Evaluation of three pulpotomy medicaments in primary teeth (original) (raw)
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A Comparison of Four Pulpotomy Techniques in Primary Molars: A Long-term Follow-up
Journal of Endodontics, 2008
The study evaluated the effects of formocresol (FC), ferric sulphate (FS), calcium hydroxide (Ca[OH] 2), and mineral trioxide aggregate (MTA) as pulp dressing agents in pulpotomized primary molars. Sixteen children each with at least four primary molars requiring pulpotomy were selected. Eighty selected teeth were divided into four groups and treated with one of the pulpotomy agent. The children were recalled for clinical and radiographic examination every 6 months during 2 years of follow-up. Eleven children with 56 teeth arrived for clinical and radiographic follow-up evaluation at 24 months. The follow-up evaluations revealed that the success rate was 76.9% for FC, 73.3% for FS, 46.1% for Ca(OH) 2 , and 66.6% for MTA. In conclusion, Ca(OH) 2 is less appropriate for primary teeth pulpotomies than the other pulpotomy agents. FC and FS appeared to be superior to the other agents. However, there was no statistically significant difference between the groups.
Oral health and dental management, 2013
This in vivo study aimed to assess and compare the relative clinical and radiographic success of formocresol, glutaraldehyde and ferric sulphate as medicaments following pulpotomies in primary molars at three-monthly intervals over one year. The study was carried out on 90 primary molars in 54 children aged from 3 to 9 years. Selected teeth were equally distributed and randomly assigned to formocresol, glutaraldehyde and ferric sulphate pulpotomy medicament groups (30 in each group). The teeth were then evaluated clinically and radiographically at three-monthly intervals over one year. The resulting data were tabulated and statistically analysed using the chi-square test. After one year, the clinical success rate was 100% with glutaraldehyde, 96.7% with ferric sulphate, and 86.7% with formocresol. The radiological success rate gradually decreased over the year in all pulpotomy medicament groups. Radiological success rates in formocresol, glutaraldehyde, and ferric sulphate groups we...
Ferric sulphate and formocresol in pulpotomy of primary molars: long term follow-up study
European journal of paediatric dentistry : official journal of European Academy of Paediatric Dentistry, 2003
The objective of this study was to compare the effects of ferric sulphate (FS) to that of the full strength of formocresol (Buckley's formula) (FC) as pulpotomy agents in primary human molar teeth 42-48 months after treatment. This was to assess the succeeding premolar teeth for decalcification, abnormal morphology or any other defect. Seventy children, ranging in age from 3 to 6 years, mean 4.3 years, were treated for pulpotomy of primary molars. Ferric sulphate 15.5% solution (applied for 15 seconds for 84 teeth) and formocresol solution (5 minutes procedure for next the 80 teeth) were used as pulpotomy agents. In both groups, pulp stumps were covered with zinc oxide eugenol paste. Permanent restorations were, in most cases, stainless steel crowns and in some of them amalgams. Follow-up clinical assessments were every 3 months and the radiographic follow-up time was 6, 20 and 42-48 months after treatment. The differences were statistically analyzed using the Chi square test. T...
European journal of paediatric dentistry, 2019
AIM To evaluate the use of formocresol (FC) and ferric sulfate (FS) as pulpotomy agents in vital pulp therapy (VPT) in primary molars by dental practitioners. MATERIALS AND METHODS One hundred seventy-nine patients (aged 74.09 ± 20.75 months) who underwent pulpotomy were enrolled. The dmft, the number of visits, the filling materials, the clinical and radiological observations and complications were evaluated. STATISTICS The data were analysed using chi-square, Spearman's rank correlation and odds ratio. RESULTS The analysis included the documentation of 179 patients with 276 pulpotomies: 50 (FS) and 226 (FC). The dmft was 8.54 ± 3.44. The therapeutic success was greater for FS pulpotomy and that of the two-appointment FC pulpotomy (90.6%) was higher than the one-appointment method (77.1%). Glass-ionomer cements (GIC) (53.6%), amalgam (30.0%), composites (15.6%), and steel crowns (1.8%) were used for tooth restoration. The risk of complications was lower for GI (OR = 2.21; 95% C...
Journal of Pharmaceutical Research International
Purpose: The aim of this present study was to observe clinical, radiographic response of pulp to Ferric Sulphate and Mineral Trioxide Aggregate when used as pulpotomy agent in primary molars. Materials and Methods: Sixty restorable primary molars were selected for the study. The children were chosen who require minimum two pulpotomies in either arch preferably each on the opposite side (i.e. right and left). Primary molars on the right side of the patient were assigned to Ferric Sulphate (FS) (Group A) and left side was assigned for the Mineral Trioxide Aggregate (MTA) (Group B). Statistical analysis was done for pain, swelling, sinus, and fistula and for internal resorption, furcation radiolucency and periapical pathology using the chi-square test. Results: outcome of the present study was observed at 3 month interval and after 6 months. The clinical success rate for MTA (AQUA) and ferric sulphate during 3 and 6 month follow up was 100%. The radiographic follow up of MTA was 100% d...
