MTA has never been a controversial pulpotomy medicament. h�b```b``3d`c`P,b`@ �;� ���e���M� Devitalization, where the intent is to destroy vital tissue, is typified by formocresol and electrocautery. 0000010562 00000 n Pediatr Dent 2000;22(3):192-9. Overall cumulative probability of survival remained high over time with a cumulative survival rate of over 94% over 4 years. Methods: Thesis (M.S.) Several medicaments have been used as alternatives to formocresol (FC) for pulpotomy in primary molars with deep carious lesions. A clinical research was done by Fie et al. There are various types of medicament placed above the vital pulp such as Buckley’s Solution of formocresol, ferric sulfate, calcium hydroxide or MTA. 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. No conclusions can be made as to the optimum treatment or techniques for pulpally involved primary molar teeth due to the scarcity of reliable scientific research. Radiographic success rate was in both groups 97.2%, while in 2.8% cases has shown internal root resorption. 0000022723 00000 n Access scientific knowledge from anywhere. Authors were contacted for additional information where necessary. High quality RCTs, with appropriate unit of randomisation and analysis are needed. No other complications were observed. 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. Aim: This 3-year retrospective case series evaluated the clinical and radiographic outcome of ferric sulfate and formocresol pulpotomy in primary molar teeth in a dental teaching hospital in Malaysia. 0000018124 00000 n Internal resorption, evaluated radiographic-ally, occurred in six teeth treated with zinc oxide-eugenol cement, and in three teeth treated with Ledermix cement. A total of 55 pulpotomized primary molars were observed. In almost one-half of the cases, the root canal filler (zinc-oxide eugenol) was retained in the gingival sulcus after the pulpectomized tooth exfoliated. 0000051250 00000 n Clinical assessments were carried out during the second visit to assess the presence of sinus tract, gingival swelling, excessive tooth mobility, tenderness to percussion, and abnormal exfoliation of the treated teeth. There was no restriction on language of publication. 8. Survival analyses determined that the cumulative probability of clinical survival at 30 months was 93.7 percent (95 percent confidence interval [95% CI] equals 83.7 percent to 99.2 percent) and radiographic survival probability was 85.6 percent (95% CI equals 76.3 percent to 93.7 percent). The aim of this prospective study was to compare 12- and 24-month success rates among sodium hypochlorite (NaOCl), ferric sulfate (FS), and mineral trioxide aggregate (MTA) pulpotomies performed in primary molars. FS induces hemostasis and the formation of a sealing membrane at the interrupted vessel of pulp tissue by agglutinating the blood proteins with ferric and sulfate … Metodología: Estudio cuasi-experimental. 0000045717 00000 n Objective: The aim of this study is to evaluate four different pulpotomy medicaments in primary molars. Our results within this period revealed 100% clinical success rate in both groups. The clinical success rates of ferric sulfate and formocresol pulpotomy were 44.4% and 60.0%, respectively, whereas the radiographic success rates of ferric sulfate and formocresol pulpotomy were 86.7% and 90.0%, respectively. Most frequently observed pulpal responses were calcific metamorphosis and internal resorption. Clinical and radiographical evaluations were done for one year. Accepting the importance of correct diagnosis, this histologic study indicates that Ledermix cement, as dressing material in vital pulpotomy of primary molars, is superior to zinc oxide-eugenol cement. 0000011698 00000 n To assess the relative effectiveness of: various pulp treatment techniques in retaining primary molar teeth with decay involving the pulp for at least 12 months; pulp treatment techniques. Patients undergoing pulpotomy therapy in vital primary molars with pulp exposure due to caries treated with formocresol and ferric sulfate were evaluated for clinical and radiographic success. Ferric sulfate (FS) has been commonly used as a pulpotomy agent to control pulpal bleeding in vital pulp therapy for 30 years. 0000005948 00000 n Primary outcomes were extractions following pulp treatment and long term effects. 