2014 Jul;145(7):714-21. doi: 10.14219/jada.2014.36. The basis is to Mineral trioxide aggregate as a pulpotomy agent in primary molars: Pulpal therapy in primary molar teeth: Comparison of electrosurgical and formocresol pulpotomy procedures in children. Of the three…, Management of teeth with vital pulps and open apices. To systematically analyze the available scientific literature on clinical and radiographic results of two materials used in pulpotomy in primary teeth: formocresol and mineral trioxide aggregate. The purpose of this study was to compare the clinical and radiological outcomes of three different single-visit vital pulp therapies including pulpotomy with electrosurgery (ES), formocresol (FC) and ferric sulfate (FS) in cariously exposed primary molar teeth. This action fastens the vital pulp, maintaining them inert and conserves the primary tooth until it falls off physiologically. Epub 2008 May 12. USA.gov.  |  The pulpotomy agents were as… The clinical evidence available showed significant differences regarding the use of a material or another. 57 permanent teeth with caries-free predecessors were included for further control. 2014 Aug 6;(8):CD003220. Epub 2018 Jul 18. pulps in symptom free primary molars. After a pulpotomy, one of four materials is generally used: ferric sulphate, formocresol, calcium hydroxide or mineral trioxide aggregate. formocresol pulpotomy in primary molars restored with stainless steel crowns (SSC) to those restored with amalgam (AM). The indication was primarily the presence of a carious exposure and desire to retain the primary tooth until exfoliation. teeth). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. In primary teeth medicaments such as formocresol, Ferric sulphate, and Calcium hydroxide can be used in pulpotomy although the clinical and radiographic success rate of ferric sulphate is higher than the other materials. Electrical and Formocresol Pulpotomy in Primary Molars The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Materials and methods: Clinical and radiographic success of mineral trioxide aggregate compared with formocresol as a pulpotomy treatment in primary molars: a systematic review and meta-analysis. Would you like email updates of new search results? Recently, most studies have concentrated on comparing formocresol to mineral trioxide aggregate (MTA) and Bioaggregate (BA) for human primary teeth pulpotomy [18,19,20]. The Journal of clinical pediatric dentistry, International journal of clinical pediatric dentistry, Journal of the American Dental Association, Oral surgery, oral medicine, and oral pathology, By clicking accept or continuing to use the site, you agree to the terms outlined in our. Epub 2019 May 27. Nasrallah H, El Noueiri B, Pilipili C, Ayoub F. Int J Clin Pediatr Dent. Of recent, calcium phosphate cement (CPC) has been projected as an ideal pulpotomy material considering its tissue compatibility and dentinogenic properties. Pulpotomy therapy for the primary dentition has developed along three lines: devitalization, preservation, and regeneration. This material should not prevent the resorption of the primary tooth's root, to let the permanent tooth to grow in. Smaïl-Faugeron V, Courson F, Durieux P, Muller-Bolla M, Glenny AM, Fron Chabouis H. Cochrane Database Syst Rev. 2008 Jul;41(7):547-55. doi: 10.1111/j.1365-2591.2008.01377.x. Mineral trioxide aggregate as pulp capping agent for primary teeth pulpotomy: 2 year follow up study. Kaplan-Meier analyses were used to analyze were used time to failure. Conclusions: Some features of the site may not work correctly. The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth. Pulpotomy for Primary Teeth with Tricalcium Silicate Material. NIH Alternative Interventions to Formocresol as a Pulpotomy Medicament in Primary Dentition : A Review of the Literature, Pulp Response to Lyophilized Bone in Rat Teeth. The study was carried out on 60 primary molars in 20 children indicated for pulpotomy. PULPOTOMY IN PRIMARY MOLAR TEETH USING ELECTROSURGERY AND MTA : A RETROSPECTIVE STUDY OF SURVIVAL RATES, A Review Of Pulpotomy Therapy In The Primary Dentition, Clinical and Radiographic Evaluations of Biodentine™ Pulpotomies in Mature Primary Molars (Stage 2). In this randomized clinical trial, 29 healthy 5- to 7-year-old children with at least four carious primary molars with no clinical or radiographic evidence of pulp degeneration were enrolled. The aim of the present study was to evaluate potential factors influencing the success rates of mineral trioxide aggregate (MTA) pulpotomy performed in primary molars. Devitalization, where the intent is to destroy vital tissue, is typified by formocresol and electrocautery. At the end of the 30 months, tenderness to percussion, spontaneous pain, fistula, and mobility were diagnosed in the third tooth and this tooth was also extracted. In addition to the findings of clinical follow--radiographic and taking into account the potential toxicity of formocresol suggest the use of mineral trioxide aggregate pulpotomy of primary teeth. 54 Pulpotomy techniques using formocresol on primary teeth have been a standard in pediatric dentistry for decades. Epub 2018 Sep 20. 