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Shid-Moosavi TS, Mohammadi N, Gharamani Y, Motamedifar M, Alizadeh AA. Evaluating antimicrobial activity and cytotoxicity of silver nanoparticles incorporated into reinforced zinc oxide eugenol: an in vitro study. Eur Arch Paediatr Dent 2024; 25:443-450. [PMID: 38724869 DOI: 10.1007/s40368-024-00905-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Accepted: 04/15/2024] [Indexed: 07/11/2024]
Abstract
PURPOSE This study aimed to evaluate the antibacterial and cytotoxic effects of reinforced zinc oxide-eugenol (rZOE) incorporated with different concentrations of silver nanoparticles (AgNPs). METHODS The pastes of rZOE alone or mixed with AgNPs at concentrations of 1%, 2%, and 5% of weight were prepared. In vitro antimicrobial activity of prepared materials against Streptococcus (S.) mutans and Lactobacillus (L.) acidophilus were evaluated after 2, 4, and 6 h of contact times using direct contact test (DCT) and also following 24 h incubation by well-diffusion test (WDT). The cytotoxicity of the tested materials on human dental pulp stem cells was also determined by MTT assay. RESULTS The DCT demonstrated that the time-dependent reductions of the colony numbers of both bacteria by three different concentrations of AgNPs incorporated into rZOE were equal but steeper than the rZOE alone (P < 0.05). The increases in growth inhibition zones of S. mutans and L. acidophilus were associated with the increasing concentration of AgNPs mixed with rZOE in the WDT; however, statistical analysis did not show any significant differences (P = 0.092). The MTT assay revealed a significantly lower percentage of cell viability after 1 day of culture only with the rZOE + AgNP5% in comparison to the rZOE alone (P = 0.011) and the control medium (P = 0.001). CONCLUSION Since the antimicrobial activities of three different concentrations of AgNPs incorporated into rZOE were equal and AgNPs had lower toxicity at lower concentrations, using AgNPs at 1% concentration is suggested to be mixed with rZOE.
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Affiliation(s)
- T S Shid-Moosavi
- Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - N Mohammadi
- Department of Pediatric Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
- Oral and Dental Disease Research Center, Shiraz Dental School, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Y Gharamani
- Department of Endodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M Motamedifar
- Shiraz HIV/AIDS Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - A A Alizadeh
- Department of Tissue Engineering and Applied Cell Sciences, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran
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Sabbagh S, Bahrololoomi Z, Sarraf Shirazi A, Zarebidoki F, Salajegheh S, Fotouhi F, Akbarzadeh Baghban A, Asgary S. Comparative evaluation of cervical pulpotomy and pulpectomy for primary molars with irreversible pulpitis: a multicentre randomised controlled trial. Eur Arch Paediatr Dent 2024; 25:255-265. [PMID: 38488954 DOI: 10.1007/s40368-024-00880-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 02/02/2024] [Indexed: 03/17/2024]
Abstract
PURPOSE The objective of this multicentre randomised controlled trial was to compare the clinical/radiographic outcomes of cervical pulpotomy using calcium-enriched mixture cement (PCEM) and pulpectomy using Metapex (PM) in primary molars with irreversible pulpitis (IP). METHODS A total of 134 primary molars from 94 children were randomly assigned to two intervention groups: the PCEM group (n = 74) and the PM group (n = 60). Baseline characteristics including age/gender/molar type/tooth type/jaw were recorded. The primary outcome measures were clinical/radiographic success rates assessed at the first and second follow-up appointments. Secondary outcomes included reasons for clinical/radiographic failures. Multiple logistic regression analysis was performed to determine the impact of various factors on the success rates. RESULTS The mean age of the participants in both groups was similar (PCEM group: 5.4 years, PM group: 5.5 years). Gender distribution, molar type, tooth type, jaw, and number of practitioners were comparable between the groups. The clinical success rate at the first follow-up was 98.6% in the PCEM group and 96.4% in the PM group. At the second follow-up, the clinical success rate was 97.1% in the PCEM group and 91.1% in the PM group. The radiographic success rates at the first and second follow-up were 98.6% and 96.4% in the PCEM group and 96.4% and 91.1% in the PM group, respectively. Multiple logistic regression analysis did not reveal any significant association between the success rates and age/gender/molar type/jaw, or treatment groups (P > 0.05). CONCLUSION In primary molars with IP, both simple/conservative cervical pulpotomy using calcium-enriched mixture cement and pulpectomy using Metapex demonstrated high clinical/radiographic success rates. No significant differences were observed between the two treatment modalities. These findings suggest that both techniques can be considered effective treatment options for managing primary molars with IP. TRIAL REGISTRATION NUMBER Trial registration number: IRCT20201226049838N1, retrospectively registered on 12 January 2021.
