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CC BY-NC-ND 4.0 · Eur J Dent 2014; 08(02): 234-240
DOI: 10.4103/1305-7456.130616
Original Article
Dental Investigation Society

Evaluation of formocresol, calcium hydroxide, ferric sulfate, and MTA primary molar pulpotomies

Esma Yildiz
1   Department of Pediatric Dentistry, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkiye
,
Gul Tosun
2   Department of Pediatric Dentistry, Faculty of Dentistry, Selcuk University, Konya, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

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ABSTRACT

Objective: The aim of this study is to evaluate four different pulpotomy medicaments in primary molars. Materials and Methods: A total of 147 primary molars with deep caries were treated with four different pulpotomy medicaments (FC: formocresol, FS: ferric sulfate, CH: calcium hydroxide, and MTA: mineral trioxide aggregate) in this study. The criteria for tooth selection for inclusion were no clinical and radiographic evidence of pulp pathology. During 30 months of follow-up at 6-month intervals, clinical and radiographic success and failures were recorded. The differences between the groups were statistically analyzed using the Chi-square test and Kaplan-Meier analysis. Results: At 30 months, clinical success rates were 100%, 95.2%, 96.4%, and 85% in the FC, FS, MTA, and CH groups, respectively. In radiographic analysis, the MTA group had the highest (96.4%), and the CH group had the lowest success rate (85%). There were no clinical and radiographic differences between materials (P > 0.05). Conclusions: Although there were no differences between materials, only in the CH group did three teeth require extraction due to further clinical symptoms of radiographic failures during the 30-month follow-up period. None of the failed teeth in the other groups required extraction during the 30-month follow-up period.

Key words:

