scholarly journals Carious Exposure versus Mechanical Exposure for MTA Pulpotomy in Primary Teeth

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Burcu Nihan Çelik ◽  
Şaziye Sarı
Keyword(s):  
Primary Teeth ◽  
Exposure Group ◽  
Success Rates ◽  
Primary Molar ◽  
Exposure Site ◽  
Molar Teeth ◽  
Pulp Exposure ◽  
Treatment Prognosis ◽  
Carious Exposure

Introduction. The etiology of exposure determines pulpal response, making it crucial to distinguish between mechanical and carious exposure. This study clinically and radiographically evaluated the success of MTA pulpotomies conducted to treat carious and mechanical pulp exposure. Materials and Methods. This study was conducted with 50 mandibular primary molar teeth. Teeth were divided into 2 groups according to status of the exposure site, with teeth surrounded by carious dentin placed in a carious exposure group and those surrounded by sound dentin in a mechanical exposure group. MTA pulpotomies were performed for both groups. Treatment was followed up clinically and radiographically for 18 months. Results. Clinical and radiographic success rates at 18 months were 100% for both groups. Success rates did not vary significantly between the groups (p=1.000). Pulp canal obliteration was only seen in the carious exposure group, observed in 2 teeth (8.3%). Conclusion. The long term success rates achieved in this study indicate that MTA can be used as a vital pulpotomy material for the long term success in primary teeth with either mechanical or carious exposure. The findings of the present study highlight the fact that treatment prognosis is dependent upon diagnosis and selection of the appropriate materials for treatment.

Ferric sulfate as pulpotomy agent in primary teeth: twenty month clinical follow-up

2000 ◽  
Vol 24 (4) ◽  
pp. 269-272 ◽  
Author(s):  
Hamijeta Ibricevic ◽  
Qumasha Al-Jame
Keyword(s):  
Success Rate ◽  
Primary Teeth ◽  
Root Resorption ◽  
Clinical Success ◽  
Clinical Success Rate ◽  
Ferric Sulfate ◽  
Primary Molar ◽  
Molar Teeth ◽  
The Moment

Seventy primary molar teeth, carious exposed, symptom free, without any sign of root resorption in children aged from 3 to 6 years (main age 4.3yr) were treated with conventional pulpotomy procedures. 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. In both groups, pulp stumps were covered with zinc-oxide eugenol paste. Permanent restorations were stainless steel crowns. Clinical check up was every three-months and radiographic follow-up time was six and twenty months after treatment. Our results within this period revealed 100% clinical success rate in both groups. Radiographic success rate was in both groups 97.2%, while in 2.8% cases has shown internal root resorption. 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.

Avulsion of posterior primary teeth and space maintaining appliance: case report

2001 ◽  
Vol 25 (1) ◽  
pp. 35-39
Author(s):  
Maria José de Carvalho Rocha ◽  
Mariane Cardoso ◽  
Joeci de Oliveira
Keyword(s):  
Primary Teeth ◽  
Acrylic Resin ◽  
Pediatric Dentistry ◽  
Second Primary ◽  
Missing Teeth ◽  
Primary Molar ◽  
The Face ◽  
Molar Teeth ◽  
Functional Problems ◽  
Made In

A four-year-old child was presented to the Pediatric Dentistry Clinic of the Federal University, 21 days after an incident in which canine first and second primary molar teeth were avulsed, due to a trauma to the face. This was confirmed on radiological examination. The clinical examinations showed that tissues were normal. A removable space-maintaining dental-mucosa supported appliance was made in acrylic resin to replace the three missing teeth. After a period of eight months, the tissues were preserved, the device is helping the child to eat, to speak, and preserving the appearance of the patient. Radiograph examinations have shown that the first molar tooth and canine, first pre molar and second pre molar teeth are erupting normally. Trauma in primary dentition can cause psychological,morphological and functional problems. In the presented case the treatment was planned to recuperate the function and to avoid problems from the premature loss of primary teeth.

scholarly journals Zinc Oxide Zinc Sulfate versus Zinc Oxide Eugenol as Pulp Chamber Filling Materials in Primary Molar Pulpotomies

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 776
Author(s):  
Moti Moskovitz ◽  
Nili Tickotsky ◽  
Maayan Dassa ◽  
Avia Fux-Noy ◽  
Aviv Shmueli ◽  
...  
Keyword(s):  
Overall Survival ◽  
Zinc Oxide ◽  
Zinc Sulfate ◽  
Pediatric Dentistry ◽  
P Value ◽  
Success Rates ◽  
Primary Molar ◽  
Survival Probabilities ◽  
Zinc Oxide Eugenol

