Ca(OH)2 pulpotomy in primary teeth. Part I: internal resorption as a complication following pulpotomy

Sönmez, Deniz; Durutürk, Leyla

doi:10.1016/j.tripleo.2008.04.008

Cited by 20 publications

(27 citation statements)

References 14 publications

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“…Distinct internal areas of resorption were the cause of radiographic failure in 4 out of 13 cases within the 36 months (Table 3); those results were not higher in percentage than in the other groups (FC 2/6, L 3/6, FS 2/9). In contrast, several other studies reported evidence of internal resorption as the main failure mode for calcium hydroxide pulpotomies [14,25]. The Er:YAG laser pulpotomies had a comparable total failure rate (27%) to formocresol (28%) after 3 years.…”

Section: Discussionmentioning

confidence: 77%

“…Besides this study, the data regarding the clinical use of lasers for pulpotomies in human teeth [10,12,13] are too small to draw conclusions about their effectiveness. Calcium hydroxide has been used widely, especially in Scandinavian countries; however, problems with internal resorption and less long-term success were reported [2,14]. Ferric sulphate has been increasingly used due to its haemostatic effect, ease of use and good long-term success [1].…”

Section: Introductionmentioning

confidence: 99%

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Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

et al. 2011

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A pulpotomy is the therapy for management of pulp exposures due to caries in symptom-free primary molars. The aim was to longitudinally compare the relative effectiveness of the Er:YAG laser, calcium hydroxide and ferric sulphate techniques with dilute formocresol in retaining symptom-free molars. Two hundred primary molars in 107 healthy children were included and randomly allocated to one technique. The treated teeth were blindly reevaluated after 6, 12, 18, 24 and 36 months. Descriptive data analysis and logistic regression analysis accounting for multiple observations per patient by generalised estimating equation were used. Additionally, various influences including tooth type, upper and lower jaws, type of anaesthesia, operator and the final restoration on treatment success were evaluated (Wald chi-square test). After 36 months, the following total (considering clinical and clinically symptom-free radiographic failures) and clinical success rates were determined (in percent): Formocresol 72 (92), laser 73 (89), calcium hydroxide 46 (75), ferric sulphate 76 (97). No significant differences were detected between formocresol and any other technique after 36 months. However, the odds ratio of failure appeared to be three times higher for calcium hydroxide than for formocresol. No significant differences in total success rates were seen regarding the aforementioned influencing clinical parameters. The correct diagnosis of the pulpal status, bleeding control and the specific technique are highly important for long-term success of pulpotomies in primary molars. According to the presented long-term data, pulpotomies using ferric sulphate revealed the best treatment outcome among the used techniques, while calcium hydroxide resulted in the lowest success rates after 3 years. Therefore, we can recommend ferric sulphate for easy and successful treatment of primary molars with caries-exposed pulps.

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Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

et al. 2011

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“…When CH was applied to CExp teeth, it yielded lower success rates in comparison to MExp teeth. Similarly, using CH as a pulpotomy agent, Sonmez et al reported a significantly lower treatment success rate for CExp pulp relative to Mexp pulp (19). These results reflect the fact that pulpal exposure due to caries carries an increased risk of inflammation spreading deeper into the pulp.…”

Section: Tablementioning

confidence: 98%

Comparative evaluation of pro-inflammatory cytokine levels in pulpotomized primary molars

et al. 2015

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The present in vivo study was performed to investigate the levels of the pro-inflammatory cytokines, interleukin (IL)-1α, IL-6, and IL-8, in primary molars for which pulpotomy was clinically indicated, and to evaluate the success rates of three different pulpotomy agents employed for cariously (CExp) or mechanically exposed (MExp) primary molars. Forty-seven primary molars were classified as MExp or CExp according to the type of pulpal exposure. Pulp tissue was harvested and analyzed using enzymelinked immunosorbent assay (ELISA). Subsequently, three pulpotomy agents-calcium hydroxide (CH), mineral trioxide aggregate (MTA), and formocresol (FC)-were applied randomly, and the outcome was observed radiographically for 18 months. Levels of IL-6 and IL-8 were significantly higher in CExp pulp than in MExp pulp (P < 0.05). In the CH pulpotomy group, MExp teeth showed a higher success rate than CExp teeth. There was no significant difference in success rate between MExp and CExp teeth in both the FC and MTA groups. The levels of IL-6 and IL-8 have the potential to become indicators of pulp status and can be monitored by researchers to make the prognosis of vital pulp therapies less uncertain. As MTA and FC yielded higher rates of success than CH in CExp teeth, the choice of pulpotomy agent appears to be important in this context. (J Oral Sci 57, 145-150, 2015)

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“…Além do correto diagnóstico, outros fatores comprometem o reparo tecidual pulpar, como a falta de selamento e infiltração de bactérias na interface dente-restauração, a citotoxicidade dos materiais dentários e a sensibilidade da técnica operatória FUKS, 2005;CHACKO;KURIKOSE, 2006;DURUTURK, 2008;PAROLIA et al, 2010;OLIVEIRA et al, 2013).…”

Section: Lbiunclassified

“…Nosso resultado foi condizente com outros trabalhos na literatura que usaram o HC em pulpotomias para dentes decíduos. Moretti et al (2008) , TUNÇ et al, 2006MORETTI et al, 2008;NG;MESSER, 2008;CETINBAŞ, 2008;DURUTURK, 2008;ALAÇAM et al, 2009;GODHI;SOOD;SHARMA, 2011;ODABAS et al, 2011). Em nosso estudo foi tomado cuidado especial com relação ao controle da hemorragia para que não houvessem coágulos.…”

Section: Avaliação Clínica E Radiográficaunclassified

Efeitos do Laser de Baixa Intensidade em pulpotomias de dentes decíduos humanos

Marques¹,

Fernandes²,

Lourenço-Neto³

et al.

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Aos Funcionários da Pós-Graduação FOB -USP, pelo auxílio nos problemas e assuntos burocráticos.À Ana Amélia por todo cuidado com a formatação e impressão dessa dissertação.Aos pacientes dessa pesquisa pela participação e colaboração, sem os quais a concretização desse projeto não seria possível. À Coordenação de Aperfeiçoamento de Pessoal de Nível Superior(CAPES) pelo apoio financeiro concedido durante a realização deste estudo À banca examinadora pelo aceite do convite, presença e contribuição para correção e finalização dessa dissertação.

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Ca(OH)2 pulpotomy in primary teeth. Part I: internal resorption as a complication following pulpotomy

Cited by 20 publications

References 14 publications

Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial

Comparative evaluation of pro-inflammatory cytokine levels in pulpotomized primary molars

Efeitos do Laser de Baixa Intensidade em pulpotomias de dentes decíduos humanos

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