Clinical and Radiographic Evaluation of Vital Pulpotomy in Primary Molar using Antioxidant Mix as a Novel Pulpotomy Medication versus Formcresol: A Randomized Clinical Trial.

Abstract

Background: Formocresol (FC) reported high success rates when used in pulpotomy of primary molars , however many concerns have been raised regarding its mutagenicity, carcinogenicity, its local toxicity, Objectives: to assess the success rates of Antioxidant mix and FC, used as pulpotopmy agents in vital primary molars, both clinically and radiographically. Materials and Methods: Randomized clinical trial. Fifty-two (52) primary mandibular molars in thirtyfive (35) children ranging in age from four to eight years were included in the study. Molars were divided into two equal groups (n= 26), Antioxidant mix (group 1) & FC (group 2) as a pulp medicament. All pulpotomized teeth were finally restored with stainless steel crowns. Subjects were monitored clinically & radiographically at three, six and nine months. Results: The clinical and radiographic success rates of Antioxidant mix & FC by the end of the nine months were [(84.6 & 46.2%) & (88.4 & 84.6%)] respectively. Conclusion: Antioxidant mix may not provide a reliable biological method for vital pulp therapy in primary molars.

Triple antibiotic paste and simvastatin in the treatment of non-vital primary molars with inflammatory root resorption

“…It is easier to identify radiographic pathology as well as radiographic healing more precisely in mandibular rather than maxillary molars due to overlapping of the permanent tooth germ and the palatal root of the primary molar on the interradicular bone. [17] A wide range of morphologic variations and frequency of non-typical morphology has been reported increasingly in mandibular primary second molars dictating the use of disinfectant irrigants and root canal fillings with high antibacterial efficacies to decrease failures arising from these inaccessible areas. [18] The degree of primary tooth root resorption was found to be the most critical preoperative predictor of pulpectomy success.…”

Clinical and Radiographic Assessment of Dual-cure Mineral Trioxide Aggregate Based Cement on Pulpotomized Primary Molars

“…Children enrolled in this study should have at least one decayed mandibular and maxillary primary molar (split mouth technique ) with vital pulp (hot and cold) tasted involvement without any clinical or radiographic sign of preapical inflammation, degeneration, or pathosis. However, presence of any mobility with tongue pressure bite mechanism, sensitivity to percussion, pathologic root resorption, preapical pathosis or furcation involvement were considered as exclusion criteria (16,17) . Parents of all selected children were informed about the all needed information's about this clinical study before starting and then each child`s parent was signed a detailed informed consent.…”

“…The coronal pulp was amputated entirely with sharp spoon excavator. Then, the pulp chamber was rinsed with water and the hemorrhage was stopped with cotton pellets moistened with normal saline (16,17) .…”

“…In both groups care should be taken to seal the radicular pulp completely with the both material and to ensure a material thickness of 2 to 3 mm. Then, the cavity was filled with resin-Dual-MTA (Group A) W-MTA (Group B) Pretreatment Base-line modified glass ionomer cement (RMGI), Finally, the pulpotomized teeth were restored with stainlesssteel crowns (16,17) (3M,ESPE,USA).…”

“…The restored teeth with clinical signs of mobility, pain, swelling, or sensitivity to percussion was considered clinically failure. However, teeth with presence of any preapical sign of pathosis or radiolucency was considered radiographically failed (17) .…”