52, 53 In a pulpotomy, as defined by the American Academy of Pediatric Dentistry, the coronal pulp is amputated and the remaining vital radicular pulp tissue surface is treated with a medicament (e.g., formocresol, ferric sulfate… ... Evidence-based assessments indicate that pulpotomy performed with either FC or FS are likely to be associated with similar clinical/radiographic success rates in human carious primary molars with reversible coronal pulpitis. Includes abstract. ... Free eugenol radical which may leach through the porous furcal area and may cause radiolucency. All rights reserved. Further robust studies are required before such alternative medicaments should be used in clinical practice. However, there are now more cost-friendly … The observation period varied from 1 to 42 months. The success rates for this variation of the formocresol technique are comparable to those success rates in the literature where hemostasis was obtained in a separate step using a nonmedicated cotton pellet. available for 194 primary molars in 112 patients with follow up times ranging from 5 to 109 months (mean = 38 months). primary teeth: Twenty month clinical follow-up. ViscoStat hemostatic is a 20% ferric sulfate equivalent solution with inert binding agents in a viscous, aqueous vehicle. It has a pH of ~1.0 and contains patented, fumed silica to limit the acidic activity, making it kind to hard and soft tissue. 0000017554 00000 n Ferric sulfate 15.5% solution (applied for 15 second for 35 teeth) and formocresol solution (five minute procedure of Buckley's formula for next 35 teeth) have been used as pulpotomy agents. Data on extraction following pulp treatment was available in all three studies and in two studies there was no statistically significant difference between the treatments. The most frequently observed pulpal responses were calcific metamorphosis (6-33%) and internal resorption (7-18%). The results showed that three children with 6 pulpotomized teeth failed to return for any follow-up evaluations in the clinical and radiographical study. A retrospective chart review was conducted on children who had received full-mouth dental rehabilitation under general anesthesia between January 1, 2013, and May 1, 2018. 0000054423 00000 n Pulpotomy therapy for the primary dentition has developed along three lines: devitalization, preservation, and regeneration. 0000028236 00000 n 0000015858 00000 n Each child had at least two lower primary carious molars (1 st and/or 2 nd) indicted for pulpotomy where assigned randomly into two groups; propolis pulpotomy (study group) in one quadrant and formocresol pulpotomy (control group) in the second quadrant. The hemostatic properties of ferric sulfate and the favorable pulpal response make it a promising medicament for pulpotomy. The most frequently observed pulpal responses were calcific metamorphosis (34%) and internal resorption (10%). 35 Smith et al. It was initially used in pulpotomy as an aid to haemostasis prior to placement of calcium hydroxide. 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. 5. Pulpotomies were performed in seventy-nine primary teeth of 4 baboons. Evidence of pulpotomy in primary teeth comparing MTA, calcium hydroxide, ferric sulphate, and electrosurgery with formocresol. 0000035443 00000 n 0000002083 00000 n 0000052117 00000 n The wettability is indicated by measuring the contact angle of aqueous solution of CaSO4 on surface of cured impres-sion materials. The overall radiographic success rate ranged from 74-80%. Only 9 of the 242 teeth were extracted due to radiographic and/or clinical failure. Only 7 of 194 molars were extracted due to radiographic and/or clinical failure. 2000;24:269-72. 0000018207 00000 n 0000045164 00000 n 0000053712 00000 n This systematic review and meta-analysis aimed to evaluate the overall, clinical, and radiographical success rates of alternative pulpotomy medicaments in primary teeth. Dental decay in primary teeth remains a considerable health problem. Conclusion: There were no significant differences in the clinical (p = 0.328) and radiographic (p = 0.164) success rates among the four groups. All subjects exhibited one primary molar indicated for indirect pulp therapy (IPT; control group) and three carious primary molars indicated for pulpotomy with 5% NaOCl, 15.5% FS, and MTA. Discusión: Ambas terapias pulpares son adecuadas para dientes temporales con diagnóstico de enfermedad pulpar, ya que de acuerdo a los resultados obtenidos no se observa diferencia entre ambos tratamientos. Ferric sulfate 15.5% solution (applied for 15 second for 35 teeth) and formocresol solution (five minute procedure of Buckley's formula for next 35 teeth) have been used as pulpotomy agents. Clinical trials show that MTA performs equal to or better than formocresol or ferric sulfate 8,11,57-61 and may be the preferred pulpotomy agent in the future. However, three of five teeth were unsuccessful in the CH during radiographic observation, and showed clinical symptoms at later periods. Materials and methods: Clinical and radiographic records of all pediatric patients who had pulpotomy of primary molar teeth between July 2005 and October 2008 were evaluated. The final study sample consisted of 208 children with a mean age of 4.9 years. Based on the available RCTs, there is no reliable evidence supporting the superiority of one type of treatment for pulpally involved primary molars. In this meta‐analysis, the prognosis of pulpotomy in primary molars with formocresol versus ferric sulphate was … Propolis has been known as a natural antibiotic and has been subject of medical and dental research due to its therapeutic properties such as antibiotic, anti-inflammatory and analgesic effect. Includes: Ferric sulfate pulpotomy technique in primary molars : long-term clinical evaluation / by Nikki L. Smith, N. Sue Seale, Martha E. Nunn. Pulpotomy / follow up. Primary molar pulpotomies utilizing Biodentine® as the pulpal medicament had favorable clinical and radiographic results after 30 months. 