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Affiliation(s)
- S Sabbagh
- Department of Pediatric Dentistry & Dental Materials Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Z Bahrololoomi
- Department of Pedodontics & Social Determinants of Oral Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - A Sarraf Shirazi
- Department of Pediatric Dentistry, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - F Zarebidoki
- Department of Pedodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - S Salajegheh
- Department of Pedodontics, Faculty of Dentistry, Hormozgan University of Medical Sciences, Hormozgan, Iran
| | - F Fotouhi
- Pediatric Dentist, Private Practice, Yazd, Iran
| | - A Akbarzadeh Baghban
- Proteomics Research Center, Department of Biostatistics, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - S Asgary
- Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Quiñonez-Ruvalcaba F, Bermúdez-Jiménez C, Aguilera-Galavíz LA, Villanueva-Sánchez FG, García-Cruz S, Gaitán-Fonseca C. Histopathological Biocompatibility Evaluation of TheraCal PT, NeoMTA, and MTA Angelus in a Murine Model. J Funct Biomater 2023; 14:jfb14040202. [PMID: 37103291 PMCID: PMC10144196 DOI: 10.3390/jfb14040202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 03/27/2023] [Accepted: 04/04/2023] [Indexed: 04/28/2023] Open
Abstract
The aim of this study was to evaluate the biocompatibility of the regeneration of the dentin-pulp complex in a murine model with different treatments with MTA Angelus, NeoMTA, and TheraCal PT. An in vivo controlled experimental study of 15 male Wistar rats forming three study groups, the upper and lower central incisors were selected where pulpotomies were conducted, leaving a central incisor as control at 15, 30, and 45 days. For data analysis, these were expressed as mean ± standard deviation and were examined by Kruskal-Wallis test. Three factors were analyzed as follows: "inflammatory infiltrate; disorganization of pulp tissue, and the formation of reparative dentin". No statistical significance was found between the different groups (p > 0.05). Treatment with these three biomaterials (MTA, TheraCal PT, and Neo MTA) presented an inflammatory infiltrate and slight disorganization of the odontoblast layer in the pulp tissue of a murine model, with normal coronary pulp tissue and the formation of reparative dentin in the three experimental groups. Thus, we are able to conclude that all three are biocompatible materials.
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Affiliation(s)
- Francelia Quiñonez-Ruvalcaba
- Programa de "Especialidad en Odontopediatría, Unidad Académica de Odontología, Universidad Autónoma de Zacatecas", Zacatecas 98000, Mexico
| | - Carlos Bermúdez-Jiménez
- Unidad Académica de Odontología, Universidad Autónoma de Zacatecas "Francisco García Salinas", Zacatecas 98000, Mexico
| | - Luis Alejandro Aguilera-Galavíz
- Programa de "Especialidad en Odontopediatría, Unidad Académica de Odontología, Universidad Autónoma de Zacatecas", Zacatecas 98000, Mexico
| | - Francisco G Villanueva-Sánchez
- Interdisciplinary Research Laboratory, Oral and Maxillofacial Pathology Area, Universidad Nacional Autónoma de México, Escuela Nacional de Estudios Superiores Unidad León, León 37684, Mexico
| | - Salvador García-Cruz
- Facultad de Medicina Humana y Ciencias de la Salud, Universidad Autónoma de Zacatecas, Zacatecas 98000, Mexico
| | - César Gaitán-Fonseca
- Programa de "Especialidad en Odontopediatría, Unidad Académica de Odontología, Universidad Autónoma de Zacatecas", Zacatecas 98000, Mexico
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Neha S, Subramaniam P, Gupta M. Comparative assessment of cleaning efficacy of Kedo-SH manual and Kedo-S rotary endodontic files in deciduous molars - an in-vitro study. INTERNATIONAL JOURNAL OF PEDODONTIC REHABILITATION 2022. [DOI: 10.56501/intjpedorehab.v7i2.684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Introduction: Preparation of root canals in deciduous molars can be challenging due to their inherent anatomy. Endodontic files were introduced recently for exclusive use in deciduous dentition. Hence, the aim of the present comparative study was to assess the cleaning efficacy of manual and rotary endodontic files in deciduous molars.
Methods and materials: Sixty canals of recently extracted deciduous molars were selected which did not have more than one-third of their root length resorbed. Following working length determination, India ink dye was injected into all the canals. They were arbitrarily allocated into two groups; Group I: Kedo-SH manual files (n=30) and Group II: Kedo-S rotary files (n=30), for the purpose of instrumentation. The root canals were cleared of debris and sections prepared. The sections were examined under a stereomicroscope under 40X magnification for removal of India ink at different thirds and given scores. Data was subjected to statistical analysis using Student t test and ANOVA. Level of significance was 5%.
Results: Both file systems resulted in superior cleaning of the coronal and apical section of the canals. The average scores for coronal and middle sections of the root canals with Kedo-SH manual files (9.5 ± 8.062; 10.75 ± 10.31, respectively) were significantly higher than that of Kedo-S rotary files (5± 6.63; 6.05 ±7.5, respectively) (p<0.05).
Conclusion: Root canals prepared with Kedo-S rotary files showed significant superiorly clean root canals than those prepared using Kedo-SH manual files.
