ABSTRACT
AIM: The aim of this randomised clinical trial was to compare the clinical and radiographic success rate of 5% sodium hypochlorite (NaOCl) and 20% Formocresol (FC) as a pulpotomy medicament in carious primary molars. MATERIALS AND METHODS: Twenty-four children aged 4-8 years with at least 2 primary molars indicated for pulpotomy were included in this study. Eighty-two teeth received either 5% NaOCl or 20% FC using split mouth design, followed by restoration with IRM base/stainless steel crown (SSC). Clinical and radiographic evaluations were performed at 3, 6 and 12 months. RESULTS: NaOCl and FC groups demonstrated 100% clinical success at 3 months. At 6 months, NaOCl showed 95% and 87.5% clinical and radiographic success rate respectively, while FC showed 95% clinical and radiographic success rate. After 12 months, the clinical and radiographic success rates were 94.6% and 86.5% respectively for NaOCl, and 92.1% and 86.8% for FC. CONCLUSION: The results of this study showed the success rate for NaOCl pulpotomy to be comparable to those for FC pulpotomy.
Subject(s)
Formocresols/therapeutic use , Molar/drug effects , Pulpotomy/methods , Root Canal Irrigants/therapeutic use , Sodium Hypochlorite/therapeutic use , Tooth, Deciduous/drug effects , Child , Child, Preschool , Crowns , Dental Alloys/chemistry , Dental Caries/therapy , Dental Pulp/diagnostic imaging , Dental Pulp/drug effects , Female , Follow-Up Studies , Humans , Male , Methylmethacrylates/therapeutic use , Molar/diagnostic imaging , Periapical Diseases/diagnostic imaging , Prospective Studies , Radiography , Root Canal Filling Materials/therapeutic use , Stainless Steel/chemistry , Tooth Root/diagnostic imaging , Tooth, Deciduous/diagnostic imaging , Treatment Outcome , Zinc Oxide-Eugenol Cement/therapeutic useABSTRACT
Brucellosis is endemic in certain parts of the world. Musculoskeletal involvement is the most common complication of brucellosis, and the spine is most frequently affected. Between November 1985 and March 1993, 334 patients with radiologically proved musculoskeletal brucellosis were seen. Involvement of the spine was either focal or diffuse, with a predilection to the lumbar region. Erosions and sclerosis in vertebral end plates, changes of inflammation at scintigraphy or magnetic resonance (MR) imaging, and intact disks were hallmarks of the focal form. Osteomyelitis of neighboring vertebrae, involvement of the intervening disk, and moderate epidural extension were features of diffuse brucellar spondylitis. The great majority of joints with scintigraphic evidence of disease demonstrated normal radiographic findings. Evidence of osteomyelitis or destructive arthritis was encountered in only a few cases. Although radiography is sufficient for demonstrating focal brucellosis, MR imaging is better for assessing diffuse disease.
