A randomised controlled clinical trial comparing pure Portland cement and formocresol pulpotomies followed from 2 to 4 y
- PDF / 672,540 Bytes
- 6 Pages / 595.276 x 790.866 pts Page_size
- 82 Downloads / 178 Views
ORIGINAL SCIENTIFIC ARTICLE
A randomised controlled clinical trial comparing pure Portland cement and formocresol pulpotomies followed from 2 to 4 years R. Petel1 · K. Ziskind1,2 · N. Bernfeld1,3 · H. Suliman1,4 · A. B. Fuks1 · M. Moskovitz1 Received: 5 July 2020 / Accepted: 21 October 2020 © European Academy of Paediatric Dentistry 2020
Abstract Purpose The purpose of the present prospective randomised clinical control trial was to evaluate the long-term clinical and radiographic success rate of pulpotomies in primary molars using pure Portland cement versus formocresol. Pure Portland cement has shown a high rate of success in pulpotomy treatments, with no side effects. Methods Healthy 3- to 11-year-old children were treated with pulpotomies on primary molars as part of their scheduled dental treatment. Pulp dressing alternated randomly between pure Portland cement and formocresol. Data were analysed at follow-up periods up to 48 months. Results 68 (50%) teeth with pure Portland cement and 68 (50%) teeth with formocresol in 136 healthy children (59 boys and 77 girls) were followed. The overall success rate of the pulpotomies in this study was 95.6%. Pure Portland cement was successful in 100% of the cases (68 out of 68), and formocresol in 91.1% (62 out of 68). No association was found between success and type of tooth or time range from treatment to last follow-up. Conclusion Based on this study’s results, it can be concluded that there is no superiority of one material over the other and pure Portland cement can be used in primary molar pulpotomies. Keywords Pulpotomy · Primary molars · Medcem-MTA® · Formocresol
Introduction Pulpotomy is the treatment of choice for vital pulp exposure due to deep carious lesions approaching the pulp, asymptomatic or with symptoms of dentinal pain like sensitivity to cold or sweet in primary molars (Fuks 2008; Smaïl-Faugeron et al. 2018; Lin et al. 2014). Combined success rate for all pulpotomies was 82.6% based on 1022 teeth within a follow-up period of 24 months (Dhar et al. 2017; Coll et al. 2017). The technique involves coronal pulp amputation to the openings of the root canals and applying Roy Petel and Karin Ziskind contributed equally to the study. * M. Moskovitz [email protected] 1
Department of Pediatric Dentistry, Hadassah School of Dental Medicine, Hebrew University, P.O. Box 12272, 9112102 Jerusalem, Israel
2
10 Messilat Yesharim St., Jerusalem, Israel
3
48 Hagalil St., Haifa, Israel
4
Mashhad, Israel
a medicament to the amputated orifices (Coll et al. 2017). Buckley’s formocresol, ferric sulphate, electrosurgery and mineral trioxide aggregate (MTA) have demonstrated longterm success in pulpotomies (Smaïl-Faugeron et al. 2018; Coll et al. 2017). Reports on formocresol’s cytotoxicity and potential mutagenicity (especially in children) (Bonson et al. 2004; Rezende et al. 2005; Waterhouse et al. 2000) encouraged clinicians to search for alternative materials that comply with the biologic approach to pulp therapy in the primary dentition (Water
Data Loading...