Keywords: Kedo-S, Kedo-SH files, deciduous molars, pulpectomy, root canal instrumentation.
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Arhakis A, Cotti E, Kotsanos N. Pulp Therapy in Pediatric Dentistry. Pediatr Dent 2022. [DOI: 10.1007/978-3-030-78003-6_14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sruthi S, Jeevanandan G, Govindaraju L, Subramanian E. Assessing quality of obturation and instrumentation time using Kedo-SG blue, Kedo-SH, and reciprocating hand K-files in primary mandibular molars: A double-blinded randomized controlled trial. Dent Res J (Isfahan) 2021; 18:76. [PMID: 34760067 PMCID: PMC8543121 DOI: 10.4103/1735-3327.326649] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 03/16/2021] [Accepted: 04/13/2021] [Indexed: 11/23/2022] Open
Abstract
Background: Pulpectomy is the treatment of choice for severely infected primary molars. The aim of the study is to evaluate the instrumentation time and obturation quality using Kedo SG blue, Kedo SH, and reciprocating hand K files in primary mandibular molars. To evaluate the instrumentation time and obturation quality using Kedo-SG blue, Kedo-SH, and reciprocating hand K-files in primary mandibular molars. Materials and Methods: A double-blinded randomized controlled trial was conducted on 45 mandibular molars and were randomly assigned to three experimental groups (n = 15). Group I was instrumented using Kedo-SG blue pediatric rotary files, Group II with Kedo-SH pediatric hand files, and Group III with reciprocating hand K-files. Standardized digital radiographs were taken before and after root canal instrumentation. Root canal preparation time was also recorded. Statistical analysis of the obtained data was done using SPSS software version 17.0. An intergroup comparison of the instrumentation time and the quality of obturation were done using ANOVA and Chi-square test with the level of significance set at 5%. P < 0.05 was considered statistically significant. Results: No significant differences were noted with regard to the quality of obturation between the three groups (P < 0.14). However, a statistically significant difference was noted in the instrumentation time between the three groups (P = 0.000). Kedo-SG blue rotary file had significantly lesser instrumentation time when compared to that of Kedo-SH hand files and reciprocating hand K-files. Conclusion: On comparative evaluation,Kedo-SG blue pediatric rotary file showed a marked reduction in instrumentation time, followed by Kedo-SH pediatric hand files and reciprocating hand K-files.
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Affiliation(s)
- S Sruthi
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Ganesh Jeevanandan
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Lavanya Govindaraju
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Emg Subramanian
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
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Preethy NA, Jeevanandan G, Mathew MG, Subramanian EM. Evaluation of Quality of Obturation Using Two Different Rotary Files and Hand Files in Primary Teeth: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2021; 14:471-474. [PMID: 34824498 PMCID: PMC8585900 DOI: 10.5005/jp-journals-10005-1990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
AIM AND OBJECTIVE To estimate the obturation quality and instrumentation time on comparing traditional hand files and two rotary file types during root canal instrumentation in deciduous molars. MATERIALS AND METHODS Forty-five deciduous mandibular molars were taken and randomly allotted to three groups (n = 15). Group I: K-hand files, group II: ProTaper Gold rotary file, and group III: Kedo-SG Blue rotary files. Before and after root canal instrumentation, standardized digital radiography was taken and the instrumentation time was also noted. The recorded data were then subjected to statistical analysis utilizing SPSS Software version 22.0. To compare the instrumentation time and quality of obturation between the groups, a Chi-square test and ANOVA with the level of significance at 0.05 were employed. RESULTS There was no significant difference recorded with reference to the quality of obturation (p > 0.05). However, the difference was noticed to be statistically significant when the instrumentation time between the two rotary groups and the manual instrumentation groups was taken into account (p < 0.05). The rotary systems ProTaper Gold and Kedo-SG Blue exhibited a significantly less instrumentation time on comparing with that of the hand files. CONCLUSION Concerning the quality of obturation, all three file groups demonstrated almost a similar performance. However, there was a significant difference noticed in the instrumentation time with the use of manual instrumentation in comparison to rotary instrumentation in deciduous teeth. HOW TO CITE THIS ARTICLE Preethy NA, Jeevanandan G, Mathew MG, et al. Evaluation of Quality of Obturation Using Two Different Rotary Files and Hand Files in Primary Teeth: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2021;14(4):471-474.
