Success rate of calcium hydroxide pulpotomy in primary molars restored with amalgam and stainless steel crowns

Sönmez, Deniz; Durutürk, Leyla

doi:10.1038/sj.bdj.2010.446

Cited by 41 publications

(58 citation statements)

References 24 publications

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“…22 Therefore, the clinical experience of the practitioner should be one main criterion for the appropriate selection of the restoration procedure of carious primary molars. Some studies have revealed higher pulpotomy success rates for teeth restored with SSCs (79.9-82.0%) than with amalgam (60.0-75.0%) 23,24 or resin-based materials, 25 but no data were found regarding the effect of pulp treatment on the clinical success rate of SSCs. In the present study, high clinical success rates of SSCs were reached regardless of performed pulp treatments or the extension of carious lesions.…”

Section: Discussionmentioning

confidence: 93%

Clinical success of stainless steel crowns placed under general anaesthesia in primary molars: An observational follow up study

Schüler¹,

Hiller²,

Roloff³

et al. 2014

Journal of Dentistry

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Section: Discussionmentioning

confidence: 93%

Clinical success of stainless steel crowns placed under general anaesthesia in primary molars: An observational follow up study

Schüler¹,

Hiller²,

Roloff³

et al. 2014

Journal of Dentistry

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“…Although restoration failure did not significantly influence the success of the pulpotomy (p=0.08), the risk, however, of pulpotomy failure in the cases of restoration failure was 3.7 (95% CI 0.8-15.5) times higher than in cases of intact restorations. Earlier reports have shown that restoring pulpotomised primary molars with resin-based materials or amalgam is inferior to the reported success rates when using stainless steel crowns; however, restoration failure did not influence treatment prognosis significantly [32,33].…”

Section: Discussionmentioning

confidence: 99%

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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“…It was reported that pulpotomy success rate for teeth restored with a stainless steel crown was higher than for those restored with amalgam [ 105 ].…”

Section: Prognosismentioning

confidence: 99%

Mineral Trioxide Aggregate and Evidence-Based Practice

Asgary

2014

Mineral Trioxide Aggregate in Dentistry

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Success rate of calcium hydroxide pulpotomy in primary molars restored with amalgam and stainless steel crowns

Cited by 41 publications

References 24 publications

Clinical success of stainless steel crowns placed under general anaesthesia in primary molars: An observational follow up study

Clinical success of stainless steel crowns placed under general anaesthesia in primary molars: An observational follow up study

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

Mineral Trioxide Aggregate and Evidence-Based Practice

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