ABSTRACT
AIM: To assess the clinical and radiographic success rates of regenerative pulpotomy compared to devitalising or preservative pulpotomy in treating vital pulp exposure in primary teeth. METHODS: Comprehensive search with PubMed/MEDLINE, Cochrane Library, Web of Science, Google Scholar and Open Grey databases was done and two reviewers extracted the data after assessing the studies for eligibility criteria. The Cochrane Collaboration Tool and Minors Checklist assessed the quality of the selected studies. A meta-analysis was performed using RevMan (P<0.05). CONCLUSION: Within the limitations of the study, it can be concluded that MTA seemed to be the better alternative to FC and FS, showing a lower risk of failure and can be recommended for pulpotomy in primary teeth. BD also demonstrated promising results as a pulpotomy medicament.
ABSTRACT
PURPOSE: To evaluate the volumetric changes of two recently introduced paediatric rotary file systems in comparison with conventional hand file systems in primary maxillary canines using an ultra-high-resolution nano-computed tomography. METHODS: This in vitro study was performed in extracted primary maxillary canines based on certain inclusion and exclusion criteria. Samples were prepared, and working length was determined after the pre-operative scan using a high-resolution nano-CT device (SkyScan 2214, Bruker, Kontich, Belgium). A single well-experienced paediatric dentist prepared the canals using three file systems: Kedo-S plus, Kedo-SG blue and hand K-files. All samples were subjected to post-operative scans performed similar to pre-operative scans. Image reconstruction was performed with NRecon software for 3D volumetric visualisation and analysis of the root canals. RESULTS: Kedo-SG blue file systems had the highest mean difference in the canal volume (4.05%). Hand K-files had the least difference at (3.71%) of canal volume. Kedo-S plus file system had a moderate mean canal volume difference (3.82%) which is closer to hand K-files. Intergroup comparison between the three groups showed that the mean difference in canal volume was statistically significant between all three file systems (p = 0.000). CONCLUSION: Within the limitations of the current study, rotary file systems produced a significant enlargement of canals as compared to hand files. Kedo-SG blue created a uniform preparation of the canal cervico-apically. Kedo-S plus files were prepared more coronally with minimal preparation apically as close to the preparation of hand files. TRIAL REGISTRATION: Trial registration number: IHEC/SDC/PEDO-2103/22/651, Date of registration: 2022.
Subject(s)
Cuspid , Dental Pulp Cavity , Maxilla , Root Canal Preparation , Tooth, Deciduous , Humans , Root Canal Preparation/instrumentation , Root Canal Preparation/methods , Cuspid/diagnostic imaging , Cuspid/anatomy & histology , Tooth, Deciduous/diagnostic imaging , Tooth, Deciduous/anatomy & histology , Maxilla/diagnostic imaging , In Vitro Techniques , Dental Pulp Cavity/diagnostic imaging , Dental Pulp Cavity/anatomy & histology , Dental Instruments , Equipment DesignABSTRACT
BACKGROUND: When treated in a dental chair, patients with deformities such as scoliosis often require special consideration. CASE REPORT: Here is a case of 9 years old Saudi child who was reported with dental problems. The objective of this study is to provide a guideline for dental management of diastrophic dysplasia. CONCLUSIONS: Diastrophic dysplasia is a rare and nonlethal skeletal dysplasia, autosomal inheritance recessive, recognized by the infant's dysmorphic changes at birth. Diastrophic dysplasia is not a common hereditary disorder, however, the characteristic of this condition and guidelines for dental treatment should be known to a pediatric dentist, particularly at a major medical center.