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Affiliation(s)
- Neethu Ann Preethy
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
| | - Ganesh Jeevanandan
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
| | - Mebin George Mathew
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
| | - Erulappan M Subramanian
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
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Direct pulp capping versus pulpotomy with MTA for carious primary molars: a randomised clinical trial. Eur Arch Paediatr Dent 2019; 20:431-440. [PMID: 30788777 DOI: 10.1007/s40368-019-00419-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Accepted: 02/11/2019] [Indexed: 10/27/2022]
Abstract
AIM Aim of this randomised clinical trial was to compare the outcome of direct pulp capping (DPC) versus pulpotomy, both with MTA, for carious primary molars. METHODS Healthy, cooperative children aged 3-9 years with at least one deep carious primary molar requiring vital pulp therapy were included. Data on the primary outcome (all-cause failure) and secondary outcomes (clinical or radiographic failure) were collected blindly semi-annually for a minimum of 1 year up to 3 years and analysed with survival analysis and generalised linear regression at alpha = 5%. RESULTS A total of 74 children were randomly allocated on 1:1 basis to DPC (35 children; 40 teeth) or pulpotomy (39 children; 57 teeth). Survival from all-cause failure was 79.7% [95% confidence interval (CI) 69.3-86.9%] at 12 months and 66.0% (95% CI 53.4-76.0%) at 24 months which remained stable up to 36 months, with no differences between groups (P > 0.05). No significant difference was found in the survival rate of the two groups for all-cause [hazard ratio (HR) = 0.95; 95% CI 0.45-2.01; P = 0.88], clinical (HR = 0.74; 95% CI 0.0.19-2.92; P = 0.66), or radiographic failure (HR = 0.80; 95% CI 0.0.36-1.82; P = 0.60) throughout the 3-year follow-up. Regression analysis indicated that needing a second attempt for haemorrhage control was associated with higher clinical failure rate. All-case failure was significantly different for class II versus occlusal cavities and in the latter cavities pulpotomy performed better (P < 0.001). CONCLUSION The results of the current trial indicate that both DPC and pulpotomy can be reliable options for the treatment of deep carious primary molars in cooperative children, in carefully selected cases.
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Gopalakrishnan V, Anthonappa R, Ekambaram M, King NM. Qualitative assessment of published studies on pulpotomy medicaments for primary molar teeth. ACTA ACUST UNITED AC 2019; 10:e12389. [DOI: 10.1111/jicd.12389] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2018] [Accepted: 11/10/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | - Robert Anthonappa
- School of DentistryThe University of Western Australia Perth Western Australia Australia
| | - Manikandan Ekambaram
- Department of Oral SciencesFaculty of DentistryUniversity of Otago Dunedin New Zealand
| | - Nigel M. King
- School of DentistryThe University of Western Australia Perth Western Australia Australia
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Nuvvula S, Bandi M, Mallineni SK. Efficacy of ferric sulphate as a pulpotomy medicament in primary molars: an evidence based approach. Eur Arch Paediatr Dent 2018; 19:439-447. [PMID: 30341716 DOI: 10.1007/s40368-018-0375-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 08/12/2018] [Indexed: 11/24/2022]
Abstract
AIM To evaluate the available evidence on the efficacy of ferric sulphate (FS) compared to other pulpotomy medicaments in primary molars. METHODS A comprehensive literature search was conducted through five databases (PubMed, Ovid®, EBSCOhost, Cochrane Library and ProQuest) and only those papers which met the inclusion criteria were accepted. The quality of the studies used for systematic review was rated by two independent researchers based on Fuks and Papagiannoulis (Eur Arch Paediatr Dent 7:64-71, 2006) criteria and graded as A (38-42), B1 (32-37), B2 (25-31), C (≤ 24). Inter-examiner reliability was measured using Kappa statistics. RESULTS A total of 1371 studies were available, of which only two studies full-text articles were included for quality assessment with an excellent inter-researcher agreement (k = 0.9). The comprehensive search revealed that, none of the 20 studies obtained grade A. Only three studies were graded as B1, 5 studies received grade B2 and 12 studies attained grade C. Only 4 prospective randomised clinical trials reported high success rate with FS compared to other materials. Remaining 14 studies revealed low success rate with FS compared to other pulpotomy medicaments. CONCLUSION There is insufficient evidence to support the application of FS as a pulpotomy medicament in primary molars in the existing English literature. Hence, properly planned randomised clinical trials with large sample size and long-term follow up are needed to support FS as an effective pulpotomy medicament compared to other traditional and new medicaments.
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Affiliation(s)
- S Nuvvula
- Department of Paedodontics and Preventive Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - M Bandi
- Department of Paedodontics and Preventive Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
| | - S K Mallineni
- Department of Paedodontics and Preventive Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.
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Nematollahi H, Sarraf Shirazi A, Mehrabkhani M, Sabbagh S. Clinical and radiographic outcomes of laser pulpotomy in vital primary teeth: a systematic review and meta-analysis. Eur Arch Paediatr Dent 2018; 19:205-220. [DOI: 10.1007/s40368-018-0358-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Accepted: 05/16/2018] [Indexed: 12/01/2022]
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Jeevanandan G, Govindaraju L. Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial. Eur Arch Paediatr Dent 2018; 19:273-278. [DOI: 10.1007/s40368-018-0356-6] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2017] [Accepted: 05/16/2018] [Indexed: 11/29/2022]
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Abstract
Pediatric dentistry provides primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, together with special health care needs. This specialty encompasses a variety of skills, disciplines, procedures and techniques that share a common origin with other dental specialties however these have been modified and reformed to the distinctive requirements of infants, children, adolescents and special health care needs. Disciplines comprise of behavior guidance, care of the medically and developmentally compromised and disabled patient, supervision of orofacial growth and development, caries prevention, sedation, pharmacological management, and hospital dentistry including other traditional fields of dentistry. The skills apply to the ever-changing stages of dental, physical, and psychosocial development for treating conditions and diseases distinctive to growing individuals. Hence with the changing scope of practice it is imperative that the clinician stays updated with the current evidence based trends in practice, collaborates with other disciplines and Imparts quality oral health care tailored to the specific needs of every child.