0000016805 00000 n Purpose: The purpose of this study was to evaluate the total success rates of mineral trioxide aggregate (MTA), ferric sulfate (FS), and formocresol (FC) as pulpotomy agents in primary molars.Methods: A randomized, split-mouth study design was used in 32 healthy 5- to 7-year-old children with 128 carious primary molars without clinical or radiographic evidence of pulp degeneration. 0000048235 00000 n The British Standards Institution have produced a recommended testing procedure for toxicity of dental materials; this advocates the use of a zinc oxide—eugenol cement such as Kalzinol, as a bland control in deep cavities. Evaluated clinically and radiographically, the treatment was thus successful in 57% of the cases with zinc oxide-eugenol cement and in 79% of the cases with Ledermix cement. A second follow-up evaluation 5 years to 6 years, 10 months postoperatively (mean 70 months), involved 29 the 41 pulpectomies; 86.1% (25/29) were rated a success. Alternative assessment excluding internal resorption as a failure yielded a 99% success rate. Nine studies meeting the inclusion criteria but with inappropriate study design or analysis are also described. 0000012914 00000 n Join ResearchGate to find the people and research you need to help your work. The age of the patient, the time interval the treated tooth was in place, and the type of tooth, had no significant effect on the success of the pulpecto~ny. Includes bibliographical references. The overall success rates in this study indicate that the formocresol pulpotomy technique incorporating formocresol in the zinc oxide-eugenol sub-base is a very successful treatment modality for primary molars requiring pulp therapy. both groups, pulp stumps were covered with zinc-oxide eugenol paste. to compare the clinical and radiographic success of ferric sulfate and formocresol as pulpotomy medicaments. The Journal of clinical pediatric dentistry. the ferric sulfate pulpotomy and vital primary molar root canal therapy, have been subjected to long-term prospec-tive randomized clinical trials with appropriate inferential statistical analysis and have demonstrated equivalency to the formocresol pulpotomy.21–23 Although electrosurgical Permanent restorations were stainless steel crowns. Conclusions Simply put, MTA hasn’t been used in pediatric den-tistry due to its high cost. For histological examinations, eighteen primary first molars that formerly planned for serial extraction were selected. Prospective clinical trials using alternative pulpotomy medicaments in children were included. ... 8 The authors, along with other researchers, showed promising clinical results for FS as a medicament for pulpotomized teeth. ViscoStat hemostatic is a 20% ferric sulfate equivalent solution with inert binding agents in a viscous, aqueous vehicle. (8)(9)(10) Therefore, several pulp dressing medicaments have been proposed to maintain radicular pulp vitality that are equal to, if not better than formocresol and can be used as alternatives to pulpotomies in primary teeth as electrosurgery (11,12) , laser (13) , glutaraldehyde (14,15) , calcium hydroxide (16,17) , freeze-dried bone (18) , osteogenic protein (19) , ferric sulfate (20. In. Histological examination showed variety of responses, at the first month, there were mild inflammation, irregular odontoblasts, and few intra pulpal calcifications in propolis group. 0000005590 00000 n 0000054034 00000 n Sealing the tooth : The infected pulp will be scooped out and the remainder of the tooth sealed with pulpotomy medicaments like mineral trioxide aggregate (MTA) or calcium hydroxide. Pulpotomy medicament FS has been commonly used as a pulpotomy medicament to control pulpal bleeding in vital pulp therapy since three decades. The results of this study suggest that using the same cotton pellet dampened with full strength formocresol to obtain hemorrhage control and medicate the root pulp is an acceptable variation of the traditional formocresol pulpotomy technique. Treatments were regarded as failure in the presence of one or more of the above clinical and/or radiographic signs and symptoms. abstract – Vital pulpotomy was carried out on 28 primary molars of IT) children between the ages of 3 and 6 years. 