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Evaluation of pulpotomy in primary molars with mineral trioxide aggregate and formocresol
M. Aeinehchi , S. Dadvand ,
Volume 19, Issue 4 (1-2007)
Abstract

Background and Aim: Vital pulpotomy in primary teeth is performed to maintain the vitality of the pulp and tooth until normal exfoliation. Different materials such as zinc oxide- eugenol, calcium hydroxide and formocresol are used in this procedure. The aim of this study was to evaluate the application of formocresol (FC) and mineral trioxide aggregate (MTA) in pulpotomy of primary molars.

Materials and Methods: In this clinical trial, one hundred and twenty six children (aged 5 to 9 years old) with dental caries that were candidate for pulpotomy were selected and randomly divided into two groups. After removing the roof of the pulp chamber, coronal pulp was cut at the orifices and bleeding controlled. In control group, formocresol was applied for 5 minutes. In case group, MTA paste was used as pulpotomy agent. The crowns of both groups were restored with amalgam and the teeth were evaluated clinically and radiographically after 3 and 6 months follow up. Data were analyzed by Fisher test with p<0.05 as the limit of significance.

Results: No sign of clinical failure was observed after 3 and 6 months follow-up. Comparison between the two methods revealed no significant difference in radiographic findings of the teeth and surrounding tissues after 3 months follow-up. However, after 6 months follow-up, internal resorption was observed radiographically in four cases of formocresol group.

Conclusion: Based on the results of this study, pulpotomy with MTA showed more successful results than formocresol radiographically. MTA is recommended as a good substitute for formocresol in pulpotomy of primary molars.


Comparison between pulpotomy with MTA (made in Iran) and formocresol in primary molars of 3-6 years old children attending the department of pediatric dentistry, School of Dentistry, Medical Sciences/ University of Tehran in 2004
A. Kowsari , Sh. Azadedel , N. Akhondi ,
Volume 20, Issue 1 (5-2007)
Abstract
Background and Aim: Formocresol (FC) has been a popular pulpotomy medicament for primary dentition in recent decades. Concerns have been raised about the toxicity and potential carcinogenicity of FC, and alternatives have been proposed. Recently, the physical and biological properties of mineral trioxide aggregate (MTA) have been described in many studies. The aim of this study was to compare the success rate of pulpotomy with MTA (made in Iran) and FC in primary molars.
Materials and Methods: In this clinical trial, 30 primary molars needing pulpotomy treatment were selected and randomly divided into two groups: (15 teeth in FC and 15 in MTA group). The teeth were then pulpotomized and restored. Clinical and radiographic results were recorded at 1-3-6-9 and 12 months and success rates of two groups were compared using Fisher’s exact test with p<0.05 as the level of significance.
Results: After 12 months, there was no statistical significant difference between MTA group (85.8%) and FC group (93.3%) (P 1.0). The only observed radiographic failure was internal resorption.
Conclusion: Based on the results of this study, MTA can be used as an alternative to formocresol in primary teeth pulpotomy.
In vitro comparison of rotary instruments and K-files in root canal preparation of primary molars
Sh. Javadinejad, M. Zarejahromi, A. Mirenayat,
Volume 21, Issue 3 (12-2008)
Abstract

Background and Aim: The role of applying rotary instruments in reducing preparation time and proper root canal preparation have been approved in permanent teeth. The aim of this study was to compare the rotary instruments (Hero642) and K-files in root canal preparation of primary molars. Time and canal transportation were compared.

Materials and Methods: In this experimental, invitro study, 30 human extracted primary molars with 8 mm length were selected and divided into two equal groups. After preparing access cavity, group 1was prepared by K-files and group 2 by Hero642 systems. Before canal preparation, with # 15 K-file and after canal preparation, with master apical file, canal curvature was evaluated by Weine technique using Radiovisiography. Apical transportation was calculated. Time taken for preparation was recorded by chronometer. The results were analyzed with T-test and Mann-Whitney. P<0.05 was considered as the level of significance.

Results: The average canal transportation angle was 3.42 for Hero642 group and 7.33 for K-file group (p<0.04). The mean instrumentation time was 4.28 for Hero642 group and 8.76 minutes for K-file group (p<0.001). There was a significant difference between two groups.

Conclusion: Based on the findings of this study, it is suggested to apply Hero642 rotary instrument for primary molar canal preparation due to less preparation time and less canal transposition.


Evaluation of clinical and radiographic success of primary molars pulpotomy with Root MTA and formocresol
R. Haghgoo, F. Mollaasadolla, F. Abbasi,
Volume 22, Issue 2 (11-2009)
Abstract

Background and Aim: Several agents were used for pulpotomy in primary molars. Formocresol is the most common drug in this procedure. In some studies it has been shown that, this material has potential some side effects, so it is essential to find other alternatives. The aim of this study was to evaluate clinical and radiographic success rates of mineral trioxide aggregate and formocresol.

Materials and Methods: In this randomized clinical trial study, 70 carious primary teeth of 4 to 7-year-old children were pulpotomized, and remaining pulp was dressed with Root MTA and formocresol. The clinical and radiographic follow up evaluations were performed at 6, 12 months by a blind dentist. The data were analyzed by Fisher's exact test.

Results: At the end of 1-year follow-up period, in formocresol group sinus tract and tenderness to percussion were seen in 2 teeth, internal resorption was seen in 1 tooth, and furcation radiolucency was seen in 2 teeth. Clinical and radiographic signs of failure were not seen in any case of (Iranian) Root MTA group.

Conclusion: Based on the results of this study, Iranian MTA can be used for pulpotomy in primary molars.


Comparison of success rate of pulpotomy in primary teeth and related factors using formocresol conducted by dental students in Hamedan dental school
Mohammad Esmaeilzadeh, Fahimeh Daneshyar, Zakieh Donyavi, Bashir Tarighi, Shahin Nasiri,
Volume 31, Issue 3 (11-2018)
Abstract
Background and Aims: The structural distinction of primary teeth compared to the permanent teeth leads to a faster penetration of the caries into the pulp, which makes effective treatment necessary. The aim of this study was to determine the success rate of pulpotomy in primary molar teeth and its effective factors using formocresol by students and residents at the department of pediatric dentistry of Hamedan dental school.
Materials and Methods: In this cross-sectional study, 113 children who previously had pulpotomy by formecresol in their primary molars (30 children by residents and 83 children by the students) were randomly evaluated based on referral time (at least 12 months after treatment) in terms of clinical and radiographic success rates. Data were analyzed by SPSS20 software using Chi-square and descriptive statistics.
Results: The success of the pulpotomy of primary molar teeth was 81.7%. The success rates of the general students and residents were 79.3% and 87.3%, respectively. The percentage of successful pulpotomy was significantly higher in general students at Stainless Steel Crown (S.S.C), second molar in maxilla (P<0.05), but did not have a significant relationship with age and sex (P>0.05). The percentage of pulpotomy success performed by residents did not have a significant correlation with gender, age, type of repair, type of teeth and jaws (P>0.05). In general, the percentage of success in S.S.C, the second molar and maxillary jaw was higher. Also, the success rate of pulpotomy by residents was significantly higher than that of general- students (P<0.05). The highest rates of pulpotomy failure were related to internal analysis.
Conclusion: Formocresol pulpotomy using S.S.C in the maxillary second molar teeth had higher success rate.

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