An Update on Newer Pulpotomy Agents in Primary Teeth: A Literature Review

Abstract

Primary molars with asymptomatic reversible pulpitis are commonly treated by pulpotomy procedure. Different pulpotomy materials used so far for pulpotomy that have been mentioned in the literature have been included in this article. This literature review includes all medicaments including natural alternatives. Many significant medicaments with their success rates have been mentioned in this paper. To increase the therapeutic success of pulpotomy procedure, it is necessary to identify a novel effective and preferably natural pulpotomy medicament.

Pulpotomy of mature teeth: A systematic analysis of the failed cases

“…Emdogain gel (Straumann, Switzerland) for the pulpotomy of non-infected teeth has been used in animal studies. In addition, a similar clinical and radiographic success rate of EMD was reported by Yildirim et al for MTA and FC ( Jha et al, 2021 ).…”

“…The American Academy of Pediatric Dentistry recommends MTA for primary tooth pulpotomy for reversible pulpitis and traumatic pulp exposure. Molars treated with MTA were better than those treated with FC as reported by Farsi et al ( Jha et al, 2021 ).…”

“…FC pulpotomy demonstrated a 99 % clinical success rate when FC is mixed in the zinc oxide‑eugenol sub-base ( Fig. 3 ) ( Jha et al, 2021 ).…”

“…The BMP, a pulpotomy agent was introduced in 1991 by Nakashima. Pulpotomy using BMP-7 was performed on dog teeth; however, mineralized tissue deposition and unsatisfactory periapical responses ( Jha et al, 2021 ).…”

“…Michaeli (1984) used it as a pulpotomy material to study pulp healing in baboons, resulting in vital pulpal tissue and dentin bridging formation in the pulp chamber in 80 % of the teeth ( Jha et al, 2021 ).…”