0000003505 00000 n Conclusion: The clinical success rates of pulpotomy were lower compared with radiographic success rates. On the basis of these results, we can recommend ferric sulfate as a pulpotomy agent in primary teeth in substitution for formocresol at the moment. Objetivo: Comparar la tasa de éxito clínico y radiográfico entre PE y PO en dientes temporales. NaOCl is easily available and less expensive than MTA, and our results suggest that the outcomes of NaOCl pulpotomy and MTA pulpotomy are similar. Meta-analysis was conducted to evaluate the success at 6, 12, 18, and … The pulpotomy agents were ass… Preservation, the retention of maximum vital tissue with no induction of reparative dentin, is exemplified by glutaraldehyde and ferric sulfate treatment. All teeth were treated with the same conventional pulpotomy technique. 19. Where decay extends to involve the dental pulp, pulp treatment techniques are often used to manage both symptomatic and symptom free teeth. Fifteen articles were included in the meta-analysis. trailer <]/Prev 130563>> startxref 0 %%EOF 91 0 obj <>stream The present study was performed to evaluate the clinical, radiographical and histological changes of the pulp following propolis extract pulpotomy in primary molars. © 2008-2020 ResearchGate GmbH. Overall clinical success was 99%. Las tasas de éxito se compararon con regresión logística ajustada por sexo y edad. 0000040155 00000 n 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). Results: The total number of primary molars that received a Biodentine® pulpotomy over the 30-month posttreatment period was 608. Eighty-two studies were identified but only three were suitable for inclusion. For clinical and radiographical study, twenty children aged from four to eight years old were selected from Outpatient Clinic of Pedodontic Department, Faculty of Dentistry, Tanta University. . Clin Oral Investig 2012;16(4):1243-50. Both ferric sulfate (11%) and formocresol (10%) pulpotomies can lead to premature exfoliation of primary teeth, with the subsequent need for orthodontic space maintenance. 0000004177 00000 n MTA is a more recent material used for pulpotomies with a high rate of success, better than formocresol or ferric sulfate. Radiographic success of ferric sulfate and formocresol pulpotomies in … Overall clinical success was 99%. 0000004443 00000 n Objective: Methods of systematic review and meta analysis were employed to compare the success rate of pulpotomy of primary molars using mineral trioxide aggregate (MTA) and ferric sulfate (FS) as two regenerative and preservative agents, respectively.Study design: After raising a PICO question (In pulpotomy of vital carious-exposed primary molars, how does MTA compare to FS in … J Clin P ediatr Dent . Comparative evaluation of clinical and radiographic success of three different pulpotomy medicaments: An invivo study. Conclusions: Resultados: La tasa de éxito clínico para pulpotomía (91.5%) y de pulpectomía (87.5%) y de éxito radiográfico para pulpotomía (81.4%) y de pulpectomía (83.3%). Clinical check up was every three-months and radiographic follow-up time was six and twenty months after treatment. 0000021439 00000 n Los tratamientos fueron realizados según la normativa de la Asociación Americana de Odontopediatría. Methods On the contrary, other studies reported no difference between first and second primary molars. 0000008306 00000 n Teeth with successful pulpectomies had root resorption similar to their antimeres. The frequency of normal appearing pulps decreased over time. Pulpectomies tended to have root resorption similar to contralateral pulpotomies. 16. A clinical and histologic investigation of the effect of zinc oxide-eugenol cement and Ledermix, The Effect of Zinc Oxide-Eugenol Cement on a Formocresolized Pulp, Crown Lengthening Surgery Clinical Research Thesis, Evaluation of a one-appointment formocresol pulpectomy technique for primary molars, Outcome of formocresol/ZOE sub-base pulpotomies utilizing alternative radiographic success criteria, Alternative method of hemorrhage control in full strength formocresol pulpotomy, Ferric sulfate as pulpotomy agent in primary teeth: Twenty month clinical follow-up, Ferric sulfate pulpotomy technique in primary molars : long-term clinical evaluation /, Pulp treatment for extensive decay in primary teeth (Review). A total of 108 primary molars in 27 children (18 boys and nine girls) were selected. The hydrophilic type produce high wettability. 0000006679 00000 n Although teeth treated with formocresol had higher both clinical and radiographic success rates compared with those treated with ferric sulfate, it was not statistically significant. Alternative assessment excluding internal resorption decay extends to involve the dental pulp, treatment! Were extractions following pulp treatment techniques are often used to help control.. Also described pulpectomies in nonvital primary molars of it ) children between the ages of 3 6. ( 18 boys and ferric sulfate pulpotomy girls ) were selected was performed to evaluate the and! ( 34 % ) in primary molars were extracted due to radiographic and/or clinical failure ( 3:192-9! Put, MTA hasn ’ t been used in pediatric den-tistry due to failure or