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Govindaraju L, Jeevanandan G, Subramanian E. Clinical Evaluation of Quality of Obturation and Instrumentation Time using Two Modified Rotary File Systems with Manual Instrumentation in Primary Teeth. J Clin Diagn Res 2017; 11:ZC55-ZC58. [PMID: 29207834 DOI: 10.7860/jcdr/2017/30069.10602] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 08/25/2017] [Indexed: 11/24/2022]
Abstract
Introduction Pulp therapy in primary teeth has been performed using various instrumentation techniques. However, the conventional instrumentation technique used for root canal preparation in primary teeth is hand instrumentation. Various Nickel-Titanium (Ni-Ti) instruments are available to perform efficient root canal preparation in primary teeth. These Ni-Ti instruments has been designed to aid in better root canal preparation in permanent teeth but are rarely used in primary teeth. It is necessary to assess the feasibility of using these adult rotary files with a modified sequence in primary teeth. Aim To compare the quality of obturation and instrumentation time during root canal preparation using hand files and modified rotary file systems in primary molars. Materials and Methods Forty-five primary mandibular molars were randomly assigned to three experimental groups (n=15). Group I was instrumented using k-hand files, Group II with S2 ProTaper universal file and Group III with 0.25 tip 4% taper K3 rotary file. Standardized digital radiographs were taken before and after root canal instrumentation. Root canal preparation time was also recorded. Statistical analysis of the obtained data was done using SPSS Software version 17.0. An intergroup comparison of the instrumentation time and the quality of obturation was done using ANOVA and Chi-square test with the level of significance set at 0.05. Results No significant differences were noted with regard to the quality of obturation (p=0.791). However, a statistically significant difference was noted in the instrumentation time between the three groups (p<0.05). ProTaper rotary system had significantly lesser instrumentation time when compared to that of K3 rotary system and hand file system. Conclusion The hand files, S2 ProTaper Universal and K3 0.25 tip 4% taper files systems performed similarly with respect to the quality of obturation. There was a significant difference in instrumentation time with manual instrumentation compared to the modified rotary file systems in primary teeth.
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Affiliation(s)
- Lavanya Govindaraju
- Postgraduate Student, Department of Paediatric and Preventive Dentistry, Saveetha Dental College, Chennai, Tamil Nadu, India
| | - Ganesh Jeevanandan
- Senior Lecturer, Department of Paediatric and Preventive Dentistry, Saveetha Dental College, Chennai, Tamil Nadu, India
| | - Emg Subramanian
- Professor, Department of Paediatric and Preventive Dentistry, Saveetha Dental College, Chennai, Tamil Nadu, India
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Marques N, Lourenço Neto N, Fernandes AP, Rodini C, Hungaro Duarte M, Rios D, Machado MA, Oliveira T. Pulp tissue response to Portland cement associated with different radio pacifying agents on pulpotomy of human primary molars. J Microsc 2015; 260:281-6. [PMID: 26258985 DOI: 10.1111/jmi.12294] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 06/25/2015] [Indexed: 12/01/2022]
Abstract
The objective of this research was to evaluate the response of Portland cement associated with different radio pacifying agents on pulp treatment of human primary teeth by clinical and radiographic exams and microscopic analysis. Thirty mandibular primary molars were randomly divided into the following groups: Group I - Portland cement; Group II - Portland cement with iodoform (Portland cement + CHI3 ); Group III - Portland cement with zirconium oxide (Portland cement + ZrO2 ); and treated by pulpotomy technique (removal of a portion of the pulp aiming to maintain the vitally of the remaining radicular pulp tissue using a therapeutic dressing). Clinical and radiographic evaluations were recorded at 6, 12 and 24 months follow-up. The teeth at the regular exfoliation period were extracted and processed for histological analysis. Data were tested using statistical analysis with a significance level of 5%. The microscopic findings were descriptively analysed. All treated teeth were clinically and radiographically successful at follow-up appointments. The microscopic analysis revealed positive response to pulp repair with hard tissue barrier formation and pulp calcification in the remaining roots of all available teeth. The findings of this study suggest that primary teeth pulp tissue exhibited satisfactory biological response to Portland cement associated with radio pacifying agents. However, further studies with long-term follow-up are needed to determine the safe clinical indication of this alternative material for pulp therapy of primary teeth.