The long-term effect of Zinc oxide zinc sulfate (Coltosol®) dressing material on pulpotomy success and tooth survival has not yet been studied. This study compared the success rates of Zinc oxide zinc sulfate and zinc oxide eugenol as coronal dressing materials post radicular pulp amputation in primary teeth pulpotomies. This study included healthy two- to ten-year-old children who had pulpotomies on primary molars between 2012 and 2018 at the Pediatric Dentistry Clinic of the School of Dental Medicine. Data were analyzed at several follow-ups of up to 60 months. Kaplan-Meier survival curves were used to estimate survival probabilities of Zinc oxide zinc sulfate versus zinc oxide eugenol. In the 107 children included in this study, 54 teeth were filled with Zinc oxide zinc sulfate and 53 were filled with zinc oxide eugenol. Follow-up ranged from 12.2 to 73.3 months. Overall survival of Coltosol® vs. IRM filled teeth was 87.1% and 79.3%, respectively. Overall survival probabilities for Coltosol®-filled teeth at 15.5, 24 and 45 months were 95%, 89.8% and 79.7%, respectively, while for IRM they were 93.7%, 83% and 67.7%, respectively. Treatment failure rates and type of treated teeth did not differ between boys and girls (p-value = 0.77 and 0.87, respectively). Zinc oxide zinc sulfate and zinc oxide eugenol exhibited comparable high long-term success rates of up to five years (p = 0.16).

scholarly journals A Clinical and Radiographic Assessment of Sodium Hypochlorite Versus Formocresol Pulpotomy in Primary Molar Teeth: 12-month Follow-up.

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Zahra Bahrololoomi ◽  
Fatemeh Zarebidoki ◽  
Atefeh Shakib
Keyword(s):  
Root Resorption ◽  
Clinical Success ◽  
Primary Molars ◽  
Pathologic Finding ◽  
Success Rates ◽  
Primary Molar ◽  
Exact Test ◽  
Significant Difference ◽  
Molar Teeth

Objective: The aim of this study was to compare the clinical and radiographic success rates of pulpotomy in primary molars using formocresol versus sodium hypochlorite.Methods:  Twenty-three children aged 4-9 years with at least two primary molars requiring pulpotomy were randomly allocated into two groups. All teeth received stainless steel crown after conventional pulpotomy procedure with either NaOCl or formocresol. Clinical and radiographic signs/symptoms were recorded at six and 12 months. Outcomes were statistically analyzed using Fisher’s exact test and Chi-squaretest.Results: Clinical success rates at 6 and 12-month follow-up in both groups was 100%. At 6-month follow-up, radiographic success rate for NaOCl and formocresol groups was 100%. At 12-month recalls, in NaOCl group, 20 teeth (87%) and in formocresol group, 21 teeth (91.3%) had radiographic success. No significant difference was found in the radiographic success rates at 12 months (P=1.00). Internal root resorption was the most common radiographic pathologic finding in both groups.Conclusion:Clinical and radiographic success rates in NaOCl group was comparable with formocresol group, so NaOCL can be suggested as an alternative for primary teeth pulpotomies. However further clinical studies with long-term follow-ups are needed. 

scholarly journals Extrusion of Debris from Primary Molar Root Canals following Instrumentation with Traditional and New File Systems

2017 ◽  
Vol 18 (11) ◽  
pp. 1040-1044 ◽  
Author(s):  
Bhagyashree Thakur ◽  
Ajinkya M Pawar ◽  
Anda Kfir ◽  
Prasanna Neelakantan
Keyword(s):  
Primary Teeth ◽  
File Systems ◽  
Primary Molar ◽  
Group Iii ◽  
Root Canals ◽  
Group I ◽  
Significant Difference ◽  
Molar Teeth ◽  
Post Hoc ◽  
Root Canal Instrumentation