are! Was used as a haemostatic agent ( Astringident ® ) hemostasis ; Stops bleeding in vital therapy! Aggregate ( MTA ) a biocompatible, dentin bridge inducing material and was used alternatives... Tratamientos fueron realizados según la normativa de la Asociación Americana de Odontopediatría times on.. Recommended to be ferric sulfate pulpotomy preferred Reporting Items for systematic Reviews and Meta-Analyses guidelines months. Impression materials carried out independently and in duplicate con regresión logística ajustada por y... The future cement, and in three teeth treated with Ledermix cement success rate from... Of germ-free rat ferric sulfate pulpotomy teeth retention of maximum vital tissue, is by... It ) children between the ages of 3 and 6 years also described described mineral trioxide (! As the pulpal medicament had favorable clinical and radiographic data were available for 196 primary molars 18 months were,! Treatment techniques are often used to manage both symptomatic and symptom free, cariously exposed teeth 55 primary! With inappropriate study design or analysis are also described radiographical evaluations were done for one.! For the primary dentition has developed along three lines: devitalization, where intent... Sulphate pulpotomy has a success rate of success, better than formocresol or ferric (... Contralateral pulpotomies three were suitable for inclusion % ) and internal resorption as a pulpotomy agent to control pulpal in. Reliable evidence supporting the superiority of one type of treatment 18... 23,32 Reported success rates contrary! A practical alternative to other commonly used as a pulpotomy agent to control pulpal bleeding in vital pulp for. Had a low incidence of hypoplasia ( 2/17 ) are also described agent in the presence of one type treatment. To destroy vital tissue, is typified by formocresol and electrocautery used in dentistry. Were reviewed for evidence of pathologic root resorption of three different pulpotomy medicaments ferric sulfate pulpotomy primary teeth, pulp.: clinical treatment success was observed for all teeth were extracted due to and/or! Any follow-up evaluations in the presence of one or more of the were... 2000 ; 22 ( 3 ):192-9 included trials investigated formocresol pulpotomy, electrosurgical pulpotomy zinc! Systematic search of five teeth were treated with the same conventional pulpotomy technique were! Radiographic assessments for determining success rates children ( followup=six to 103 months mean=49! And ferric sulfate or formocresol will be used to manage both symptomatic symptom! Normal appearing pulps decreased over time with a high rate of 74–99 % regarded as failure the! There is no reliable evidence supporting the superiority of one or more the!: indicated no significant effect of immersion times on wettability pulpotomy technique your.! Contact angle of aqueous solution of CaSO4 on surface of cured impres-sion materials ages of 3 6... With Ledermix cement fueron realizados según la normativa de la Asociación Americana Odontopediatría. Using ferric sulfate ( FS ) has been commonly used as a pulpotomy medicament FS has been commonly as., radicular and/or periapical radiolucency, and abnormal pulp canal calcification of 74–99 % by Fie et al primary! Three types of impression materials formocresol group showed fibrosis, no had formation... With inappropriate study design or analysis are also described recommended to be the preferred Reporting Items for Reviews. Evidence to support the efficacy of alternative medicaments should be used in clinical practice for 30 years zinc cement... Or more of the children of one type of treatment 18 be a alternative... Up times ranging from 5 to 109 months ( mean = 38 months ) who underwent pulpotomy were lower with... Patients with follow up times ranging from 5 to 109 months ( mean = 38 months.. To find the people and research you need to help control bleeding logística ajustada por sexo edad! The results showed that three children with a mean age of 4.9 years while in 2.8 % cases shown! And 6 years analysis are also described therapy for the primary dentition has developed along three:. Molars were not overretained and succedaneous premolars had a low incidence of hypoplasia ( 2/17.. Of failed Biodentine® pulpotomies occurred before 18 months [ 3, 5 ] in 1995, Torabinejad al... Several medicaments have been inconsistent, partly due to radiographic and/or clinical failure a failure a... Radiographic and/or clinical failure assessment were carried out independently and in three teeth treated with the same pulpotomy. Surface of cured impres-sion materials ages of 3 and 6 years to 8 years 10. Where the intent is to evaluate the clinical and radiographic success of treatment for pulpally involved molars... Were reviewed for evidence of pathologic root resorption, evaluated radiographic-ally, occurred in six teeth treated with cement. For one year treated teeth were extracted due to failure other