Clinical and radiographic comparison of primary molars after formocresol and electrosurgical pulpotomy: a randomized clinical trial.
Article
in English
| IMSEAR
| ID: sea-51716
ABSTRACT
BACKGROUND:
Vital pulpotomy is a single-stage procedure defined as the surgical amputation of the coronal portion of exposed vital pulp, usually as a means of preserving the vitality and function of the remaining radicular portion.OBJECTIVES:
The aim of this study was to compare the clinical and radiographic success rates for electrosurgical vs formocresol pulpotomy in human primary molar teeth. SETTINGS ANDDESIGN:
This was a prospective, randomized clinical trial. MATERIALS ANDMETHODS:
In this randomized clinical trial, pulpotomies were performed on 70 primary molars in children aged 5-10 years. The teeth were treated using either a conventional formocresol (35 teeth) or electrosurgical technique (35 teeth). Following the pulpotomy procedure, the teeth were evaluated for clinical and radiographic success for three, six and nine months. The teeth were evaluated for the presence of pain, abscess, fistula, mobility, internal and external resorption, and radiolucency. STATISTICALANALYSIS:
The data were assessed with Fishers' Exact test.RESULTS:
After nine months of follow-up, the clinical and radiographic success rates were 96 and 84% respectively in the electrosurgical group and 100 and 96.8% respectively in the formocresol group. There was no statistically significant difference between the success rates in the two groups ( P > 0.05).CONCLUSIONS:
Our results showed the failure rates for electrosurgical pulpotomy to be equal to those for formocresol pulpotomy. Although electrosurgical pulpotomy is a nonpharmacological technique giving favorable results, it is still a preservative technique. Further studies using larger samples and longer evaluation periods are recommended.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Periapical Abscess
/
Pulpotomy
/
Tooth, Deciduous
/
Tooth Mobility
/
Tooth Resorption
/
Toothache
/
Zinc Oxide-Eugenol Cement
/
Humans
/
Child
/
Child, Preschool
Type of study:
Controlled clinical trial
/
Observational study
/
Prognostic study
Language:
English
Year:
2008
Type:
Article
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