Ferric sulfate pulpotomy in primary molars: a retrospective study
Pediatric dentistry
This investigation collected clinical and radiographic data from a retrospective chart review of patients receiving ferric sulfate pulpotomies with a sub-base of zinc oxide eugenol in a clinical practice over a five-year period. Clinical and radiographic data were available for 242 primary molars in 171 children with follow-up times ranging from 4-57 mos (mean = 19 mos). The overall radiographic success rate ranged from 74-80%. The frequency of normal appearing pulps decreased over time. The most frequently observed pulpal responses were calcific metamorphosis (6-33%) and internal resorption (7-18%). Overall clinical success was 99%. Only 9 of the 242 teeth were extracted due to radiographic and/or clinical failure. A survival analysis demonstrated that the overall cumulative probability of survival remained high over time with a cumulative survival of over 90% after 3 years. The overall success rates in this study are lower than those reported previously in the literature for ferri...
Mansoura Journal of Dentistry, 2019
Aim: was to evaluate, clinically and radiographically, the effect of TheraCal, calcium sulphate and formocresol as pulpotomy medicaments in primary molars. Methods: Sixty carious mandibular second primary molars of 60 children, indicated for vital pulpotomy were selected from Pediatric Dental Clinic, Faculty of Dentistry, Mansoura University. Profound local anesthesia, isolation by rubber dam was performed. Caries was completely removed, coronal pulp tissue was amputated using sharp spoon excavator, after blood clot establishment, pulp medicaments were applied over the pulp stump according to manufacture instructions. Teeth were classified into 3 equal groups according to the type of medicament; formocresol, TheraCal and calcium sulphate. Final restoration was performed with stainless steel crowns. Both clinical and radiographic evaluation were done for all teeth at 3, 6,9,12 months. Results: After one year, from clinical and radiographic records, TheraCal group showed the higher success rate than calcium sulphate group followed by formocresol group. The clinical success rate was88.9% for TheraCal, 81.2% calcium ferric sulphate, and 73.3% with formocresol. Radiological success rates in TheraCal, calcium sulphate, and formocresol groups were 88.9%, 87.5%, and 80%, respectively. Conclusion: TheraCal and calcium sulphate are successful substitutes to formocresol as pulp medicaments for primary molars pulpotomy.
Evaluation of Four Pulpotomy Techniques in Primary Molars: A Randomized Controlled Trial
Iranian endodontic journal, 2018
This trial was designed to evaluate the clinical and radiographic success rates of calcium-enriched mixture (CEM) cement with and without low level laser therapy (LLLT) and compare them to that of formocresol (FC) and ferric sulfate (FS) in primary molar pulpotomies. This randomized clinical trial was conducted on a total of 160 teeth selected from 40 patients aged 3-9 years. Patients with at least four primary molars needing pulpotomy, were included in order to have each tooth assigned randomly in one of the four following groups; FC, FS, CEM, and LLLT/CEM. Six- and twelve-month follow-up periods were conducted in order to enable a clinical and radiographic evaluation of the treated teeth. Collected data were analyzed using Cochran Q Tests. The 12-month clinical success rate for each technique was: FC=100%, FS=95%, CEM=97.5% and LLLT/CEM=100% with no significant differences (>0.05). Furthermore, 12-month radiographic success rate for each technique was: FC=100%, FS=92.5%, CEM=95...
Primary molar pulp therapy--histological evaluation of failure
International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, 2000
Qualitative comparison of the clinical, radiographic and histological outcomes in a small sample of cariously exposed primary molars, extracted after unsuccessful pulp treatment by two vital pulpotomy methods. The primary molars were extracted, because of treatment failure, during a longitudinal clinical investigation of the relative efficacy of 20% Buckley's Formocresol versus calcium hydroxide powder as pulp dressings in vital pulp therapy (in press). Fifty-two child patients were sequentially enrolled in the longitudinal clinical investigation, 26 boys and 26 girls. Primary molar teeth requiring vital pulp therapy were randomly allocated to either the formocresol group (F) or the calcium hydroxide group (C). Coronal pulp amputation was prescribed only in teeth with vital, cariously-exposed pulp tissue. All cases were reviewed using predefined clinical and radiological criteria. Seventy-nine cariously-exposed primary molars required vital pulp therapy. Forty-four teeth were in...
Formocresol and Ferric Sulphate Pulpotomy Outcomes in Primary Molars: A Systematic Review
2018
Background: Formocresol and ferric sulfate were used as pulpotomy medicaments since long time in pediatric dentistry. Formocresol is regarded a gold standard in devitalization group while ferric sulfate is regarded gold standard in preservation group. Various literature shows Formocresol has been challenged due to its carcinogenicity and mutagenicity. Objective: The objective of this systematic review is to assess the literature regarding the efficacy of Formocresol & Ferric Sulphate pulpotomy on primary molars and to assess its clinical and radiographic success rate. Data sources: Databases used for the search were PubMed and GoogleScholar from 1 January 1994 to 31 December 2015. In addition hand-search of dissertations and journals on pediatric dentistry related to the topic of interest was performed in the institutional library. Study eligibility criteria: Articles published between 1 January 1994 and 31 December 2015 in English with Randomized controlled trials and Original pros...