risk. [ABSTRACT FROM AUTHOR]

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