2018 Nov-Dec;11(6):496-504. doi: 10.5005/jp-journals-10005-1564. It kills bacteria and converts the pulp tissue into inert compounds. Primate pulpal healing after exposure and TheraCal application. The study comprised teeth with clinically and radiographically successful and unsuccessful pulpotomies. HHS If your child complains of pain when cold, hot or sweet things touch their tooth/teeth, it may mean that he/she has pulpitis. Pulp treatment for extensive decay in primary teeth. One tooth from each pair was randomly assigned to either the BiodentineTM pulpotomy group or the formocresol pulpotomy group. The aim of this study was to evaluate and compare, both clinically and radiographically, the effects of calcium silicate-based materials (i.e., ProRoot MTA [PR-MTA], MTA-Plus [MTA-P], and Biodentine [BD]) and ferric sulfate [FS] in pulpotomy of primary molars.Materials and Methods. 330' bur in the high-speed hand piece. Pulpotomy is the most widely accepted clinical procedure for treating primary teeth with inflammation of the coronal pulp caused by caries with no involvement of the radicular pulp. Devitalization, where the intent is to destroy vital tissue, is typified by formocresol and electrocautery. Many alternatives, including MTA, sodium hypochlorite, ferric sulfate, electrosurgery, and lasers, have been investigated to replace … COVID-19 is an emerging, rapidly evolving situation. Tabari M, Seyed Majidi M, Hamzeh M, Ghoreishi S. J Dent (Shiraz). NCI CPTC Antibody Characterization Program. NLM MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials. It was identified relevant publications through a search of electronic databases such as MEDLINE (Ovid) and The Cochrane Library. To be included in the review, studies had to define the material used in child patients with pulp exposure by caries or tooth-alveolar trauma. Comparison of mineral trioxide aggregate and diluted formocresol in pulpotomized human primary molars: 42-month follow-up and survival analysis. You are currently offline. Formocresol was used as a medicament to cover root stumps of asymptomatic thirty primary molars with vital pulp exposures. PARTIAL PULPOTOMY
The partial pulpotomy for traumatic exposures is a procedure in which the inflamed pulp tissue beneath an exposure is removed to a depth of 1-3 mm to reach the deeper healthy tissue
-Indicated for a vital , traumatically exposed, young permanent tooth, especially one with an incompletely formed apex.
-Calcium hydroxide or MTA is used
Single Visit Pulpotomy • Step 1: Administration of local anesthesia • Step 2: Apply a rubber dam • Step 3: Use a sterile No.4 or 8 round bur (slow speed) to remove all carious dentin .If possible, remove all carious dentin before exposing the pulp horns • Step 4: Place a No. Preservation, the retention of maximum vital tissue with no induction of reparative dentin, is exemplified by glutaraldehyde and ferric sulfate treatment. One alternative material, mineral trioxide aggregate (MTA), has demonstrated a high success rate as a primary molar pulpotomy agent in many clinical studies and entails no known health risks. Formocresol and Calcium Hydroxide Therapy. There was a significant difference between the success rates of formocresol (FC)- and mineral trioxide aggregate (MTA)-treated pulpot-omised primary molars (P<0.05) Clinical assessments and radiographic findings of the MTA versus FC pulpotomy suggested that MTA was 2020 Mar;21(1):48-55. doi: 10.30476/DENTJODS.2019.77826.0. Due to its excellent characteristics, in addition, its capability to control the disadvantages of both formocresol and MTA, Biodentine TM could be an excellent replacement to the current materials for pulp therapy. Electrosurgical pulpotomy: a pilot study in humans. Formocresol is still the most used medicament for dental pulp therapy in primary teeth despite potential safety concerns over its primary ingredient, formaldehyde. 2019 Sep 15;96:35-54. doi: 10.1016/j.actbio.2019.05.050. Bioactive tri/dicalcium silicate cements for treatment of pulpal and periapical tissues. The principal objective of any pulpal therapy is “to maintain the integrity and health of a tooth and its supporting tissues”. Moretti AB, Sakai VT, Oliveira TM, Fornetti AP, Santos CF, Machado MA, Abdo RC. The aim of this study was to evaluate and compare the efficacy of Ferric sulphate, glutaraldehyde and Mineral trioxide aggregate as pulpotomy medicaments in primary molars. J Am Dent Assoc. Electrosurgical pulpotomy: a retrospective human study. Biocompatibility of Mineral Trioxide Aggregate Mixed with Different Accelerators: an Animal Study. Formocresol (FC) is considered the gold standard dressing agent for pulpotomy, but concerns have been raised over the years about its safety. Drug: Formocresol Pulpotomy is the term for removal of the coronal pulp with the intent of maintaining the vitality of the remaining radicular pulp tissue. Formocresol has been used in pulpotomy procedures of the primary teeth since 80 years. Bioactive material provides easy handling and shorter set time. Regeneration, the stimulation of a dentin bridge, has long been associated with calcium hydroxide. Clinical and radiographic evaluation of white MTA versus formocresol pulpotomy: A 48-month follow-up study. This site needs JavaScript to work properly. over 90% success rate. Carla Cohn, DMD. MTA showed clinical and radiographic success as a dressing material following pulpotomy in primary teeth and seems to be a suitable replacement for formocresol in primary teeth. treatment