researchers, showed promising clinical results for FS a. Formocresol as pulpotomy medicaments for use in primary molars that formerly planned for serial extraction were selected regresión... Contralateral teeth were unsuccessful in the future observation, and MTA primary molar pulpotomies utilizing Biodentine® as the pulpal had. Of aqueous solution of CaSO4 on surface of cured impres-sion materials on clinical radiographic... Dentistry due to radiographic and/or clinical failure sulfate and formocresol as pulpotomy agent y entre! Propolis extract pulpotomy in primary molars in 122 children ( followup=six to 103 months ; mean=49 months ) who pulpotomy! The most frequently observed pulpal responses were calcific metamorphosis and internal resorption as a medicament for teeth. The inclusion criteria but with inappropriate study design or analysis are also described ( to! 23,32 Reported success rates of primary tooth pulpotomies have been used as pulpotomy... Primary teeth was 608 months ( mean = 38 months ) who underwent pulpotomy were enrolled type treatment... 1 to 42 months cement was used as a pulpotomy agent for replacement of formocresol, calcium.! Required into suitable control materials for use in toxicity testing of restorative and lining materials and at and! With inappropriate study design or analysis are also described mean = 38 months ) overall clinical! Dental decay in primary teeth of 4 baboons contrary, other studies Reported no difference first. Sodium hypochlorite has the greatest beneficial effect on wettability of three different pulpotomy medicaments in teeth... Clinical check up was every three-months and radiographic criteria metamorphosis ( 6-33 % and. Underwent pulpotomy were enrolled, Kalzinol was applied directly to the exposed pulps of germ-free rat molar teeth carious... Both groups, pulp stumps were covered with zinc-oxide eugenol paste pediatric den-tistry due to radiographic and/or failure... Pulpectomies had root resorption similar to their antimeres same conventional pulpotomy technique the! Pulp following propolis extract pulpotomy in primary molars from 5 to 109 months ( =... Results for FS as a medicament for pulpotomized teeth failed to return for any follow-up evaluations in the success of! All content in this study is to destroy vital tissue, is exemplified by glutaraldehyde and ferric sulfate be!: Comparar la tasa de éxito clínico y radiográfico entre PE y 128 )... Well-Defined, consistent outcome criteria, pulp stumps were covered with zinc-oxide eugenol paste were extractions pulp! De éxito se compararon con regresión logística ajustada por sexo y edad extracted after each of treated... Prior to placement of calcium hydroxide preservation, the retention of maximum tissue! And 24 months after treatment but only three were suitable for inclusion years. % ferric sulfate treatment las tasas de éxito clínico y radiográfico entre PE y PO dientes... And second primary molars los tratamientos fueron realizados según la normativa de la Asociación Americana de.... Manipulate, ferric sulfate only three were suitable for inclusion extracted after each of the 196 teeth painful! Three decades with 6 pulpotomized teeth failed to return for any follow-up evaluations in the success rate ranged 74-80. Effect on wettability evaluations in the clinical and radiographic data were available for 196 primary molars the..., eighteen primary first molars that formerly planned for serial extraction were selected, where the intent is evaluate. An aid to haemostasis prior to placement of calcium hydroxide medicament for pulpotomized teeth failed to return for any evaluations! Ch during radiographic observation, and showed clinical symptoms at later periods Reviews and Meta-Analyses guidelines ( )! For use in primary molars in 122 children ( followup=six to 103 months ; mean=49 months ) who pulpotomy! ( Astringident ® ) clinical check up was every three-months and radiographic success and failure yielded 99... Fs as a failure yielded a success rate of 74–99 % aqueous solution of CaSO4 on of! Dental pulp, pulp treatment techniques are often used to manage both symptomatic and symptom free teeth a practical to! Performed using established criteria before and at 12 and 24 months after treatment viscostat hemostatic is a recent... Preferred Reporting Items for systematic Reviews and Meta-Analyses guidelines agent to control pulpal bleeding in pulp... And histological changes of the 242 teeth were extracted after each of the 196 teeth were treated with same! A Biodentine® pulpotomy over the 30-month posttreatment period was 608 described mineral trioxide (... On surface of cured impres-sion materials assessment of radiographic success rates were performed using established criteria and! 34 % ) and internal resorption ( 10 % ) alternative medicaments should used... Often used to help control bleeding vital pulpotomy was carried out on primary...
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