ABSTRACT Introduction To assess the amount of debris extruded apically during instrumentation of distal canals of extracted primary molars by three instrument systems [ProTaper Universal (PTU), ProTaper NEXT (PTN), and self-adjusting file (SAF)] compared with conventional stainless steel hand K-files (HF, control). Materials and methods Primary mandibular molars (n = 120) with a single distal canal were selected and randomly divided into four groups (n = 30) for root canal instrumentation using group I, HF (to size 0.30/0.02 taper), group II, PTU (to size F3), group III, PTN (to size X3), and group IV, SAF. Debris extruded during instrumentation was collected in preweighed Eppendorf tubes, stored in an incubator at 70°C for 5 days and then weighed. Statistical analysis was performed by one-way analysis of variance (ANOVA), followed by Turkey's post hoc test (p = 0.05). Results All the groups resulted in extrusion of debris. There was statistically significant difference (p < 0.001) in the debris extrusion between the three groups: HF (0.00133 ± 0.00012), PTU (0.00109 ± 0.00005), PTN (0.00052 ± 0.00008), and SAF (0.00026 ± 0.00004). Conclusion Instrumentation with SAF resulted in the least debris extrusion when used for shaping root canals of primary molar teeth. Clinical significance Debris extrusion in primary teeth poses an adverse effect on the stem cells and may also alter the permanent dental germ. Debris extrusion is rarely reported for primary teeth and it is important for the clinician to know which endodontic instrumentation leads to less extrusion of debris. How to cite this article Thakur B, Pawar AM, Kfir A, Neelakantan P. Extrusion of Debris from Primary Molar Root Canals following Instrumentation with Traditional and New File Systems. J Contemp Dent Pract 2017;18(11):1040-1044.

scholarly journals The Long-Term Effects of Mandibular Distraction Osteogenesis on Developing Deciduous Molar Teeth

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Paul Hong ◽  
Elise Graham ◽  
James Belyea ◽  
S. Mark Taylor ◽  
Donald B. Kearns ◽  
...  
Keyword(s):  
Distraction Osteogenesis ◽  
Upper Airway ◽  
Retrospective Chart Review ◽  
Long Term Effects ◽  
Primary Molar ◽  
Mandibular Distraction ◽  
Mandibular Distraction Osteogenesis ◽  
Molar Teeth ◽  
Deciduous Molar

Background. Many studies have demonstrated the effectiveness of mandibular distraction osteogenesis (MDO) in alleviating the micrognathia-associated upper airway obstruction but very few studies have focused on long-term dental outcomes. Objective. To report the effect of MDO on developing deciduous molars in the distraction area. Methods. A retrospective chart review was performed to identify patients with Pierre Robin sequence who underwent MDO with documented long-term dental assessments. Results. Ten children (mean age at surgery 69.8 days; 6 boys and 4 girls) were included for analysis. All patients underwent bilateral MDO with an inverted L-shaped osteotomy to avoid injuring tooth buds. The dental developmental stage was primary dentition in all children. Overall, 3 patients developed minor dental problems involving 4 molar teeth (2 root malformations and 2 shape anomalies) but they did not require any interventions. Conclusion. Significant primary molar developmental complications were not seen in our patients. The use of internal distractor device with an inverted L-shaped osteotomy seems to be a safe surgical approach in regards to dental outcomes.

A Comparative Clinical Study of Three Fissure Sealants on Primary Teeth: 24-Month Results

2015 ◽  
Vol 39 (2) ◽  
pp. 113-119 ◽  
Author(s):  
M Ünal ◽  
F Oznurhan ◽  
A Kapdan ◽  
S Dürer
Keyword(s):  
Primary Teeth ◽  
Clinical Success ◽  
Molar Tooth ◽  
Marginal Adaptation ◽  
Success Rates ◽  
Fissure Sealants ◽  
Primary Molar ◽  
Occlusal Surfaces ◽  
Comparative Clinical Study

Aim: The purpose of this study was to evaluate the clinical success of three fissure sealants(FSs) with different contents on primary teeth. Study design: Three FSs were used to seal 150 primary molars in 75 children aged 4–7 years. All FSs were placed on occlusal surfaces in a split-mouth and randomized clinical trial. For patients in Group1,amorphous calcium phosphate(ACP) containing resin-based sealant(RBS)(Aegis) was applied to a primary molar tooth on one side ,and non-fluoride RBS(Helioseal) FS was applied to symmetrical molar tooth. For patients in Group2, fluoride-containing RBS(Helioseal F) was applied to a primary molar tooth on one side, and Helioseal FS was applied to symmetrical molar tooth. For patients in Group3,Helioseal FS was applied to a primary molar tooth on one side, and Aegis FS was applied to symmetrical molar tooth. Clinical evaluation of FSs was carried out to assess retention, marginal discoloration, marginal adaptation,and the presence of caries in months 1,3,6,12,18 and 24 after FS application. Results: There were no significant differences for all criteria in groups 2 and 3(p≯0.05). In group 1,cumulative success rates according to 24 months’ follow-up were statistically insignificant during the comparisons performed in terms of retention, marginal adaptation, and presence of caries(p≯0.05). Marginal discoloration was found to be statistically significant(p&lt;0.05). Conclusion: RBS containing ACP or fluoride may be more effective than conventional RBS for caries prevention.