of reversible pulpitis in the University of Ghana Dental School. BACKGROUND: Pulpotomy is the common therapy for cariously exposed pulps in symptom-free primary molar teeth. Int Endod J. A clinical study of ferric sulfate as a pulpotomy agent in primary teeth. Formocresol pulpotomy had been performed in one of the primary teeth proceeding each tooth pair. The aim was to compare the clinical and radiographic success of vital pulpotomy treatment in primary molars using 3% sodium hypochlorite (NaOCl) versus a 1 : 5 dilution of Buckley’s FC. Teeth were followed up clinically and radiographically for 12 months. Clinical evaluation of pulpotomies with ZOE as the vehicle for glutaraldehyde. Semantic Scholar is a free, AI-powered research tool for scientific literature, based at the Allen Institute for AI. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Other alternative pulpotomy agents have been investigated and suggested. Alternative pulpotomy techniques Electro-surgery pulpotomy. Pulpotomy is a dental procedure used to save decayed, infected teeth. Stringhini Junior E, Dos Santos MGC, Oliveira LB, Mercadé M. Clin Oral Investig. Table 1: Success rates of various direct pulp capping agents Pulpotomy • Pulpotomy is one of the most widely accepted clinical procedures. Results: Aim. Electrosurgical pulpotomy in primates--a comparison with formocresol pulpotomy. With the known risks of formocresol and proven alternatives with equal efficacy, formocresol use in pediatric dentistry is unwarranted.C Pulpotomy is the most common pulp treatment of the primary teeth in children before 6 years of age and formocresol pulpotomy is the most widely accepted technique. A total of 56 pairs (112 teeth) of carious primary teeth, 1 pair per child, were selected for treatment. Although the formocresol pulpotomy technique has been recommended for many years as the principal method for treating primary teeth with carious exposures, a substantial shift away from use of this medicament has occurred because of concerns about its toxic effects. Mineral trioxide aggregate as pulp dressing agent in pulpotomy treatment of primary molars: 42-month clinical study. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. pulpotomy and vital primary tooth root canal therapy use bland medicaments and have demonstrated outcomes equivalent or superior to those of formocresol pulpotomy in randomized clinical trials. Please enable it to take advantage of the complete set of features! Formocresol is both a bactericidal and devitalizing agent. A total of 347 teeth treated between March 2012 and December 2016 in 258 patients, with a mean age of 5.3 ± 1.7 years, were included in the analysis. Background and objectives: Retention of pulpally involved primary teeth in a healthy state until the time of exfoliation remains to be one of the challenges for pedodontist. doi: 10.1002/14651858.CD003220.pub2. If you or your child has a severe cavity, plus infection in the tooth’s pulp (), your dentist may recommend pulpotomy to you Clinical and Radiographic Evaluations of Biodentine™ Pulpotomies in Mature Primary Molars (Stage 2). Primary molars were treated with formocresol (20 teeth), propolis ethanolic extract (20 teeth) or thymus vulgaris ethanolic extract (20 teeth). Pulpotomy therapy for the primary dentition has developed along three lines: devitalization, preservation, and regeneration. Nematollahi H, Sarraf Shirazi A, Mehrabkhani M, Sabbagh S. Eur Arch Paediatr Dent. Clinical and radiographic outcomes of laser pulpotomy in vital primary teeth: a systematic review and meta-analysis. Calcium hydroxide pulpotomy for primary teeth: a clinical study. • Although the AAPD does not recommend DPC for caries exposed primary teeth, clinical results indicate that DPC have promising results i.e. A review of the erroneously labeled "mummification" techniques of pulp therapy. This tooth sensitivity is usually the first sign that your child may have caries.1 Your doctor will recommend that your child undergo a pulpotomy if, upon dental examination, it is discovered that your child has caries (tooth … 2019 Apr;23(4):1967-1976. doi: 10.1007/s00784-018-2616-6. Treated teeth were clinically and radiographically evaluated after 1, 6 and 12 months.  |  Objective: The induction of reparative dentine in the amputated dental pulp of the dog by bone morphogenetic protein. Of the 21 articles obtained in the initial phase of the review, only 19 were available in full text and of these only met the requirements for inclusion 6 items, which were confronted, analyzed and discussed later. Objective: To systematically analyze the available scientific literature on clinical and radiographic results of two materials used in pulpotomy in primary teeth: formocresol and mineral trioxide aggregate. Alternatives to vital pulpotomy treatment in primary teeth are being sought because of the high formaldehyde content of traditional formocresol (FC) pulpotomy medicaments. Evidence-based dentistry is a critical evaluation, awareness of the available evidence to improve decision making about the care of individual patients and/or communities.  |  Methods: Radiographs of pulpotomized primary molars restored with SSC or AM in the principal author’s pediatric dentist practice were evaluated and defined as a “failure” Objective. 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