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Affiliation(s)
- N Marques
- Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, São Paulo - SP, Brazil
| | - N Lourenço Neto
- Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, São Paulo - SP, Brazil
| | - A P Fernandes
- Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, São Paulo - SP, Brazil
| | - C Rodini
- Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, São Paulo - SP, Brazil
| | - M Hungaro Duarte
- Department of Operative Dentistry, Dental Materials and Endodontics, Dental School of Bauru, University of São Paulo, São Paulo - SP, Brazil
| | - D Rios
- Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, São Paulo - SP, Brazil
| | - M A Machado
- Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, São Paulo - SP, Brazil
| | - T Oliveira
- Department of Paediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, São Paulo - SP, Brazil
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Niranjani K, Prasad MG, Vasa AAK, Divya G, Thakur MS, Saujanya K. Clinical Evaluation of Success of Primary Teeth Pulpotomy Using Mineral Trioxide Aggregate(®), Laser and Biodentine(TM)- an In Vivo Study. J Clin Diagn Res 2015; 9:ZC35-7. [PMID: 26023640 DOI: 10.7860/jcdr/2015/13153.5823] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 02/24/2015] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Pulpotomy technique basically consists of removing the coronal pulp and fixing the radicular pulp with a medicament. It is the most widely accepted clinical procedure for treating primary teeth with coronal pulp inflammation caused by caries with no involvement of the radicular pulp. AIM To evaluate the success and efficacy of Mineral Trioxide Aggregate (MTA), Lasers and Biodentine as pulpotomy agents both clinically and radiographically. MATERIALS AND METHODS In the present study, 60 primary molars in children whose pulpal status warranted pulpotomy were selected and randomly assigned into three groups that included MTA, Laser and Biodentine allocating 20 teeth to each group. The pulpotomy procedure was then performed on all selected teeth followed by restoration with stainless steel crowns. Later the patients were recalled for 3 months and 6 months for clinical and radiographic evaluation. RESULTS Statistical analysis was done using Fisher exact test to determine pair wise comparison of three agents with respect to clinical and radiographic criteria. Kruskal-Wallis ANOVA, Mc Nemars test was applied to evaluate the efficacy of each agent between 3 months and 6 months. The results showed that maximum success rate was found in MTA group. However, the comparison between three groups was statistically not significant (p<0.05). CONCLUSION Pulpotomies performed with either MTA, Laser or Biodentine are equally efficient with similar clinical/radiographic success and hence can be considered as alternatives to Formocresol.
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Affiliation(s)
- Krothapalli Niranjani
- Senior Lecturer, Department of Paediatric Dentistry, St. Joseph Dental College , Eluru, Andhra Pradesh, India
| | - Madhu Ghanshyam Prasad
- Professor and Head of Department, Department of Paediatric Dentistry, St. Joseph Dental College , Eluru, Andhra Pradesh, India
| | - Aron Arun Kumar Vasa
- Reader, Department of Paediatric Dentistry, St. Joseph Dental College , Eluru, Andhra Pradesh, India
| | - Gaddam Divya
- Senior Lecturer, Department of Paediatric Dentistry, Mamata Dental College , Khammam, India
| | - Mukesh Singh Thakur
- Senior Lecturer, Department of Paediatric Dentistry, HKEDT Dental College , Humnabad, India
| | - Kanithi Saujanya
- Senior Lecturer, Department of Paediatric Dentistry, Sree Sai Dental College , Srikakulam, India
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Zhang M, Kokabu S, Nakatomi C, Sugiyama G, Matsuo K, Jimi E. The distinct distributions of immunocompetent cells in rat dentin pulp after pulpotomy. Anat Rec (Hoboken) 2014; 298:741-9. [PMID: 25371095 DOI: 10.1002/ar.23087] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2014] [Accepted: 10/20/2014] [Indexed: 11/07/2022]
Abstract
Pulpotomy involves the removal of the coronal portion of pulp, including the diseased tissue, with the intent of maintaining the vitality of the remaining pulpal tissue via a therapeutic dressing. Once odontoblasts suffer injuries, the differentiation of mesenchymal cells is induced from the precursor cell population in the dental pulp, and these cells are recruited to the injured site to differentiate into odontoblasts. However, the involvement of immunocompetent cells during pulpal regeneration remains unclear. Thus, the purpose of this study was to investigate the properties of macrophages that infiltrated wound healing sites in rats between 1 and 28 days after pulpotomy (dap). During the inflammatory phase, ED1(+) (CD68(+) ) macrophages significantly increased throughout root pulp, especially apical to the demarcation zone, and this population persisted until 3 dap before decreasing gradually until 28 dap. OX6(+) macrophages expressing class II MHC also increased in the apical pulp at 1 dap and declined thereafter. However, OX6(+) cells appeared prior to dentin bridge formation at 3 dap and appeared again apical to the dentin bridge during the healing stage at 14 dap. The shift from ED1(+) cells in the inflammation phase to OX6(+) cells during dentin bridge formation might contribute to wound healing.