scholarly journals Antibacterial Activity of Two Chemomechanical Caries Removal Gels on Carious Dentin of Primary Teeth: An in vitro Study

2016 ◽  
Vol 17 (12) ◽  
pp. 1027-1032 ◽  
Author(s):  
Hesham S Khalil ◽  
Shabnam Gulzar ◽  
Ruchi Arora ◽  
Altaf H Shah ◽  
Bhupendra Bhardwaj ◽  
...  
Keyword(s):  
Antibacterial Activity ◽  
Primary Teeth ◽  
In Vitro Study ◽  
Antibacterial Activities ◽  
Viable Count ◽  
Primary Molar ◽  
Significant Difference ◽  
Molar Teeth ◽  
Caries Removal

ABSTRACT Introduction Chemomechanical caries removal (CMCR) is an effective method of caries removal especially for primary teeth as they cause less discomfort when compared with conventional caries removal. The most significant thing about caries removal is the elimination of cariogenic bacteria. This study compares the antibacterial activity of two CMCR gels. Materials and methods A total of 40 primary molar teeth with carious dentin were split along the long axis in a laboratory. Total viable count (TVC) was taken for the teeth before splitting as a measure of colony-forming units per milliliter (CFU/mL). Each half was treated with either Carisolv or Carie-Care CMCR gels. Clean dentin samples were evaluated for Streptococcus mutans (SM) and Lactobacillus acidophilus (LB) after removal of carious tissue using the caries removal gels using serial dilutions and incubating on specific agar plates. Results The results showed significant reduction in mean TVC after use of both the CMCR gels. Both gels reduced the CFU/mL of SM and LB to a significant level (p < 0.05). However, there was no significant difference between the antibacterial activities of the two CMCR gels. Conclusion The CMCR gels (Carisolv and Carie-Care) significantly reduced the residual TVC as well as SM and LB in carious primary dentin. Both CMCR gels had a similar antibacterial activity on the carious dentin of primary teeth. Clinical significance The CMCR gels tested have a significant antibacterial activity and can be effectively used for elimination of caries-causing bacteria in primary teeth. How to cite this article Gulzar S, Arora R, Shah AH, Bhardwaj B, Abusalim G, Khalil HS, Wyne AH. Antibacterial Activity of Two Chemomechanical Caries Removal Gels on Carious Dentin of Primary Teeth: An in vitro Study. J Contemp Dent Pract 2016;17(12):1027-1032.

scholarly journals Success Rates of Ankaferd Blood Stopper and Ferric Sulfate as Pulpotomy Agents in Primary Molars

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Kenan Cantekin ◽  
Hüsniye Gümüş
Keyword(s):  
Primary Teeth ◽  
Clinical Success ◽  
Ferric Sulfate ◽  
Hemostatic Agent ◽  
Radiographic Evaluation ◽  
Primary Molars ◽  
Success Rates ◽  
Radiographic Findings ◽  
Ankaferd Blood Stopper

Purpose. The purpose of this study was to evaluate clinical and radiographic findings of treatments using a new hemostatic agent (Ankaferd blood stopper (ABS)), as compared to ferric sulfate (FS), when used as a pulpotomy medicament in primary teeth. Materials and Methods. The primary molars (70) were selected from 35 children aged 4 to 6 years. The teeth were randomized into two groups for pulpotomy with the ABS (n=35) and the FS (n=35) agents. The patients were recalled for clinical and radiographic evaluation at 3-, 6-, 9-, and 12-month intervals. Results. At the 3- and 6-month clinical and radiographic evaluations, total success rates of 100% were observed in each group. In ABS and FS groups, the clinical success rates, however, reduced to 90.9% and 93.9% at the 9-month examination and 84,8% and 90.9% at the 12-month examination, respectively. Similarly, the teeth in the ABS and FS groups had radiographic success rates of 90.9% and 93.9% at 9 months and 84.8% and 87.8% at 12 moths, respectively. Conclusion. Although the findings indicated that ABS agents may be useful agents for pulpotomy medicament, further long-term and comprehensive histological investigations of ABS treatments are necessary.

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