Pulp treatment for extensive decay in primary teeth

Contemporary Dental Caries Management Concepts in Paediatric Dentistry: A Survey of Awareness and Practice of a Group of Gulf Cooperation Council Dentists

“…3 As examples for the latter, the HT, 10 in addition to sealing caries in permanent teeth as an ultraconservative modality 11 when a primary tooth pulpotomy is conducted, the dilemma of the choice of the appropriate medicament arises, the best of which has yet to be agreed upon. 5 These contemporary debates and concepts were the drive behind conducting this survey in the GCC region. 4.1.…”

Contemporary Dental Caries Management Concepts in Paediatric Dentistry: A Survey of Awareness and Practice of a Group of Gulf Cooperation Council Dentists

“…A 2012 USA survey 18 reported that 69% of general dentists and 68% paediatric dentists used FC; 15% of GDPs and 23% PDs used FS and only 3% of GDPs and 1% PDs reported using MTA. In an analysis of 47 trials and 3910 randomised teeth, a recent Cochrane systematic review in 2014 5 found no evidence to identify a superior PM although MTA or FS were highlighted as "preferable". Smaïl-Faugeron et al, stated 4 that the "cost of MTA may preclude its clinical use and therefore FS could be used".…”

“…Interestingly, the debate had an impact on undergraduate dental education and postgraduate dental practice. 1 In paediatric dentistry, how to restore a carious primary molar (RCM), 2, 3, 4 the choice of appropriate "pulpotomy medication" (PM) in primary teeth, 5 the "Hall technique" (HT), 6 and "sealing dental caries" (SDC) in primary and permanent teeth 7 were four areas where change and debate took place. These PEDODONTICS clinical issues have had direct impact upon clinical treatment of child patients and are of interest, not only to specialists in paediatric dentistry, but general dental practitioners alike.…”

Carious Exposure versus Mechanical Exposure for MTA Pulpotomy in Primary Teeth

“…Clinical and radiological success rates for MTA pulpotomies have been reported to range from 66.6% to 100% [4, 7, 23, 25, 29]. However, in these studies, inclusion criteria did not provide specific information regarding type of exposure as mentioned above, stating only that exposures after complete removal of decay were included.…”