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Affiliation(s)
- Min Zhang
- Division of Oral Pathology, Department of Health Promotion, Kyushu Dental University, 2-6-1 Manazuru, Kokurakita-ku, Kitakyushu, Fukuoka, 803-8580, Japan
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18
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Anthonappa RP, King NM, Martens LC. Letter to the Editor. Int Endod J 2014; 47:613-4. [DOI: 10.1111/iej.12191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- R. P. Anthonappa
- Paediatric Dentistry, School of Dentistry, Faculty of Medicine, Dentistry and Health Sciences; University of Western Australia; Perth Australia
| | - N. M. King
- Paediatric Dentistry, School of Dentistry, Faculty of Medicine, Dentistry and Health Sciences; University of Western Australia; Perth Australia
| | - L. C. Martens
- Paediatric Dentistry, Chair, Department of Paediatric Dentistry & Special care; PaeCaMeD research Ghent University; Ghent Belgium
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De Coster P, Rajasekharan S, Martens L. Laser-assisted pulpotomy in primary teeth: a systematic review. Int J Paediatr Dent 2013; 23:389-99. [PMID: 23171469 DOI: 10.1111/ipd.12014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The purpose of this systematic review was to identify high-quality articles comparing laser with conventional pulpotomy procedures, and to assess whether laser treatment may offer an appreciable benefit over conventional approaches. METHODS A systematic search was implemented for MEDLINE, WEB of SCIENCE and Cochrane's CENTRAL databases (1980-2012) to identify eligible studies. Two reviewers independently assessed the methodological quality of the articles (Κ = 0.89) using specific study design-related quality assessment forms (Dutch Cochrane Collaboration). RESULTS Seven articles met the inclusion criteria, of which five randomized control trials (RCT) and two case series (CS), involving Nd:YAG, Er:YAG, CO₂ and 632/980 nm diode lasers. Although heterogeneity between pulpotomy studies was high, odds ratios (OR) were generally <1, indicating that laser is less successful than conventional pulpotomy techniques. CONCLUSION Given the paucity and high heterogeneity of high-quality articles, general recommendations for the clinical use of laser in pulpotomy in primary teeth can yet not be formulated.
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Affiliation(s)
- Peter De Coster
- Oral Biology, Dental School, Ghent University, Ghent, Belgium
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Asgary S, Shirvani A. Comment on methodological problems of ‘Is there sufficient evidence to support the long-term efficacy of mineral trioxide aggregate for endodontic therapy in primary teeth?’ by Anthonappa RPet al. (International Endodontic Journal, 46, 198-204, 2013). Int Endod J 2013; 47:611-2. [DOI: 10.1111/iej.12190] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- S. Asgary
- Iranian Center for Endodontic Research; Research Institute of Dental Sciences; Shahid Beheshti University of Medical Sciences; Tehran Iran
| | - A. Shirvani
- Iranian Center for Endodontic Research; Research Institute of Dental Sciences; Shahid Beheshti University of Medical Sciences; Tehran Iran
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21
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Clinical, radiographic and histologic analysis of the effects of pulp capping materials used in pulpotomies of human primary teeth. Eur Arch Paediatr Dent 2013; 14:65-71. [DOI: 10.1007/s40368-013-0015-x] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2012] [Accepted: 07/12/2012] [Indexed: 10/27/2022]
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Ng FK, Messer LB. Mineral trioxide aggregate as a pulpotomy medicament: A narrative review. Eur Arch Paediatr Dent 2013; 9:4-11. [DOI: 10.1007/bf03321589] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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23
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Elkhadem A, Nagi P. Effectiveness of MTA pulpotomy in primary molars: a critical assessment of relevant studies. Evid Based Dent 2013; 14:46. [PMID: 23792397 DOI: 10.1038/sj.ebd.6400931] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
DATA SOURCES Medline. STUDY SELECTION Studies that evaluated the efficacy of MTA as a pulpotomy medicament in primary teeth were included, abstracts, observational studies and case reports were excluded. Only English language studies were considered. DATA EXTRACTION AND SYNTHESIS Studies were assessed and graded by two reviewers using a weighted criteria based system and a qualitative summary of the evidence provided. RESULTS Twenty-two studies were included, 17 studies compared MTA with formocresol, four studies compared MTA with calcium hydroxide, ferric sulphate, Portland cement, calcium-enriched mixture cement (CEM) and one study compared white MTA with grey MTA. CONCLUSIONS Based on the assessment criteria employed, there was no evidence that MTA was better than present materials and techniques as a pulpotomy medicament.
