A review of the erroneously labeled "mummification" techniques of pulp therapy. 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. Formocresol and Calcium Hydroxide Therapy. Clipboard, Search History, and several other advanced features are temporarily unavailable. Primary molars were treated with formocresol (20 teeth), propolis ethanolic extract (20 teeth) or thymus vulgaris ethanolic extract (20 teeth). Other alternative pulpotomy agents have been investigated and suggested. MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials. Kaplan-Meier analyses were used to analyze were used time to failure. Pulpotomy is the term for removal of the coronal pulp with the intent of maintaining the vitality of the remaining radicular pulp tissue. Devitalization, where the intent is to destroy vital tissue, is typified by formocresol and electrocautery. Clinical and radiographic outcomes of laser pulpotomy in vital primary teeth: a systematic review and meta-analysis. Objective: Objective. teeth). 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. Clinical and radiographic evaluation of white MTA versus formocresol pulpotomy: A 48-month follow-up study. formocresol pulpotomy in primary molars restored with stainless steel crowns (SSC) to those restored with amalgam (AM). Electrosurgical pulpotomy: a retrospective human study. 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 in primates--a comparison with formocresol pulpotomy. Alternative pulpotomy techniques Electro-surgery pulpotomy. Int Endod J. Formocresol (FC) is considered the gold standard dressing agent for pulpotomy, but concerns have been raised over the years about its safety. The clinical evidence available showed significant differences regarding the use of a material or another. 330' bur in the high-speed hand piece. year–old. None of primary control teeth had a history of pulp exposure. 2014 Jul;145(7):714-21. doi: 10.14219/jada.2014.36. Bioactive material provides easy handling and shorter set time. 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. Epub 2008 May 12. Recently, most studies have concentrated on comparing formocresol to mineral trioxide aggregate (MTA) and Bioaggregate (BA) for human primary teeth pulpotomy [18,19,20]. Epub 2018 Jul 18. 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/. The principal objective of any pulpal therapy is “to maintain the integrity and health of a tooth and its supporting tissues”. BACKGROUND: Pulpotomy is the common therapy for cariously exposed pulps in symptom-free primary molar teeth. A total of 56 pairs (112 teeth) of carious primary teeth, 1 pair per child, were selected for treatment. J Am Dent Assoc. Objectives The aim of this project was to audit the current practice in the use of formocresol pulpotomy in the treatment of reversible pulpitis, identify barriers and implement a plan of action to conform to best practice, re-audit findings and implement future projects based on these findings. 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. Some features of the site may not work correctly. 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. Biedma Perea M, Solano Mendoza B, Garcia-Godoy F, Mendoza Mendoza A, Iglesias-Linares A. Mettlach SE, Zealand CM, Botero TM, Boynton JR, Majewski RF, Hu JC. 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. Materials and methods: It was identified relevant publications through a search of electronic databases such as MEDLINE (Ovid) and The Cochrane Library. Mineral trioxide aggregate as pulp dressing agent in pulpotomy treatment of primary molars: 42-month clinical study. 54 Pulpotomy techniques using formocresol on primary teeth have been a standard in pediatric dentistry for decades. Of the three…, Management of teeth with vital pulps and open apices. Alternative Interventions to Formocresol as a Pulpotomy Medicament in Primary Dentition : A Review of the Literature, Pulp Response to Lyophilized Bone in Rat Teeth. If your child complains of pain when cold, hot or sweet things touch their tooth/teeth, it may mean that he/she has pulpitis. • Although the AAPD does not recommend DPC for caries exposed primary teeth, clinical results indicate that DPC have promising results i.e. NIH After a pulpotomy, one of four materials is generally used: ferric sulphate, formocresol, calcium hydroxide or mineral trioxide aggregate. 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. Bioactive tri/dicalcium silicate cements for treatment of pulpal and periapical tissues. Background: Formocresol remains to be the preferred medicament in pulpotomy, despite the concerns regarding tissue devitalization and systemic toxicity. This material should not prevent the resorption of the primary tooth's root, to let the permanent tooth to grow in. 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. 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 It was identified relevant publications through a search of electronic databases such as MEDLINE (Ovid) and The Cochrane Library. 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. Results: Electrosurgical pulpotomy: a pilot study in humans. Several materials were used as alternatives, but none proved significantly advantageous. Teeth were followed up clinically and radiographically for 12 months. The indication was primarily the presence of a carious exposure and desire to retain the primary tooth until exfoliation. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Pulpotomy therapy for the primary dentition has developed along three lines: devitalization, preservation, and regeneration. Regeneration, the stimulation of a dentin bridge, has long been associated with calcium hydroxide. The study was carried out on 60 primary molars in 20 children indicated for pulpotomy. pulps in symptom free primary molars. treatment of reversible pulpitis in the University of Ghana Dental School. NCI CPTC Antibody Characterization Program. 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 Biocompatibility of Mineral Trioxide Aggregate Mixed with Different Accelerators: an Animal Study. 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
Comparison of mineral trioxide aggregate and diluted formocresol in pulpotomized human primary molars: 42-month follow-up and survival analysis. 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. COVID-19 is an emerging, rapidly evolving situation. HHS Table 1: Success rates of various direct pulp capping agents Pulpotomy • Pulpotomy is one of the most widely accepted clinical procedures. 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. over 90% success rate. The basis is to The pulpotomy agents were as… Formocresol is still the most used medicament for dental pulp therapy in primary teeth despite potential safety concerns over its primary ingredient, formaldehyde. You are currently offline. Would you like email updates of new search results? 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. Devitalization, where the intent is to destroy vital tissue, is typified by formocresol and electrocautery. 57 permanent teeth with caries-free predecessors were included for further control. Formocresol was used as a medicament to cover root stumps of asymptomatic thirty primary molars with vital pulp exposures. Formocresol has been used in pulpotomy procedures of the primary teeth since 80 years. Stringhini Junior E, Dos Santos MGC, Oliveira LB, Mercadé M. Clin Oral Investig. The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth. Alternatives to vital pulpotomy treatment in primary teeth are being sought because of the high formaldehyde content of traditional formocresol (FC) pulpotomy medicaments. 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” This action fastens the vital pulp, maintaining them inert and conserves the primary tooth until it falls off physiologically. 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. Drug: Formocresol Aim. Calcium hydroxide pulpotomy for primary teeth: a clinical study. After a pulpectomy, a material is put into the space created by pulp removal. Nasrallah H, El Noueiri B, Pilipili C, Ayoub F. Int J Clin Pediatr Dent. Materials and methods: 2014 Aug 6;(8):CD003220. Nematollahi H, Sarraf Shirazi A, Mehrabkhani M, Sabbagh S. Eur Arch Paediatr Dent. 2018 Aug;19(4):205-220. doi: 10.1007/s40368-018-0358-4. 2019 Apr;23(4):1967-1976. doi: 10.1007/s00784-018-2616-6. Carla Cohn, DMD. 2018 Nov-Dec;11(6):496-504. doi: 10.5005/jp-journals-10005-1564. Many alternatives, including MTA, sodium hypochlorite, ferric sulfate, electrosurgery, and lasers, have been investigated to replace … USA.gov. NLM Primate pulpal healing after exposure and TheraCal application. Indications: A pulpectomy is indicated in a primary tooth with irreversible pulpitis or necrosis or a tooth treatment planned for pulpotomy in which the radicular pulp exhibits clinical signs of irreversible pulpitis (e.g., excessive hemorrhage that is not controlled with a damp cotton pellet applied for several minutes) or pulp necrosis (e.g., suppuration, purulence). Listing a study does not mean it has been evaluated by the U.S. Federal Government. Electrical and Formocresol Pulpotomy in Primary Molars The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Epub 2019 May 27. Acta Biomater. Pulpotomies in the primary teeth continues to be one of the most common treatments in pediatric dentistry. Pulp treatment for extensive decay in primary teeth. 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. Children were followed–up at 3, 6 and 12 months for clinical evaluation and at 6 and 12 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. The induction of reparative dentine in the amputated dental pulp of the dog by bone morphogenetic protein. Mineral trioxide aggregate as pulp capping agent for primary teeth pulpotomy: 2 year follow up study. 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. Epub 2018 Sep 20. 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. 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. 2008 Jul;41(7):547-55. doi: 10.1111/j.1365-2591.2008.01377.x. One tooth from each pair was randomly assigned to either the BiodentineTM pulpotomy group or the formocresol pulpotomy group. Smaïl-Faugeron V, Courson F, Durieux P, Muller-Bolla M, Glenny AM, Fron Chabouis H. Cochrane Database Syst Rev. It is known as non chemical devitalization. 2019 Sep 15;96:35-54. doi: 10.1016/j.actbio.2019.05.050. 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