Calcium hydroxide - ferric sulfate - formocresol - MTA - pulpotomy
 

  • REFERENCES

  • 1 Camp JH, Fuks AB. Pediatric endodontics: Endodontic treatment fort the primary and young permanent dentition. In: Cohen S, Hargreaves KM. editors. Pathways of the Pulp. 9th ed.. St. Louis: Mosby Elseiver; 2006: p. 822-53
    Google Scholar
  • 2 Sweet CA. Procedure for treatment of exposed and pulpless deciduous teeth. J Am Dent Assoc 1930; 17: 1150-3
    Google Scholar
  • 3 Ranly DM. Pulpotomy therapy in primary teeth: New modalities for old rationales. Pediatr Dent 1994; 16: 403-9
    PubMedGoogle Scholar
  • 4 Zander HA. Reaction of the pulp to calcium hydroxide. J Dent Res 1939; 18: 373-9
    CrossrefGoogle Scholar
  • 5 Fei AL, Udin RD, Johnson R. A clinical study of ferric sulfate as a pulpotomy agent in primary teeth. Pediatr Dent 1991; 13: 327-32
    PubMedGoogle Scholar
  • 6 Holan G, Eidelman E, Fuks AB. Long-term evaluation of pulpotomy in primary molars using mineral trioxide aggregate or formocresol. Pediatr Dent 2005; 27: 129-36
    PubMedGoogle Scholar
  • 7 Nadin G, Goel BR, Yeung CA, Glenny AM. Pulp treatment for extensive decay in primary teeth. Cochrane Database Syst Rev. 2003: CD0033220
    Google Scholar
  • 8 Huth KC, Paschos E, Hajek-Al-Khatar N, Hollweck R, Crispin A, Hickel R. et al. Effectiveness of 4 pulpotomy techniques--randomized controlled trial. J Dent Res 2005; 84: 1144-8
    CrossrefPubMedGoogle Scholar
  • 9 Maroto M, Barbería E, Planells P, García Godoy F. Dentin bridge formation after mineral trioxide aggregate (MTA) pulpotomies in primary teeth. Am J Dent 2005; 18: 151-4
    PubMedGoogle Scholar
  • 10 Sönmez D, Durutürk L. Ca (OH) 2 pulpotomy in primary teeth. Part I: Internal resorption as a complication following pulpotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106: e94-8
    CrossrefPubMedGoogle Scholar
  • 11 Guelmann M, Bookmyer KL, Villalta P, García-Godoy F. Microleakage of restorative techniques for pulpotomized primary molars. J Dent Child (Chic) 2004; 71: 209-11
    PubMedGoogle Scholar
  • 12 el-Kalla IH, García-Godoy F. Fracture strength of adhesively restored pulpotomized primary molars. ASDC J Dent Child 1999; 66: 238-42 228
    PubMedGoogle Scholar
  • 13 Zulfikaroglu BT, Atac AS, Cehreli ZC. Clinical performance of Class II adhesive restorations in pulpectomized primary molars: 12-month results. J Dent Child (Chic) 2008; 75: 33-43
    PubMedGoogle Scholar
  • 14 Hutcheson C, Seale NS, McWhorter A, Kerins C, Wright J. Multi-surface composite vs stainless steel crown restorations after mineral trioxide aggregate pulpotomy: A randomized controlled trial. Pediatr Dent 2012; 34: 460-7
    PubMedGoogle Scholar
  • 15 Moretti AB, Sakai VT, Oliveira TM, Fornetti AP, Santos CF, Machado MA. et al. The effectiveness of mineral trioxide aggregate, calcium hydroxide and formocresol for pulpotomies in primary teeth. Int Endod J 2008; 41: 547-55
    CrossrefPubMedGoogle Scholar
  • 16 Farsi N, Alamoudi N, Balto K, Mushayt A. Success of mineral trioxide aggregate in pulpotomized primary molars. J Clin Pediatr Dent 2005; 29: 307-11
    PubMedGoogle Scholar
  • 17 Jabbarifar SE, Khademi AA, Ghasemi D. Success rate of formocresol pulpotomy versus mineral trioxide aggregate in human primary molar tooth. J Res Med Sci 2004; 6: 304-7
    Google Scholar
  • 18 Ibricevic H, al-Jame Q. Ferric sulfate as pulpotomy agent in primary teeth: Twenty month clinical follow-up. J Clin Pediatr Dent 2000; 24: 269-72
    PubMedGoogle Scholar
  • 19 Sonmez D, Sari S, Cetinbaş T. A comparison of four pulpotomy techniques in primary molars: A long-term follow-up. J Endod 2008; 34: 950-5
    CrossrefPubMedGoogle Scholar
  • 20 Markovic D, Zivojinovic V, Vucetic M. Evaluation of three pulpotomy medicaments in primary teeth. Eur J Paediatr Dent 2005; 6: 133-8
    PubMedGoogle Scholar
  • 21 Vij R, Coll JA, Shelton P, Farooq NS. Caries control and other variables associated with success of primary molar vital pulp therapy. Pediatr Dent 2004; 26: 214-20
    PubMedGoogle Scholar
  • 22 Casas MJ, Kenny DJ, Johnston DH, Judd PL. Long-term outcomes of primary molar ferric sulfate pulpotomy and root canal therapy. Pediatr Dent 2004; 26: 44-8
    PubMedGoogle Scholar
  • 23 Gruythuysen RJ, Weerheijm KL. Calcium hydroxide pulpotomy with a light-cured cavity-sealing material after two years. ASDC J Dent Child 1997; 64: 251-3
    PubMedGoogle Scholar
  • 24 Waterhouse PJ, Nunn JH, Whitworth JM. An investigation of the relative efficacy of Buckley's formocresol and calcium hydroxide in primary molar vital pulp therapy. Br Dent J 2000; 188: 32-6
    CrossrefPubMedGoogle Scholar
  • 25 Eidelman E, Holan G, Fuks AB. Mineral trioxide aggregate vs. formocresol in pulpotomized primary molars: A preliminary report. Pediatr Dent 2001; 23: 15-8
    PubMedGoogle Scholar
  • 26 Agamy HA, Bakry NS, Mounir MM, Avery DR. Comparison of mineral trioxide aggregate and formocresol as pulp-capping agents in pulpotomized primary teeth. Pediatr Dent 2004; 26: 302-9
    PubMedGoogle Scholar
  • 27 Waterhouse PJ, Nunn JH, Whitworth JM, Soames JV. Primary molar pulp therapy--histological evaluation of failure. Int J Paediatr Dent 2000; 10: 313-21
    Google Scholar
  • 28 Schröder U. Effect of an extra-pulpal blood clot on healing following experimental pulpotomy and capping with calcium hydroxide. Odontol Revy 1973; 24: 257-68
    PubMedGoogle Scholar
  • 29 Mathewson RJ, Primosch RE. Pulp treatment. In: Fundamentals of Pediatric Dentistry. 3rd ed.. Chicago: Quintessence Publishing Co.; 1995: p. 257-84
    Google Scholar
  • 30 Caicedo R, Abbott PV, Alongi DJ, Alarcon MY. Clinical, radiographic and histological analysis of the effects of mineral trioxide aggregate used in direct pulp capping and pulpotomies of primary teeth. Aust Dent J 2006; 51: 297-305
    CrossrefPubMedGoogle Scholar
  • 31 Dominguez MS, Witherspoon DE, Gutmann JL, Opperman LA. Histological and scanning electron microscopy assessment of various vital pulp-therapy materials. J Endod 2003; 29: 324-33
    CrossrefPubMedGoogle Scholar
  • 32 Torabinejad M, Hong CU, McDonald F, Pitt Ford TR. Physical and chemical properties of a new root-end filling material. J Endod 1995; 21: 349-53
    CrossrefPubMedGoogle Scholar
  • 33 Miller LB, Witt JC. Solubility of calcium hydroxide. J Phys Chem 1929; 33: 285-9
    CrossrefGoogle Scholar
  • 34 Menezes R, Bramante CM, Letra A, Carvalho VG, Garcia RB. Histologic evaluation of pulpotomies in dog using two types of mineral trioxide aggregate and regular and white Portland cements as wound dressings. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 376-9
    CrossrefPubMedGoogle Scholar
  • 35 Kakarla P, Avula JS, Mellela GM, Bandi S, Anche S. Dental pulp response to collagen and pulpotec cement as pulpotomy agents in primary dentition : A histological study. J Conserv Dent 2013; 16: 434-8
    CrossrefPubMedGoogle Scholar
  • 36 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
    CrossrefPubMedGoogle Scholar
  • 37 Tabarsi B, Parirokh M, Eghbal MJ, Haghdoost AA, Torabzadeh H, Asgary S. A comparative study of dental pulp response to several pulpotomy agents. Int Endod J 2010; 43: 565-71
    CrossrefPubMedGoogle Scholar
  • 38 Jose B, Ratnakumari N, Mohanty M, Varma HK, Komath M. Calcium phosphate cement as an alternative for formocresol in primary teeth pulpotomies. Indian J Dent Res 2013; 24: 522
    CrossrefPubMedGoogle Scholar
  • 39 Oliveira TM, Moretti AB, Sakai VT, Lourenço Neto N, Santos CF, Machado MA. et al. 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
    CrossrefPubMedGoogle Scholar