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Affiliation(s)
- Ahmed Elkhadem
- Evidence Based Dentistry Centre, Faculty of Oral and Dental Medicine, Cairo University, Egypt
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Chadwick BL, Evans DJP. Restoration of class II cavities in primary molar teeth with conventional and resin modified glass ionomer cements: a systematic review of the literature. Eur Arch Paediatr Dent 2012; 8:14-21. [PMID: 17394886 DOI: 10.1007/bf03262565] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
AIM To review the literature concerning the restoration of primary teeth with glass ionomer (GIC) or resin modified glass ionomer cement (RMGI) used in conventional class II cavities. METHODS A search of the literature identified through Medline between 1966 and 2006 using the key words: glass ionomer, resin modified, glass polyalkenoate, deciduous/primary teeth. Studies that used ART or tunnel preparations were excluded. Papers of relevant clinical studies (prospective and retrospective) were assessed and graded using predetermined criteria. Papers were graded according to the number of criteria met as (A >90%, B1 = 75%, B2 = 50%, C <50%). RESULTS The search identified 411 papers, from which an application of the inclusion criteria yielded 20 studies. Of these, 2 were rated B1 and 18 B2. Failure rates varied from 6.6% to 60% for GIC, and from 2% to 24% for RMGI. CONCLUSION GIC cannot be recommended for class II cavities in primary molars. There is evidence that RMGIC can perform successfully in small to moderate sized class II restorations.
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Affiliation(s)
- B L Chadwick
- Dept. Paediatric Dentistry Unit, School of Dentistry, Cardiff University, Wales.
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25
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Yaman E, Görken F, Pinar Erdem A, Sepet E, Aytepe Z. Effects of folk medicinal plant extract Ankaferd Blood stopper® in vital primary molar pulpotomy. Eur Arch Paediatr Dent 2012; 13:197-202. [DOI: 10.1007/bf03262870] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Anthonappa RP, King NM, Martens LC. Is there sufficient evidence to support the long-term efficacy of mineral trioxide aggregate (MTA) for endodontic therapy in primary teeth? Int Endod J 2012; 46:198-204. [DOI: 10.1111/j.1365-2591.2012.02128.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2012] [Accepted: 08/24/2012] [Indexed: 11/27/2022]
Affiliation(s)
- R. P. Anthonappa
- Faculty of Medicine, Dentistry and Health Sciences; School of Dentistry; The University of Western Australia; Perth; WA; Australia
| | - N. M. King
- Faculty of Medicine, Dentistry and Health Sciences; School of Dentistry; The University of Western Australia; Perth; WA; Australia
| | - L. C. Martens
- Department of Paediatric Dentistry & Special care; PaeCaMeD Research Ghent University; Ghent; Belgium
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Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial. Clin Oral Investig 2011; 16:1243-50. [DOI: 10.1007/s00784-011-0602-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2011] [Accepted: 07/29/2011] [Indexed: 10/17/2022]
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Abstract
Concern has existed for almost ten years regarding the safety and efficacy of formaldehyde-based medicaments like formocresol in dentistry. Formocresol has been shown to be therapeutically outdated for decades. While the use of formocresol around the world continues to drop, it is still utilised in alarmingly high rates, an age-old bias that is unsubstantiated by overall academic research. Formaldehyde remains a genotoxic and carcinogenic problem worldwide. The most recent articles are discussed in the light of the need to abandon formocresol.
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Clinical and radiographic outcomes of calcium hydroxide and formocresol pulpotomies performed by dental students. ACTA ACUST UNITED AC 2009; 108:e127-33. [DOI: 10.1016/j.tripleo.2009.07.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2009] [Revised: 06/25/2009] [Accepted: 07/06/2009] [Indexed: 11/21/2022]
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A Comparison of four pulpotomy techniques in primary molars: a long-term follow-up. J Endod 2008; 34:950-5. [PMID: 18634926 DOI: 10.1016/j.joen.2008.05.009] [Citation(s) in RCA: 75] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2008] [Revised: 05/13/2008] [Accepted: 05/21/2008] [Indexed: 11/21/2022]
Abstract
The study evaluated the effects of formocresol (FC), ferric sulphate (FS), calcium hydroxide (Ca[OH](2)), and mineral trioxide aggregate (MTA) as pulp dressing agents in pulpotomized primary molars. Sixteen children each with at least four primary molars requiring pulpotomy were selected. Eighty selected teeth were divided into four groups and treated with one of the pulpotomy agent. The children were recalled for clinical and radiographic examination every 6 months during 2 years of follow-up. Eleven children with 56 teeth arrived for clinical and radiographic follow-up evaluation at 24 months. The follow-up evaluations revealed that the success rate was 76.9% for FC, 73.3% for FS, 46.1% for Ca(OH)(2), and 66.6% for MTA. In conclusion, Ca(OH)(2)is less appropriate for primary teeth pulpotomies than the other pulpotomy agents. FC and FS appeared to be superior to the other agents. However, there was no statistically significant difference between the groups.
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Vital Pulp Therapy with New Materials for Primary Teeth: New Directions and Treatment Perspectives. J Endod 2008; 34:S18-24. [DOI: 10.1016/j.joen.2008.02.031] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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32
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Case Report: Dental Treatment of a Child with Hypophosphataemic Rickets. Eur Arch Paediatr Dent 2007. [DOI: 10.1007/bf03262608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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